4/7 Binie AMPS 300, +3 346, +6 249, +9 130

[Heike & BInie]

Last Post: https://www.felinediabetes.com/FDMB/threads/4-3-binie-amps-466-3-356-6-295-new-dose.288383/

Good afternoon,

day four of the new dose. Finally we are seing some blue again. Unfortunately eating is a problem again. Most of the time I have to motivate her to eat.

Yesterday it became quite warm in German spring and she insists on staying longer time outside. I don't know how to feel about this. On the one hand I like her to roam around because she is supposed to loose weight and also I know that she loves being outside. On the other hand I am scared that she will have a low somewhere in a neighbours garden and I don't notice. Yesterday evening I went outside quite often, rattling a snack box to look after her. My neighbors already know I am the crazy cat lady... ;-)

Hope everyone is having a beautiful and safe sunday!

 

[Staci & Ivy]

Last Post: https://www.felinediabetes.com/FDMB/threads/4-3-binie-amps-466-3-356-6-295-new-dose.288383/

Good afternoon,

day four of the new dose. Finally we are seing some blue again. Unfortunately eating is a problem again. Most of the time I have to motivate her to eat.

Yesterday it became quite warm in German spring and she insists on staying longer time outside. I don't know how to feel about this. On the one hand I like her to roam around because she is supposed to loose weight and also I know that she loves being outside. On the other hand I am scared that she will have a low somewhere in a neighbours garden and I don't notice. Yesterday evening I went outside quite often, rattling a snack box to look after her. My neighbors already know I am the crazy cat lady... ;-)

Hope everyone is having a beautiful and safe sunday!

Hi Heike, I’m sorry to hear Binie isn’t eating well. Sounds like a lot of us are struggling with eating issues.
I would also be so nervous with her being out wandering around if she should drop too low and you would know where she was or something like that.
Maybe you could let her out when she’s supervised by you for walks or time together?
I hope she eats better for you and you both have a safe day ahead

 

[Heike & BInie]

Hi Heike, I’m sorry to hear Binie isn’t eating well. Sounds like a lot of us are struggling with eating issues.
I would also be so nervous with her being out wandering around if she should drop too low and you would know where she was or something like that.
Maybe you could let her out when she’s supervised by you for walks or time together?
I hope she eats better for you and you both have a safe day ahead

Thank you Staci! The eating issues really surprised me as I read that most diabetic kittys are always hungry. Also her weight doesn't reflect her low appetite. When she developed hypothyroidism she gained much weight in a short time. I would really like her to loose some of it because I hope it helps her bg but offering her less food is not an option because of the insulin. It is also surprising for me that eating is an issue for Ivy as one could think that the hyperthyroidism makes her hungry.

Yes, Binie being an outdoorcat is really an issue. Before she became sick she wanted to go out all seasons of the year day and night. I didn't really liked it because I was worried a lot but forcing her to stay inside never felt like an option. The last month she hardly left my terrasse and I could always monitor her. Seemed like she knew that she is not well. So on the one hand I thought it is a good sign she wants to go back to business as usual again. On the other hand....as you said, it is even more unsafe now. We used to do walks together in the past but that alone doesn't satisfy her. Whenever I was forced to keep her inside because of medical issues it was a real drama. It feels like I have to make a decision between her safety and her quality of life and I haven't made my decision yet.

Enjoy your sunday with beautiful gato meow!

 

[Heike & BInie]

Last post: https://www.felinediabetes.com/FDMB/threads/4-7-binie-amps-300-3-346-6-249-9-130.288508/

Good evening!

In 30 minutes I would give the next injection but after a long string of blue Binie is not really going up. At the moment, she is at 220, which is unusual. Because eating is also an issue, I feel giving a reduced dose is wise. What is suitable? Her dose is 2,75 since four days. Thank you!

Update: She is shooting up again. Now the Freestyle shows 264 with the arrow going up. We will see where she goes the next 20 minutes and how she eats. If she is not eating well again I feel a little reduction is still wise even though she went up?

 

[Christie & Maverick]

While she did drop into blues, as you say the numbers are now trending up, which means she’s hit her nadir. The last times she hit blues, she bounced.

I can appreciate sometimes when the kitty isn’t interested in eating much especially at shot time, that can be a bit of a worry. Was she eating ok today? It is often helpful when looking back at information on the spreadsheet to show in the remarks when she might have been a bit fussy with either her meals or snacks. Since you are able to get BG tests via the Libre and if she eats some small snacks during the beginning of the cycle through onset and into nadir, it’s not necessary to reduce the dose. It’s not necessary for her to have a big meal at shot time, since you have until next onset before the dose kicks in. And as I said above, she may likely bounce again from the blues.

 

[Heike & BInie]

While she did drop into blues, as you say the numbers are now trending up, which means she’s hit her nadir. The last times she hit blues, she bounced.

I can appreciate sometimes when the kitty isn’t interested in eating much especially at shot time, that can be a bit of a worry. Was she eating ok today? It is often helpful when looking back at information on the spreadsheet to show in the remarks when she might have been a bit fussy with either her meals or snacks. Since you are able to get BG tests via the Libre and if she eats some small snacks during the beginning of the cycle through onset and into nadir, it’s not necessary to reduce the dose. It’s not necessary for her to have a big meal at shot time, since you have until next onset before the dose kicks in. And as I said above, she may likely bounce again from the blues.

Thank you Christie! Binie was not eating much today and was quite sleepy. I tried to feed her just now and she didn't want to eat a bite. I try to gave her some kind of cat's soup she gets as a treat for testing and injection and she was o.k. with that. I took her bg also on the Accu check and it was 273, on the Libre she is at 300 now. Maybe I wait a little longer and then give her a reduced dose? It is the not eating which worries me...

 

[Heike & BInie]

Update: I tried to give her a little bit of the "bad" kibble she had before her diagnosis and she ate it. So she just not seems to be hungry? That encouraged me to give her a slightly reduced dose (2,5 IE) and hope, that she will get hungry later.

 

[Christie & Maverick]

As far as what she has eaten today, has it been generally most of her usual, but she’s just a bit fussy, or would you say she’s eaten quite a bit less than usual? Even my non diabetic cat sometimes just doesn’t want as many snacks during the day. You can also try a few of these tips How to Stimulate Kitty’s Appetite

 

[Heike & BInie]

As far as what she has eaten today, has it been generally most of her usual, but she’s just a bit fussy, or would you say she’s eaten quite a bit less than usual? Even my non diabetic cat sometimes just doesn’t want as many snacks during the day. You can also try a few of these tips How to Stimulate Kitty’s Appetite

Today she has eaten a bit less than usual but we always have these days since some time. That I changed her diet after the diagnosis to low carb didn't really help, of course the higher carb food was more attractive. But I am confident that I will get something inside her, if we get a problem tonight. Thank you for the link, I will try some of the tipps for sure!

I don't know, which feeding regime the fdmb suggests. My vet told me to free feed which I do for most of the day, taking the food away two hours before insuline. She was always used to free feeding but I don't know if this is wise. I also don't really have tight portion control, maybe I should change that because sometimes I see that she ate less but I can not quantify it. So much to learn... Thank you for your suppert Christine!

 

[Christie & Maverick]

You are most welcome

My boys were free fed too before Maverick was diagnosed and afterward I found a pretty good routine in feeding their main meals (am/pm) then 3-4 snacks during the cycle both am and pm. When Maverick was on Lantus, I typically got most of the snacks in by about +5 or +6, since for him he tended to nadir by +6 so I found if I fed after that, it would put the brakes on whatever duration he had left. It also depends a bit on whether you find she is at an ok weight or whether she needs to gain or lose. But perhaps since she does have access to the food on a more regular/frequent basis, she is actually eating more than you think? It takes a bit of experimenting to see what works for Binie but I would say most here on the forum feed at few times during each cycle in addition to the main meals at preshot.

 

[Heike & BInie]

Thank you Christine, this makes very much sense to me to me how you describe it! Weight is an issue for Binie as she gained quite some weight while having hypothyrodism. Also before that she was never a slim cat. I made a plan how much I can feed her and I put it out during the day. I don't weigh how much she had but I see how much is left. Maybe that is not always accurat. I try to feed the wet food first but because she doesn't like it so much and doesn't eat very well I very often have to give out more kibble. I have tried to switch her to wet food since ten years but so far she won. At least I found a low carb type of dry food.I think it is time to weigh the food every day and I will also try to switch to main meals and snacks. So much to learn and so much room for improvement...

 

[Wendy&Neko]

You can go back to 2.75 units again tomorrow. Reducing the dose for one cycle may or may not have much impact on that one cycle. Due to the nature of the insulin depot, the first part of the cycle can act like you shot the full dose anyway.

With as much data as you have due to the Libre, and two months of that data, you should be able to shoot anything above 200, especially with rising numbers. Over time and with more data, members following SLGS for dosing can even shoot as low as 90. With Lantus, the cycles are much flatter when you shoot lower numbers. Once you've shot a few of these lower preshots (and yes, into the 100's), you'll start to look forward to them.

The other thing to consider, is that she spend 4 beautiful hours in blues today, meaning her body was more able to absorb nutrition from food, hence she just wasn't as hungry as when she has been in high numbers. Looking back at March 13th on the spreadsheet, the last time she had a 4 hour stretch of blues, you also noted she didn't seem a hungry that night.

 

[tiffmaxee]

I would have shot the full dose because shooting .25 lower likely will not change the outcome of this cycle. It might effect tge next one though.

 

[Heike & BInie]

You can go back to 2.75 units again tomorrow. Reducing the dose for one cycle may or may not have much impact on that one cycle. Due to the nature of the insulin depot, the first part of the cycle can act like you shot the full dose anyway.

With as much data as you have due to the Libre, and two months of that data, you should be able to shoot anything above 200, especially with rising numbers. Over time and with more data, members following SLGS for dosing can even shoot as low as 90. With Lantus, the cycles are much flatter when you shoot lower numbers. Once you've shot a few of these lower preshots (and yes, into the 100's), you'll start to look forward to them.

The other thing to consider, is that she spend 4 beautiful hours in blues today, meaning her body was more able to absorb nutrition from food, hence she just wasn't as hungry as when she has been in high numbers. Looking back at March 13th on the spreadsheet, the last time she had a 4 hour stretch of blues, you also noted she didn't seem a hungry that night.

Oh, so much helpful information! Thank you Wendy! Good to know for the next time how to handel "lower" preshot numbers over 200. And thank you for reminding me, that almost the exact thing happened in march. I am always worried if she is not eating but maybe that was part of something good. I will go back to 2,75 tomorrow. Have a nice evening!

 

[Heike & BInie]

I would have shot the full dose because shooting .25 lower likely will not change the outcome of this cycle. It might effect tge next one though.

Ah, good to know that these small reductions don't change the cycle but likely the next one. Again I learned for the next time. Thank you so much for your feedback!