? High PS numbers, big drops

[Chris & Lucy]

Lucy has worked her way up and then down the dosing scale and I have adjusted her dose based on her bg numbers at the peak of her insulin. Her bg usually starts to drop at +4 hours after her shot and she stays nice and level for the rest of the day. She does have a dip around +9. She handles low numbers very well and has shown no symptoms of hypo. With the higher doses she would have enough carryover to keep her pre-shot number reasonably low. Now that her dose is lower her pre-shot numbers are quite high and she has a dramatic drop of several hundred points when the insulin starts to take effect. Her numbers at insulin peak seem very good, but her pre-shot numbers are way higher than I would like to see them. I'm not sure how to bring them down.

Any advice or suggestions for getting her pre-shot numbers down would be appreciated. I'm not sure what to do at this point.

 

[Bobbie And Bubba]

Hi there! I don't think I have ever posted on your thread before. Taking a look at Lucy's SS, I would say if you could get some +2 readings. Why? Because if the +2 number is the same or lower than the pre shot number it is going to be an active cycle and you will be more informed and can give her a little LC food to help slow down the drop and prevent the bounce.

I don't see any numbers for today's readings. Also, it is very important to get preshot numbers. I don't see many of them for the PM cycle. You need to know what you are shooting at to keep her safe and get some during the PM cycle as well . A lot of kitties go lower during the PM cycle and notice how your AMBG 's are higher. You need to know how low the insulin is taking Lucy at night time as well to get the whole picture. . Again , the +2 will tell you how active the cycle will be., if it is going to be an active cycle and you might need to continue to test.

Remember all data is good data and the more you have, the better informed you will be and the better the board can help you with dosing advice.

She is looking really good as far as how she has come down the dosing ladder. Nice! But some more testing will be a really helpful.

 

[Chris & Lucy]

Hi there! I don't think I have ever posted on your thread before. Taking a look at Lucy's SS, I would say if you could get some +2 readings. Why? Because if the +2 number is the same or lower than the pre shot number it is going to be an active cycle and you will be more informed and can give her a little LC food to help slow down the drop and prevent the bounce.

I don't see any numbers for today's readings. Also, it is very important to get preshot numbers. I don't see many of them for the PM cycle. You need to know what you are shooting at to keep her safe and get some during the PM cycle as well . A lot of kitties go lower during the PM cycle and notice how your AMBG 's are higher. You need to know how low the insulin is taking Lucy at night time as well to get the whole picture. . Again , the +2 will tell you how active the cycle will be., if it is going to be an active cycle and you might need to continue to test.

Remember all data is good data and the more you have, the better informed you will be and the better the board can help you with dosing advice.

She is looking really good as far as how she has come down the dosing ladder. Nice! But some more testing will be a really helpful.

Thank you for commenting. I'm a long time listener, first time caller. I will work some +2 readings into my next curve. Lucy is hard to test so my readings are a little erratic. I try to fill in numbers where I can.

Lucy's trip down the dosing scale has been fairly rapid and I feel like I'm chasing low numbers with decreases in losing battle.

 

[Bobbie And Bubba]

I will work some +2 readings into my next curve

It would be good if you could always get a +2 and a mid cycle test so the +2 can show you how active the cycle and the midcycle, +5=7 could tell you how low the dose is taking her. I understand about her not being compliant but do the best you can and remember that you are doing it for her good, not to hurt her. Give her lots of love and low carb pokey treats so she not mind the test as much.

You are doing a great job and she is looking good. With more information, we can get her to stay looking good and hopefully even better.

 

[Chris & Lucy]

It would be good if you could always get a +2 and a mid cycle test so the +2 can show you how active the cycle and the midcycle, +5=7 could tell you how low the dose is taking her. I understand about her not being compliant but do the best you can and remember that you are doing it for her good, not to hurt her. Give her lots of love and low carb pokey treats so she not mind the test as much.

You are doing a great job and she is looking good. With more information, we can get her to stay looking good and hopefully even better.

As I get better a poking, she gets better a being tested more frequently. Lol

The vet was always wanting a PS and +6 at a minimum. I have found she is a great surfer mid cycle, and then dips to a low point in the cycle at +9. With the higher doses she always seemed to have enough overlap from the previous cycle to keep her PS numbers low. Since the decreases that doesn't seem to happen. Could this be an issue of a smaller Depot? Could less insulin have a shorter half life in her system? I'm just not familiar with how Lantus works with lower doses.

 

[Bobbie And Bubba]

Smaller dose, smaller depot. But I do think if you can get more data at PM cycles, it will help you understand her higher AMBG. She is probably going lower during the PM cycle and bouncing in the AM. If you can catch those lows, you can steer with some food and help to flatten out the cycle and drops and help lessen the bounce.

 

[Chris & Lucy]

I do think if you can get more data at PM cycles, it will help you understand her higher AMBG. She is probably going lower during the PM cycle and bouncing in the AM. If you can catch those lows, you can steer with some food and help to flatten out the cycle .

Thank you for that advice. I will try and figure out a way to get an occasional reading during her pm cycle.

 

[Wendy&Neko]

Hello and welcome. Lucy is responding well to the Lantus.

As for suggestions, I would strongly urge you to get a few night time tests. Many kitties go lower at night than during the day. I suspect Lucy is dropping lower at night and then bouncing to those high preshots. A test before bed is a good one, if you can. Or drink a large glass of water before bed.

 

[Chris & Lucy]

Hello and welcome. Lucy is responding well to the Lantus.

As for suggestions, I would strongly urge you to get a few night time tests. Many kitties go lower at night than during the day. I suspect Lucy is dropping lower at night and then bouncing to those high preshots. A test before bed is a good one, if you can. Or drink a large glass of water before bed.

Thank you for responding. I have been very pleased with the way Lantus seems to be working for her.

If Lucy was bouncing at night, would it clear by the next cycle when the insulin took effect? Or would she continue to bounce for a couple cycles? And would that call for a dose reduction?

 

[Wendy&Neko]

Bouncing can last up to six cycles. Bouncing means higher numbers in response to a low or a fast drop in numbers. Bouncing by itself doesn't call for a dose reduction, but if you catch the low that caused the bounce, that might. Cats bounce with numbers lower than they are used to. It doesn't necessarily mean low enough to earn a reduction.