? mr b's rollercoaster

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You now have absolute proof that Mr B is indeed a kitty. This means that one of their main jobs is to totally befuddle their beans.

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Damnit i think i screwed up again. I dosed early to get back to decent hours for 12/12 dosing and as a result i think i gave him too much overall and he's bounced up into the reds again. I get confused trying to figure it out in retrospect what i dosed in total because its hard to read the ss when going off the 12/12 format but i think i gave him 12 or 16 u basically wihtin 24 hrs. Too much and i feel like a jerk.

Gotta give him something this am though its another early dose. Its either that or he goes many more hours with nothing which i'm guessing would be worse. I have to go to work. I,ll give him a small dose of 2u i guess but i really dont feel confident no matter which way i go. Poo.

Not sure what to do here
 
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Misterbeesmom said:
Damnit i think i screwed up again. I dosed early to get back to decent hours for 12/12 dosing and as a result i think i gave him too much overall and he's bounced up into the reds again. I get confused trying to figure it out in retrospect what i dosed in total because its hard to read the ss when going off the 12/12 format but i think i gave him 12 or 16 u basically wihtin 24 hrs. Too much and i feel like a jerk.

Gotta give him something this am though its another early dose. Its either that or he goes many more hours with nothing which i'm guessing would be worse. I have to go to work. I,ll give him a small dose of 2u i guess but i really dont feel confident no matter which way i go. Poo.

Not sure what to do here
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Don't be too hard on yourself, Jen. You have a very tough situation to deal with. Here's a practical suggestion: how about inserting a new column on your SS at 4 hours and 8 hours for AM and PM cycles so you have a place to record "off schedule" doses? You could leave them blank when you're dosing 12/12.
 
Kris & Teasel said:
Don't be too hard on yourself, Jen. You have a very tough situation to deal with. Here's a practical suggestion: how about inserting a new column on your SS at 4 hours and 8 hours for AM and PM cycles so you have a place to record "off schedule" doses? You could leave them blank when you're dosing 12/12.
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i ended up skipping his am dose, rather than giving him what i was perceiving as more on top of already too much, and it would've been given at +9.

i'm just going to be late with his pm dose by a couple hours. it'll be interesting to see his ps #. i hope i didnt royally screw up (again) by skipping, but after looking at the history, my gut said to skip it.

i dont want to change the ss format because i'm aiming to get back on 12/12.
 
Checked your SS, Jen. I'm glad his poop has improved even though you had to give him the DM. You've been keeping him at 4 u to get him stabilized which was a good move. What are your thoughts going forward?
 
Kris & Teasel said:
Checked your SS, Jen. I'm glad his poop has improved even though you had to give him the DM. You've been keeping him at 4 u to get him stabilized which was a good move. What are your thoughts going forward?
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Thanks. No idea. I'm out of ideas. Nobodys' advice works and no vet can help me.
Vet says fructosamine is normal so i guess mr b is ok. Yes i am being totally sarcastic.

+6 just now is total crap.
 
Misterbeesmom said:
Thanks. No idea. I'm out of ideas. Nobodys' advice works and no vet can help me.
Vet says fructosamine is normal so i guess mr b is ok. Yes i am being totally sarcastic.

+6 just now is total crap.
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You were up at 4.8 u when those two blues appeared and then things got complicated. You have nothing to lose by going to 4.2 u, then 4.4 u, etc. keeping AM and PM doses the same to keep variables to a minimum. If you follow StepgG's thread for Chuck you'll see she's getting some traction with him now that she's at 5.4 u.
 
Kris & Teasel said:
You were up at 4.8 u when those two blues appeared and then things got complicated. You have nothing to lose by going to 4.2 u, then 4.4 u, etc. keeping AM and PM doses the same to keep variables to a minimum. If you follow StepgG's thread for Chuck you'll see she's getting some traction with him now that she's at 5.4 u.
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I've had blues at lower doses as well.
The blues we had on 4.8 were because i started dosing at +8, which was great for about five minutes, then everything went to **** again.
Last time we were at 4u we got some yellow preshots. Not this time.
Nothing works. And now his thyroid and kidney levels are up. He's dying and there's nothing i can do about it. I knew something else would come along before i could get his diabetes under control.
And the vet says dont treat the thyroid, and i disagree with that. Left a msg with our usual vet to see how she felt about it. Sought help on other sites and got hardly anywhere.
I'm fed up.
 
I would keep increasing. He seems to do okay with an increase at first, and then plateaus. If he were mine, I'd increase by 0.25 every 6 cycles until you see some better numbers.

I know this is hard, Jen. You are doing the best you can for him. And don't forget - he has no idea he is sick with diabetes. He is just hanging in there, having some good days and some not so good. I'd guess overall he figures life is okay - lots of attention, good food, good snacks, and a loving mom.
 
Misterbeesmom said:
I've had blues at lower doses as well.
The blues we had on 4.8 were because i started dosing at +8, which was great for about five minutes, then everything went to **** again.
Last time we were at 4u we got some yellow preshots. Not this time.
Nothing works. And now his thyroid and kidney levels are up. He's dying and there's nothing i can do about it. I knew something else would come along before i could get his diabetes under control.
And the vet says dont treat the thyroid, and i disagree with that. Left a msg with our usual vet to see how she felt about it. Sought help on other sites and got hardly anywhere.
I'm fed up.
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I agree with Sue, Jen. Please don't give up on Mr. B. To those of us on the outside looking in, you still have dosing options to explore. His thyroid and kidney issues are making it harder but not impossible. I recall reading a comment elsewhere about a cat not responding to insulin and the simple answer was that he/she hadn't yet received a high enough dose. Your maximum dose so far has been 5.8 u when you were trying TID dosing. You're still a long way from what high dose kitties receive.
 
I'm sorry Mr B's numbers are causing you stress again, Jen. The kidney and thyroid values can be transient - I had a CKD kitty and his numbers were highly variable. He was with me almost 2 years after his diagnosis and lived to be 18. I know Mr.B's BG levels are still high, but you got some lovely numbers a few days ago so he can react to insulin. The correct dose can be a moving target, and it's a very frustrating dance when we can't hear the music.

:bighug::bighug::bighug::bighug:
 
ShipsCat said:
I'm sorry Mr B's numbers are causing you stress again, Jen. The kidney and thyroid values can be transient - I had a CKD kitty and his numbers were highly variable. He was with me almost 2 years after his diagnosis and lived to be 18. I know Mr.B's BG levels are still high, but you got some lovely numbers a few days ago so he can react to insulin. The correct dose can be a moving target, and it's a very frustrating dance when we can't hear the music.

:bighug::bighug::bighug::bighug:
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Thank you! :bighug:
 
Kris & Teasel said:
Yes, that's what Jen did. Our conversation about it is on the other thread in the main health forum.
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Awesome! I figured you or Sue would have offered your expert guidance - I didn't think to look at her other thread.

And great job persevering Jen! I'm glad your hard work for Mr. B is starting to bear fruit :bighug:
 
Kris & Teasel said:
Red this AM is no surprise and I agree with resuming 4.4 u. I'm glad he had some insulin last night. Next time you have a low PS you'll have a bit of data to help you decide on dose reduction after a stall. :)
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right. either it was a little too little dose last night, or maybe too much (?) or he's bouncing because of so much blue yesterday.

its ok. just such a relieft seeing that blue. i hope its not a fluke.
 
Misterbeesmom said:
right. either it was a little too little dose last night, or maybe too much (?) or he's bouncing because of so much blue yesterday.

its ok. just such a relieft seeing that blue. i hope its not a fluke.
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Most likely the 3u was too small a dose but you need to play it safe until you get more data for these low-ish PS situations. The red this AM could be from too low a dose last night and/or bouncing from the blue. Hard to know for sure. Just keep doing what you've been doing and viewing results as just numbers, no more than that ...
 
Kris & Teasel said:
Lovely string of yellows yesterday. Probably a bounce number this AM. Looking good. :)
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Just now I was wondering if maybe i shouldve dosed lower last night, after that comparatively low pmps.

Or if maybe i should nto have increased thhis am after that nice run yesterday.

Hard to say maybe?

I keep thinking he'll act happier when he's got a decent run but he doesnt seem more comfortable at all. He was up and down all night, so once again i am exhausted from lack of sleep. Damn this disease!
 
Misterbeesmom said:
Just now I was wondering if maybe i shouldve dosed lower last night, after that comparatively low pmps.

Or if maybe i should nto have increased thhis am after that nice run yesterday.

Hard to say maybe?

I keep thinking he'll act happier when he's got a decent run but he doesnt seem more comfortable at all. He was up and down all night, so once again i am exhausted from lack of sleep. Damn this disease!
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Hard to know for sure. If he's pink the rest of today you could try going back to 4.4 u tomorrow to see what happens.
 
Kris & Teasel said:
Does he get hungry at night?
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yes, but i leave food out for him. he's a grazer.
he gets up 4 times alone for peeing
plus however many to eat and drink
plus he can be fidgety, he's had sinus trouble/allergies lately, and who knows if he's got body aches (probably)
plus his hyperthyroidism was high recently (i've upped his meds)

seriously i swear i have aged so much this past year, from worry and lack of good sleep, which makes me eat more, so i've gained weight. i'm one hot mess. i so hope we are onto something now with his dosing, and that other problems (kidneys) stay at bay for a bit at least.
 
Misterbeesmom said:
yes, but i leave food out for him. he's a grazer.
he gets up 4 times alone for peeing
plus however many to eat and drink
plus he can be fidgety, he's had sinus trouble/allergies lately, and who knows if he's got body aches (probably)
plus his hyperthyroidism was high recently (i've upped his meds)

seriously i swear i have aged so much this past year, from worry and lack of good sleep, which makes me eat more, so i've gained weight. i'm one hot mess. i so hope we are onto something now with his dosing, and that other problems (kidneys) stay at bay for a bit at least.
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Yes, cross fingers, Jen. I read another note somewhere about hyperthyroidism causing insulin resistance. I hope you can find the fortitude to keep putting one foot in front of the other for Mr. B.
 
Kris & Teasel said:
Yes, cross fingers, Jen. I read another note somewhere about hyperthyroidism causing insulin resistance. I hope you can find the fortitude to keep putting one foot in front of the other for Mr. B.
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yes. he's has hyperthyroidism for a few years, and its true there seems to be general concensus that it makes diabetic regulation more difficult, even if the thyroid levels have been well maintained. also i have been told that the reverse can be true as well - that having diabetes can make hyperthyroidism harder to regulate. so we've got quite a bit going on.
 
Misterbeesmom said:
yes. he's has hyperthyroidism for a few years, and its true there seems to be general concensus that it makes diabetic regulation more difficult, even if the thyroid levels have been well maintained. also i have been told that the reverse can be true as well - that having diabetes can make hyperthyroidism harder to regulate. so we've got quite a bit going on.
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You certainly do.
 
You know... Could be oh look a squirrel syndrome!

I know its tough and you are exhausted. You've done a wonderful job so far...you've got this!
 
I appreciate the support but i'm not so sure

This is how it goes. Looks like we're getting soemwhere, then it all goes off the rails

These reds make no sense to me. I start to go insane when he's this high. His legs are bad on a good day, but in the reds he's really lame.

I cannot express in words how crazy this disease has made me over these 14 months.
 
He seems to have long spells of pink and red at a dose then yellow and blue poke through at the same dose. That suggests prolonged bouncing to me. Just an observation.
 
I dont inderstand this at all. Got home and tested him at +10
He's drinking tons and peeing oceans
I dont understand at all. Lower dose insulin isnt enough. Increases dont seem to work either.
 
Misterbeesmom said:
I dont inderstand this at all. Got home and tested him at +10
He's drinking tons and peeing oceans
I dont understand at all. Lower dose insulin isnt enough. Increases dont seem to work either.
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I think you're up against his hyperthyroidism making him insulin resistant. I suggest you keep moving up methodically so you accumulate data in the 5+ unit range where you keep it simple and dose only every 12 hours and you hold a dose for several cycles. When you were at that dose level before you were trying a different dosing regimen and it might have jumbled him up.
 
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