01/21 Eddie AMPS 445 +3 283 +9 268 PMPS 322 +2 331 (Increased tonight)

Looks like he's bouncing, or maybe oddly losing duration? Could you try to get some +8/9 tests in?

And to clarify my thought about NDW - I thought the first few cycles perhaps were, and it was just taking him time to come down from that. But now that he's continuing, yes no longer NDW like Wendy said
 
Link to probiotic you're using?

Perhaps splitting the pred is affecting things, normally you'd just change dose or timing to mitigate, but he's dropping pretty far. I'm sorry - what time is the pred given now in relation to shot?

Tbh I'm wondering about a switch to Levemir
 
FrostD said:
Link to probiotic you're using?

Perhaps splitting the pred is affecting things, normally you'd just change dose or timing to mitigate, but he's dropping pretty far. I'm sorry - what time is the pred given now in relation to shot?

Tbh I'm wondering about a switch to Levemir
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I started the probiotic only a few days ago. The Everest themed numbers started on the 13th with the decrease to 6u from 6.5u and have continued unabated.
I also started the new Pred dosing (BiD) a few days ago and so ditto to the start of the numbers from the 13th.
Why to Levemir??
 
Yes I'm also wondering if that 78 reduction point just isn't going to work for him. I don't like going lower, but he's not giving you a whole lot of options.

I didn't think the "meds" were causing the issue, just perhaps exacerbating it.

Most of us with the higher dose kitties use and really like Levemir, @Suzanne & Darcy being another one (the others would be on acro forum, perhaps howiesmom and I know Larry uses it for one of his cats, Snuffles maybe) . Eddie's not a super high dose cat, but generally Levemir is an even flatter insulin than Lantus.

I'd see how labs go and tweak med timing before considering a switch to Levemir though. I suspect the pred might be hitting peak-BG-effect in the later part of the cycle. Probiotic doesn't have any sugar, correct?
 
FrostD said:
Yes I'm also wondering if that 78 reduction point just isn't going to work for him. I don't like going lower, but he's not giving you a whole lot of options.

I didn't think the "meds" were causing the issue, just perhaps exacerbating it.

Most of us with the higher dose kitties use and really like Levemir, @Suzanne & Darcy being another one (the others would be on acro forum, perhaps howiesmom and I know Larry uses it for one of his cats, Snuffles maybe) . Eddie's not a super high dose cat, but generally Levemir is an even flatter insulin than Lantus.

I'd see how labs go and tweak med timing before considering a switch to Levemir though. I suspect the pred might be hitting peak-BG-effect in the later part of the cycle. Probiotic doesn't have any sugar, correct?
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The "meds" may be exacerbating (Prednisolone timing, because dose hasn't changed), hard to say, but the S. Boulardii has no carbs of any consequence; vegan capsules (plant-based), no wheat, no egg, no gluten, no seafood, binders or fillers, so all good there.

I agree with the observation re: the 78 reduction point. I'm wondering if I should take it to 76? I can usually be with Eddie to keep him safe during those times.

But, here, and deferring to @Wendy&Neko I'm asking should I increase tonight to 7u? Something tells me to do so (not just my usual second-guessing) if only because of the sustained cycle of high numbers, even into the red zone.
 
@FrostD I wasn't able to get a +7 or +8 as I was online teaching but I did just get a +9 268, which tells me that if there's any blue it was in between and as transitory as the previous infrequent appearances of blue numbers since January 13th.

So, I return to my previous question: since this is not NDW, is it prudent/recommended to increase to 7u tonight?

I'll try tagging @Wendy&Neko and @Bandit's Mom just in case. I get the impression you are on board with an increase?
 
Most of the higher dose cats that switch to Levemir have flatter cycles. A lot of them also feel the Lantus sting at higher doses and Levemir doesn't have that. However, it does have a later onset and nadir, so being able to monitor that is a factor in the decision. Lev was actually better for my schedule.

I would increase. Been long enough at this dose to know you aren't seeing green or low blues.
 
Wendy&Neko said:
Most of the higher dose cats that switch to Levemir have flatter cycles. A lot of them also feel the Lantus sting at higher doses and Levemir doesn't have that. However, it does have a later onset and nadir, so being able to monitor that is a factor in the decision. Lev was actually better for my schedule.

My schedule is pretty flexible for the most part. Also, Eddie doesn't seem to mind getting an injection, at all.

I would increase. Been long enough at this dose to know you aren't seeing green or low blues.
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Thank you!
 
Is the S. boulardii doing anything for the diarrhea? Tummy discomfort can often lead to high BGs--Ruby is a poster child for that. If the S. boulardii isn't working you may have to give it more frequently, like every few hours in his food.
 
Katherine&Ruby said:
Is the S. boulardii doing anything for the diarrhea? Tummy discomfort can often lead to high BGs--Ruby is a poster child for that. If the S. boulardii isn't working you may have to give it more frequently, like every few hours in his food.
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Yes, the good news is that the S. boulardii is working again. It's ironic because his diarrhea goes back to January 7th when he was all blues and greens and earned a reduction.
I'll keep him on a maintenance dose of the S. boulardii to be sure. In any case, dose increase tonight to 7u.
 
So, @+2 331, I'm hoping to get some sleep (long week, work, little dog to emerg & back) and we'll see what tomorrow brings with the increase to 7.0, a number which Eddie seems to favour for some reason.

Goodnight, everyone who visits here. :cat::)
 
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