Oscar 13 just been diagnosed, please help

Just got another test, missed opportunity to do a +4.5 test, but just got another test now @ +5 and its risen up to 6. Panic over for now.
Will reduce dosage for the shot this evening.
Do you think i should go with 1.75 or 1.5?
On one hand i really dont want to give too much, on the other i want to give enough to try to keep his numbers in the right range.
Thank you again.

Bron and Sheba (GA) said:
I would test 30 minutes after you fed him just to make sure he isn’t dropping lower.
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Oscar2009 said:
Just got another test, missed opportunity to do a +4.5 test, but just got another test now @ +5 and its risen up to 6. Panic over for now.
Will reduce dosage for the shot this evening.
Do you think i should go with 1.75 or 1.5?
On one hand i really dont want to give too much, on the other i want to give enough to try to keep his numbers in the right range.
Thank you again.
Click to expand...
Can you get another test at +7? Once the high carb food wears off, the BG might drop again and we don’t want that.
I would reduce to 1.5 because dropping to 50 is too low for Caninsulin. You don’t want it dropping under 90. Under 90 earns a reduction.
 
Just got a +7 and its back up to 21.1 !
Any advice for dosing this evening and going forwards much appreciated.
I dont want to set him back by reducing dose too much, i want to get his numbers in the right "normal" range, but likewise dont want him to drop to low and risk hypos
Thank you

Bron and Sheba (GA) said:
Can you get another test at +7? Once the high carb food wears off, the BG might drop again and we don’t want that.
I would reduce to 1.5 because dropping to 50 is too low for Caninsulin. You don’t want it dropping under 90. Under 90 earns a reduction.
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Yes - please go to 1.5U. remember dose is based on nadir, and below 50 is hypo territory on your meter regardless of insulin. Remember that hypos can cause seizures, brain damage, paralysis, even death. Because Caninsulin can be harsh and unpredictable between cycles, we don't want them under 90. So in this case, based on my experience, you need to take a larger reduction.
 
Thanks for the advice.
Dropped down to 1.5 units for last evening shot and same this morning. Will get a +4 and see what the nadir is now!

FrostD said:
Yes - please go to 1.5U. remember dose is based on nadir, and below 50 is hypo territory on your meter regardless of insulin. Remember that hypos can cause seizures, brain damage, paralysis, even death. Because Caninsulin can be harsh and unpredictable between cycles, we don't want them under 90. So in this case, based on my experience, you need to take a larger reduction.
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Hi FrostD, hope all is well.
I havent been here for a while because i didnt want to burden you and have been doing my best to manage Oscar.
But i would appreciate some advice please as im a bit worried about his BG numbers and dosing in general.
I did drop Oscar down from 2 to 1.5 units at the end of June (23rd) as you advised when his BG dropped down to 2.8 in the AM cycle
He did well at that dosage for a week or 2, i was ill for 3 days from the 4th-6th July and was only able to get AMPS and PMPS tests done, but caught a 3.2 for his PMPS on the 6th, which almost certainly means he went lower than that earlier in the cycle. So i immediately reduced his dosage again down to 1.25 units from the 7th July, he seemed to be doing OK, but again im catching some low BG numbers, 3.3 at PMPS on the 9th (didnt give shot), 1.6 on the 10th at AM +4 (fed gravy food to bring BG up)
Today at AM +3 he looked a bit off, so i tested and his BG is 2.7, so i immediately gave some gravy wet food to bring BG iup, will test again at +4 and hopefully its come up a bit.
I should also add that i had changed them to Butchers classic wet food on the 2nd June, initially they enthusiastically ate it, then slowly they grazed more and more when finally just didnt seem to want to eat much of it at all and so had to feed other food. For the last 2 days i switched back to Whiskas and Sheba as they will both eat it with no problems. Its a lot hotter in the UK ATM, so i wonder if the hot weather is making him pickier about which foods he prefers? I seem to remember in the past summers they can get a bit picky and not want to eat as much when its really hot.
I think occasionally he is getting shots with not a huge amount of food on board, i wont dose him unless ive seen him eat a decent amount, but sometimes he eats all the food before the shot and some other times he eats less and its hard to monitor at all times as i have 2 cats and they eat from each others bowls so hard to know exactly whats been eaten.
Today this morning he ate all his food and the left overs from my other cat, so i was happy and gave him his 1.25 units shot, but his BG dropped low again, too low, im not sure what to do i feel like im playing with fire here a little bit, because 2.7 is too low at +3, it will go lower at +4, i have given some high carb wet gravy food so hopefully that will help.
EDIT: +4 test BG has come up to 3.6 so heading in the right direction thankfully...
But im a bit worried, i think i need to reduce the dose again?
I wonder if he is naturally producing insulin and is less dependant than he was? His numbers are better and his clinical signs of diabetes have seemingly all but gone, no excessive peeing or drinking, feels heavier and not dehydrated and generally happier.
I think i probably need to reduce his dose again, any thought please gratefully recieved? :)

FrostD said:
Yes - please go to 1.5U. remember dose is based on nadir, and below 50 is hypo territory on your meter regardless of insulin. Remember that hypos can cause seizures, brain damage, paralysis, even death. Because Caninsulin can be harsh and unpredictable between cycles, we don't want them under 90. So in this case, based on my experience, you need to take a larger reduction.
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It does look like his pancreas is healing a bit!

Remember any time he goes below 90 (5) that's an automatic reduction. Given how low he's going I would go down to 0.5U and give that for a week (unless he goes low again). You might see his values get off kilter for a few days but I'd like to see where he stabilizes. Right now he is going too low and bouncing a bit, so Im hoping 0.5U will help even that out.
 
Thanks for the message.
I can see the logic in going down to 0.5, but i think i would like to try going down to 1 unit for a few days because i switched back to Butchers classic wet food and hes eating it again, he ate a lot this morning so im hoping his AM +4 will be a good number.
I may very well go down to 0.5, but just want to try 1 unit forst for a few days.
Many thanks :)

FrostD said:
It does look like his pancreas is healing a bit!

Remember any time he goes below 90 (5) that's an automatic reduction. Given how low he's going I would go down to 0.5U and give that for a week (unless he goes low again). You might see his values get off kilter for a few days but I'd like to see where he stabilizes. Right now he is going too low and bouncing a bit, so Im hoping 0.5U will help even that out.
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Thanks, i tried 1 unit and he dropped low again last night, down to 2.1 @ +4.5 despite having lots of food onboard
Will take your advice and drop to 0.5 for a week and see how that goes.
Thank you!

FrostD said:
Ok, just be careful as he is going quite low.
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Good evening FrostD,

Oscar is still dropping low despite the reduced 0.5 unit dosage of Insulin?
I thought that 0.5 would be a very low dose, so kind of suprised to see him dropping low at nadir +4 on a few occasions over last couple of days.
AMPS aand PMPS are usually 8-11 so kind of higher than id like, but could he be going into remission?
Not sure what to do about dosage as he is still dropping into low numbers?


FrostD said:
Ok, just be careful as he is going quite low.
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Wow, ok!

At this point I would skip insulin for at least 2 days. Be sure to monitor ketones during that time, because removing insulin can increase risk of ketones. That said, it's not safe to give him much insulin at all.

You also have a choice of a drop dose. That is where you push the plunger down as hard as you can, insert into vial, then release the pressure. The result is a single drop of insulin in the syringe, not even visible. When you give the shot, hold the plunger down as hard as you can, and try to hold it for 10 seconds to give it time to absorb.
 
OK will stop Insulin tomorrow, already gave PM shot this evening.
Isn't 0.5 units considered a very low dose?
Is this looking like diabetic remission?


FrostD said:
Wow, ok!

At this point I would skip insulin for at least 2 days. Be sure to monitor ketones during that time, because removing insulin can increase risk of ketones. That said, it's not safe to give him much insulin at all.

You also have a choice of a drop dose. That is where you push the plunger down as hard as you can, insert into vial, then release the pressure. The result is a single drop of insulin in the syringe, not even visible. When you give the shot, hold the plunger down as hard as you can, and try to hold it for 10 seconds to give it time to absorb.
Click to expand...
 
It definitely looks like remission is very possible!

One of the problems we run into with Caninsulin is that remission can be difficult on it. Due to its harsh nature, there comes a point where you can't safely give it anymore, but their numbers are still a little too high and they could benefit from insulin.

Remember, we want to give insulin support as long as *safely* possible, because that gives their pancreas more and more time to fully heal. Jumping the gun too soon usually means a weak remission, with an eventual relapse.

They next few days will tell us a lot. Continue to test at what would be your preshot time, feed, and then test again about 3 hours later. That will give us a clue how well his pancreas is working.

If you see this - leave him some medium carb food tonight to keep him safe.
 
Hi FrostD,

Ive had Oscar off Insulin now for 2 days, his numbers have mostly been in the mid/high 200's.
He is eating ok, looks a bit sluggish and i dont think he is feeling wonderful- although it is hot here in the UK at the moment so could be that. But seems ok.
Any thoughts about dosing would be appreciated, looking at his numbers he will still need insulin for the time being. It does appear that he is producing insulin by himself, just not enough, maybe he will in time, i really hope so at least.
Should i try 0.25 instead of 0.5 or 0.1 (i see you can draw 0.1 by going just under the first black line on the syringe)
Thank you.

FrostD said:
It definitely looks like remission is very possible!

One of the problems we run into with Caninsulin is that remission can be difficult on it. Due to its harsh nature, there comes a point where you can't safely give it anymore, but their numbers are still a little too high and they could benefit from insulin.

Remember, we want to give insulin support as long as *safely* possible, because that gives their pancreas more and more time to fully heal. Jumping the gun too soon usually means a weak remission, with an eventual relapse.

They next few days will tell us a lot. Continue to test at what would be your preshot time, feed, and then test again about 3 hours later. That will give us a clue how well his pancreas is working.

If you see this - leave him some medium carb food tonight to keep him safe.
Click to expand...
 
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Hi FrostD,
Hope all is well. Could you kindly please have a look at Oscar's SS and tell me what you think?
I have to say im pretty dissapointed with how things have gone since i took him off insulin on the 18th and 19th.
I started him back on the Insulin with a "fat zero" 0.15 unit dose on the 20th and basically it didnt bring his BG down much, i tred the same dose on the 21st and it was the same, his numbers now starting to climb higher and higher again, back up in the high 300's and 400's, like i had back in the beginning.
I increased the dose to 0.25 units since the 23rd but basically it still hasnt really made much difference, his numbers are still high.
I feel so disappointed with how this is now going, he was doing so much better a week ago.
He now has all the old signs that he had in the beginning, drinking more, peeing more, hungry, vocal, pacing around then lethargic. Looks like he isnt feeling good.
I feel totally helpless and dont know what to do for the best, i just want to get hm regulated and get his numbers into a good healthy range.
I was/am thinking about going back to 0.5 units, because 0.25 just isnt working, i dont think there is any point in staying at 0.25 for longer just to see what happens because i can see he feels miserable.
Please could you give me your thoughts about what i should do.
Thanks and good evening :)

Oscar2009 said:
OK, will try 0.1
Thanks :)
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Ah darn. The 0.25U is dropping him too hard so he's stuck in a cycle of bouncing :/ So you have a few options....you can hold the 0.25U and see if he gets used to it (experience tells me probably not but perhaps worth a try), or go back and hold a 0.1U-ish dose for a little while. Last option is a switch to ProZinc, I believe that's the best one in the lineup for the UK.

Just be sure to test for ketones. Any chance he may also have a concurrent infection?
 
Thanks for the message.
Wow, i hadnt expected you to say that 0.25 was dropping him too hard. Im not seeing any low numbers?
I had assumed that the dose wasnt high enough, i thought 0.15/0.25 were very low doses.
Im really confused about what i should be doing now.
Is your advice that i should stay at 0.25 or go back to 0.15?
I did check for ketones a couple of days back and nothing.
When you say infections are you thinking UTI or something else, how would i know?
Thanks

FrostD said:
Ah darn. The 0.25U is dropping him too hard so he's stuck in a cycle of bouncing :/ So you have a few options....you can hold the 0.25U and see if he gets used to it (experience tells me probably not but perhaps worth a try), or go back and hold a 0.1U-ish dose for a little while. Last option is a switch to ProZinc, I believe that's the best one in the lineup for the UK.

Just be sure to test for ketones. Any chance he may also have a concurrent infection?
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He's seeing 200-300 point drops and that's just huge. He was the same way back in late June.

I am leaving it up to you. The 0.25U dose has a good nadir for him, but my fear is it's so harsh he's going to get caught in a vicious cycle of bouncing. The 0.1U might be gentle enough that he can ease into the lower numbers a bit.

As for infections, could be anything. UTI, respiratory, stomach bug. Potential signs would be watery eyes, sneezing, coughing, diarrhea, vomiting, straining in the litterbox, or even urinating blood. The high numbers could easily explain his behavior but it's always good to check the whole picture.
 
Thanks once again for your input, very much appreciated as always.
He was grazing yesterday and seeemed to go off the particular food id put down (not a fan of that flavour i think) so i had to skip insulin yesterday.
His numbers didnt swing much without the insulin, so that confirms what your saying about being sensitive to insulin and the bouncing.
I put down some food this morning which they always seem to like and they woofed it down, so have started Oscar back on the 0.1/0.15 unit dose today and will see how he goes.
Many thanks :)

FrostD said:
He's seeing 200-300 point drops and that's just huge. He was the same way back in late June.

I am leaving it up to you. The 0.25U dose has a good nadir for him, but my fear is it's so harsh he's going to get caught in a vicious cycle of bouncing. The 0.1U might be gentle enough that he can ease into the lower numbers a bit.

As for infections, could be anything. UTI, respiratory, stomach bug. Potential signs would be watery eyes, sneezing, coughing, diarrhea, vomiting, straining in the litterbox, or even urinating blood. The high numbers could easily explain his behavior but it's always good to check the whole picture.
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Quick FYI we are all down with a nasty version of hand foot and mouth so I'll be scarce
 
Sorry to hear that, hope you are feelng better soon.
When your feeling better and have a free moment could you please have a look at Oscar's SS for some dosing advice.
Im really disappointed with his progress ATM, he seems to be going backwards.
I can tell he's not feeling so great as he's becoming quite vocal again, meowing constantly. That stopped when he was in better numbers.
He's also really hungry and seems to be losing weight
This 0.15 insulin dose just isnt working for him, his numbers are not bouncing, even without insulin his numbers were always at his highest first thing in the morning close to AMPS and late afternoon near to PMPS, that is still happening, but his lowest numbers, the nadir in the cycle is not getting anywhere close to where they should be.
He seems to spend most of his time in numbers around 300.
Clearly he will need a dose increase, what do you think?


FrostD said:
Quick FYI we are all down with a nasty version of hand foot and mouth so I'll be scarce
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Hi FrostD, hope your well and fully recovered from foot and mouth.
If you have a moment could you have a look at Oscar's SS and give your thoughts about his dosing.
His numbers are pretty stable on 0.25 units, not bouncing around- but they are still too high, he has lost a bit of weight again, i dont think he is feeling too great.
Do you think its time for another dose increase to try to get him into better numbers?
Maybe 0.5 units?
Cheers

FrostD said:
Yes I would take him up to 0.25U.
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Hi FrostD,

Any thoughts as to what to do next with Oscar?
Do you remember he was dropping low on 0.5 doses about a month ago.
I took him off insulin for 2 days and then started again on a lower 0.1/0.15 dose, which ive been upping slowly, 0.25 and now 0.5 again.
He doesnt have any problems dropping low on the 0.5 dose now. On the whole his numbers are around 250-300, not had anyhthing lower than 220 for about a month.
He does seem more like he was back in the beginning peeing outside of the box, drinking more, restless, vocal. Not as bad as he was- but i felt like at the beginning of July he was a much happier, more content cat and his numbers seemed great. I thought his pancreas seemed to be working to some extent and now i dont know?
Its really hard work at the moment. Despite all my best efforts and extensive testing i dont feel like im making any progress right now.
Im sure if i were to talk to my vet she would tell me to put him on 2 units twice a day.
It does look like 0.5 units isnt going to be enough... any thoughts about how long i should stay at this dose or if i should increase it.
Or just any thoughts in general would be most helpful
Thanks as ever for assistance.


FrostD said:
Yes up to 0.5U
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Give it at least 3 more days. We usually hold for about 7 days with Vetsulin as it can take them some time to settle in.

This is unfortunately one of the frustrating things about FD. Insulin is a hormone, their needs can change. Taking him off insulin/reducing the dose too soon wore on his pancreas, so now it needs some time to heal again.
 
OK will stay at 0.5 for a few more days. Thanks
I reduced his dose and then took him off for 2 days as he was dropping low and thought that is what i was being advised to do?
Should i have not taken him off it?

FrostD said:
Give it at least 3 more days. We usually hold for about 7 days with Vetsulin as it can take them some time to settle in.

This is unfortunately one of the frustrating things about FD. Insulin is a hormone, their needs can change. Taking him off insulin/reducing the dose too soon wore on his pancreas, so now it needs some time to heal again.
Click to expand...
 
FrostD said:
It definitely looks like remission is very possible!

One of the problems we run into with Caninsulin is that remission can be difficult on it. Due to its harsh nature, there comes a point where you can't safely give it anymore, but their numbers are still a little too high and they could benefit from insulin.

Remember, we want to give insulin support as long as *safely* possible, because that gives their pancreas more and more time to fully heal. Jumping the gun too soon usually means a weak remission, with an eventual relapse.

They next few days will tell us a lot. Continue to test at what would be your preshot time, feed, and then test again about 3 hours later. That will give us a clue how well his pancreas is working.

If you see this - leave him some medium carb food tonight to keep him safe.
Click to expand...
^ this is what I was referring to in this post.

Sometimes Vetsulin leaves us no choice because of safety reasons, so we have to reduce or skip when the cat in reality needs some insulin. So if it were a different insulin those numbers were shootable and could keep him on insulin longer, but since it's Vetsulin it wasn't safe. Sometimes it works, sometimes you lose progress like you're seeing :/
 
OK understood!
I'll stick at 0.5 and see how that goes.
Maybe i was a bit heavy handed with the dosing increments previously, perhaps if its more gradual it will work better, less bouncing around.
Thanks <3

FrostD said:
^ this is what I was referring to in this post.

Sometimes Vetsulin leaves us no choice because of safety reasons, so we have to reduce or skip when the cat in reality needs some insulin. So if it were a different insulin those numbers were shootable and could keep him on insulin longer, but since it's Vetsulin it wasn't safe. Sometimes it works, sometimes you lose progress like you're seeing :/
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Hi Melissa, hope all is well?
Oscars numbers are still much higher than i would like, could you have a look at his SS and tell me what you think about dosing please?
Thank you :)

FrostD said:
Give it at least 3 more days. We usually hold for about 7 days with Vetsulin as it can take them some time to settle in.

This is unfortunately one of the frustrating things about FD. Insulin is a hormone, their needs can change. Taking him off insulin/reducing the dose too soon wore on his pancreas, so now it needs some time to heal again.
Click to expand...
 
Good afternoon FrostD,

Looking at Oscars SS and where i am with him today, sadly it seems like im more or less where i was with him at the beginning.
I understand that his pancreas may have been spluttering and starting to heal, producing nsulin on its own again back in june/july but from his numbers now that doesnt seem to be the case?
He was dropping low with small amounts of Insulin, 0.25 / 0.1 mid July, now his dose is up to 0.75 but he is not getting anywhere close to those numbers? His numbers are very similiar to how they were in the middle of April when he was first diagnosed.

Its really depressing to be back here again because i can tell looking at Oscar that he feels under the weather, he is being vocal with me all the time when hes awake, constantly meowing, wanting food all the time, peeing more
Its not as bad as he was just before i took him to the vets in the beginning, but it does remind me a little bit of that time.
He was at one point almost back to his old self in mid June/July, the vocalising had stopped for the most part, so stopped peeing outside the box and he seemed much better. Only time he seems ok now is at his nadir and then after that when his numbers climb up again into the mid 300's he starts feeling rubbish again.

My concern is that by slowly increasing the dose with his numbers not improving- it might take me a long time to get him back into good numbers again?
Im concerned im risking his general health while he is unregulated, risking UTI's and other complications which is why i want to get him back to good numbers again ASAP. Im also unemployed at the moment and cant afford to take him for vet visits unless its absolutely necessary.
He is also urinating outside of the box again and its really, really unpleasant i dont tell him off because i realise its his diabetes, but it makes me a bit resentful towards him, im spending so much time looking after him and trying my best to get him well again.

FD is really difficult to manage. Im doing my best with testing and making him feel as comfortable and happy as possible.
I would just really like to start see some progress with his numbers again and get him regulated.

ATM i wonder even if i were to give him double the dose he is on now, up to 1.5 units im not sure his BG would get below 100.
Which is why im concerned, with his progress.

I am reluctant to go back to the vet because the last we spoke she told me to keep him on 2 units a day for a month and then after a month bring him in for a fructosamine test, which all seems wrong and a waste of time and money.

Please help me with this, im really strugglling ATM.
Thank you again for all you help to date its very much appreciated.

FrostD said:
Give it at least 3 more days. We usually hold for about 7 days with Vetsulin as it can take them some time to settle in.

This is unfortunately one of the frustrating things about FD. Insulin is a hormone, their needs can change. Taking him off insulin/reducing the dose too soon wore on his pancreas, so now it needs some time to heal again.
Click to expand...
 
Just to reiterate so there's no confusion - the dosing sticky for Caninsulin specifies holding each dose a week.

That said, you are the caregiver, you hold the syringe. If you'd like to increase more quickly, that's up to you. But I absolutely would stick to 0.25U increases, and I would not increase any sooner than 4-5 days apart. When you start to see blue nadirs, consider holding more like 5-7 days.

I know the feeling, it's frustrating. You've just got some glucose toxicity to break through again then hopefully dose will come down.
 
Thanks for the advice.
I will keep to 0.25 increments and hope things get better soon.
I am just frustrated as you said!
Thanks again for your help.

FrostD said:
Just to reiterate so there's no confusion - the dosing sticky for Caninsulin specifies holding each dose a week.

That said, you are the caregiver, you hold the syringe. If you'd like to increase more quickly, that's up to you. But I absolutely would stick to 0.25U increases, and I would not increase any sooner than 4-5 days apart. When you start to see blue nadirs, consider holding more like 5-7 days.

I know the feeling, it's frustrating. You've just got some glucose toxicity to break through again then hopefully dose will come down.
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Good morning FrostD, hope all is well.
Oscar has been doing OK, a bit better, numbers are a bit better but not really where i want them.
Its been 9 days at 0.75 units and im wondering if he might benefit from another dose increase to 1 unit?
Im going to test a bit more today to get a better picture of whats happening.
Thanks :)

FrostD said:
Just to reiterate so there's no confusion - the dosing sticky for Caninsulin specifies holding each dose a week.

That said, you are the caregiver, you hold the syringe. If you'd like to increase more quickly, that's up to you. But I absolutely would stick to 0.25U increases, and I would not increase any sooner than 4-5 days apart. When you start to see blue nadirs, consider holding more like 5-7 days.

I know the feeling, it's frustrating. You've just got some glucose toxicity to break through again then hopefully dose will come down.
Click to expand...
 
Yes I'd go up to 1U. But I'm glad to see the blues!

Just beware he may come down quickly in dose again if you're near the breakthrough dose.
 
Thanks Melissa. :)
His AMPS was quite good- 15.2 (and hadnt seen your message yet) so decided to stay at 0.75 for today.
Happy to see blues too!

FrostD said:
Yes I'd go up to 1U. But I'm glad to see the blues!

Just beware he may come down quickly in dose again if you're near the breakthrough dose.
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Some cats, when they finally hit a dose that breaks through the glucose toxicity/buildup, come crashing down in dose, earning reductions very quickly and dramatically (think big swings, very low numbers).

Right now he looks to be doing it gradually, so easing into the blues and yellows and staying fairly steady.
 
Thanks for the explanation, makes sense.. :)
Hopefully because the dosing has been more gradual (since he was dropping low before) it will be a bit more predictable going forwards.
He seems to be doing quite well on 1 unit so i guess i will stay there for a while and see what happens.
He certainly seems better in himself ATM, which is a massive relief as the last few weeks were pretty difficult.

FrostD said:
Some cats, when they finally hit a dose that breaks through the glucose toxicity/buildup, come crashing down in dose, earning reductions very quickly and dramatically (think big swings, very low numbers).

Right now he looks to be doing it gradually, so easing into the blues and yellows and staying fairly steady.
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Glad to hear he's feeling better! Mr Kitty was unregulated for so long I felt so horrible about it.

Just don't hold doses too long. Remember you want nadirs in the 90-150 range (I prefer 90-120 if the caregiver if comfortable), and holding a dose too long tends to allow glucose toxicity to set in.
 
Thanks. Yes its aweful- i dont know if Mr. Kitty is like Oscar but Oscar just meows all the time when hes not feeling well, i used to think he was looking for attention or wanting food, but i think its mostly when he isnt feeling well. As soon as his numbers get better he mostly stops doing it.
The peeing outside of the litter box has been really frustrating, again when his numbers get better that largely dissappears too.
I will keep him at 1 unit for a week or so and then maybe look to go to 1.25? I feel like he is almost there....
Dont want to jinx it though i know things can go sideways.
Have a great sunday.

FrostD said:
Glad to hear he's feeling better! Mr Kitty was unregulated for so long I felt so horrible about it.

Just don't hold doses too long. Remember you want nadirs in the 90-150 range (I prefer 90-120 if the caregiver if comfortable), and holding a dose too long tends to allow glucose toxicity to set in.
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He just basically withdraws from everything, poor guy.

At least 5 days, yes. At least he looks a little flatter this time around, knock on wood!
 
Hey Mellisa,
Hope you and mr.kitty are doing well. :)
I was just wondering if you could have a look at my SS and tell me what you think?
Im pondering if i should do a small dose increase or stick where i am?
Oscar is doing ok atm. His nadir i guess is on average around 150, sometimes a little lower sometimes a little higher, it does bounce around a bit, not massively so but enough to throw him a bit low of a bit high on occasion.
But his numbers on the whole are a pretty good ATM. I think he seems a bit better in himself too.
He has put some weight on which is great, up to 4.4KG earlier this week. This is almost his weight from 2 years ago before diabetes, whereas back in spring early summer (early diagnosis) he was down to 3.8KG.
I have stuck at this 1.15 dose for about a week and am in two minds about increasing or sticking where i am.
I was thinking a small increase to 1.25 might bring his nadir down a bit more.
I remember you said dont stick at a dose for too long otherwise toxicity will set in, not sure if thats whats starting to happening as nadirs are creeping up a bit.
Although Oscar seems to be better regulated now, im wondering if remission is unlikely now? It seems the insulin is dong all the work, from what i read for most cats that go into remission it tends to happen early in the first few months of giving insulin?
Anyway, just thought id ask for some advice. I feel like im getting a bit better at this now.
Thanks! =^. ^=
 
We are well, thanks for asking!

Glad to hear he's doing better and gaining weight. Yes, I would increase to nudge him down a bit.

Remission varies by cat, sometimes quickly, sometimes longer. But it is true that the closer you are to diagnosis, the better chance you have. So it's hard to say.
 
Thats good to hear!
I will try a little dose increase to 1.25 units today and see how that goes.
Still hoping remission might be possible, would be great for him im sure he is sick of all the pricks and jabs. ;)

FrostD said:
We are well, thanks for asking!

Glad to hear he's doing better and gaining weight. Yes, I would increase to nudge him down a bit.

Remission varies by cat, sometimes quickly, sometimes longer. But it is true that the closer you are to diagnosis, the better chance you have. So it's hard to say.
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