02/15 Bubba AMPS 436; +5.75 450; +9 HIGH; PMPS 443; +3.75 401

[bubbasmom (GA)]

Yesterday

Highest AMPS yesterday and today since 3.5U. Is this higher BG nonsense new dose wonkiness since I increased yesterday? I feel like I should have stayed at 4.25U for a little longer or even 4U? These increases every 3 days seem futile and not enough time for Bubba to get used to a dose and get it time to work. Maybe since I’m still new at this and at TR, but it’s like when I get that one little yellow it all goes to crap after that. Sorry if I’m negative this is just all so defeating and it’s screwing up my mental health. I feel like this disease is eating at my boys insides and it’s all a race before the point. Of no return.

 

[Bandit's Mom]

Yes, NDW is usually seen in cycle 2 and/or 3 after an increase. I know how frustrating it is to see higher numbers and it's not easy that Bubba is having to deal with a lot of other health issues. All I can say is trust the protocol. Its a tested protocol that has worked for many. The best way to get him to reduce bouncing is to take him to a good dose so that he spends more time in lower numbers. He will also clear bounces faster and not bounce as high. Holding doses when the numbers are still high only risks glucose toxicity.

Take a look at Pino's spreadsheet:
https://docs.google.com/spreadsheets/d/1k2SgM1npqOSc7BcZ1kkfx40_6_4SZRvXGdHFkCqgTgU/edit#gid=0

Ariana was also despairing of getting Pino regulated. She would see these fleeting greens at every dose that would only disappear and she had to keep taking his dose up.

Gumung is another case who went up to as high as 6U before he turned around (and how!):
https://docs.google.com/spreadsheet...iZPzcYph7SlVOxU7zR744aV5E/edit#gid=1182885903

There are many such cases that I can't remember off hand, but Wendy will know of many more.

Just follow the protocol, don't hold doses too long, ignore the bounces (I know that's hard to do) and get him to a good dose as quickly as safely possible.

 

[Erin Ethan]

Hi @bubbasmom,

Very sorry to hear about bubba's health struggles...I've peeked in at your condos every now and then & I feel for you.

@Bandit's Mom has the best advice here ^.

Just wondering--

• Is the Lantus pen/vial relatively new?
• Is there *any* possible way that the insulin is not fully getting to where its supposed to go just under the skin (I see bubba is a furry boy)?

Sorry for the obvious questions...I figure its better to ask just in case...

 

[Max & Lori]

I think TR protocol is great. Some cats are just more bouncy than others, like my Max. It’s hard to stay positive when you see these high numbers. I’m a prime example of that, but it isn’t easy for anyone going through that. You are doing a wonderful job with Bubba. Max has other health issues too, that also affect his numbers. All we can do is do our best. It does make a difference even if it takes a while to see it. We just have to encourage each other. I hope Bubba comes down today. Until then, just love him for the wonderful cat he is. As I’ve been told before, cats are more than just their numbers.

 

[bubbasmom (GA)]

Yes, NDW is usually seen in cycle 2 and/or 3 after an increase. I know how frustrating it is to see higher numbers and it's not easy that Bubba is having to deal with a lot of other health issues. All I can say is trust the protocol. Its a tested protocol that has worked for many. The best way to get him to reduce bouncing is to take him to a good dose so that he spends more time in lower numbers. He will also clear bounces faster and not bounce as high. Holding doses when the numbers are still high only risks glucose toxicity.

Take a look at Pino's spreadsheet:
https://docs.google.com/spreadsheets/d/1k2SgM1npqOSc7BcZ1kkfx40_6_4SZRvXGdHFkCqgTgU/edit#gid=0

Ariana was also despairing of getting Pino regulated. She would see these fleeting greens at every dose that would only disappear and she had to keep taking his dose up.

Gumung is another case who went up to as high as 6U before he turned around (and how!):
https://docs.google.com/spreadsheet...iZPzcYph7SlVOxU7zR744aV5E/edit#gid=1182885903

There are many such cases that I can't remember off hand, but Wendy will know of many more.

Just follow the protocol, don't hold doses too long, ignore the bounces (I know that's hard to do) and get him to a good dose as quickly as safely possible.

Thanks for your encouraging words Bhooma. I do trust the protocol as I've found evidence based journal articles on it, so I know for sure it is a protocol that can work. It's mostly me wondering out loud/doubting myself when I feel at my lowest when trying to care for and support my precious baby soul. It's "nice" to know other cats have experienced similar NDW & bouncing when increasing doses. I have to remind myself it's been almost a month with the TR protocol and hopefully a magic dose will stick soon. Poor thing has been in the mid-20s today... I just tested at +9 and it's "high"; le sigh

 

[bubbasmom (GA)]

Hi @bubbasmom,

Very sorry to hear about bubba's health struggles...I've peeked in at your condos every now and then & I feel for you. thank you, what does 'condo' stand for? like the forum posts? what's it short for? lol

@Bandit's Mom has the best advice here ^.

Just wondering--

• Is the Lantus pen/vial relatively new? - yes I bought it a few weeks ago, it's crystal clear
• Is there *any* possible way that the insulin is not fully getting to where its supposed to go just under the skin (I see bubba is a furry boy)? - no I do the "wrist roll" method - I part the fur, see the skin and inject into the part of skin I can see at a 45deg angle (I'm also a nurse so subQ injections are 2nd nature lol), I check for any wetness and there is none I also use 5/16ths / 8mm needle, 31g so its super fine and easy to break into the skin

Sorry for the obvious questions...I figure its better to ask just in case...

 

[bubbasmom (GA)]

I think TR protocol is great. Some cats are just more bouncy than others, like my Max. It’s hard to stay positive when you see these high numbers. I’m a prime example of that, but it isn’t easy for anyone going through that. You are doing a wonderful job with Bubba. Max has other health issues too, that also affect his numbers. All we can do is do our best. It does make a difference even if it takes a while to see it. We just have to encourage each other. I hope Bubba comes down today. Until then, just love him for the wonderful cat he is. As I’ve been told before, cats are more than just their numbers.

thank you! I appreciate that; it's just if he didn't have pp issues and his flat paws and arthritis/moving around slower it would be easier to handle, it's hard to see the physical ways this affects him. so that's why I've got him on all the pain meds I can to ensure comfort

 

[Erin Ethan]

Oh good! Having a nursing background would be so helpful for managing all the FD 'procedures'.
(I think I'd heard the forum posts being referred to here as condos...as I was told: because its where your kitty lives )

Fingers crossed that the new dose will help bring Bubbas #s down & help alleviate the accidents...Ethan and I are rooting for him!

 

[Max & Lori]

I completely understand. Max had neuropathy really bad to begin with but as his numbers got a little better, that improved. Maybe with time Bubba will too. Hopefully tomorrow he will come down some.

 

[bubbasmom (GA)]

thanks to those who commented words of encouragement & support

 

[Wendy&Neko]

Sorry for the late reply - am still out of town but grabbing a few minutes to get on line.

If it helps any, I recognize a lot of your questions and concerns. Neko also teased me with nice numbers then awful. If it helps any, Neko saw way more black with her bounces. Took a year after starting insulin before she finally stopped bouncing to reds. Yes, she did end up fairly well regulated, but I had a lot of serious doubts on the way.

If a dose isn't giving you the numbers you want in six cycles, it's not going to, trust the protocol. Bounces are the cat's body's way of telling you that insulin is working and taking him to lower numbers than he's used to. Eventually he will start getting used to them. Patience pants are required wear here.

 

[bubbasmom (GA)]

Yes, NDW is usually seen in cycle 2 and/or 3 after an increase. I know how frustrating it is to see higher numbers and it's not easy that Bubba is having to deal with a lot of other health issues. All I can say is trust the protocol. Its a tested protocol that has worked for many. The best way to get him to reduce bouncing is to take him to a good dose so that he spends more time in lower numbers. He will also clear bounces faster and not bounce as high. Holding doses when the numbers are still high only risks glucose toxicity.

Take a look at Pino's spreadsheet:
https://docs.google.com/spreadsheets/d/1k2SgM1npqOSc7BcZ1kkfx40_6_4SZRvXGdHFkCqgTgU/edit#gid=0

Ariana was also despairing of getting Pino regulated. She would see these fleeting greens at every dose that would only disappear and she had to keep taking his dose up.

Gumung is another case who went up to as high as 6U before he turned around (and how!):
https://docs.google.com/spreadsheet...iZPzcYph7SlVOxU7zR744aV5E/edit#gid=1182885903

There are many such cases that I can't remember off hand, but Wendy will know of many more.

Just follow the protocol, don't hold doses too long, ignore the bounces (I know that's hard to do) and get him to a good dose as quickly as safely possible.

Thanks Bhooma. What was the rationale for decreasing Gumung's dose after s/he hit 6U? was it the blues seen on day 4 of 6U? beyond that, the dose was continuously decreased until Gumung reached the greens!

 

[bubbasmom (GA)]

Sorry for the late reply - am still out of town but grabbing a few minutes to get on line.

If it helps any, I recognize a lot of your questions and concerns. Neko also teased me with nice numbers then awful. If it helps any, Neko saw way more black with her bounces. Took a year after starting insulin before she finally stopped bouncing to reds. Yes, she did end up fairly well regulated, but I had a lot of serious doubts on the way.

If a dose isn't giving you the numbers you want in six cycles, it's not going to, trust the protocol. Bounces are the cat's body's way of telling you that insulin is working and taking him to lower numbers than he's used to. Eventually he will start getting used to them. Patience pants are required wear here.

thanks Wendy; just hope my boy regulates soon in order to (relatively) begin to settle his neuropathy and pp, and to give his kidney beans a rest!

My patience pants are missing hahaha