1 year remission but a test of 9.4 this morning

Discussion in 'Prozinc / PZI' started by Becki and sox, Jan 17, 2020.

  1. Becki and sox

    Becki and sox Member

    Oct 29, 2018
    Hi guys I'm back for a bit of help.

    So last week I noticed Sox looked like he'd lost some weight.
    He had gone from 5.8kg to 5.4kg no change in food or routine.
    So I slightly increased his food by 15g extra per day about a week ago.
    He has lost a little more weight still in that time and I also go a blood reading 9.4 this morning and then 9.8 +2 hours after food.
    Do you think this could be from the extra food I've been giving or maybe slipping out of remmision.
    How long would you guys monitor for before taking him back to the vets?
    Thanks guys
  2. Deb & Wink

    Deb & Wink Well-Known Member

    Jan 31, 2013
    MrWorfMen's Mom recently lost one of her cats and Marje and Gracie are on vacation. So I'm trying to 'pinch hit' and help out a little bit in this forum. I don't know any of the other members that help out with Prozinc.

    Not as experienced with Prozinc as some of the other insulins, but pretty good with general advice. It's the microdosing and SS interpretation that still throws me off a bit. Don't know why, but Caninsulin SS's are easier for me to interpret, and see the changes needed. I'm more experienced with lantus and NPH (so can help a bit with Vetsulin/Caninsulin which is basically like a longer duration NPH).

    Your concern is not with the dose, not with the specific insulin you had used, since Socks isn't on insulin currently. So here goes. Some ideas/notes/thoughts/brainstorming from me.
    • He may have lost remission, so how is the amount of his peeing? Has that increased? Bigger puddles in the litter box?
    • Drinking a lot more water?
    • Purring normal?
    • Pooping normal?
    • Playing normal?
    • How is the condition of his fur? Flakes of dandruff, dull, lifeless? or still nice and shiny? Is he grooming himself?
    • Showing signs of weakness in back legs? Neuropathy.
    • Does he seem a little off? acting differently than normal? Besides the begging for food (increased appetite)
    • Did you move? Get a new pet? Something changed to stress him out?
    • New cat in neighborhood, coming around your place?
    • Those mid blues on the SS are concerning. Get some random PM tests too if you can. Remember the "before bed" test?
    • Test your cat like you would do for an OTJ trial. Using the 3 steps below.
    1. Test at your normal AMPS and PMPS times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas). The morning test is now called the AMBG. The evening test is now called the PMBG.
    2. If your cat is green (0-99 mg/L human meter, 0-130 mg/L pet meter, 0-5.5 mmoL) at your normal test times, no need to test further until the next "PS" time, just feed small meals and go about your day. If the numbers are blue or higher (100-199 human meter, 130-230 pet meter, 5.5-11 mmoL), feed a small meal and test again after about 3 hours. Food raises BG's. So if the number is lower 3-4 hours after a meal, then the pancreas is working!
    After 1 week, if everything is looking good Socks might have had a kitty cold or slight UTI. Had some higher blues happen with my kitty, when he got a kitty cold, sneezing, runny eyes.

    If numbers are still high, I'd see a vet. Not sure, but you might want to shorten the wait time and see the vet sooner than a week. Maybe 3-4 days of BG testing will help you decide.

    If your cat does fall out of remission you need to be more aggressive and resolve issues/ back on insulin as soon as possible as the window for a second remission is tight if any. Pancreatitis, hyperthyroid, dental issues are the most common reasons cats fall out of remission.

    He may have something else going on to cause the weight loss, such as hyperthyroidism. So I think a vet visit is in order sooner rather than later.

    Hope that helps.
  3. Becki and sox

    Becki and sox Member

    Oct 29, 2018
    Hi @Deb & Wink thank you for your reply.
    About the peeing I'm not really sure. I have 4 cats in total and all share litter trays.

    His coat still looks really good. Nice and shiny no problem with that.

    He does seem maybe a little under the weather... Not got his normal appetite (not eating all of his food... He normally loves his food and just wants to pick the jelly off)

    I have wondered that seen as he doesn't seem himself.

    I'll keep a check on him over the next few days then and see how he goes
  4. Deb & Wink

    Deb & Wink Well-Known Member

    Jan 31, 2013
    Maybe pancreatitis? Licking a few bits of food and then turning his head away? Meatloafing?

    These 2 documents may be a good read through for you. Especially the second one, given where you live.
    Pancreatitis: A Primer On Pancreatitis
    Pancreatitis: Article on Pancreatitis for UK residents

    Even with 4 cats, if you are seeing much larger clumps of litter in the box, that could be a clue.
    Is Socks the only diabetic cat?

    p.s. Love playing detective, brainstorming ideas.
    Elizabeth and Bertie likes this.
  5. Becki and sox

    Becki and sox Member

    Oct 29, 2018
    Yeah he's ate skittle bit of the meat but licked the jelly off.

    Yeah Sox is the only diabetic cat we've got
  6. Juls and Billy

    Juls and Billy Member

    Dec 28, 2019
    I'm a newbie, so take with a grain of salt. How's his gums and teeth? Any redness at the gum line? Any odor? We have a young non-diabetic cat who gets short bouts of gingivitis sometimes. When it happens, he doesn't want to eat, even if he's hungry. A problem in his mouth could make him not want to eat, or not want to chew.
  7. Becki and sox

    Becki and sox Member

    Oct 29, 2018
    Hi @Juls and Billy yeah we've had his teeth checked recently and they were fine and all still look ok at the moment.
    He just likes to stress his mommy out :eek::D lol
    Juls and Billy likes this.

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