12/11 Pumbaa "It's a Beautiful Day in the Neighborhood"

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Pumbaa

Member Since 2012
NOTE: Pumbaa's spreadsheet is no longer in reverse order.

Pumbaa 12/10

Pumbaa hit 49 last night at PM +6, but he didn't get a dose reduction yet, because I really want him to settle into this dose and flatten out before doing any decreases. And who knows at this point...he might still need to have his dose increased a tad. Time, and patience, will tell.

I've been trying to use 9% carbs food to steer him up when necessary, and prevent the lows that cause the bounces. While I can't say for certainty that it's working (I never thought Pumbaa was overly carb sensitive), it sure appears to be working. Hover your mouse over the cells in the SS when you see a triangle in the upper right corner, and you'll see my notes about that particular test/time of the cycle. Anyway, for months now, Pumbaa has been eating 4%, 5% or 7% carbs food. I've never noticed a difference in his numbers when he has received 4% carbs vs. 7% carbs. But maybe going up to 9% carbs does make a difference? (I'm using the % Kcal values from Dr. Lisa's updated food analysis SS.)

When Pumbaa hit 49 last night, I gave him some of the 9% carbs food, to steer him up because I didn't want him to go any lower and trigger a bounce. I've also used the 9% carbs food when he's dropping, and I know I won't be able to test him in the next hour or so. And that seems to be working, as well. *crossing my fingers*

9% is still in the acceptable level of carbs in foods for diabetic cats. So I'm not having to resort to high carbed food, just higher carbs to offset the insulin. I find this very interesting, and look forward to testing this more to see if it really is making a difference. If I can do anything to prevent Pumbaa from going low enough to trigger the pancreas/liver from dumping more sugar into his system causing a bounce, both Pumbaa and I would be ecstatic! He doesn't like the bounces any more than I do (based on his demeanor during a bounce).

Something that I am concerned about, but not frantic about yet, is that, since yesterday some time, Pumbaa has been meowing in protest when I pet his rump while carrying him to the feeding/testing table. He's never done this before. It seems to be his right rump. He shows no signs of having a leg injury, and there's no swelling, but I have stopped shooting him on this side until we figure out what is wrong. It's not when I rub his belly, so I'm not too worried about pancreatitis. He seems to be eating/peeing/pooping normally, so I'll just have to be diligent and watch for any other signs of anything. He's 9 now, and shows no other signs of arthritis, and has been very active. Could it be that he needs his anal glands expressed? (That's fun, isn't it? *LMAO*)

Suze
 
Chippendale's:

Not pinching myself, just so happy to see Pumbaa having beautiful numbers, once again. With less problems overall than we had on Lantus.

I'm not dissing Lantus. Lantus is great for some FD cats. ECID! But Pumbaa really had a problem with Lantus injections, and I love that he doesn't now on the Levemir. The later nadirs on Levemir are a pain in the ass, but I've been dealing with it just so Pumbaa doesn't run from me at injection time. And, while Pumbaa still bounces and dives on Levemir, these bounces and dives aren't as severe as the were on Lantus.

I still don't know if we will have to go up or down in dose from here, but having Pumbaa below 250 for a couple of days now is tremendous!!!!!

Suze
 
Pumbaa seems to be saying hold this dose indefinitely.

BTW knowing what I know now, I could likely make Lantus work.

But one thing I like about Levemir is you hardly have to think twice about "shooting low to stay low." :mrgreen:
 
Pumbaa didn't complain this morning when I rubbed his rump carrying him to the feeding/testing table, so that's good news. I'll still keep an eye on him today, though.

I wish I would have gotten a +6 last night...Pumbaa may have dropped lower than that 80 at +8, which would explain the 150 AMPS this morning. I wonder if I missed another 40, and just pray that he doesn't bounce today. *crossing my fingers*

Suze
 
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