01/18 Bubba AMPS 401; +6 335; + 11 439

Spoke too soon... +11 439 :( ...
but glad his midday/+6 # was the lowest it's been in a while and low at that many hrs after his AM shot
will keep truckin' on... the precious boy is in good spirits today at least!
 
You are getting enough tests for TR. You want to think about switching and increasing to 2U tomorrow.

It looks like he is seeing glucose toxicity which means his body has gotten used to higher numbers and is displaying a kind of temporary insulin resistance. The only way to break through that is to take him to a good dose sooner rather than later. Considering that his nadirs are over 300, you could even go up to 2.25U with TR tomorrow.
 
Bandit's Mom said:
You are getting enough tests for TR. You want to think about switching and increasing to 2U tomorrow.

It looks like he is seeing glucose toxicity which means his body has gotten used to higher numbers and is displaying a kind of temporary insulin resistance. The only way to break through that is to take him to a good dose sooner rather than later. Considering that his nadirs are over 300, you could even go up to 2.25U with TR tomorrow.
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thanks Bhooma. I’ll increase to 2U tmrw morning. Last time he was on 2U in October, he tanked within a few days (lethargic, lack of appetite, barely moving) - I wasn't home testing at this time… the vet (not his primary) ordered 2U at the time of his Dx… after those few days of lethargy, I took him back to the vet (saw his primary) who reduced it to 1U and installed a Libre. We kept seeing high #s, so we increased to 1.5U... after two weeks of that, his vet switched back to caninsulin. That was on Nov 14... kicking myself because even though his AM & PMPS were higher, his day #s were decent!

I’ll keep an eye on him the next few days of course. Thanks for your persistence on TR LOL
 
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bubbasmom said:
Last time he was on 2U he tanked within a few days / lethargic, lack of appetite, barely moving…
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A cat's insulin requirements can and do change. A dose that was good a few days back can "go stale" and one that was good can become too much. A lot can change in days with FD. So we just use the numbers as a guide and adjust doses accordingly. Now that you are hometesting you have the data to see exactly how he is doing on a dose - an important tool to keep him safe :-)

bubbasmom said:
Thanks for your persistence on TR LOL
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LOL. I can be quite persistent. I keep telling myself not to push but I don't like to see caregivers putting in all the effort on the testing front and not see the benefits. Feel free to tell me to back off!
 
Bandit's Mom said:
A cat's insulin requirements can and do change. A dose that was good a few days back can "go stale" and one that was good can become too much. A lot can change in days with FD. So we just use the numbers as a guide and adjust doses accordingly. Now that you are hometesting you have the data to see exactly how he is doing on a dose - an important tool to keep him safe :)


LOL. I can be quite persistent. I keep telling myself not to push but I don't like to see caregivers putting in all the effort on the testing front and not see the benefits. Feel free to tell me to back off!
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Hahaha you are fine! you care about caregivers and our cats, that's all... and I was hesitant b/c of how Bubba reacted to 2U last time... and I also didn't want to rush in case the current dose eventually kicks in... but I'm also tired of seeing red #s - so it's a fine balancing act. I read the TR protocol as well.

how many days are cats usually on TR for? ...
  • until they find the "golden dose"... and then remain on that dose, with regular glucose checks?
  • or go into remission?
  • or...?
just wondering what I should keep in mind when starting TR
 
bubbasmom said:
how many days are cats usually on TR for? ...
  • until they find the "golden dose"... and then remain on that dose, with regular glucose checks?
  • or go into remission?
  • or...?
just wondering what I should keep in mind when starting TR
Click to expand...
TR is a dosing protocol. So it's usually followed as long as the cat is on insulin. Some people follow TR till the cats start seeing better numbers and then switch to SLGS if they aren't able to get any mid-cycle tests. TR sounds scary and aggressive initially but once you get used to lower numbers, they become addictive.
 
I spoke too soon and got all excited for nothing…. PMPS 439; +4 HIGH; +6 HIGH.
Is this a bounce? If I increase to 2U tmrw would this increase not exacerbate the bounces? I feel like I’m failing my boy and I don’t know what to do.
I get conflicting info between my vet and what is on the FDMB and FB group. Last week My vet said to hold his 1.5U dose for 2-3 weeks / not increase. I don’t listen to her and increase it to 1.75U only for no significant change to Bubbas numbers.
 
Bandit's Mom said:
You are getting enough tests for TR. You want to think about switching and increasing to 2U tomorrow.

It looks like he is seeing glucose toxicity which means his body has gotten used to higher numbers and is displaying a kind of temporary insulin resistance. The only way to break through that is to take him to a good dose sooner rather than later. Considering that his nadirs are over 300, you could even go up to 2.25U with TR tomorrow.
Click to expand...


If I increase to 2U tmrw since Bubba ran high all tonight after his PM dose, won’t increasing the insulin cause bounces and we’re back at square one again? Just confused and upset right now
 
He is not bouncing. A bounce happens when a cat sees lower numbers that its body is not used to. Bubba is just flat and high and needs more insulin. Holding on to a dose for too long when the numbers aren't where you want them to be only leads to glucose toxicity. You are NOT failing him at all. It's a pity that so many vets know so little about feline diabetes.

I know I keep banging on about it, but my suggestion would be to switch to TR. Get at least one test per cycle between shots (it can be at any time that you can manage) and increase by 0.25U every 3 days till you start seeing numbers below 200.
 
Bandit's Mom said:
He is not bouncing. A bounce happens when a cat sees lower numbers that its body is not used to. Bubba is just flat and high and needs more insulin. Holding on to a dose for too long when the numbers aren't where you want them to be only leads to glucose toxicity. You are NOT failing him at all. It's a pity that so many vets know so little about feline diabetes.

I know I keep banging on about it, but my suggestion would be to switch to TR. Get at least one test per cycle between shots (it can be at any time that you can manage) and increase by 0.25U every 3 days till you start seeing numbers below 200.
Click to expand...

ok. I thought it was a bounce since his +6 today was 335 / a bit lower than his norm, and then higher all evening.

I love my vet and I’m also grateful for fdmb. She’s helped us through other health challenges last year. Her own cat was diabetic and went into remission on caninsulin; I do value her opinion but maybe Bubba is just different to what she’s accustomed to when supporting diabetic cats lol.
 
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