6/18, Susie, 178 AMPS, 100 @+2, 69 @+3, 82 @+3.54.5, 64 @+5, 68 @+6, 75 @+7, 93 @+9

Summer and Susie (GA)

Member Since 2020
https://felinediabetes.com/FDMB/threads/6-17-susie-189-amps-dose-increase.248711/

What can I do to keep Susie from sky rocketing up in numbers in the afternoon? It is almost like the Lantus duration is fizzling out early. I don't feed after +6 and only 1 oz at that time. Would like to keep her flatter throughout her am cycle.

A BIG CONGRATULATIONS TO EMILY AND ZEN :otj:

Many, many prayers for my friend, Suzanne, and her very, sick kitty, Mr. Darcy. I believe in miracles.:bighug:

AMPS: 178, fed 1 oz l/c
+1: fed 1 tsp l/c
+2: 100, fed 1 tsp l/c
+3: 69, fed 1 tsp l/c
+3.5: 82 (?)
+4: 58, fed 1 tsp l/c and 1/2 tsp m/c (15%)
+4.5: 67
+5: 64
+6: 68
+7: 75
+9: 93
 
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Nice start Summer. Looks like she is done with the bounce? Feed at +1 and test at +2.
Will do. I already have the 1 tsp l/c ready to give her at +1.

I want to ask you a question. Why do you think she shoots up so rapidly after around +7 and up in the am cycle? I don't think she always did this and it is so frustrating. How can I keep her flatter throughout the cycle? Do you think it is the 1 oz of food I am feeding at +6?
 
Why do you think she shoots up so rapidly after around +7 and up in the am cycle? I don't think she always did this and it is so frustrating. How can I keep her flatter throughout the cycle? Do you think it is the 1 oz of food I am feeding at +6?
I was thinking the same thing. I'm no expert but I think feeding a large meal then may be reducing duration. I also think she is more bouncy now since she is unused to green. It's probably more the latter than the former. Still, might be better to feed a little more between PS and +2 and less later in the cycle.
 
I was thinking the same thing. I'm no expert but I think feeding a large meal then may be reducing duration. I also think she is more bouncy now since she is unused to green. It's probably more the latter than the former. Still, might be better to feed a little more between PS and +2 and less later in the cycle.
I don't want to impede her progress by giving too much food between PS and +2. I think I will try to get her am cycle food allowance in by +5 instead of +6 and see if it makes a difference. I just hate making her go 7 hours without food but it isn't much different than 6 hours. She is always starving at PMPS and I always have the freeze dried treats to help tie her over.
 
I don't want to impede her progress by giving too much food between PS and +2. I think I will try to get her am cycle food allowance in by +5 instead of +6 and see if it makes a difference. I just hate making her go 7 hours without food but it isn't much different than 6 hours. She is always starving at PMPS and I always have the freeze dried treats to help tie her over.
Feed her till +6. Just increase the amount of food from PS to +4.
 
I don't want to impede her progress by giving too much food between PS and +2. I think I will try to get her am cycle food allowance in by +5 instead of +6 and see if it makes a difference. I just hate making her go 7 hours without food but it isn't much different than 6 hours. She is always starving at PMPS and I always have the freeze dried treats to help tie her over.
If it makes you feel any better, Mr Kitty is free fed at his ideal weight, and he barely touches food after +5/6. I think little Miss Susie might just be a little dramatic (like my Pippi is) :joyful:
 
If it makes you feel any better, Mr Kitty is free fed at his ideal weight, and he barely touches food after +5/6. I think little Miss Susie might just be a little dramatic (like my Pippi is) :joyful:
She could be a little dramatic but this cat is always hungry. I feel blessed that she is after seeing so many kitties on this site that struggle with their appetites.
 
Hi Summer,

If your condo title included more BG readings, then we could all see, at a glance, how Susie is doing. Maybe there is a reason you are not doing this (?). Just a suggestion:) Below tells a "story".

Date, Susie, AMPS 178, +2 100, +3.5 82, +4 58

It will be a good experiment, to see if the MC was needed at +4. It was just a half tsp, and the drop in 1/2 hour was quite a bit. What you did sounds spot on, but I wouldn't have added the MC. Oops - maybe you added it to prevent a premature drop under 50. In that case - smart to try to keep this dose going longer. It is wonderful to see Susie having a streak of great numbers. All paws crossed you see more of this.
 
Hi Summer,

If your condo title included more BG readings, then we could all see, at a glance, how Susie is doing. Maybe there is a reason you are not doing this (?). Just a suggestion:) Below tells a "story".

Date, Susie, AMPS 178, +2 100, +3.5 82, +4 58

It will be a good experiment, to see if the MC was needed at +4. It was just a half tsp, and the drop in 1/2 hour was quite a bit. What you did sounds spot on, but I wouldn't have added the MC. Oops - maybe you added it to prevent a drop under 50. In that case - smart to try to keep this dose going longer. It is wonderful to see Susie having a streak of great numbers. All paws crossed you see more of this.
Your right, Jan. I forgot about the title. I'm putting the info in so many other places.
Yes, I added the m/c because I did not want to go under 50 and have to reduce. I want more of this but these days her early am cycle looks good and then she jettisons up quickly after +6. Thanks for the well-wishes. I expect she has seen her nadir and will start climbing slowly until +7 and then she will take off.
 
Summer i think Susie is very similar to Chico in this sense, they both nadir early. If you check what we started doing after getting the advice from Bhooma, is we started giving Chico 70% of his food until +2, and we redistributed it more evenly between preshot, +1, +1.5 and 2. He gets only 30% at +4 and +6. In my opinion, more experienced people can correct me if in wrong, if this will mean that Susie will have higher nadirs it is only “good” in the sense that it would allow you to increase insulin dose and bring those preshots lower. That is exactly what we managed to do with the increase on the 30.04.
From my understanding (really not implying it to be correct, just observation) but the more time on a safe dose of insulin the flatter the cycles should become.
 
https://felinediabetes.com/FDMB/threads/6-17-susie-189-amps-dose-increase.248711/

What can I do to keep Susie from sky rocketing up in numbers in the afternoon? It is almost like the Lantus duration is fizzling out early. I don't feed after +6 and only 1 oz at that time. Would like to keep her flatter throughout her am cycle.

A BIG CONGRATULATIONS TO EMILY AND ZEN :otj:

Many, many prayers for my friend, Suzanne, and her very, sick kitty, Mr. Darcy. I believe in miracles.:bighug:

AMPS: 178, fed 1 oz l/c
+1: fed 1 tsp l/c
+2: 100, fed 1 tsp l/c
+3: 69, fed 1 tsp l/c
+3.5: 82 (?)
+4: 58, fed 1 tsp l/c and 1/2 tsp m/c (15%)
+4.5: 67
Hi Summer, Looks like Susie broke through that yellow wall, hopefully her numbers stay more stable in blues and greens later on. Wishing you both a great day. You’ve been doing an amazing job. Bhooma was my life saver as well :):cat:
 
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Hi Summer, Looks like Susie broke through that yellow wall, hopefully her number stay more stable in blues and greens later on. Wishing you both a great day. You’ve been doing an amazing job. Bhooma was my life saver as well :):cat:
Thank you, Adrienne. Yes, Bhooma has been terrific. I am grateful for everyone on this site for helping to guide me and build my confidence.
 
I think you can give more food at +1 and +2 which is where the bigger drops are.
I agree with this. That’s the time to feed. Later in the cycle is when you don’t want to feed a lot if on the way up. I used to test hourly the first 3-4 hours and feed accordingly. Sometimes I’d skip a mini meal if the numbers showed there wasn’t a drop.
 
Summer i think Susie is very similar to Chico in this sense, they both nadir early. If you check what we started doing after getting the advice from Bhooma, is we started giving Chico 70% of his food until +2, and we redistributed it more evenly between preshot, +1, +1.5 and 2. He gets only 30% at +4 and +6. In my opinion, more experienced people can correct me if in wrong, if this will mean that Susie will have higher nadirs it is only “good” in the sense that it would allow you to increase insulin dose and bring those preshots lower. That is exactly what we managed to do with the increase on the 30.04.
From my understanding (really not implying it to be correct, just observation) but the more time on a safe dose of insulin the flatter the cycles should become.
I'm afraid to give 70% of the food by +2 especially if she starts to go low and I need more food later in the cycle. The other thing that concerns me is Susie going for 6 hours without any food (from +6 to PMPS). I'm going to try and give a little more of her am cycle allowance at +1 and +2 and make sure she gets a good small meal at +6 and hopefully have enough in between, say at +4. Thanks, Marina.
 
I agree with this. That’s the time to feed. Later in the cycle us when you don’t want to feed a lot if on the way up. I used to test hourly the first 3-4 hours and feed accordingly. Sometimes I’d skip a mini meal if the numbers showed there wasn’t a drop.
Thank you, Elise. I need to work on the food distribution.
 
I'm afraid to give 70% of the food by +2 especially if she starts to go low and I need more food later in the cycle. The other thing that concerns me is Susie going for 6 hours without any food (from +6 to PMPS). I'm going to try and give a little more of her am cycle allowance at +1 and +2 and make sure she gets a good small meal at +6 and hopefully have enough in between, say at +4. Thanks, Marina.
I would not feed 70% by +2 either. I like your plan, Summer. Trial and error.
 
My point was not to be afraid of shifting more food earlier in the cycle, if it means higher nadirs but flater cycles, i think it should be the goal if this would allow to increase a bit the dose
 
My point was not to be afraid of shifting more food earlier in the cycle, if it means higher nadirs but flater cycles, i think it should be the goal if this would allow to increase a bit the dose
I agree. Will try to shift more food earlier, have some food for the in between and make sure she gets a small meal at +6. Don't want to think about increasing the dose right now. I have my hands full.:eek:
 
She is on a roll!


Hold the dose 10 cycles. My bets are that she will head down the dosing ladder now that she's broken the glucose toxicity.
Okay. Hope everyday (and night) won't be like today if she does head down the dosing ladder. This is the second best day she has had (I think). May 29th was the best but then she turned around and went back up quickly. Ah, I see that I reduced her dose that night so that is probably why she went back up.
 
Nice numbers today. You did a good job handling things.
Wondering how people sleep at night after a day like today. If she doesn't bounce I am going to have to give her more food because I am exhausted. Interrupted sleep last night and no nap today. I have to figure out how to supplement her nighttime food so that I can sleep and not worry about her dropping.
 
No advice, but I feel you! We've had some loooong nights with no naps this week too. Hopefully we're both on the end of that trend. :bighug:
Please answer my burning question. What do I call you Librarianista? Are you Alex or Shane. I always like to address the folks on this site by their first name. I think my long nights are just beginning unless I can figure out how to feed to stop the drop and allow me to sleep. You have had a wonderful week, Alex and Shane. Chloe is one of the exceptional improvements I have seen in a long time. Congratulations!
 
Please answer my burning question. What do I call you Librarianista? Are you Alex or Shane. I always like to address the folks on this site by their first name. I think my long nights are just beginning unless I can figure out how to feed to stop the drop and allow me to sleep. You have had a wonderful week, Alex and Shane. Chloe is one of the exceptional improvements I have seen in a long time. Congratulations!
If you tap on her pic, then profile, then information she is Alex, and also a Librarian
@Summer and Susie :cat:
 
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