Weight loss in regulated cat part 4

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Waheeda said:
Not a good day today. Is he still bouncing? Or should I adjust the dose? Peed lots of times today. More than past few days. Any idea why?
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Ok so now you know when it's about 300 you can up it a bit. After you get a preshot test look at the numbers from the last 5 days or so to make your best guess as to what a dose will do to get you into the blues.
 
JanetNJ said:
Ok so now you know when it's about 300 you can up it a bit. After you get a preshot test look at the numbers from the last 5 days or so to make your best guess as to what a dose will do to get you into the blues.
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Ok thks. But I hv to sieve thru and ignore the bouncing days? When I get pre shots in the pink, is it due to bouncing or just that vetsulin has waned off after 12 hrs? Looks like the last few days, I only Hv bouncing on 26/5 pm? Am I analysing it rite?
 
Waheeda said:
Ok thks. But I hv to sieve thru and ignore the bouncing days? When I get pre shots in the pink, is it due to bouncing or just that vetsulin has waned off after 12 hrs? Looks like the last few days, I only Hv bouncing on 26/5 pm? Am I analysing it rite?
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I don't know that I see much bouncing.... Your cat just isn't regulated yet. It sometimes takes a while. Took my cat about three months to not have a lot of pink preshots.
 
JanetNJ said:
I don't know that I see much bouncing.... Your cat just isn't regulated yet. It sometimes takes a while. Took my cat about three months to not have a lot of pink preshots.
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I see. I'll adjust the dosage slightly. Mayb break your sliding scale into 25 instead of 50. Thks!
 
Can someone interpret why I'm getting a flat yellow after pmps? Started with a blue at pmps n I gave a teeny bit of 0.2u. I'm pretty happy I'm not getting any pink but the flat yellow is a bit strange?
 
Hi hi,
I'll be out whole day tmr n won't b able to do mid day test. To be on safe side, do u think reducing d dose by 0.2u is sufficient ? Or 0.4u? He did a great job today n we din seem to hv any pink or any bounce in the evening so I really don't wan to hv a big setback if I reduce too much. Any advice is appreciated. Thks.
 
I'm typically one for tiny reductions so depending on his PS, thinking maybe just the smaller decrease since you won't be home. You hold the syringe though :)
 
Yong said:
I'm typically one for tiny reductions so depending on his PS, thinking maybe just the smaller decrease since you won't be home. You hold the syringe though :)
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Thanks Yong. It was a gd amps of 191 but unfortunately I don't hv much data at this reading to make a gd decision. All d past experience at this readings he bounced. So I went conservative n gave a 0.4u. I hv a feeling he will bounce tho.
 
Yong said:
Good idea being conservative. He didn't bounce much either :)
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I thk if I had gone for 0.8u he wld gone low! Luckily it rained so I left home later n managed to get some morning tests. I thk he ate some high carbo kibbles in d afternoon cos I forgot to remove d bowl meant for the other cats. Saw him at d bowl when I got home. :nailbiting:
 
Yong said:
Forgive me if you mentioned this, have you tried to get the other cats on YAZ?
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Yes I did but they were not interested. Actually the 2 have been eating more wet food than dry lately. Jebat also has moods, sometimes he likes YAZ n some other times he's not interested. All these while he looked at their bowl without any interest. Don't know why today he changed his mind.
 
Yong said:
Because he's a cat :cat:

That's great news! I think it's in combination with him having better numbers as well!
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Hahaha ya u r right cos he's a cat! Wish I'm a cat whisperer. I keep telling him to eat the YAZ but he ignored me.
 
He went low today although I gave same dose as previous times at that reading. So do I reduce only for this range of reading or across the board?
 
Waheeda said:
He went low today although I gave same dose as previous times at that reading. So do I reduce only for this range of reading or across the board?
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Let's see what his numbers are at next PS. If you often have to reduce one dose by a lot or skip it all together then a lower dose over all is the way to go. The goal is a shootable PS in both AM and PM and those two doses shouldn't have to be extremely different.
 
Kris & Teasel said:
Let's see what his numbers are at next PS. If you often have to reduce one dose by a lot or skip it all together then a lower dose over all is the way to go. The goal is a shootable PS in both AM and PM and those two doses shouldn't have to be extremely different.
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Lately the am n pm doses r quite different. Whenever he starts in yellow or pink, the dose given is enough to sustain him till d next shot. But when he starts the pm shot in the blue which means a lower dose, his BG will end up in yellow. Looks like a typical cycle last few days. How do I break this cycle?
I wanted to reduce the pm shot but since he seem to bounce at nite, I decided to be brave and stick to same dose and test at +4. Fingers crossed he'll be fine.
 
I've actually been wondering if you need a new scale in general. Possibly reducing most of it but I am not qualified to give a new scale, just my opinion ;)
 
Yong said:
I've actually been wondering if you need a new scale in general. Possibly reducing most of it but I am not qualified to give a new scale, just my opinion ;)
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If I reduce it, will he go back to yellow? I'll try reducing by 0.2 from tmr. Took reading at +3 and looks like he din bounce yet. I just hope he doesn't go low again.
 
Yong said:
I would say try the reduction, his last week looks awesome! Only 3 or 4 pinks total :cat:
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Yes we are so happy n he's walking much better n sleeping well today.
So I just need to reduce by 0.2u across the board ? If he goes 130, do I skip? Right now the scale is 0.2u.
 
I think that will be fine, but once again I'm not familiar with sliding scales but it seemed to be a little too much, lately. This is just based on me looking over your Spreadsheet :). If he reads 130 and you are not able to stay with him through nadir (which looks like +6), I would skip. If you will be home to monitor him, you could try the 0.2U :) Make sure you have supplies ready if he were to drop lower. Better to be safe! :smuggrin:
 
Yong said:
I think that will be fine, but once again I'm not familiar with sliding scales but it seemed to be a little too much, lately. This is just based on me looking over your Spreadsheet :). If he reads 130 and you are not able to stay with him through nadir (which looks like +6), I would skip. If you will be home to monitor him, you could try the 0.2U :) Make sure you have supplies ready if he were to drop lower. Better to be safe! :smuggrin:
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He went low today too. 36 at +5 n I thot Sth wrong with the strip. Retested and it was 32. But he looked perfectly normal. Anyway, we managed to steer him to safety level. I reduced by 0.2u n he was lower still. So shld I lower 0.4u or 0.6u.
@JanetNJ if u r online appreciate ur advice. Pmps in 4.5hrs. Thks!
 
Definitely time to adjust. What do you think of this?

125-150. 0.2
150-180. 0.6
180-220. 1
220- 250. 1.4
250-300. 2
300-350. 2.4
350+. 2.8
 
JanetNJ said:
Definitely time to adjust. What do you think of this?

125-150. 0.2
150-170. 0.6
170-200. 1
200-250. 1.4
250-300. 2
300-350. 2.4
350+. 2.8
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Wow u r just in time! I was about to get the insulin but was cracking my head on the dose. I was thinking of giving him 1.6 for his pmps at 229 but u r even going lower at 1.4. I'll try ur scale. If too low can adjust up in a day or 2. Better be safe. Thks!
 
Waheeda said:
Wow u r just in time! I was about to get the insulin but was cracking my head on the dose. I was thinking of giving him 1.6 for his pmps at 229 but u r even going lower at 1.4. I'll try ur scale. If too low can adjust up in a day or 2. Better be safe. Thks!
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I just tweaked a number.... But yeah I think he needs less. I'd rather go conservative and have to raise it a bit... Good luck!
 
Waheeda said:
Wow u r just in time! I was about to get the insulin but was cracking my head on the dose. I was thinking of giving him 1.6 for his pmps at 229 but u r even going lower at 1.4. I'll try ur scale. If too low can adjust up in a day or 2. Better be safe. Thks!
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1.6 would probably be perfectly safe too.... Use your best judgement. Not really much difference and he seems to run higher at night.
 
Waheeda said:
Oh but below 200 ur scale is too high. U take a look at my SS.
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Ok let's go lower. Would you like to just say

125-150 0.2
150-175. 0.4

175-200 0.6

?


The other day you shot 0.4 at 191 and it got down to 138.... Not bad but could come down a little bit more.
 
JanetNJ said:
Ok let's go lower. Would you like to just say

125-150 0.2
150-175. 0.4

175-200 0.6

?


The other day you shot 0.4 at 191 and it got down to 138.... Not bad but could come down a little bit more.
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I thot I made gd judgement this morning by reducing 0.2 but it wasn't enough. I can fill in above 200 after tonite' readings. If d readings r flat tonite, it means I can increase by 0.4 ?
 
Waheeda said:
Night readings at +4 n +6 look flat. Bouncing? Shld reduce some more ? But I'm not sure if he doesn't bounce, how low will it be at nadir.
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you gave him food between 4 and 6.... it's probably flat because the food raised the numbers for 6. still nice blues.
 
JanetNJ said:
you gave him food between 4 and 6.... it's probably flat because the food raised the numbers for 6. still nice blues.
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Oh ya dat makes sense. He's always hungry nowadays. So stressful making him wait for wet food until test time cos he makes so much noise. I guess giving him 1.6u would not push it down too low, ya? Next time I'll up it to 1.6 for the 225-250 range. Thks for helping me with the new scale. Appreciate it much. U guys are so much better than any of the vets here.
 
Hi hi,
He was in the lime green again at +6 after reducing dose. @JanetNJ makes sense to reduce another 0.4u ?
25 - 150. 0.2
150 - 175. 0.4
175 - 200. 0.6
200 - 225 1
225 - 250 1.4
250 - 300 1.6
300 - 350 2.0
>350 2.4

Is it normal to suddenly get a big reduction? Does it mean his pancreas is healing?
 
Waheeda said:
Hi hi,
He was in the lime green again at +6 after reducing dose. @JanetNJ makes sense to reduce another 0.4u ?
25 - 150. 0.2
150 - 175. 0.4
175 - 200. 0.6
200 - 225 1
225 - 250 1.4
250 - 300 1.6
300 - 350 2.0
>350 2.4

Is it normal to suddenly get a big reduction? Does it mean his pancreas is healing?
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Yep! So glad these numbers keep going down!
 
Hi,
can take a look at his SS last few days? He went low again in the day today. But pm readings were in the blue and even yellow. So do I reduce the >200 range? And increase the 125-200 range?
 
I think it's about 02:45 Friday for you right now, so you're probably asleep :p but I think you'd want to reduce the whole scale again. 2.0U seemed to be too much on his 300-350 PS, BUT that could also be due to them being bounce numbers.
So your last scale post:
25 - 150. 0.2 I don't think you should ever shoot at 25. Hoping you just forgot the 1 and this range is 125 - 150 :)
150 - 175. 0.4 --> 0.2
175 - 200. 0.6 --> 0.4
200 - 225 1 --> 0.8
225 - 250 1.4 --> 1.0
250 - 300 1.6 --> 1.2
300 - 350 2.0 --> 1.4
>350 2.4 --> 1.6

Only reason I'm thinking difference of 0.2 for higher end of the scale instead of 0.4 like you originally had is because when he gets these numbers right now it seems they are bounce numbers. I'll tag @JanetNJ to she can give thoughts on my thought :smuggrin:
 
Yong said:
I think it's about 02:45 Friday for you right now, so you're probably asleep :p but I think you'd want to reduce the whole scale again. 2.0U seemed to be too much on his 300-350 PS, BUT that could also be due to them being bounce numbers.
So your last scale post:
25 - 150. 0.2 I don't think you should ever shoot at 25. Hoping you just forgot the 1 and this range is 125 - 150 :)
150 - 175. 0.4 --> 0.2
175 - 200. 0.6 --> 0.4
200 - 225 1 --> 0.8
225 - 250 1.4 --> 1.0
250 - 300 1.6 --> 1.2
300 - 350 2.0 --> 1.4
>350 2.4 --> 1.6

Only reason I'm thinking difference of 0.2 for higher end of the scale instead of 0.4 like you originally had is because when he gets these numbers right now it seems they are bounce numbers. I'll tag @JanetNJ to she can give thoughts on my thought :smuggrin:
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Thanks Yong! So you are saying the yellows are bounce numbers? I think they are too cos he was really low during the day.
Would you know why I get high numbers at amps? Amps is always higher than pmps. Is that the norm?
I'll use your scale and see how it goes today.
 
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