11/29 Asia +8 116, PMPS 89, +2 77, +3 82, +6 127

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Stacy & Asia

Stacy & Asia

Member Since 2017
http://www.felinediabetes.com/FDMB/threads/asia-11-28-amps-318-4-162-pmps-243.187287/

+11 221

I'm leaning towards calling this a failed reduction and upping her dose to something in between 2 & 2.25 starting this am cycle (per the protocol) to try to resume momentum. Ugly maths aside, I don't want this dose to peter out as has happened previously and have to go even higher to get the numbers she was getting on 2.25 (minus the crazy 30, obviously).

Open to thoughts and opinions, but I'm thinking that not many people will be on in the next 20 minutes or so and I don't want to delay her shot time.
 
I went back to 2.25, that's what my gut said to do. I will be looking out for big drops and feeding them with higher carbs when necessary.
 
I think that was the right decision. You've gone 6 cycles at the 2U dose and numbers are starting to drift in the wrong direction. Yeah, Asia threw out that 30 a couple days ago, but you test enough that you'd catch it if it happened again. I think that 30 was more the product of 10 days worth of momentum at that dose rather than too much insulin, otherwise you probably would've seen it appear much sooner.
 
AZJenks said:
I think that was the right decision. You've gone 6 cycles at the 2U dose and numbers are starting to drift in the wrong direction. Yeah, Asia threw out that 30 a couple days ago, but you test enough that you'd catch it if it happened again. I think that 30 was more the product of 10 days worth of momentum at that dose rather than too much insulin, otherwise you probably would've seen it appear much sooner.
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Thanks, I feel okay with it because I can monitor her. It was quite a lot of momentum, wasn't it? ;)
 
If Asia goes low again on this dose, you may want to give her more time on the 2u dose. Maybe she needs more than 6 cycles to start working that dose. Just my 2 cents. :)
 
+2 137, 100 point drop in an hour! Well she wasted no time getting to it. Going to add a bit of honey to her food
 
Mandy & Rex said:
If Asia goes low again on this dose, you may want to give her more time on the 2u dose. Maybe she needs more than 6 cycles to start working that dose. Just my 2 cents. :)
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Thanks, you could be right, the failed reduction/increase was a gut feeling on my part and I left her on 2 units for 15 cycles previously, she got a good cycle with momentum from a bounce on cycle 4 and then started trending up with an occasional tease of a low blue after that. I'm sure she will let me know one way or the other soon enough.
 
Today is the 6th cycle since the last green so she may be ready to work the juice again. Slowing her down may be a good idea.
 
You might also want to think about keeping the same dose for three reductions if they keep failing. Sometimes holding that dose for three helps them hold the next reduction just food for thought. Of course if you have a cycle having trouble to keep them the numbers safe then you reduce.
 
Titan seems to be a 4-5 hr in the low numbers b4 climbing back up, and I usually gave HC after the first and second poke so I assumed the HC was working only for at max one to two hours . Plus it is usually a small amount. I've read that HC can effect up to 3 hours so you have to test 2-3 hours after last HC to know its not inflating your BG number. My 2 cent experience :)
 
DebG said:
You might also want to think about keeping the same dose for three reductions if they keep failing. Sometimes holding that dose for three helps them hold the next reduction just food for thought. Of course if you have a cycle having trouble to keep them the numbers safe then you reduce.
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I would like to do that as long as her dose seems to be working really well outside of a fluke dip here or there, but yeah, when it's a 30, not so much. :facepalm:
 
Yay, a green! +5 91, and nothing too dramatic after the steep drop, so far. :cat:

MyTitan said:
Titan seems to be a 4-5 hr in the low numbers b4 climbing back up, and I usually gave HC after the first and second poke so I assumed the HC was working only for at max one to two hours . Plus it is usually a small amount. I've read that HC can effect up to 3 hours so you have to test 2-3 hours after last HC to know its not inflating your BG number. My 2 cent experience :)
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Thanks! This food/numbers manipulation outside of a hypo is new to me, so I have to figure out what works for Asia, but it's good to have other experiences to compare to. I wouldn't think carbs would last that long at all, they certainly don't for humans and cats have a faster metabolism, but I see how it could have an influence on the numbers for up to 3 hours as it depends what other food they ate as well (low carb & high fat/protein) so they have sustaining foods as well as cheap energy carbs to deal with. They say the worst food (to dose insulin wise) for diabetics is pizza! There's just too much at play with good amounts of quick carbs/sugar, fat, slow carbs. That could be a similar action when we give our cats gravy or honey and they also have their regular food in the mix. Thank all the deities we don't have to give R at mealtimes to our cats! :p
 
Stacy & Asia said:
Thank all the deities we don't have to give R at mealtimes to our cats! :p
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It is sometimes used in cats, very carefully, when a cat is stuck in flat high numbers and nothing his moving him.
For anyone reading, R is very potent and its use should only be undertaken with careful monitoring and more importantly, with the support of someone experienced in using R.

Stacy & Asia said:
This food/numbers manipulation outside of a hypo is new to me, so I have to figure out what works for Asia,
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It does take some experimenting but eventually you will find out what works for your girl. Sorry you had such a nerve wracking experience the other day.

I have just been catching up with the last couple of days, given that you have gone back up to 2.25u, and this dose got her into the 30's, watch out for those fast drops.
I found that when George dropped fast, in particular early on, if I didn't feed the drop I could find myself fighting to keep him above 50 for hours.
Keep in mind the advice Marje gave you if you find her dropping suddenly, she and others gave me similar advice and it helped to flatten George out.
 
Gill & George said:
It is sometimes used in cats, very carefully, when a cat is stuck in flat high numbers and nothing his moving him.
For anyone reading, R is very potent and its use should only be undertaken with careful monitoring and more importantly, with the support of someone experienced in using R.


It does take some experimenting but eventually you will find out what works for your girl. Sorry you had such a nerve wracking experience the other day.

I have just been catching up with the last couple of days, given that you have gone back up to 2.25u, and this dose got her into the 30's, watch out for those fast drops.
I found that when George dropped fast, in particular early on, if I didn't feed the drop I could find myself fighting to keep him above 50 for hours.
Keep in mind the advice Marje gave you if you find her dropping suddenly, she and others gave me similar advice and it helped to flatten George out.
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I know some cats need the extra help of R, but I was just saying as a rule, most cat's do fine with just the long acting and that's not true of most humans.

Thanks, Gil. The number itself was the very scary part, but dealing with it this time was way less terrifying, because I had been there before, very late at night! What a difference it makes to handle things without sleep deprivation!

Believe me, I'm on hyper vigilant dive patrol! She had a big drop this morning and I whipped out the honey right away even though the number I was feeding was a perfectly reasonable 139. Don't want to see that happen again if I can help it. I printed Marje's responses for my notebook!
 
Stacy & Asia said:
I know some cats need the extra help of R, but I was just saying as a rule, most cat's do fine with just the long acting and that's not true of most humans
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I wasn't sure if you'd seen/,read about it though the you would find it interesting.
:)

I sometimes wonder with humans and diabetes whether in some cases it's the following of an appropriate diet that leads to regulation issues. Human patients make their own choices regarding food intake, we all know how hard it is to follow a restricted diet, perhaps those choices are not always the best, and we are quite capable of lying to ourselves about those choices (I know I'm capable of doing that). With our kitties we are making the decisions about what food they eat and when, I'm sure if I gave bfg the choice he would opt for high carb gravy food, either that or Thai chilli flavoured crisps:rolleyes: not sure he would have got regulated if it had been up to him.
 
Gill & George said:
I wasn't sure if you'd seen/,read about it though the you would find it interesting.
:)

I sometimes wonder with humans and diabetes whether in some cases it's the following of an appropriate diet that leads to regulation issues. Human patients make their own choices regarding food intake, we all know how hard it is to follow a restricted diet, perhaps those choices are not always the best, and we are quite capable of lying to ourselves about those choices (I know I'm capable of doing that). With our kitties we are making the decisions about what food they eat and when, I'm sure if I gave bfg the choice he would opt for high carb gravy food, either that or Thai chilli flavoured crisps:rolleyes: not sure he would have got regulated if it had been up to him.
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That is absolutely true! It's much harder. My friend with diabetes is downright jealous how on top of the game I am with Asia's diabetes and she was blown away by the spreadsheet (I couldn't take credit for that, or any of this really, I'm just following a protocol). I said to her if it were her kids that had diabetes, she'd be on top of that, sometimes it's hardest to take care of yourself when your kids or animals require so much of you to take care of them.

It is sad really, we do hold the dice for our cats, we can control so many variables from getting them to play (exercise) to exactly what they eat, when and how much...and it's still very tricky (in many cases) and time consuming to regulate and manage it! Even many kids with diabetes, largely managed by their parents, will sneak things they shouldn't eat at school or with friends. Difficult rather you control some variables or not, it's a nasty disease. :(

I can't believe George likes crisps to begin with (wouldn't they cut their mouths with them)? ...and the chili flavor is just over the top! :joyful:
 
Never a dull moment at casa Asia. I just smelled gas in the kitchen and I thought no, it couldn't be, yes, it is. A bunch of hulking firefighters just came to my apartment with a gas leak detector and it beeped like crazy. They disconnected the oven and said it's just us, but my daughter said all the stairwells and hallways reek of gas. Ugh. Toki knew, she was acting weird and meowing and walking all over the place freaking out.
 
@Marje and Gracie, do you have experience using honey vs different carb canned foods? Does adding honey always mean HC? even a drop? Or is there an amount to play with adding to regular food where you could make it higher LC, MC, HC, etc.?

I have various foods on hand, but if I'm going to steer her somewhat regularly, I'd rather not play with that fire to where she'd like one of the MC foods and gets hooked on it and start refusing her regular raw diet or something like that. She's always been a one food cat and when I've had to switch out of necessity, it was a struggle.
 
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