? 4/2 Millie Post DKA, Lantus/SLGS, PM +5 428, PM +9. Did she stop bouncing & needs increase? HELP!

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Sylvia & Millie

Sylvia & Millie

Member Since 2017
Millie, post DKA has a tendency to bounce. We're still trying to get dosing correct. We've gotten some night time readings. Last nights would indicate that she needs an increase (?). The day before she also had red & black numbers.

Should I increase and then if she goes low, treat with food?

Also, the evening shot is at 9:00 pm. I'm thinking of moving it to an earlier time to allow for more night time testing (we are two older folks with medical issues on medication, getting up at 2am and 4am/5am can be taxing the next day). I know I need to be careful changing the time slots, how best to proceed? I am assuming over a few weeks. Or should we not do this now and try to work on dosing instead (but getting all the necessary info will continue to be hard)?



http://www.felinediabetes.com/FDMB/...-dont-know-why-the-bounc.175671/#post-1930567
 
What time would be best for you to shoot? Usually we move back 30 minutes every 24 hours but with these high numbers and previous DKA I'm thinking you could shoot an hour early which would act like an increase. . A bounce can last 6 cycles and she's still quite high so I'm not sure it's cleared. With DKA see what others say as I'm not sure what would be best.
 
tiffmaxee said:
What time would be best for you to shoot? Usually we move back 30 minutes every 24 hours but with these high numbers and previous DKA I'm thinking you could shoot an hour early which would act like an increase. . A bounce can last 6 cycles and she's still quite high so I'm not sure it's cleared. With DKA see what others say as I'm not sure what would be best.
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We were hoping to eventually get to the 6am/6pm slots, this would allow for lots of pm monitoring. I don't want to get too caught up in that right now and further throw her numbers off. She's been tough with the numbers everywhere and us still trying to grasp what's going on. I do understand the need for a better picture though.
 
You can safely move your shot times in one of two ways:
  • 15 minutes each cycle until you reach the desired new shot time or
  • 30 mins every 24 hours until you reach your desired shot time.
 
What was the PMPS on 04/01?

How is Millie overall these days? Glad to see you are vigilant about testing for ketones and that the results are negative.
 
Sandy and Black Kitty said:
What was the PMPS on 04/01?

How is Millie overall these days? Glad to see you are vigilant about testing for ketones and that the results are negative.
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She is doing really well. Yesterday she was playing with a ball, something I hadn't seen in a while.
I test for ketones daily; esp when her numbers are high.
She runs away if me & my husband walk into the room or she smells the rice sock because she doesn't like being tested so we try to limit the amount of times we do it. Since we knew we were going to get other tests done throughout the day we skipped the one right before. My understanding is that the reshot isn't what determines the dose for Lantus (?) so we thought it= would be OK to do that.
 
The preshot isn't the main consideration when figuring out the dose, but it can be a factor. Look at the result on 3/31. That may have been her lowest point of the day. You do want a preshot test to make sure it's safe to give insulin. If Millie is smelling the rice sock, try using a pill bottle and put warm water in it instead of the sock. My kitties used to get excited when I ran the water to get it warm enough, cause it meant a treat (and test) was about to follow. You might also want to spend more time desensitizing her ears too. Just love on her and rub her ears, then walk away without poking.

Today is the 6th cycle after that 90, so she could still be bouncing. Bounces can take up to six cycles to resolve. Let's see what she does today to decide if she needs an increase. The SLGS method calls for kitty to go below 90, which she technically didn't, so she didn't really earn that reduction back to 1.0 unit.
 
Glad to hear she is playing again-that's a good sign.

Although it is true that with Lantus dosing is based primarily on nadir values (the lowest BG of a cycle) - shooting 'blind' (giving insulin without testing first) is dangerous.
It's essentially playing Russian roulette.

I understand the difficulties and as you can see by BKs ss I too shot blind in the early days. Although at deaths door, BK was an approx 5 year old intact male street cat with big teeth when we took him in and started treatment. Persistence prevailed and soon we were in the groove with testing. The magic ingredient were these. He got a chunk after every poke. Before long he would come running when I shook the jar, happy to cooperate knowing he would get his 'kitty crack' after a poke.

Cats are very food motivated. Leveraging that will work in Millie's favor.
 
Wendy&Neko said:
The preshot isn't the main consideration when figuring out the dose, but it can be a factor. Look at the result on 3/31. That may have been her lowest point of the day. You do want a preshot test to make sure it's safe to give insulin. If Millie is smelling the rice sock, try using a pill bottle and put warm water in it instead of the sock. My kitties used to get excited when I ran the water to get it warm enough, cause it meant a treat (and test) was about to follow. You might also want to spend more time desensitizing her ears too. Just love on her and rub her ears, then walk away without poking.

Today is the 6th cycle after that 90, so she could still be bouncing. Bounces can take up to six cycles to resolve. Let's see what she does today to decide if she needs an increase. The SLGS method calls for kitty to go below 90, which she technically didn't, so she didn't really earn that reduction back to 1.0 unit.
Click to expand...
Wow, I didn't realize she hadn't earned the reduction, I was probably too focused on the high numbers at that time. I'll try the pill bottle. Okay on the bouncing part!
 
Sandy and Black Kitty said:
Glad to hear she is playing again-that's a good sign.

Although it is true that with Lantus dosing is based primarily on nadir values (the lowest BG of a cycle) - shooting 'blind' (giving insulin without testing first) is dangerous.
It's essentially playing Russian roulette.

I understand the difficulties and as you can see by BKs ss I too shot blind in the early days. Although at deaths door, BK was an approx 5 year old intact male street cat with big teeth when we took him in and started treatment. Persistence prevailed and soon we were in the groove with testing. The magic ingredient were these. He got a chunk after every poke. Before long he would come running when I shook the jar, happy to cooperate knowing he would get his 'kitty crack' after a poke.

Cats are very food motivated. Leveraging that will work in Millie's favor.
Click to expand...
I wasn't aware that the PS should always happen regardless of the other testing, we won't make that mistake again.

We definitely have a smorgasbord of treats and we're happy to add (I even have fresh chicken). But if she's annoyed enough, she will turn her nose at any treat, which has surprised us, so I do try to vary it which seems to keep her interest.
 
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