Brady PZ Thread 4

Discussion in 'Prozinc / PZI' started by Irish Pat, Jun 28, 2020.

  1. Irish Pat

    Irish Pat Member

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    Mar 14, 2020
    Is there any precautions needed when starting a new bottle of insulin? We are very close to starting a new bottle and I was just curious if there is anything I need to be aware of. Do we have to watch him more closely to see if the new bottle reacts differently is my main concern?
     
  2. Irish Pat

    Irish Pat Member

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    Just took Brady's sugar, he was down to 62 got exremely hungry with a little twitching going on, now @ 65 +6...fed a little more Medium carb food to have him start going up
     
  3. Irish Pat

    Irish Pat Member

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    On his way back up at 75 +6.5....not going to lie, we got scared.....waiting on some updates on how to handle in the future...the twitching scared us quite a bit......

    Is a dose reduction called for tonight?
     
  4. Panic

    Panic Well-Known Member

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    Apr 10, 2019
    No difference unless the old bottle hasn't been working, which this vial seems to be fine! Brady's definitely earned a reduction tonight, congrats! You're doing okay. Once you get him above 90 stall feeding and check in a half hour to see if he's holding his own.
     
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  5. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    You might see a little drop in numbers when you start a fresh bottle. Just monitor.


    I believe you started doing the Modified PZ dosing? If so, then no reduction. If you are doing SLGS, then yes, a reduction. I’m hoping you stuck with the MPZ because he’s just starting to see some better cycles.

    A few things to remember:
    • It takes about 30 mins after feeding to see a change to the BG so unless he’s in the 30s, I’d be careful about testing and feeding every 15 minutes or you will overdo the carbs and send him skyrocketing;
    • Once you stop a drop and he flattens, stick with LC and see if you can get him to “surf” green numbers
    • Look at where he is in the cycle and how much the drop is before you decide on carbs; often, mid to late cycle green numbers require less carbs than early in the cycle
    • He started out in pink and dropped to blue in three hours. That’s when I would have taken “action” (fed a good helping of LC) to try and keep him from dropping into the 60s and I definitely would have tested one hour after I got the blue number.
    It’s very common when they drop that fast to see them starving. Not sure about the twitching but he was in very safe numbers so it might have been his response to dropping fast more than any issue about low numbers.
     
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  6. Irish Pat

    Irish Pat Member

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    Thank you for checking in on me Elizabeth.....very much appreciated.....He started to rise so we waited a little bit...rechecked at +7.5 and he was fine at 140
     
  7. Irish Pat

    Irish Pat Member

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    Thank you for checking in on me as well Marje......Couple things...

    He is still always fed a 1/4 can at +4 so LC food was given to him a little early today because my plans were to mow today before the heat rose to much...well that went out the window......So he was fed LC at +3.5 today, I was going to actually let him go without checking him because of his past numbers he hasnt fallen that fast in quite some time.....im so glad I checked, honestly he is the one that made me check just by the way he was acting, really pressing us for food....guess i know why....So he was fed LC at +3.5 and went clean down to 62 after that feeding...with him starving and then that twitching while he was laying down after eating made me think i better give him some more MC food...In the future I will keep an eye on him and let the first MC or LC food I give him time to raise his numbers a little......When things happen you havent seen before in your cat, it makes you a little scared, thats the reason I went right to MC food......I didnt know what was happening.....

    As far as dosing methods, we have been staying pretty much at 3U unless we got some low PS numbers....With everything going on and being back to work for a bit it was a decision we had to make....It may not be the best decision but it is one that we had to make due to circumstances....So I will see what his PS number is this eveing and make a decision based on that number....

    Curious on your thoughts about him dropping so fast to 62 after his LC feeding at +3.5??? To me Brady is the classic ECID definition, he makes you sit back and go hmmmm...I thought for sure after that +3.5 feeding he was going to flatten out, maybe drop a little bit but not to 62......

    One other thing, he is off Cerenia for two days now...doubt that had anything to do with it.....
     
    Last edited: Jun 28, 2020
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  8. Irish Pat

    Irish Pat Member

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    He rose clean up to 437 for PMPS, I think it was because of the MC food we gave him.....Going to still reduce to 2.5 tonight we are exhausted, it was a very late night and not much sleep....we also have to take care of us......
     
  9. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    May 30, 2010
    Every cat is classic ECID :p It’s pretty typical that LC isn’t going to stop a fast drop like that.


    Correct. That wouldn’t affect it.
     
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  10. Irish Pat

    Irish Pat Member

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    Lowered insulin to 2.75 U and he dropped below 90 again today....Gave 1/4 can of LC food at +3.5 AM today, did not slow him down again....Just gave a bit of MC food since he is at 77 to try to slow him down....Guess another dose decrease today...thoughts anyone else??

    @Panic
     
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  11. Panic

    Panic Well-Known Member

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    I might have already asked and forgotten, but is he getting earlier meals at +1 or +2? A meal at onset helps keep that drop from happening too fast.
    Were you doing SLGS or MPM protocol? If SLGS he's earned another reduction. :)
     
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  12. Irish Pat

    Irish Pat Member

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    He gets his 1/4 can at +3.5 or +4 everyday....We switched back to SLGS because of my work situation...we have new people and I may have to go in to work at any given moment, so that is actually what works best for us and feeding wise at +4...My wife can home at that time to feed the cats...I have been home due to the virus but we are starting to open up, I am home today and hopefully I stay home in the next couple weeks but they could ask me to go in...I dont want to start something that I cant commit to feeding wise....Im already trying to decide what to do dosage wise due to going back to work....a little panic mode going thru my mind deciding what to do there.....Uggggh....
     
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  13. Panic

    Panic Well-Known Member

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    No worries. Part of the problem may be you're feeding him too late though. Feeding earlier would slow that drop and help you out. Have you considered getting a Petsafe 5 Feeder so he can get his snacks when you're not home?

    Okay, since you're back on SLGS he's down to 2.5u. :)
     
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  14. Irish Pat

    Irish Pat Member

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    We have two cats that compete for food so I really dont think it would work, if the food was available Im not sure which one would get the food...they go at each other now as it is at feeding time, lol....

    Im not trying to jinx myself but im hoping something good is happening since reductions are called for.....not sure what that means....

    I am a little worried about one thing he is losing some weight, going to talk to the vet next week about that, she is on vacation.....
     
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  15. Panic

    Panic Well-Known Member

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    You could get two feeders if that's the only issue, they have them fairly cheap on Ebay. He does need to be fed earlier to save him from those drops.

    Is he getting enough calories? Diabetic kitties need more than the average cat so he may not be getting enough meals.
     
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  16. Irish Pat

    Irish Pat Member

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    So, the feeders look like they are for dry food, we only feed wet food now...He gets 2 full cans throughout the day, 5.5 ounce Friskies LC pate cans...he is a big cat before being diagnosed in March he was 18-19 lbs...he is down to 15.5 lbs now....but he lost most of the weight when he was sick in the beginning....He dropped a little weight the last time we had him at the vet and she was happy about that, now he lost a little more.....just things run through my mind now that he has this disease, im always worried something else is wrong.....
     
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  17. Irish Pat

    Irish Pat Member

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    He is rising a little...went to 82....appreciate you being here for me just to talk and advice of course....
     
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  18. Heather & Ducote

    Heather & Ducote Member

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    May 23, 2020
    I am also in the market for an automatic feeder for when school starts in August and I won't be home during the day. I saw on Amazon they have some that come with an ice pack that you put under the tray so that you can use it with wet food. They are not expensive, around $25. I also read on here where people will freeze wet food in ice cube trays and put them in the food bowl when they leave and they melt throughout the day.
     
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  19. Irish Pat

    Irish Pat Member

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    Im dreading the day I go back full time....I worry alot now, I cant imagine how im going to be when I go back to work....UGGGGHHH.....This disease sucks!!
     
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  20. Irish Pat

    Irish Pat Member

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    Brady is holding in the 80's, trying to let him ride out the greens from prior advice...will check on him periodically to make sure he is good.....only gave him a little MC food to slow him down....

    @Marje and Gracie
     
  21. NoahFL

    NoahFL Member

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    Jun 12, 2020
    Great news! When I’m able to go back to work (teleworking now) I’m going to have to get an automatic feeder or have my college daughter feed the crew.
     
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  22. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    Beautiful cycle. One suggestion.....test at +2 when it’s onset and control the drop.
     
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  23. Irish Pat

    Irish Pat Member

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    Unfortunately I was in the middle of some calls from work, I made a test when I could....Did I mention I hate work, lol....Yes he did have a very nice cycle...thanks Marje ......
     
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  24. Irish Pat

    Irish Pat Member

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    Beanie and I debated back and forth and decided to do 1U, we werent going to give him any insulin but decided on 1U
     
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  25. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    Those automatic feeders work fine with canned/wet food also. Adding a bit of water to the food, before you put it in the feeder compartments, helps to keep it from drying out.
     
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  26. NoahFL

    NoahFL Member

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    How’s Brady doing today?
     
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  27. Irish Pat

    Irish Pat Member

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    So so day....you are alot braver than I.....We reduced his units the other night due to low PS number, its something I just cant force myself to do when he is low....so now back on track and hopefully the 2.5 U starts to work on him better......You my friend are very brave indeed, lol....Max looks like he is doing very well.
     
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  28. NoahFL

    NoahFL Member

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    Jun 12, 2020
    I’m just worried if I don’t do too much insulin he’s going to become a bouncing ball again. I have gotten better at slowing the quick decrease with food. Thankfully these lows he hasn’t shown clinical signs of hypo. Last night was a bit low for me though. Hope Brady has a good day. It’s going to be a plus up on caffeine kind of day for me.
     
  29. Irish Pat

    Irish Pat Member

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    I saw your SS....you are going to be a tired woman today
     
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  30. Irish Pat

    Irish Pat Member

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    Brady took his first big bounce in quite some time today.....hoping we can get back on track.
     
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  31. NoahFL

    NoahFL Member

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    Jun 12, 2020
    Ack, Brady. Did anything change? Get into some contraband?
     
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  32. Irish Pat

    Irish Pat Member

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    Nope...just a big bounce..he was famous for the really big bounces in the early stages
     
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