Kokkinoulis
Member
Dear administrators,
@Wendy&Neko , @Bandit's Mom , @tiffmaxee , @Marje and Gracie , @Chris & China (GA)@Sienne and Gabby (GA)
Previous post: https://www.felinediabetes.com/FDMB...-with-diabetes-grizoulis.299977/#post-3263585
After a long absence, I am writing again on the forum. If you remember, I have Kokkinoulis, a diabetic cat with acromegaly who is now in remission and he only takes cabergoline every day. His brother, Grizoulis (grey is Greek), is a thin cat (3.7 kg), 9 years old, who suffers from chronic rhinitis or rhinosinusitis since the age of 1 when I found them.
He has many years intermittent nasal discharge, sneezing, snoring, open-mouth breathing, and he has received several broad spectrum antibiotics and long courses and other medications over the years with only a moderate response. Recently I noticed that he was urinating very frequently and in large quantities, drinking a lot of water, and was very hungry, and especially after a dose of antibiotics and corticosteroids, his condition deteriorated sharply. He did lab tests and he had high liver enzymes levels and elevated fructosamine levels so I started him on 1 unit of insulin lantus.
Unfortunately, I can't measure him at all by his ears because he has sensitivity and pain in his ears (he also has a polyp that should be operated on at some point) and he is also very naughty. For this reason, I decided to put him on a libre and also due to work, I am away from home for several hours. But I can't verify libre's glucose values by measuring it with a glucose meter as I did with Kokkinoulis. With great difficulty I also do the insulin injection every time. Also, in this cat, the Libre does not last 2 weeks as it should and it was last in Kokkinoulis's but in 1 week it is out of order for unknown reasons (I have used 3 Libres to date). I'm thinking that maybe because he's just skin and bones this could be happening and for the same reason (also because he's squirming) when I shot him insulin, especially the first days, I didn't know if I was just injecting him into the skin or the fur...he has no fat at all.
As I said, I started with 1IU Lantus BID on 21Mar2025 but unfortunately at the same time my dad was very sick in the last stage of cancer and I spent many hours with him at hospital, so I skipped doses or made too quick and incorrect changes to insulin units.
Since April 5, 2025 and after my dad passed away I have been trying to follow the TR more carefully and I need your help and advice. As you could see in his spreadsheet he has a strange pattern and in the morning his glucose curve is usually flat at high values while in the evening at +3 to +7 he do a sharp dip with hypoglycemias (unfortunately I cannot confirm the actual glucose values and whether they are really so low by measuring him with a glucometer in the ear). Yesterday it was was the first day after a long time that he had better numbers (blue) in the morning, which unfortunately did not continue in the evening and today. I don't know if these high numbers during an entire cycle and after a sudden hypoglycemia are a bounce or there is something else or maybe due to chronic rhinitis (inflammation).
What dose of insulin do you think I should do in the next few days? Should I increase the dose back to 1.5? Should I wait another 1-2 cycles to see how it goes?
Thank you in advance and sorry for the long post.
@Wendy&Neko , @Bandit's Mom , @tiffmaxee , @Marje and Gracie , @Chris & China (GA)@Sienne and Gabby (GA)
Previous post: https://www.felinediabetes.com/FDMB...-with-diabetes-grizoulis.299977/#post-3263585
After a long absence, I am writing again on the forum. If you remember, I have Kokkinoulis, a diabetic cat with acromegaly who is now in remission and he only takes cabergoline every day. His brother, Grizoulis (grey is Greek), is a thin cat (3.7 kg), 9 years old, who suffers from chronic rhinitis or rhinosinusitis since the age of 1 when I found them.
He has many years intermittent nasal discharge, sneezing, snoring, open-mouth breathing, and he has received several broad spectrum antibiotics and long courses and other medications over the years with only a moderate response. Recently I noticed that he was urinating very frequently and in large quantities, drinking a lot of water, and was very hungry, and especially after a dose of antibiotics and corticosteroids, his condition deteriorated sharply. He did lab tests and he had high liver enzymes levels and elevated fructosamine levels so I started him on 1 unit of insulin lantus.
Unfortunately, I can't measure him at all by his ears because he has sensitivity and pain in his ears (he also has a polyp that should be operated on at some point) and he is also very naughty. For this reason, I decided to put him on a libre and also due to work, I am away from home for several hours. But I can't verify libre's glucose values by measuring it with a glucose meter as I did with Kokkinoulis. With great difficulty I also do the insulin injection every time. Also, in this cat, the Libre does not last 2 weeks as it should and it was last in Kokkinoulis's but in 1 week it is out of order for unknown reasons (I have used 3 Libres to date). I'm thinking that maybe because he's just skin and bones this could be happening and for the same reason (also because he's squirming) when I shot him insulin, especially the first days, I didn't know if I was just injecting him into the skin or the fur...he has no fat at all.
As I said, I started with 1IU Lantus BID on 21Mar2025 but unfortunately at the same time my dad was very sick in the last stage of cancer and I spent many hours with him at hospital, so I skipped doses or made too quick and incorrect changes to insulin units.
Since April 5, 2025 and after my dad passed away I have been trying to follow the TR more carefully and I need your help and advice. As you could see in his spreadsheet he has a strange pattern and in the morning his glucose curve is usually flat at high values while in the evening at +3 to +7 he do a sharp dip with hypoglycemias (unfortunately I cannot confirm the actual glucose values and whether they are really so low by measuring him with a glucometer in the ear). Yesterday it was was the first day after a long time that he had better numbers (blue) in the morning, which unfortunately did not continue in the evening and today. I don't know if these high numbers during an entire cycle and after a sudden hypoglycemia are a bounce or there is something else or maybe due to chronic rhinitis (inflammation).
What dose of insulin do you think I should do in the next few days? Should I increase the dose back to 1.5? Should I wait another 1-2 cycles to see how it goes?
Thank you in advance and sorry for the long post.
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