3/8, Falafel, PMPS 220 +2 51 +2.25 42 +2.75 78 +3.25 134 +3.25 142 +4.25 230

Previous thread: https://www.felinediabetes.com/FDMB/threads/3-7-falafel-amps-206-2-186-4-219-6-198-8-234.287472/

Hi everyone. I will be taking Falafel's PMPS BG in ~20 minutes (7:30 ET). I'm a little nervous because I think I should skip this shot.

Vet updates:
- I got good news! They think she's a good candidate for remission and are pleased with how well she's responding to the insulin, and cautioned me about hypo episodes since she's responding so well. Trace amounts of ketones in blood, so I'm scared to miss a shot. Dehydration remains an issue, so I administered 25 mL of SubQ fluids today (bearing in mind she has heart issues so I need to be careful, vet said I can try this amount every other day until she's plump and hydrated again).
- Previously the ER vets mentioned she might have kidney issues, and while the primary vets said her labs could indicate the very early signs of kidney failure, it's possible this could go away once her diabetes is under control so we're holding on investigating that for now.
- Wednesday I'm going in for another follow up and then going to the specialist for an echogram (this Wednesday they heard a heart murmur, and today they heard a heart gallop so definitely something to investigate). Then we'll tackle dental one of these days...

 

Let me tag Wendy since I see she gave you some advice on your previous post. I'm not experienced at giving dosing advice
Z's shooting time is 7:30

@Wendy&Neko

Edit : Wendy her PMPS was OK to shoot so she's good

 

My shooting time today would be 7:30, I've been following the daylight savings suggestion to move up by 15 mins (from this post: https://www.felinediabetes.com/FDMB/threads/daylight-savings-time-sunday-march-10th.287368/)

 

Oh right I'll fix my post

 

Okay PMPS is 220, which matches 3/6 and 3/7. I think I'm good to shoot the regular dose.

 

Yep you are

 

Thanks!

In another week I have to go back to work and I'll be out of the house from (roughly) 8:30am-6:30pm on the weekdays. The best time for me to shoot would actually be 7am and 7pm, but I wouldn't have time to get any readings (best I can do is +1) until I get home.

I was thinking next week I would follow the same 15 minute protocol to move my shot time up to 7am/7pm (after daylight savings).

Does all this sound okay? I would also want to shoot very conservatively since no one would be able to help in the event of a hypo.

 

Z it's been so long that I had to give Tyler insulin or figure daylight savings time out ,I'll tag Wendy
@Wendy&Neko

 

Just took +2 and it’s 51! I’m scared, is this a sign she could go hypo tonight??

Eating LC wet right now with good appetite.

 

OK don't feed her too much check her again in 30 minutes and post what her BG is , I'll be waiting
@thornmallow__

 

@Wendy&Neko
@Marje and Gracie
@Suzanne & Darcy
@tiffmaxee

 

Ok she just ate almost half a can of FF pate (there’s only a little left in the bowl), does this ruin the dose?

She doesn’t usually eat this much in one go unless she’s starving, I’m watching her now and behavior is pretty normal

 

Try not and over feed her in case she drops lower you want to keep her hungry. No it doesn't ruin the dose

 

Did you double check that 51 to make sure it’s not a bad strip? If not please do. Post result. If it about the same feed a teaspoon or two of 10-25% carb food and check again in 30 minutes.

 

Thanks for checking in Elise , you know I suck when it comes to telling her how many carbs to feed

 

It's been 15 mins since that test, she ate almost half a can since that first test (sorry I didn't know not to let her! It was her regular low carb food) and I just tested again she's at 42

 

Time for high carbs. Do you have 20%? Or higher?

 

I have the FF with the gravy

 

Do you have any of these
Med and High Carb food



Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs

Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Turkey Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Chicken and Beef in Gravy 15% Med Carbs

Good idea to mark the cans with magic marker how many carbs

 

I gave her FF chicken feast in gravy grilled (it's not gourmet lovers though) is this okay?

this one https://www.purina.com/cats/shop/fancy-feast-timeless-favorites-grilled-chicken-gravy-wet-cat-food

 

Elise her kitty just switched from Vetsulin to Lantus and boy is she really responding good with lantus

 

Gravy Lovers? Feed a couple teaspoons now and test in 20-30 minutes.

I missed your answer. Feed another teaspoon and add some honey or karo.

 

It's this one: https://www.purina.com/cats/shop/fancy-feast-timeless-favorites-grilled-chicken-gravy-wet-cat-food

fed like 2 tsps

 

That’s not high carb. Do you have honey or karo?

 

It’s early in the cycle so you need carbs. Honey will work but wears off faster than hc food so you will need to check in. 20 minutes.

 

ok, added some honey

 

That's only 12% carbs, is that all you have?
@tiffmaxee
Should she add a little honey to it
@tiffmaxee

 

I’ll check back on 20 minutes.

 

Reduction earned btw. New dose starting tomorrow is .25.

 

I also have Hills Science Diet i/d (wet) is that better?

 

I also have FF Chicken Feast in gravy Senior 7+yrs

 

I think the ID might be 24% which is higher. Which one? I don’t know about the ff but dint think it’s hc.

 

It's this one: https://www.hillspet.com/cat-food/pd-id-feline-canned

Darn!!! I bought that FF specifically bc I thought it was HC. Testing again in 3 minutes!

 

Ok new BG is 78!

 

Chicken feast in gravy is 12 % so mc. You can use this tomorrow when you go to the market. The honey will work fine tonight. You will need to check every 20 minutes until the bg goes up enough and stays up without needing honey or the 12% to keep it up. I’ll help you figure that out.

https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

 

That’s the honey bringing it up. Feed a teaspoon of the 12% without honey . Check in 30minutes.

 

Oooh okay the Hill's I have is 23% carbs according to this chart. Fed a couple tsps of the 12%. Waiting to check the BG now.
Thank you for helping us!!

 

She seems to be breathing faster than normal (not panting) and looking for food, ok if I feed her another couple tsps or should I keep waiting? Have about another 10 mins before the next test


ok nvm i was overreacting about the breathing lol. i am so stressed rn!!

 

@tiffmaxee

 

Yes it's 23% carbs

 

Ok so this is good to keep in case of future hypo?

 

Tomorrow go buy some of these to have on hand and mark the cans
FANCY FEAST
Medleys Tuscany
White Meat Chicken Tuscany
in a Savory Sauce 20 % carbs

Tender Turkey Tuscany in a
Savory Sauce 20 % carbs

Tuna Tuscany in a Savory
Sauce 22 % carbs

Wild Salmon Tuscany in a
Savory Sauce 23 % carbs

Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs

Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Turkey Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Chicken and Beef in Gravy 15% Med Carbs

Good idea to mark the cans with magic marker how many carbs

Get some 15% , 20%, 22% and 23%

 

New BG is 134!

 

Test again.

 

We cross posted. You can feed her some of her regular food and check in an hour. She might be starting to bounce from the lows but we need to make sure she doesn’t go down when the honey is out of her system.

 

Retest says 142

Should I test again?

Will feed regular food rn and recheck in another hour!

 

@thornmallow__
Z while you're waiting to test in an hour update your SS and Title please

 

@tiffmaxee
Elise once her kitty is in safe numbers she needs an answer in her post #11 Thanks Elise

 

@Diane Tyler's Mom could you help me on how to update my spreadsheet. Not sure how to fill this in:

7:30 (PMPS) - 220
9:30 (+2) - 51
9:45 (+2.25) - 42
10:15 (+2.75) - 78
10:41 (+3.25) - 134
10:45 (+3.25) - 142

Do I make new rows for the bolded numbers? Should I add them in the remarks section?

 

In cell #2 where you have the 51 put 42 +2.25, then put 78 +2.5 then color code it dark green since the last test there was 78

134 would go in the 3 cell 134 +3.5. 142 +3.5 then color code them blue
I'm going by the actual times you listed
@thornmallow__

 

@thornmallow__
Do it the same in your title you can remove preventing hypo if you can't fit all the numbers

 

you can remove preventing hypo if you can't fit all the numbers in your title
@thornmallow__

 

Don't feed her anymore ,Elise do you think she can stop feeding her now , does she need to do another test
@tiffmaxee

 

Haven't fed her anything since when I posted - just waiting 5 more mins before i test her again

 

What was the BG when you stopped feeding? I'm confused

 

78 - 20 mins after few tsp of the 12% w the honey mixed in
134, 142 - 30 mins after few tsp of the 12% w no honey
230 - 60 mins after regular food (just tested)

 

It’s fine to move the time 15 minutes each cycle. Do you have a timed feeder? That could be set to give food while you are at work. As for dosing, see what happens closer to your return to work as far as dosing.

You can stop testing for tonight unless you want to test one more time before bed. It’s not necessary though.

 

Thanks Elise Good night
Good night Z
Don't forget tomorrow's dose will be 0.25 units
@thornmallow__

 

Re: when I go back to work, is it okay that I can only grab a +1 test before I leave for the day in the morning? I will revisit the dosing closer to next week.

Yes I have a timed feeder. I will explore that later because I have a lot more questions lol.

I'll test again at +5 just to be safe.

Thank you for all your help!!!

 

@tiffmaxee

 

I’d start getting a +1 and +2 now to see how much of a bump you get. If you could get a test at +1.5 or +2 that would be better than a +1 but a +1 might help you figure out how to program the auto feeder. I’d get her used to it while this week and see if she takes to it.