12/10/22 Jackson AMPS 480 +4.5 471 +6.5 493 +9.5 410 PMPS 413 +2 386 +4 406

Skye & Jackson

Skye & Jackson

Member Since 2022
https://felinediabetes.com/FDMB/thr...mps-321-1-279-2-255-3-266-4-198-5-215.271663/

Straight up skyrocket in numbers after the +4 nadir of 198 last night. Ugh. Very high morning bounce. Again. Every time he barely touches blue, liver panic ensues… I’d nudge up another dose increase, but I’m going to be out of the house for long stretches this weekend (have to help prepare a half-disabled relative’s home for her return from the hospital… and it’s a horrible mess. Various family have been cleaning up for two weeks and you would barely know it. “Hoarders”, much?).
 
Don’t have a lot of choice with the helping out. Just checked Jack one more time - apparently I’m to go over later, I’m doing here at home chores first. He’s going higher at +4.5, not lower? Now I’m stressed….

The only good news is that the yellows the last couple days brought his ketones down. Only 0.5 mmol/L on a blood test now.
 
I want to pose a question… or rather to see if there are any potential problems you all see with the following:

Since Jack has literally been climbing all day, as though he didn’t get a morning shot at all - and I’m pretty sure he did get it, I didn’t smell it on his fur after - and I’m really stressed about him keeping on this trend (he’s going to pass 500 well before PM dose time), I would like to jump his evening shot back by a full hour again. It’s certainly not going to crash him at this point. This would put him almost on normal schedule and act like a slightly increased dose, which I think he desperately needs. And in the morning, 12 hours later per usual, I would want to increase his dose to 2 units.

I’m getting really worried. I know - I’m worried a lot. And sometimes I don’t need to be. But rising all day after a shot - and to have his numbers way worse in the last few days than they were the last time he was on this dose a whole week (on his first trip up in doses, before any reductions) - that cannot be normal, right?
 
Finally coming down some. Still red, but 410 at +9.5. Yes, I know, I’m checking a lot of point five readings today… can’t seem to retrain my brain to check at the 45 minute mark instead of the 15 lol…
 
Ended up shooting only 30 minutes “early”, though I had intended an hour. Don’t think that will make much difference (wish it would).
 
Skye & Jackson said:
I want to pose a question… or rather to see if there are any potential problems you all see with the following:

Since Jack has literally been climbing all day, as though he didn’t get a morning shot at all - and I’m pretty sure he did get it, I didn’t smell it on his fur after - and I’m really stressed about him keeping on this trend (he’s going to pass 500 well before PM dose time), I would like to jump his evening shot back by a full hour again. It’s certainly not going to crash him at this point. This would put him almost on normal schedule and act like a slightly increased dose, which I think he desperately needs. And in the morning, 12 hours later per usual, I would want to increase his dose to 2 units.

I’m getting really worried. I know - I’m worried a lot. And sometimes I don’t need to be. But rising all day after a shot - and to have his numbers way worse in the last few days than they were the last time he was on this dose a whole week (on his first trip up in doses, before any reductions) - that cannot be normal, right?
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I can tag a few members for you

@Bron and Sheba (GA)

@Bandit's Mom

@Suzanne & Darcy

@tiffmaxee
 
I’m sure others will chime in. I see and understand how REALLY HARD it is to see him in the reds and pinks. Right now, he is just really bouncy. He will bounce from yellows…. Go pink and even red… then come back down from red to pink to yellow and sometimes dip into blue…. Then back up he goes to pink and red. There really is no way around this right now. He needs to get used to lower numbers - even if lower numbers just mean yellows for right now. Consistency is very important and yes, if you beed or want to adjust his shot time to be earlier, you can move the shot time ahead by thirty minutes a day. But where does it end? If you do it every say, time will end up in the middle of the day/night. Perhaps I am not understanding.

He may actually come down tonight.
 
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Per SLGS, the dose should be held a little longer. I am so sorry he is so bouncy. Believe me, I understand. I got very desperate when my boy went into high numbers— especially after he had been in better numbers and then went higher again. :bighug::bighug::bighug:
 
Suzanne & Darcy said:
Consistency is very important and yes, if you beed or want to adjust his shot time to be earlier, you can move the shot time ahead by thirty minutes a day. But where does it end? If you do it every say, time will end up in the middle of the day/night. Perhaps I am not understanding.

He may actually come down tonight.
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I hope so. But it’s not looking likely yet. Seriously though, he’s normally bouncy, and I’m getting used to bouncy, but this is the first day he’s spent a whole cycle in red. Ever!

The adjusting thing was actually part of already trying to get back on schedule - he got a dose three hours late a few days ago. So I was thinking if I gave him a bump back of an hour instead of the 15 minutes per cycle I’ve been doing, the “increased dose” cycle might help. (It ended up being only 30 minutes though.) The bumping earlier is definitely going to end when he gets back to his normal shot times of 6:15/6:15, because that’s when I can best shoot in the morning. I’m up at 6 and out the door by 6:45, typically. (Unless I’m doing an evening shift.)
 
Nope, no bounce breaking. Briefly in pink, then back up to red by +4.

It’s not him going into red exactly that has me so stressed (though I don’t like seeing it)… it’s the fear of what could happen if he stays there very long without reprieve, and if/when his ketones start to rise. He has literally never spent a day all in red since he came out of the hospital for DKA, when he first started insulin. And he only tested at 411 the day he went in. He’s been higher than that for almost 24 hours now. That’s why I’m so freaked out. :nailbiting:
 
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Well, I know you will keep testing his ketones. If they start to creep up, it may be necessary to make adjustments sooner rather than later. I hope he will get out of these reds!
 
At long last, some pinks… may even see some yellows! Briefly if nothing else; he’s at 301 so just a few points away… dropped 100 points over the last two hours. The Libre arrow is pointing ahead, neither up nor down, though… so he’s not really continuing to drop (at the moment, anyway).

I will hope and pray for him to come down more - or at least not go back into reds - but I gotta go to sleep. At this point in the cycle he’s certainly not likely to lose another couple hundred points, so no hypo danger. Jack himself has no concerns; he’s high on catnip, sprawled on my bed, and purring himself to sleep. I love this boy so much… :bighug: :cat:
 
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I really did think he was going to see yellow last night! But don’t be surprised if he bounces a bit. :( I’m glad to hear he is happy!
 
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Skye -

I think it would have been OK to shift the time by an hour providing you were around to keep an eye on Jackson's numbers. IMHO, the hardest part of SLGS is the method stipulates holding the dose for a week. When a cat's in higher numbers, it's hard to hold the dose. If there's any chance you can transition Jackson to an all canned food (or raw) diet, you could switch over to TR. Even if you do so only temporarily, it will mean you can adjust the dose every 3 days/6 cycles.

Also, you can move shot time again today.
 
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