10/25 Max AMPS 550 + 2 512 +4 370 +6 369 +8 448 PMPS 575

I'm so sorry he is not feeling well but so glad he is eating. That is critical. I learned with Susie that if I had a problem with her eating I needed to offer her anything she would eat. Even if it raised the glucose. Hope he feels better soon, Lori. He is dealing with so many issues and you are a Saint to be taking care of him as well as you are.
 
Thank you Summer. I’m sure you know the feeling, but these last 4 months have really taken a toll on my mental health. It is so hard to take care of a sick pet and have other family duties too. I was helping take care of my two year old grand daughter who also has a lot of medical needs. I’m a retired nurse and I was helping with her, but since all of this got so complicated with Max, I haven’t been able to help as much and that makes me feel really guilty and helpless. My kids understand though but it still makes me feel bad. A lot of other people don’t understand because I can’t get out and do as much as I used to because of monitoring Max. All I can do is my best. It’s affected my life in so many ways but I’m trying to hang in there for Max. It’s just hard and I know it is for so many others too in this group. Thank you for caring and your prayers!
 
@Wendy&Neko I gave the vet an update on Max and just emailed me back and told me to go up to 10 units??????? This is the same one who dropped it back to 4 units…and I thought she was going to bless me out for increasing to 8.5 today, but no, she said 10. I’m confused. I don’t feel comfortable with doing that tonight. So do you think I should continue with the 8.5 or go up to 9 again? I see vet tomorrow. Thanks.
 
Max & Lori said:
Thank you Summer. I’m sure you know the feeling, but these last 4 months have really taken a toll on my mental health. It is so hard to take care of a sick pet and have other family duties too. I was helping take care of my two year old grand daughter who also has a lot of medical needs. I’m a retired nurse and I was helping with her, but since all of this got so complicated with Max, I haven’t been able to help as much and that makes me feel really guilty and helpless. My kids understand though but it still makes me feel bad. A lot of other people don’t understand because I can’t get out and do as much as I used to because of monitoring Max. All I can do is my best. It’s affected my life in so many ways but I’m trying to hang in there for Max. It’s just hard and I know it is for so many others too in this group. Thank you for caring and your prayers!
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I'm sorry you are feeling so badly about your granddaughter and I'm sorry she has medical issues, too. Sometimes life does get very difficult and you are doing the best you can. There will always be folks that don't understand why we go through what we do to help our sick kitties. They just don't understand that power of love for a cat. It is their loss. I will continue to keep Max, and you, in my prayers. I'm glad your children understand your situation. Please don't feel guilty. That will just make it harder on you.
 
My two cents, Wendy is expert, but I would not jump straight to 10. He was starting to see improvement at 9U, including some low greens - plus you're even further out form SRT now so who knows what's changed. We do 0.5U increments between 5-10U. 8.5U depot hasn't had time to fill/stabilize, will take a few more cycles.

I know we want them to feel better faster but also dangerous to overcorrect/rush it.
 
FrostD said:
My two cents, Wendy is expert, but I would not jump straight to 10. He was starting to see improvement at 9U, including some low greens - plus you're even further out form SRT now so who knows what's changed. We do 0.5U increments between 5-10U. 8.5U depot hasn't had time to fill/stabilize, will take a few more cycles.

I know we want them to feel better faster but also dangerous to overcorrect/rush it.
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I agree on that. There’s no way I’m giving 10 units. I want him to feel better too but he even went down to 42 on 9 units before so I don’t know if that is even good until we see what 8.5 does.
 
Early after an increase you can see New Dose Wonkiness" (NDW). This means being patient and waiting for the depot to build.

You hold the syringe, trust your gut on dosing. Sounds like the vet is used to the in and out insulins instead of the depot style ones.

If you are interested, we can give you some tips so you are testing less, and have more time to help out with family and/or have a life for yourself. For starters, those +2 or +3 tests are good one to give you a heads up on the type of cycle. Unless you see a big drop at that point (such as 10/12 or 10/19 AM), you can slow down the testing. Once you see he's flattened out or slowed down, take a break the rest of the cycle. You could see by +6 today that he's slowed down and you can stop testing until PMPS. Over time you'll learn Max's patterns, and when you need to test more too. Two questions I asked myself "will Neko be safe during this cycle?" and "will I do anything different as a result of this test?" For a while I played "guess the BG" when I was testing, to see if I was learning her patterns.
 
Yes it sounds like I should wait before we increase more by what you’re saying and I sure trust you. I told my husband that you have never told me anything but helpful information so until I can get as knowledgeable as you in this whole thing (if ever), I am going to take your advice from now on. I learned the hard way that this is my cat not theirs. I agree this vet does not understand Lantus and Levemir. Apparently a lot of them don’t in my experience here. I will stay where I’m at on the dose until you think it’s safe to increase. Thank you for all of that good advice. I’ve just been so afraid to be away from Max in fear something would happen to him. That hypo didn’t help my feelings about that the other day when I came home from the store lol. Anyway, I will remember what you just said. That sounds good. I’m going to give that Freestyle Libre a try I think but I’m not 100% sold on that. Max may not even like it. He doesn’t even like a collar on him. I know I will still need to recheck with the handheld meter too sometimes. Thanks so much! I will update after his appointment tomorrow at NCSU. I wish I could have met Dr Lunn. I did email some with her on some questions I had and she responded very quickly. She sounds like she has a special place in her heart for acromegaly kitties. She seems very nice and very knowledgeable about feline acromegaly.


Also I got my Levemir in from Marks. Now I don’t know when is a good time to switch to that since all of this happened!
 
For the insulin switch, pick a time when you can monitor closely for a couple cycles. Some, but the minority of cats respond strongly to the insulin switch. We do get you to start at a lower dose for safety.
 
Okay I was thinking it might be better to wait until we get him back where he needs to be on the Lantus. Maybe that doesn’t matter though. I have more of that here as well so it doesn’t matter when I switch as long as I can monitor?
 
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