10/27 Asia AMPS 288, +1 320, +2 300 SS analysis?

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Stacy & Asia

Stacy & Asia

Member Since 2017
http://www.felinediabetes.com/FDMB/...ps-407-217-pt-drop-in-1-hr-dosecrease.185940/

Yesterday's cycle was pretty flat and pink. Last night as well for the most part, except the weird +3, bad test? Does anything still look bouncy/bounce clearing? I'm not sure I can tell. Should I increase to 2 units or continue to hold off? I'm also considering just opening the new pen of Lantus since I've been rolling the vial all this time, reaching, I know, but maybe new insulin would make a difference?
 
5 mins to shot time, I'm thinking I'm going to increase to 2 units, I will be around today and not as much this weekend, so it would be a good time to monitor her
 
Started new pen of Lantus and kept the dose at 1.75, any expert eyes have comments of this cycle? Should I continue to hold the dose and see what's happening? I took up her food at 15:00 (+5) since she was starting to rise back up already. Going to keep the food away until 18:00ish and see if that slows her from flying up the ladder any.

One thing I keep in mind when viewing my SS is the switch in meters. Her numbers look a little better since the meter switch, but I know in the back of my mind a lot of those yellows are pinks (on AT2), and pinks are reds and reds are blacks. So with that perspective, her numbers don't look much better, and arguably look worse to me. With the exception of the run of greens in the 10/22 PM cycle, which is not dissimilar to the 10/17 PM cycle (those greens are probably low blues on the AT2) which was the previous dose increase.

It really looks like a one and done cycle of good numbers with each dose increase, does that signify anything? Look at 10/10 AM cycle, 10/14 PM cycle, 10/17 PM cycle and 10/22 PM cycle and see what I mean.

I've been crying a bit today, this is so frustrating! It doesn't help hearing my vet saying "brittle diabetic" over and over in my head. I look and look at other spreadsheets and don't see any that look like mine (I know, ECID), even the high dose cats seem to be constant red and black until they are diagnosed and insulin is increased significantly and that's not her pattern either. All I see is a glimmer of hope with each dose increase and then a lot of same old high numbers. :(
 
Sorry no one responded to your question about the dose this morning. It was a good call not to increase at the same time as starting a new container of insulin. We always recommend one change at a time, so if there is a response, you'll know what did it.

It does look like Asia needs more insulin. Even though she got down to 68 on this dose, she's only been to the blues once since then. I would wait until tomorrow to make the change, since you just started the new pen today.

FYI: our vet told us to roll the insulin vial in our hands before drawing up the dose when we first started, and I don't think it made a bit of difference to the effectiveness of the shot.
 
I would increase the dose. FWIW, I rarely found a difference with starting a new pen. It may help to remember tat with TR, you hold the dose for 6 cycles. Given the bounce after the run of greens, Asia would have cleared the bounce by now so an increase would be in order.
 
Just popping in to to give ya a :bighug: I think we've all been there with the tears at least I know I have. Hopefully Asia numbers will soon settle for you.
 
Tricia Cinco(GA) & Harvey said:
Sorry no one responded to your question about the dose this morning. It was a good call not to increase at the same time as starting a new container of insulin. We always recommend one change at a time, so if there is a response, you'll know what did it.

It does look like Asia needs more insulin. Even though she got down to 68 on this dose, she's only been to the blues once since then. I would wait until tomorrow to make the change, since you just started the new pen today.

FYI: our vet told us to roll the insulin vial in our hands before drawing up the dose when we first started, and I don't think it made a bit of difference to the effectiveness of the shot.
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Thanks for the feedback. I watched a ton of YouTube videos on how to shoot since I didn't get much info from the vet on that. They all said to roll the vial (of Lantus). :confused: Maybe it's just a relic from earlier times that hasn't been undone yet, like pumping the breaks and ABS. :facepalm: I was either going to increase on the existing vial, or switch to the new pen on the same dose. I figured if I increased and then wanted to switch to the new pen, it would make more since to switch first.
 
Sienne and Gabby (GA) said:
I would increase the dose. FWIW, I rarely found a difference with starting a new pen. It may help to remember tat with TR, you hold the dose for 6 cycles. Given the bounce after the run of greens, Asia would have cleared the bounce by now so an increase would be in order.
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Thank you, I think I will increase either tonight or tomorrow, haven't decided yet. I just really don't know what I'm doing. Was trying to see if she's one of those break the cycle outside of the parameters of the guidelines kind of cat. She's certainly full of surprises.
 
MissMolly said:
Just popping in to to give ya a :bighug: I think we've all been there with the tears at least I know I have. Hopefully Asia numbers will soon settle for you.
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Thanks so much, I needed that. Trying to pull myself together before catupuncturist gets here. It's just one of those days.
 
Hi. It will all be okay! I do think it's time for an increase.

@Chris & China could help change the parameters on your SS so you won't see a lime green until it's under 50 not 68.

Just hang in there... It takes time to find the right dose. :bighug::bighug:
 
Is starving the curve a thing? :rolleyes: I took up her food at 15:00 and was going to give her a snack a little later, but the catupuncturist came and now that he's gone we are at <2 hours until PMPS. So the only difference today from other days is she didn't have access to graze all day long. It's not like I feed her all day long either, she just takes a few hours to eat a portion that most cats probably eat at one sitting, she goes for a couple nibbles every hour, just about. Should I try to retrain her to eat more after AMPS and hold off feeding her again until PMPS (and leave her with free food access at night since her PM cycle seems to be lower typically)? I thought several smaller meals were preferable, but she was peaking at +4 and rising from there, then she dipped again at +8 and continues down...and the only difference is the no food part and the new pen. It's also quite possible she could take longer than 2 hours to digest and thus none of her numbers would be fasting numbers. I only say that because she's so incredibly old and I would think the GI stuff slows down in tune with everything else?
 
Toebeans said:
I thought several smaller meals were preferable,
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Smaller, meals throughout the day are easier on their pancreas. Not sure I'd personally mess with a 19yr old kitties routine but that's me. If you choose to change things up just make notes on your SS and you'll want try it for a few days if possible. She's still very very new to insulin so hopefully in time she'll settle down a bit.

Try to go easy on yourself, cry when you need to and indulge in your favorite things at times. I cried more in the 2 years of Doodles journey then I did my whole life :bighug::bighug::bighug:
 
Doodles & Karen said:
Smaller, meals throughout the day are easier on their pancreas. Not sure I'd personally mess with a 19yr old kitties routine but that's me. If you choose to change things up just make notes on your SS and you'll want try it for a few days if possible. She's still very very new to insulin so hopefully in time she'll settle down a bit.

Try to go easy on yourself, cry when you need to and indulge in your favorite things at times. I cried more in the 2 years of Doodles journey then I did my whole life :bighug::bighug::bighug:
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Up until August of this year, I fed them twice a day, whenever the food is gone, it's gone, and oftentimes I would throw out what was left in the afternoon and just wait for dinner time to feed them again (because most of the time, they wouldn't clean their plates). The difference now is, cats are not eating the same food since the food switch and now I've been giving Asia smaller portions and refills on the radcat because she enjoys it so much. I really don't want to mess with her routine either, but diabetes has certainly messed with her routine regardless.

It's comforting to hear she's still very new to insulin, I don't know when it's not new anymore and I don't want to put myself in denial that things are awry by thinking she's just new to all this. I don't know the threshold between we're still figuring this out and something's not right here. And thanks, I am trying to be as zen about this as I can. I can relate to the crying more than ever thing. It's just a lot and I've had a bad couple of days where my kids wanted me to do something, but I couldn't because of the cat, they weren't terribly understanding (because: teenagers) so I've had parent fail guilt plus cat fail guilt at the same time. Perfect storm for tears!
 
This dance isn't easy in any situation, and when you factor in family members that don't "get it", it just makes it harder. I second What Karen said. Don't be hard on yourself. There is a LOT to learn about FD, and because Asia is a cat, just when you think you have a handle on it, she'll change things up!

Just read all you can (two or three or four times - there's a lot to absorb) and ask lots of questions. You are part of a family here that does "get it."

One hint: when you need feedback soon, be sure you put a question in your subject line so people will know you're waiting for an answer.

I don't recall if I gave you this link when you first joined, but in case I didn't, here is a post that we put together for new users to help them get comfortable here: http://www.felinediabetes.com/FDMB/threads/updated-tips-for-new-members.173572/
 
Tricia Cinco(GA) & Harvey said:
This dance isn't easy in any situation, and when you factor in family members that don't "get it", it just makes it harder. I second What Karen said. Don't be hard on yourself. There is a LOT to learn about FD, and because Asia is a cat, just when you think you have a handle on it, she'll change things up!

Just read all you can (two or three or four times - there's a lot to absorb) and ask lots of questions. You are part of a family here that does "get it."

One hint: when you need feedback soon, be sure you put a question in your subject line so people will know you're waiting for an answer.

I don't recall if I gave you this link when you first joined, but in case I didn't, here is a post that we put together for new users to help them get comfortable here: http://www.felinediabetes.com/FDMB/threads/updated-tips-for-new-members.173572/
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Thanks, I have read this, but probably time to read it again. My kids have been supportive, they love Asia like crazy, they've never known life without her. but yeah, maturity wise, they don't get it that it isn't take this pill every day and go about your life but something much more involved and precarious. That and they are teenagers, so they are pretty self absorbed, developmentally speaking. ;)

I'm very thankful for the support here, I think I've snapped out of it for now. Anyone else find that their mood is directly influenced by their cat's BGs that day?! :facepalm:
 
Toebeans said:
Anyone else find that their mood is directly influenced by their cat's BGs that day?! :facepalm:
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Absolutely!!!!

On the feeding issue....while yes, it's true that diabetic cats generally do better with more frequent small meals, something that hasn't been mentioned is feeding after nadir.

Some cats can eat throughout the cycle and do fine, but a lot of cats, if they eat after nadir, it can act like slamming the brakes on any remaining action of the insulin.

The only way to know which way Asia reacts will be to do some experimenting and keeping good records. Try feeding her her daily portion ALL before about +6 and then nothing after (or just a tiny snack of some kind of pure protein like baked chicken if she absolutely can't wait to have a snack later in the day)

Compare her numbers to when she is allowed to graze until +10 and see which way works best for her
 
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