A new week...

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Djamila

Djamila

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We did a dose increase and a little bit of a curve, and it looked smiley for the first time, so hooray for that! I'm choosing to believe that the +5 would have been green ;) (haha).

The 2.25u looks like we may finally be heading in the right direction. Fingers crossed today wasn't just beginner's luck with the new dose.

It did seem to make him super hungry today though. Around the bottom of the curve, he kept begging for food (which he got, of course), but he ended up eating a fair amount more than usual today. Normally they don't finish all of their food, but today it was gone and he needed extra. Interested to see how he eats tonight....
 
Djamila said:
We did a dose increase and a little bit of a curve, and it looked smiley for the first time, so hooray for that! I'm choosing to believe that the +5 would have been green ;) (haha).

The 2.25u looks like we may finally be heading in the right direction. Fingers crossed today wasn't just beginner's luck with the new dose.

It did seem to make him super hungry today though. Around the bottom of the curve, he kept begging for food (which he got, of course), but he ended up eating a fair amount more than usual today. Normally they don't finish all of their food, but today it was gone and he needed extra. Interested to see how he eats tonight....
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Very nice curve! :D
 
Djamila said:
We did a dose increase and a little bit of a curve, and it looked smiley for the first time, so hooray for that! I'm choosing to believe that the +5 would have been green ;) (haha).

The 2.25u looks like we may finally be heading in the right direction. Fingers crossed today wasn't just beginner's luck with the new dose.

It did seem to make him super hungry today though. Around the bottom of the curve, he kept begging for food (which he got, of course), but he ended up eating a fair amount more than usual today. Normally they don't finish all of their food, but today it was gone and he needed extra. Interested to see how he eats tonight....
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That looks awesome! Yayyyy Sam and great job Djamila :D And of course the +5 would have been green ;)
 
Sigh...pretty much flat last night, and again today. Yesterday I was so hopeful we were on to something...:(
 
It would be so nice if our kitties would make steady progress instead of doing it in fits & starts!

But everything is data gathering, and you & Sam have had some lovely numbers recently :cat:
 
I raised his evening dose a smidge. I'm home to monitor, and those 2u doses had been rather chubby anyway, so I figured I should just make it official.

Also, I came home this evening and found out that the fire alarm in the building went off in the middle of the day today. Their poor little ears!!! They were stuck in here listening to that ear splitting siren for 20 minutes this morning before the fire department got it shut off. When I came home, they both seemed like nothing had happened, and the PMPS was totally normal, so I'm probably feeling like it's a bigger deal than they do.
 
Well this is weird. Don't you just love how unpredictable FD can be? :rolleyes:

I got an out-the-door test this morning that didn't look promising. Came home a couple hours later and got a +5 that indicated a pretty flat cycle. Went back to work feeling a little discouraged.

Then came home this evening and ended up with a PMPS of 132. HUH?
Stalled 20 minutes and it went down to 124.
Stalled another 20 minutes (He's pretty mad about the lack of service at the "kitty restaurant" at this point) and got a 105.

How is that even possible?!?! How can he be dropping at +13?

As @Sue and Oliver (GA) used to always say, our sugar kitties dance to their own music.

He's eating now. I hate to skip a shot, but I'm nervous to shoot on a food-inflated number when his fasting number is so low tonight. Any thoughts?
 
Dang!!! He went down 30 points huh? I mean, technically, it's the same number with the 20% variance so there's that.

Honestly Djamilla...I HATE to skip a shot too, but I don't see a way around that. He's just really too low to shoot. I would never ever suggest a shot at 100 and you're right there. You COULD wait 2 hours and test again and see if he is high enough to shoot then, but that would throw your schedule off and you'd have to wait and shoot late tomorrow. That's probably not feasible with work, so you may just have to skip and understand that he might be a bit higher tomorrow.

This is GOOD news, just nerve wracking and annoying that you have to skip! BUT...let's celebrate that he is getting into these beautiful numbers! :)
 
@Rachel, thanks for sharing your thinking on that. I still hate to skip, but it's comforting to know you think it's the right choice!

And I just got my first box of u-100's out of the mailbox! Looks like they'll have to wait until tomorrow. :)

It is nice to see such a low number. Even if tomorrow's PS will likely make me cringe a little.
 
Djamila said:
He's eating now. I hate to skip a shot, but I'm nervous to shoot on a food-inflated number when his fasting number is so low tonight. Any thoughts?
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Could be his own insulin is releasing. Maury had three nights like that but he bounced shortly after. I was glad I gave him some insulin. The first night I played it safe but the next 2 nights I increased it by 0.25U. Are you going to try and get another test tonight?
 
If he was closer to 150, I would just wait a bit and give him a reduced dose, but at 105 and particularly with the numbers looking like they're dropping, I think it's just safer to skip tonight and take the probable high in the morning.

As for testing, at this point I won't test with no insulin on board. If he was showing signs of heading toward remission (getting numbers like this more often) I would grab a mid-cycle to see what was happening. However, I think it's safe to say that tonight is an anomaly, and not part of understanding his pattern.
 
Sam's AMPS is 246 which is pretty normal here. I'm curious to see what happens with today's cycle. I should be able to come home for a +5. (Fingers crossed everything at work is calm.)
 
Well that's interesting...I figured he might be higher this morning. Looking forward to seeing his +5!
 
Looks a little flat again. His +5 is 186 which isn't much of a drop. I was a little skinny on the dose this morning - just feeling a bit chicken after seeing that mysterious number last night.
 
Has anyone tried the Fance Feast Purely Natural chicken? It was on the new food list as zero carbs so I bought a couple. They are pricey, but BOTH kitties loved it, and that never happens. Sam has recently decided that he doesn't eat Fancy Feast Classics anymore :rolleyes:, so as head chef of the kitty restaurant, I decided to change the menu up a bit this week.
 
The plot thickens...

PMPS is 128. We are now starting the stall cycle. If last night is any indicator, he may stay low. What is our hive-mind thinking tonight? Go ahead and give a tiny dose on a food spike? Or skip again?
 
+20 minutes he's at 135. I'm going to feed, and keep my fingers crossed someone logs in soon...
 
Although the past 24 hours he's been biting me every time I test. And hid at shot time this morning. Trying not to read too much into that. ;)
 
Hey Djamila, I know I am not an experienced member but if it were me, since it looks like he is slowly rising, I would give at least 0.5U just so he has something. Hopefully, you can get a few more tests tonight just to be safe.
 
K
Djamila said:
Although the past 24 hours he's been biting me every time I test. And hid at shot time this morning. Trying not to read too much into that. ;)
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I get it, they get sick of it for sure but with this being his second time on insulin you need to be aggressive .
 
That's the direction I'm leaning, too. @Bobbie And Bubba , what do you think about dose? This morning I gave him a fat 2u/skinny 2.5 That seems like too much for tonight. But I agree that I need to be more aggressive this time.
 
@Yong, you've certainly been here enough to share your thoughts! As is often said here, I hold the syringe and have to decide, but I appreciate everyone's ideas when it gets tricky.
 
Give him a LC treat before the testing and see if that will help to calm down . I would go with 2 units IF you can monitor through the nadir tonight .
 
On second thought, I don't think your dose this AM was too much. He was in nice numbers. If you can monitor I wouldn't give any less than 2 units because they tend to go lower at PM cycles.
 
What's confounding me here is that he seems to be going down THROUGHOUT the cycle. His nadir wasn't really very low...but now he's dropped 40 more points. That's been the case today and yesterday...nuts. Wonder if this is the beginning of a trend.
 
Rachel said:
What's confounding me here is that he seems to be going down THROUGHOUT the cycle. His nadir wasn't really very low...but now he's dropped 40 more points. That's been the case today and yesterday...nuts. Wonder if this is the beginning of a trend.
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I am wondering if he is nadiring around +8 or later which would explain the lower PS number
 
Hmmm...interesting thought. That could explain this. Djamila, I know you probably don't want to do a curve again because I think you just did one last weekend. Any way you can maybe grab like...a +5 and then a +8 one day this weekend? Give us an idea of if he is still going down at that point or what?
 
I'm thinking I should do a curve this weekend. I wasn't planning to before, but after the past two evenings, it seems like a good idea. I was wondering about a shift in nadir as well. He's always been rising by +6 or +7, but as you both noticed, he's dropping through the PMPS which seems to indicate the insulin is lasting longer during the day.

As for his dose tonight, I totally chickened out. I pulled up 2u, but then let out a bunch right before I shot him. he ended up with a 1.4ish. I know I should be aggressive right now, but I'm a big chicken. Last time we did this dance I wouldn't have even considered shooting a number this low. I'll get some data tonight and then try to be braver if this happens again.

I cannot thank you all enough for being here through this. @Yong I was totally with you about the 0.5u. You should have seen how big my eyes got when Bobbie suggested such a big dose. And @Rachel and @Bobbie And Bubba, I wouldn't have even been 1.4u worth of brave without your nudging, so thank you both for keeping us moving forward here.
 
If you shoot the 2 units tonight,get a +
Djamila said:
I'm thinking I should do a curve this weekend. I wasn't planning to before, but after the past two evenings, it seems like a good idea. I was wondering about a shift in nadir as well. He's always been rising by +6 or +7, but as you both noticed, he's dropping through the PMPS which seems to indicate the insulin is lasting longer during the day.

As for his dose tonight, I totally chickened out. I pulled up 2u, but then let out a bunch right before I shot him. he ended up with a 1.4ish. I know I should be aggressive right now, but I'm a big chicken. Last time we did this dance I wouldn't have even considered shooting a number this low. I'll get some data tonight and then try to be braver if this happens again.

I cannot thank you all enough for being here through this. @Yong I was totally with you about the 0.5u. You should have seen how big my eyes got when Bobbie suggested such a big dose. And @Rachel and @Bobbie And Bubba, I wouldn't have even been 1.4u worth of brave without your nudging, so thank you both for keeping us moving forward here.
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You hold the syringe and have to be comfortable After studying his SS a bit more, I think he went lower on 3.13 PM and is bouncing so let's see what tonight's dose does. All data is good data. You have to be comfortable .
 
A curve would be great if you're okay with getting one this weekend. Tonights data will help you determine what to do in the future. I think after seeing what he does tonight and where he is tomorrow we can figure out a good no shoot number and what to do if he is there at preshot. And the curve will help us with a bigger picture so we can are maybe what's going on and deal with it from there!
 
If anyone is around, I'd love some thoughts on this morning's dose. He dropped pretty fast and low last night (we both survived, and I didn't even panic!)

He was the happiest cat in the world when I broke out the Evo kibble. Seriously. You should have heard the little squeaks of joy he made as he ate it. A good friend of mine was over for dinner last night, so she provided some moral support, and Sam was totally fine through the whole thing. Better than fine since he got to eat contraband.

Anyway, part of me is thinking I should reduce this morning since the evening numbers have been so low the last two nights and he seems to be reacting better to the insulin. But the other part of me thinks I should stick with 2.25u since he may be flat today. Any suggestions?
 
Djamila said:
If anyone is around, I'd love some thoughts on this morning's dose. He dropped pretty fast and low last night (we both survived, and I didn't even panic!)

He was the happiest cat in the world when I broke out the Evo kibble. Seriously. You should have heard the little squeaks of joy he made as he ate it. A good friend of mine was over for dinner last night, so she provided some moral support, and Sam was totally fine through the whole thing. Better than fine since he got to eat contraband.

Anyway, part of me is thinking I should reduce this morning since the evening numbers have been so low the last two nights and he seems to be reacting better to the insulin. But the other part of me thinks I should stick with 2.25u since he may be flat today. Any suggestions?
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I was away from my computer last night. I'm really glad you had other kind folks here for advice and support. As for today, I'd take my cue from the lows he went to last night on 1.4 u. They were below the "danger zone" 50 for a human meter. I'd reduce to 1.2 u or even 1 u and monitor today. He's going to be insulin sensitive for a cycle or two after those lime greens.
 
Thanks Kris. Now for the next question: we're about an hour off schedule right now since I've been stalling at night, and then slept in a bit this morning. Normal shot time is 4:30, but right now it's 5:30. What are your thoughts about moving it back to 4:30 tonight? Do I need to do that in smaller increments, or is it okay to try for 4:30?

Also, I'm not going to be home to monitor tonight until +6, so I'm unsure about that dose as well. I think we'll have to wait until we see the numbers to decide on that, but just worrying ahead :nailbiting:

He's getting a bit tricky right now.
 
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