Bobbie has been increasing Bubba's dose very aggressively because she tests a lot and has a lot of data on how he responds to dose increases. She is also home most of the time to monitor. She makes a note when she posts that her dosing strategy is customized for Bubba.
It was actually your ss I was referring to. When you went from 2u to 2.25 then to 2.5 it didn’t look like you were getting much more testing than I currently get. Looked liked he’d been OTJ for some time. Silver has also been diabetic for several years and I am more familiar with his patterns than people think.
I actually wasn’t referring to your ss with my comment yesterday.Hey Juliet. I am dosing a bit more aggressive than TR instructs as Bubba lost remission 3 times and I am trying to get him back into remission. After remission is lost, it's a bit harder to get them back so I have been increasing micro doses to get rid of the blue AM numbers. I am glad that Carla mentioned that to you. And the big difference is I am home all day and test about at least 6 times a day.
The more data you can get, the easier to see your cat's pattern and to understand how they work the insulin.
Good luck with your curve today and I hope you see some blues today. Keep on keeping on. All you can do is the best you can. You wouldn't be here learning all you can if you didn't love your baby.
Yes, I do the same but got hassled for doing it. I did make an educated guess myself and am comfortable doing so as I know Silver is not going low with the hundreds of tests (and I have gone through a LOT of strips so no exaggeration on the hundreds) I have got over the last several months.
He gets fed three times a day. Just before AMPS, just before PMPS and at bedtime. Weekends are the same.
I wish. Nothing but pinks and blues. This dose isn't doing a thing for him.
You hold the syringe and it is your decision on what to do. I'm glad you feel comfortable doing so. Just keep in mind if we see something we think may hurt Silver, we will point it out because we care about you and Silver. It is easy to take the written word the wrong way. No one means to cause any hard feelings. I hope you'll keep posting and we can get Silver into some lower numbers more consistently for you.
Thanks for answering.
This is only cycle 5, so you may not have seen the full effect of the dose.
Thanks Luanne. Encouragement and support is just what I needed. Thanks.Good luck with your curve today!
Actually we are on cycle 6 and I wasn’t planning to increase this weekend. From the hundreds of tests I have been getting I’m not convinced he is getting enough insulin yet. Time will tell. As for the food - Silver does not want any more than I give him. He does not want or show any interest in mid day food. He has been my cat for 12 years and as I have read so many times ECID and “know your cat”. I do.
Cute. Not expecting it today tho. He’s pink at +4 as usual.
Yup. Same picture I got on Wednesday. It’s a bummer but at .25u increase a week (1 unit a month) it’s gonna take a heck of a long time to get to a decent dose.
Taking forever and i hate his constant high numbers. Look g forward to switching to the freestyle lite once this container of strips is finished.All you need is that one .25u increase to get to a breakthrough dose!
Still working on Jones too.
Thanks.The thing is, he may not normally want to eat any more food than he does, but we hope that they have a self preservation mechanism that drives them to eat if their numbers are dangerously low. That would be a different circumstance than him just wanting to eat in the middle of the day or not.
Asia, like Silver, wants food when she's wants it, and doesn't when she doesn't, she won't gorge herself if I leave piles of food out. Asia had a 30 once and she was ravenous! I'm so glad she was because it's scary if they don't show any symptoms. Asia has not been hungry like that any of the times she has been in the 40s, maybe her body is okay with the 40s, but I'm still not going to let her hang out there. ECID and you would only hope Silver would want to eat should his numbers drop and you are not there, what Gill astutely pointed out was that wouldn't be an option for Silver as you can't leave food out.
I'm sorry you didn't get the numbers we were all hoping for today. You'll get there, it's just going to take more time. Sorry it's so slow going. Glad Carla was able to explain some of her experience to you, she has been doing this for a long time and she also does SLGS, she's an excellent resource. It will get better, Juliette. We are all rooting for you and Silver.
I have been here before - I did get Silver OTJ for three years - check out his ss BEFORE he was OTJ. I am not a newbie at this.Juliet, people do understand you can't leave food out, that's why the recommendations made to you were taking that in to account and why what others have done in similar circumstance don't apply to your situation because of the food part.
If only we were able to control those lime greens, we are not, if that were the case, nobody on this board would have any lime greens on their SSs, right? Have you seen Asia's SS? 11/25/17 AMPS 388, that's the day I got the 30, just imagine that was Silver, the AMPS and the PMPS wouldn't tell you there was a 30 in there. 12/11/17, her PMPS was 267, her AMPS was a 36! AND I tested all night and still didn't see it coming. Those were bounces, but I only know that because of all the data I am able to get, and even then I still wasn't able to prevent them.
While not shooting green numbers may give you some peace of mind, what it does not do is guarantee you won't have a lime green on all the higher numbers you do shoot. None of this seems as concerning when it appears you have not found a workable dose yet and his numbers are staying higher for the most part, but when you do, that's where things get worrisome.
We will figure it out, it's just going to take some creativity.
What you can't assume is one bout will look like the next. Bubba was a late nadir cat on Lantus at one point in time and this go round, he isn't. Pffft, hormones! 
I hear you - but that kinda contradicts what was said yesterday about the others who had come out of remission once and going back in - those folks had lots of data on their cats and knew how they responded - yes - agreed - prior to coming out of remission which you just said didn't count.I hope remission #2 is in the works!
Definitely. A game entirely guesswork.I didn't say it didn't count, I just said you can't make assumptions that it can't or won't change based on previous data or how it went the last time. That is also true for current bouts of FD. Asia has had some patterns and just turned on a dime and done something different, and I haven't seen those patterns since. Some of the data remains consistent though, if your cat has a habit of say scratching at the wall to signal she's hungry or if the only time she pees outside the litter box is when she has a UTI, that stuff is useful too and it all helps. Hormones are tricky and FD is a disease full of contradictions, lucky us, right?
Please tell me what part of Furball's SS you are looking at so I can comment on this. Thanks.
May/June 2017. Not meaning to pick on your ss but that was an example given yesterday and I believe I’m doing the same as you did then. Making a judgement call based on the numbers you have but not necessarily waiting a full week for dose increase.
That's fine. I was more aggressive increasing the dose when she first came out of remission in the hopes I could get her back into remission quickly. A few times I increased a couple of days early because it was the weekend and I could monitor. I also am able to leave food out for Furball to eat during the day if she starts going low and I can get +10.5 test in when I get home from work to help me figure out what she is doing on a dose. Now for the most part I am holding the dose longer. I just wanted to be able to clarify why I increased early.
How does getting a +10.5 tell you what a dose is doing? It can’t tell you what nadir was? Leaving food out would help her not to swan dive if she had the forethought to eat if she was going low (I don’t think cats are that clever) but it wouldn’t tell you how low she may have gone. So in a way, you’re as much in the dark as I am.
The +10ish test helps me know is she is going up or down at PS time. I can get a better idea of if she may have dipped down with that test. The idea with leaving food out is that when a cat gets into low numbers, they are usually hungrier and will automatically seek food and eat it if they find it. They don't plan ahead, it's just their body's reaction to the low number.
Don’t they always go up after nadir? Silver gradually goes up from +7 to PMPS.
Not always. Sometimes they stay flat, which can mean they may dip down the next cycle. Or if they are bouncing, the +10ish test can tell me Furball is clearing the bounce and may come down fast the next cycle. If the PS number is lower than the +10ish number, it tells me Furball is most likely going to head down for her cycle. If they are about the same, she could stay flat or head down. If the PS number is higher than the +10ish test, she will most likely not go down or may be bouncing.
Wow...Silver doesn't do that. ECID is true. He is always waay high at +2 compared to PMPS and takes him to at least +4 to clear the food bump. I will sometimes grab a +2 but I know its going to be high so I often don't bother. Take the opportunity to go back to bed on curve days.
Once Silver gets in normal numbers that could change. They're sooo cute.
Normal numbers would be great. I understand insulin needs change but I don’t get the fact he had blues at 1.75 and a green and some blues at 0.5. Never understood that.
Thanks for that explanation. Makes a bit more sense now.
He went up after +6 as usual. Going to bed soon so a before bed test is all I’ll get tonight.
