??? PMPS 84 ????

[Jackie55 & Bootsie]

Can anyone advise me? Bootsie has Acromegaly. She has been on Cabergoline since October. You can see by her spreadsheet she never has low BS. But today I am not home. My husband trying to manage. She was 128 about noon. He checked at 6PM and she was 84. He gave her food and 8 cat treats and at 7pm she was 117. I can not update her spreadsheet because I am not home but am able to use my cell. He has not given her any insulin yet. But I don’t know what to have him give her. Usually gets 27 u BID

 

[Diane Tyler's Mom GA]

Tagging Wendy for you
@Wendy&Neko

@Suzanne & Darcy

@JL and Chip

 

[Jackie55 & Bootsie]

Tagging Wendy for you
@Wendy&Neko

@Suzanne & Darcy

Thanks Diane. I did not know how to find Wendy or Suzanne

 

[Diane Tyler's Mom GA]

Thanks Diane. I did not know how to find Wendy or Suzanne

Hi Jackie if you need to tag someone that has been helping you you would put the
@then start to type in the first 3 or more letters of their name and then a drop down will appear with members names tap on the person you are looking for
You will see if it worked because it will appear in blue

 

[Jackie55 & Bootsie]

Hi Jackie if you need to tag someone that has been helping you you would put the
@then start to type in the first 3 or more letters of their name and then a drop down will appear with members names tap on the person you are looking for
You will see if it worked because it will appear in blue

Oh. We k. Thank you

 

[Bandit's Mom]

Was 6pm when her shot was due? Did your husband feed her usual low carb food and treats or high carb?
How long is it since the food and her shot was due? Can you monitor if you shoot? And can your schedule accommodate the delay if you shoot late?

 

[Wendy&Neko]

What is your normal shot time? Not sure how 6PM and 7PM relate to that.

Can you or your hubby monitor tonight?

 

[Jackie55 & Bootsie]

Was 6pm when her shot was due? Did your husband feed her usual low carb food and treats or high carb?
How long is it since the food and her shot was due? Can you monitor if you shoot? And can your schedule accommodate the delay if you shoot late?

she ate between 6 and 6:30. He has not given her any insulin yet so she is about 2 hours late. He fed her 8 cat treats and low carb food.
If I shoot late I can monitor. I will be a nervous wreck. Ha ha

 

[Jackie55 & Bootsie]

What is your normal shot time? Not sure how 6PM and 7PM relate to that.

Can you or your hubby monitor tonight?

Normal shot time is 6:30

 

[Jackie55 & Bootsie]

Normal shot time is 6:30

And I can monitor as I will be home by 10pm

 

[Wendy&Neko]

If it's now two hours since shot normal shot time, and an hour since the last test, could you get DH to test again. Want to see if she's zooming up or gently going up.

 

[Jackie55 & Bootsie]

If it's now two hours since shot normal shot time, and an hour since the last test, could you get DH to test again. Want to see if she's zooming up or gently going up.

I am home and just tested her now - she is 178

 

[Bandit's Mom]

Is it nearly 3 hours since her shot was due? Can your schedule accommodate the delay?
You can make uo by 30 mins every day.

 

[Jackie55 & Bootsie]

Is it nearly 3 hours since her shot was due? Can your schedule accommodate the delay?
You can make uo by 30 mins every day.

So give her a full 27u now and delay her AM dose to 9:30 and then keep adjusting 30 min every day until I am back to 6:30??

 

[Wendy&Neko]

Yes, 1/2 hour earlier per day, or 15 minutes per cycle.

 

[Jackie55 & Bootsie]

Yes, 1/2 hour earlier per day, or 15 minutes per cycle.

And how often should I test tonight?

 

[Bandit's Mom]

And how often should I test tonight?

You could start with a +2 and decide on further tests based on whether it is an active cycle or she is bouncing from the greens.

 

[Jackie55 & Bootsie]

Thank you for all your help. This was very unusual for Boots. As you can see on her spreadsheet, she has never dropped below 100 before. Anyone have any ideas why this happened? I know with Acromegaly, the pituitary tumor can be pulsing in nature, so perhaps there was not as much GH-1 secreted today. Or who knows.

 

[Wendy&Neko]

She did drop to the 90's on 12/31 last year. There is also the possibility of the cabergoline starting to work. Not sure if it's a pattern yet, but I've seen it take longer on higher dose acros.

 

[Jackie55 & Bootsie]

She did drop to the 90's on 12/31 last year. There is also the possibility of the cabergoline starting to work. Not sure if it's a pattern yet, but I've seen it take longer on higher dose acros.

I had forgotten about that 90 last year. I can only hope the Cabergoline is starting to work. Sometimes I feel so frustrated with her numbers all over the place. I know some have switched to Levemir - what is the advantage of that? I thought I saw a thread about a flatter glucose curve with out the high and low swings.
And the other thing I worry about - is she just going to be a cat that Cabergoline has no effect. The studies published are such small sample sizes and rather inconclusive as one studies says it works and another says it does not make a difference. So maybe she is just one of those kitties.