The thing is, with Levemir, he usually goes in the opposite direction of down in the first while, which makes it hard to predict because I can't rely on "usually" given the potential of his SRT response. Anyway, I keep an eye on him...
(and has nothing to do with SRT but rather cats on Levemir).
When I talk about SRT and it's potential I am talking about the fact that one of the side effects of radiation is demyelination, which is why the radiation oncologist wrote me to provide a rationale for Eddie's higher than previous insulin dose. She says, "The recommendation to maintain the steroid dosage until at least 3 months is based on the probability of side effects to the normal brain tissue that receives radiation. For Eddie, I think we would want to keep this dose at least until 4 months. It is difficult as I know that it interferes with insulin, etc, but the side effects from demyelination are severe as well."The fact that he's only up a little bit is a good sign for this cycle.
The question of Why Eddie I think has to do with the fact he's had two SRT treatments in a relatively small window of time. One in 2021 (March 3 fractions) and now the second in 2022 (Oct 3 fractions). Eddie has had hypophysectomy but it was also determined at the time surgery could remove only 60% of the tumour and at the time it was determined Eddie's acromegaly tumour consisted of "two different cell populations, they are mixed into one mass rather than forming two discrete adenomas (double adenoma)." I suspect this situation made it difficult to excise in the first place and then challenging in administering SRT.