6/8-9 Mr Kitty PMPS 180, + 8 188, AMPS 231

[FrostD]

Yesterday

Still waiting on that darn acro test. Good news is I found a pharmacy that will sell me just one pen of Levemir to buy me time til Mark's Marine order comes in.

@Wendy&Neko
- I'll be switching to Levemir this weekend. Do I still follow the 70% dose reduction rule? I'm a little hesitant to drop that much since he's seeing pretty good numbers and I don't want to lose them.
- Do I still follow the TR increases as written? Technically with these green nadirs I should be waiting 10 cycles, but I can see the numbers slipping a bit and want to get ahead of it (and I have wiggle room with current nadirs). Am I ok to increase after 8 instead?
- If/when it's time for a reduction, is it whole units this high? Half? Generally speaking.

 

[Summer and Susie (GA)]

Mr. Kitty had a good day yesterday, Melissa. Good luck with the insulin switch. Praying your kitty does not have the Acro. What is IAA?

 

[FrostD]

Mr. Kitty had a good day yesterday, Melissa. Good luck with the insulin switch. Praying your kitty does not have the Acro. What is IAA?

Thank you

If you go to yesterday's post, Wendy explained it better than I ever could. I can't find a way to link it from my phone, it doesn't show post numbers

 

[Summer and Susie (GA)]

Thank you

If you go to yesterday's post, Wendy explained it better than I ever could. I can't find a way to link it from my phone, it doesn't show post numbers

Super confusing to me. I hope it doesn't cause a problem with the insulin injections.

 

[FrostD]

Super confusing to me. I hope it doesn't cause a problem with the insulin injections.

Basically his immune system thinks the insulin is something it needs to attack. So any time I give him insulin his body attacks it and can't utilize it. So I have to give him more and more and more until he can't attack it anymore, or his body finally realizes it's ok leave it alone.

 

[Diane Tyler's Mom GA]

Good luck with the Levemir Melissa , glad you found one pen to tide you over
Have a nice day

 

[Summer and Susie (GA)]

Basically his immune system thinks the insulin is something it needs to attack. So any time I give him insulin his body attacks it and can't utilize it. So I have to give him more and more and more until he can't attack it anymore, or his body finally realizes it's ok leave it alone.

What a shame. Hard enough having to battle the diabetes and now you have to battle the IAA.

 

[Wendy&Neko]

Yes on the 70%, especially since you are seeing green and Mr. Kitty has IAA. It's a new insulin, sometimes the antibodies don't recognize it right away and you get a strong reaction. In other words, a deep dive, in the first couple cycles. Also make sure you do the switch when you can monitor closely. ECID of course. Some cats also need less Levemir than Lantus - some more, another ECID. Best be cautious to start. If the Lev dose is a dud after 4 cycles, we can talk about fast tracking him back up.

Nadirs in the 70's don't give you wriggle room, in the 90's would.

 

[FrostD]

Yes on the 70%, especially since you are seeing green and Mr. Kitty has IAA. It's a new insulin, sometimes the antibodies don't recognize it right away and you get a strong reaction. In other words, a deep dive, in the first couple cycles. Also make sure you do the switch when you can monitor closely. ECID of course. Some cats also need less Levemir than Lantus - some more, another ECID. Best be cautious to start. If the Lev dose is a dud after 4 cycles, we can talk about fast tracking him back up.

Nadirs in the 70's don't give you wriggle room, in the 90's would.

Got it, thanks!