I did feed immedietly before test. I'll test again now. Unfortunelty I didn't get any more tests in after the +2 last night.
Ok. Checked again 35 mins after food is 108. Went ahead and gave full dose. I'll keep a check on him.
What dose did you end up shooting? With SLGS he earned a reduction for dropping under 90, and he gave you an 88 earlier. Since Rufus is on a higher dose, I believe he should have a .5 reduction. I'm glad you are around to monitor. Next time if he is lower than 90, stall...don't feed and retest.
I gave him 5. I'll go down tonight. I'm kind of in a tug of war with the board, my vet, and the internist about his dosage. I was supposed to keep him at 6u until I have a follow up with the internist. They weren't too happy about me decreasing without discussing it with them. Ugh.
Ok, I was wondering how to document this!
It can be challenging to follow multiple (differing) suggestions...but, I bet if your internist and vet knew the progress in numbers the last few days, they would agree that 6u is too muchI gave him 5. I'll go down tonight. I'm kind of in a tug of war with the board, my vet, and the internist about his dosage. I was supposed to keep him at 6u until I have a follow up with the internist. They weren't too happy about me decreasing without discussing it with them. Ugh.
Yeah, usually routine is feed, immedietly test, then shoot. I'll have to test first from now on. It's just that he's so happy to eat when he wakes me up
...in fact, they'd probably be freaking out that you are shooting some of the preshots you have been 
The internist is top notch, super knowledgeable about a LOT of things. She has a diabetic cat. Thing that gets me is she doesn't test her kitty too often. She wants Rufus to be between 150-250. I said well the other day he was about a 100, and she said her cat gets down to 40 regulary no big deal! That's why I get confused on where is a good number to be at. I've only met with the internist once, and I think that 150-250 is for people who don't home test. To keep the kitty in a safe zone. I would be happier like 100-150 I think, no?It can be challenging to follow multiple (differing) suggestions...but, I bet if your internist and vet knew the progress in numbers the last few days, they would agree that 6u is too much
That's where the stall/don't feed and retest is helpful...you can see if his BG number is coming up on its own.
Part of this process, I think, I getting familiar with your cat and how he reacts to insulin. Your internist may be more comfortable with less data since she already knows with experience how her cat reacts, and she may be using a different insulin, who knows? Me personally, I wouldn't be happy with a 40 regularly on an AT2
. You are still in the data gathering mode, but certainly as it says in the SLGS sticky, your goal is to achieve flat numbers above 90, there is no need to push a cat into numbers lower than that.
It is tough to balance and we do need vets - they do have a lot of knowledge we don't. Just remember that what you have been doing is keeping Rufus safe. It can take some time, but maybe she'll eventually actually learn from you - it can be rocky at first, but many vets do open their eyes once they see the success of an FDMB kitty!
She's pretty stubborn, but hopefully!! All I want to do is keep Rufus safe and prolong his life. I think she has good intentions, so hopefully she'll soften her stance.
I expect Rufus is also gettting over some glucose toxicity, helping his journey down the dosing scale.Is she buying the strips for you? Is the vet looking at your spreadsheet daily? Didn't think so. What some people do is use a human meter most times, and use the AT on a day the vet wants a curve done.
I almost switched vets to a local one I had used before, who also had a diabetic cat. I liked her. She rescued the diabetic cat from the SPCA. She told me she home tested. All good. Then she admitted she came home one day to a hypo'ed cat.
Occasionally home testing isn't enough.
Someone told me I can't do TR if I feed dry food and/or free feed. I don't know. And the 50 is a human meter #?
So I should go down to 4.5 tonight then, right?
Even if the dry if low carb though?
Problem is the other cat won't eat wet. Hopefully one day I'll be able to switch Ozzie! Rufus eats wet now, but will eat the dry too if left out.
Ask yourself, where might Rufus be today without what you have learned here?
Oh I know for sure! So glad to be testing at home. I guess it comes down to each vet that I work with (or have) all have a downfall in an area of FD. And I totally get that each Dr does things differently. I do respect them all. Just wish more Dr's would be open to outside info, you know?
Looks like Rufus is confirming the decision to go down to 4.5 units tonight.Yes, even "low or zero" carb dry means using SLGS only. Dry is metabolized at a different rate than wet and the studies with TR were only done with wet or raw.
And I'm ready for my bed now! Ugh! But him going down the ladder is totally worth it!Like someone flicked a light switch such a difference on that SS! Proud of you, Rufus! Keep being awesome in greens and blues!
Sean, enjoy your PMPS pick me up!
, I'm very happy to see Rufus doing so well! Let's hope for a nice easy cycle tonight 
You know I was just thinking. His numbers have been terrefic, but he's not liking it so much. He has some of his old traits coming back this week, but overall this week he's still really sleepy and more nauseaous then before. I hope the sleepy and nauseua is from the lower numbers and he'll get "used" to these soon. I was thinking he'd be back to his self with these lower numbers, but maybe it takes a while to get back at it?What an absolutely terrific day
. Rufus spent a while in high numbers, so he needs some time to adjust and feel good with those newer numbers.
Thank you! I do hear that it takes time to feel "normal" in lower numbers, and the vet(s) keep telling me to take a step back, but man is it hard! Just want my "old" little buddy back the way he was! And to be fair to him, he pretty much went from reds to blues. Numbers just dropped like a brick.It can be very hard for them to feel "right" in lower numbers, that I'm sure of. They get used to being in higher numbers, so those lovely high greens and low blues are unfamiliar. Maverick used to be very happy in pinks, now he tends to show more spunk at low yellows. We're working our way down to where he shows some nice activity in high blues
. Remember always... He's still your little buddy, and way more than his numbers. We can get so wrapped up in just seeing the numbers, like just seeing the forest for the trees...
I know it's unbelievable the numbers in 1 week! Those teeth must have been really bothering him. It's been an interesting week and a half. Curious to see where we'll end up dosing wise. He was in red and blacks for almost 12 weeks. No progress and constant worry. Hopefully Mav starts getting a little lower soon, too!I am just slightly jealous of your amazing progress these last few days
I've seen many people with unbelievable results post tooth work. I would love to see Rufus OTJ..antijinx. ThanksI know it's unbelievable the numbers in 1 week! Those teeth must have been really bothering him. It's been an interesting week and a half. Curious to see where we'll end up dosing wise. He was in red and blacks for almost 12 weeks. No progress and constant worry. Hopefully Mav starts getting a little lower soon, too!
, but he's a hard nut to crack...
Gave him a handful of treats.....
I have higher carb wet food, but not sure he'll eat it. I gave him about 10 treats. Hopefully that was ok. He seems more alert now. He was really sleeping hardcore before I tested him.
Do you have any syrup on hand? May not be needed, but good to have ready. Treats are fine, they just metabolize differently, I believe they may stay in the system longer.
I do have syrup. Gosh I'll have to remember to pick up some fancy feast gravy. Wish this low number would have been in the am!