1/22 Rosa AMPS 294 +2.5 243 +4 183 +6 285 +8 394 +10 506 PMPS 574

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I'd get a few extra tests in today. Usually it takes 5 to 7 days to fill the shed when starting Lantus, you increased after only 3 and a half. That extra half unit on top of the shed finally getting filled could show up suddenly. Start by getting a +2 so we can see where she is heading.
 
Just wanted to pop in quick and say YAY!!! :woot::woot::woot: Movement! Go Rosa!! I was AWOL from the board yesterday, but glad to see you got some instruction on fast-tracking per the protocol.
 
I will do. She had actually had 5 days on the starting dose - I just wasn't able to get any tests the first 2 days, so I think she'll be OK but I'll be keeping a close eye on her today to make sure she doesn't suddenly drop too low. The second thought I had after being so happy to see an almost reasonable number for the first time was that I need to make sure it isn't going to take her way too low suddenly today but thank you for the reminder. :)
 
Totally messed up the +2 test for some reason - going to clean the neosporin off her ears and try again in about half an hour...she's getting mad at me for trying too much now.
 
I've grabbed a wet wipe to clean some of it off with before I try again - I think because it'd only been 2 hours since her last test, there was just a bit too much left on there...I've probably been using a bit too much each time anyway.
 
OK, that's better. 243 at +2.5. Still looking good as far as I can tell unless anyone knows different?
 
Just thinking 'out loud' as it were. The vet wanted her in for a curve tomorrow. As I'm going to have to test every couple of hours anyway for this cycle as she's so much lower than she was I'm thinking of calling in today's numbers for her instead. She's not going into them for a full day when she's just getting relaxed and giving me good results - she'll go sky high again if she's there getting stressed all day. There'd be no real reason they couldn't take today's numbers instead of tomorrow's would there? I'd prefer not to put her through tests every 2 hours 2 days in a row if I can help it.
 
If you get the tests today i don't see why you would need to take her in tomorrow. Few of us take our cats in for curves once we learn to test. And vet stress is very real, much more accurate to do it at home. Plus it is a whole lot cheaper!
 
Thank you - I'm thinking if she's pretty stable right through today I could reduce the tests just a little tomorrow so she gets longer breaks in between. I have no intention of leaving her with them for a day for something I can do myself. They're not going to like it because I'm pretty much taking 300$ away from them every time they don't see her for a day. But after the way she behaved there just for 25 minutes last Friday - she was totally stressed, crying, growling, screaming etc any time she couldn't see or hear me - I can't think of any good reason to put her through that again. They didn't want me home testing (of course) but I went ahead and did it anyway with support from all the lovely people on this board. I'm just so glad I found this site - they wanted her on 2 units starting dose...I really think that could have been dangerous for her looking at where she is now on day 6 at a lower dose than that. And with no home testing, I could have had a very sick or dead kitty on my hands by the time they wanted her back tomorrow. Or I'd have spent 1000's at the emergency vet dealing with a late night hypo if she'd shown symptoms in time (she's very good at hiding any sign of being sick for a long time).
 
And a blue number at +4. I'm actually starting to worry she's dropping too far too fast after the last few days. Might I be better to take her back down to 1u tonight or should I hold on and wait to see how her next few numbers come in?
 
You and rosa are doing great. Well done. I don't think you should panic just yet. Others will be along to advise. Don't forget to edit your title to keep things up to date. Always post the new number. If you are worried add in 911

It is the top end if the blues and she has dropped 60 points in 2 hours. I am not sure that is a worrying drop but again others will advise.
 
Well done April *HUGS* I'm so glad Rosa's numbers are going down at last. I quite agree with you for not taking Rosa to the vets for a blood curve tomorrow. What's the point if it upsets her so much, puts her readings through the roof & you can do it at home.

My vet was quite reasonable when I explained I'd rather test her myself & agreed about the stress.

2 units starting dose ? :eek: are they mad :eek: !

You are doing SO well, I hope you're proud of yourself & Rosa xx
 
Thank you both. I'm going to keep watching her and keep up the testing. If she's got 3 hours to go to nadir which would put it at +7 I'm thinking she might drop a little further yet. I know blue is safe and she's still just over the target the vet said they'd be aiming for (though they only aim for 180 nadir for some reason - they told me that's the lowest they want to see a diabetic cat go). I'll keep posting - I think I'm just shocked that she skipped right over red and pink and went all the way to yellow and blue overnight. She seems just fine in herself although she'd really rather attend to important kitty business today that be tested every couple of hours - she's feeling better enough to have important kitty business to attend to today which is a good thing though!

Apparently the 2 units would have been right under the old protocol but I still think I'd have had a very, very sick kitty on my hands by today if I'd gone with that - I still think the initial high readings might have been a bounce as I gave the 2 units the first night before I made my first post here - then I found out from people that it was probably too high.

I'm so, so pleased with her - I know I'm checking everything with people on here constantly, but I really don't want to mess her up just when she's starting to do well.
 
My cat's nadir was between five and six hours so it might be the same for your cat. If you get worried about her dropping too fast you can slow it down by feeding her usual low carb food.

If you are hoping for tight regulation you will end up going a lot lower than 180. I think they say that as most people don't hometesting and I guess it is safer. I was lucky remi achieved tight regulation very early on and never went out of the greens in the whole cycle.

When are you planning to next test?
 
April, I can't advise you about dropping the dose, but as you say just watch her & see how she goes, I'm sure you'll get some more advice here soon. xx
 
WOOT!! Great cycle today. :cool: I agree with others on doing your own curves.

Nadirs can vary from cat to cat and from one day to the next with some cats, especially those called Neko. I'd keep going on the same dose until she goes under 50. Remember that if your goal is remission, then you want to see green, and preferably longer stretches of it. That's the numbers that heal the pancreas and the earlier you can get a cat into good numbers, the chances of remission are increased.
 
OK, so even if she drops another 60 she's still in a good place. I've been feeding her mini-meals like I did yesterday - it stops her getting too hungry and it means she's getting a fairly steady intake of food instead of getting too many spikes (I hope).

That's what I've been reading on here - and at a 180 target, she'd have basically no chance of remission either I wouldn't have thought. I think you're right and they aim high because they said they don't encourage hometesting. If they won't accept it, there are plenty of other vets out there I can choose from and I'm sure some of those would though I'd prefer to educate them on how well it works than have to change where I take them.

I'm testing every 2 hours for today, though I'll add an extra one if she starts looking or acting a bit 'off'. I'm also trying not to make her too mad at me since she's feeling well enough to be doing things today instead of hanging around with me and sleeping. I'm good with keeping the dose - I just wanted to make sure I wasn't overdoing it for her since she's so much lower than any other day so far. :)
 
Looks like she only wanted to dip her toes in the blue for now - back up to 285 but I'm still very happy with that compared to previous days :)
 
She will likely bounce today from this blue she's not used to, but today was huge progress!! My vet didn't want Neko dropping below mid blue when we weren't home testing at first.
 
I'm sure she will - it's a huge drop from where she was yesterday! Great to see but it must be a bit of a shock to her system!! I know to look out for a bounce though so I won't let it worry me when it happens. And with being able to home test her easily I think I should be safe to aim below mid blue with her longer-term. It'll just take her time to get there. Of course she might go lower yet in a few days without needing another dose increase - last night was her first shot at the increased dose.
 
She is, definitely. I was expecting it though so I'm not too surprised at her heading back up into higher numbers before her next shot is due. She's done really well and I'm pleased with her - she's earned a good night's rest. I keep telling her just 2 more tests to complete her curve and pre-shot and then one at bedtime and she's all done for the day.
 
Just dropping in to say welcome to LL. YOU ARE DOING GREAT. I wouldn't bring her in for a curve because you have all the info you need right here. I just took Max to the vet Wednesday and his test there and mine when we got home were identical. The one and only time I left him for a curve my docile cat became aggressive. He apparently has cage fever. Otherwise he is the perfect patient.
 
Thank you for the kind words and support. I emailed her results to them last night and told them I would NOT be bringing her in today for a curve as I'd just given them everything they needed. I haven't heard back from them yet so I'll have to see how that goes. But anything that saves our kitties stress can only be good for them and I would expect the vet to understand that even if they don't like it all that much.
 
I refused a fructosamine test Wednesday for the same reasons. My vet was concerned Max was going into remission and that is why he wanted to run it. On over 2 units I know that is not happening any time soon if ever. He then wanted me to cut his dose to 1 unit but then said how about 1.5 saying I would likely give 1.75. Now I'm between a rock and a hard place because I cut him back about 1/8. All this to say sometimes the less info you give your vet the better. By the way I love my vet!
 
To be honest, the vet has been great with everything else. I'm just not sure they have a full understanding of this - they tried to start Rosa on 2 units last week, switch her diet to lower carb and not have me test at home all at once...if I hadn't got some good advice from here, I'm not sure she'd have made it this far like that. I like the way they handle the cats (Rosa doesn't, but that's a whole other story ;) ) but I really don't think there's any substitute for experience with a long term condition like this. I'm guessing the fructosamine can't be tested at home then though if the levels are controlled, wouldn't it come back in the normal range whether there's remission or just good regulation? If that's the case, I'm not sure it would add any value to decisions anyway. I agree on the information sometimes - I still haven't told them I cut her starting dose to 1 unit and only increased it to 1.5 after 5 days - I'll talk to them about that when they want to discuss her curve results.
 
tiffmaxee said:
I refused a fructosamine test Wednesday for the same reasons. My vet was concerned Max was going into remission and that is why he wanted to run it. On over 2 units I know that is not happening any time soon if ever. He then wanted me to cut his dose to 1 unit but then said how about 1.5 saying I would likely give 1.75. Now I'm between a rock and a hard place because I cut him back about 1/8. All this to say sometimes the less info you give your vet the better. By the way I love my vet!
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Same here!;)The vet I usually see admitted that the fructosamine test isn't very useful considering all our testing. Sometimes, however, we have to see the head vet who gets upset that there is no fructosamine test to look at. I just smile, nod and say no thank you.

The fructosamine test just gives an average BG over about 2 weeks time. There's probably a button on your meter which can give you an average of your tests for 14, 30 or 60 days.
 
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