drewkitty

Over the holiday weekend, my grumpy old man of a cat had four blood glucose crashes in three days. Then I had one on Tuesday night because I often have crashes after a period of high stress. I dialed Moo's insulin down two units, which is a lot for a cat, and he has been equipped today with a Freestyle Libre 3 so we can continually monitor his blood glucose level for the next couple of weeks while we try to find an amount that will control his diabetes without the big crashes. He has always periodically had his glucose drop off a cliff, but never before four times in such a short span. Currently he is way high. However, the time of day that he normally drops off the glucose cliff is around one to two hours before his next shot is due up to maybe an hour after. You'd think it'd be at the six hour market, when the insulin is at full effectiveness. But no, that would be way too predictable for Moo.

So I expect that the end result of this will be like all the other times he's been on a Libre. We will let it run for a few days, then the vet will tell me to increase his dose, and then we'll look at what happens for a few days, then increase. Until we're back at the dose he has been at for a couple years now. Which mostly is too high for a long time - it's been about a year since we went through this last - and then his BG will fall off a cliff again. And we don't know why.

He will also be having imaging of his heart in late June. The periodic gallop rhythn that's been detected every so often over the years has developed into heart disease. The imaging will tell us what kind of treatment he needs. Or if treatment is possible, given his age and comorbidities. Which says to me that there is a chance that our vet is going to give us the news no one wants to hear. I hope not, but realistically, if not from this, it'll happen sooner rather than later. Moo is around 18. Not sure exactly since he was somewhere between one and two years old when he showed up on my doorstep and told me he was mine.