10/16 Eddie AMPS 106 +4 137 PMPS 211 +3.5 250

Btw, did you shoot 26U last night? Or is that a typo on the SS?

Like Wendy says, the size of dose does not make a difference in a decision about whether to shoot or not. A cat needs however much insulin it needs. The size of dose doesn't impact how the cycle will play out, if it's a good dose for that cat.
 
Bandit's Mom said:
Btw, did you shoot 26U last night? Or is that a typo on the SS?

Like Wendy says, the size of dose does not make a difference in a decision about whether to shoot or not. A cat needs however much insulin it needs. The size of dose doesn't impact how the cycle will play out, if it's a good dose for that cat.
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It was a typo, Bhooma, thank you. I guess I'm reactive to low numbers when he getting such a high dose!! I know it's the acromegaly making itself known but it just feels so risky to be shooting so much insulin into a little cat!
 
The only other thing I'd add is since he's on Levemir - and both his onset and nadir tend to be later and possibly even at/around/after shot time - you usually can shoot a dropping number. The first few times I'd obviously advise staying around to monitor.
 
Oh - you said you had "plans" and want his BG "stable" awhile ago. I'm not sure what the plans are or when, but it seems you're creeping up on a good dose. So you'll have to think about just how low you want him while you wait for whatever it is, some cushion might be good.
 
FrostD said:
Oh - you said you had "plans" and want his BG "stable" awhile ago. I'm not sure what the plans are or when, but it seems you're creeping up on a good dose. So you'll have to think about just how low you want him while you wait for whatever it is, some cushion might be good.
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Yes, I do have plans and I'll elaborate on them very soon. We may be creeping up on a good dose but the bottom line is acromegaly, which remains the main driver of this situation. Even if Eddie is not having the same discomfort with Levemir as with Lantus, I honestly cannot feature a steady increase of insulin. He's at 27u BiD now and it's really disturbing to be shooting nearly an entire syringe of insulin into this little cat.
 
That's the fun thing about Levemir, you have to get used to shooting low. It's not uncommon for Lev cats to nadir around +12, or the next shot time.

Any chance you got a test in this afternoon? 137 was the same as last night, though earlier in the cycle. Would be nice to see where he goes with that.
 
FYI - a dose in the 20-30 unit range is not uncommon for an acrocat. I've seen people shoot a lot higher dose. A cat needs however much insulin they need. Try not to focus so much on the dose number, but rather the BG numbers you are seeing. Those are the important numbers.
 
Wendy&Neko said:
FYI - a dose in the 20-30 unit range is not uncommon for an acrocat. I've seen people shoot a lot higher dose. A cat needs however much insulin they need. Try not to focus so much on the dose number, but rather the BG numbers you are seeing. Those are the important numbers.
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Yes, I do know a dose in the 20-30 u range is common for an acrocat. The IM vet told me he's seen acrocats in the 40u and more range, which is horrific even if it is what they need. It conjures up using two syringes at one dose.
In the last week or so, though, his BG numbers seem to be settling down a bit. He had only one red and one magenta and his SS is easier on the eye, if you know what I mean.
 
I could show you spreadsheets of doses in the 80's. Again, the size of dose is not what matters, it's the BG. Eddie is finally seeing a lot more close to normal numbers. He must feel better too.
 
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