04/17 Bailey uk should i have stayed at 6.5u? am worried!

Status
Not open for further replies.
anna and bailey.uk england

anna and bailey.uk england

Member Since 2014
http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=117299&p=1232067#p1231379

I so hope ive done the right thing.
we had such good numbers on 6.5u compared to what we had previously and hav since seen red numbers on 7u.do you think ive gone up to quick or to far and should perhaps stay with 6.5u to see where it takes us.i just don't know what to do for the best.please can you guys have a look at his spreadsheet and tell me what you think.he hasn't eaten a lot today.just cooked chicken breast I did from raw myself with feline complete on but hes only had half all day yet his numbers are sky high.just need to know if im doing the right thing!

edited to say,,,i hope you don't all think im midering or keep going on but I don't know what else to do!!
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

Hi Anna:

I can't give you any advice - I'm not smart enough. ;-) However, I'm sending you good vines to help Bailey, and I hope this will bump your condo up so more eyes get on it! Good luck!
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

I think the 205 this morning (and he may have even been in the blues right before that), has caused Bailey to bounce and that is why you are seeing the red numbers now. I think sticking with the 7 units for now is fine. I would get a ketone test and make sure that those are negative. I would do ketone tests regularly with Bailey, especially when he seems off.
The 205 this morning was a good step. I hope you see more low yellows and some blues, with less bounces soon.

I think you're doing fine.
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

thanks dyana.i did a ketone test 2 hours ago and then the day before yesterday.all ok :-D

you could be right about the bounce and him going lower before the 205 as I was at work at 7.30 am today(and do his am shot around 12pm) so yes hes had nearly 5 hours without food and me not being able to check what his little body is doing. I leave food out but he hadn't touched it.he ate though when I got home to do his am shot.

its awful isn't it? you just feel like youre making progress then BOOOM youre knocked right down off that happy place! :-(
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

Hey Anna,

I'm sorry I don't have dosing advice for you. However, every time I increased the dose, the people here reminded me that new dose wonkiness might come into play. Dyana is certainly right - Bailey could (and probably is) bouncing from a lower number last night. It also takes time for a new dose to settle in, and that might make the numbers higher for a few cycles. That's new dose wonkiness from what I understand - you increase the dose, but the numbers temporarily go up! It's all just so confusing, sometimes! :?

edited to say,,,i hope you don't all think im midering or keep going on but I don't know what else to do!!
Click to expand...

I don't think this at all. I think you love Bailey with all your heart, and you're worried about him! You really are doing a great job with Bailey. I know that doesn't make you feel better when you see the high numbers, but it's true.

:YMHUG: :YMHUG: :YMHUG:
Shelly
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

thanks shelly.that made me shed a little tear.all this is so emotional.i haven't got children so he is my baby.i cant even begin to tell you how much I love him.ive spent thousands trying to get him right!!! at least with a baba you can take them to hospital and theyd sort it or send you to a specialist. its like you take a step forward and take 2 steps back. ive heard about this new dose wonkiness so lets just hope its that!
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

i also think he may be bouncing. One thing i notice is that when you increased to 6.5u, it was the 4th cycle after the increase before he came down into yellow numbers. He's just now had 4 shots at the 7.0u and you've already seen at least a glimpse of yellow. I would just stay the course, anna.

Bailey has spent so much time in high numbers that his body probably thinks they are normal. we just have to keep plowing ahead and help him get into better numbers and stay there.

I think every one of us feels just as you do towards our diabetic kitters. If we didn't, we wouldn't go through all of this. You don't have to worry about being too much in love with him! I know I understand. They are our little furry children.
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

thanks Julie. yeah I think it was a bounce as we got 2 more yellows through the night. hes not eating as much but IS eating but im wondering whether that is because he doesn't feel as hungry with his numbers lowering slightly. he still seems lethargic so I don't know whether that's the diabetes or something underlying.he has his imes where hes on the window sill watching the birds but the playing stopped.i just worry about him!

edited to say, do you think I should hold this dose then for a couple more cycles and see what happens?
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

Nice to see those yellows. That may have helped Bailey's appetite. Neko has a range of numbers where she feels playful. Last year when she was still getting a lot of ugly reds/pinks, then her comfort zone was the low pinks. Now it's low to mid blues where she feels playful.

Today will be the 6th cycle at this dose. You haven't seen greens so I think you should go up .5U tonight.
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

I don't know what his bg has been today as ive done a full 8 hour shift at work.hes hardly drank and not wee weed at all since just before I left so that's a really good sign hes been on lower numbers all day so am abit reluctant to increase tonight.i left chicken down and hes eaten it all up while ive been out :-D but have come back to a pink. hes just not himself at all at the mo.just very lethargic and that worries me.
I might just leave it for 2 more cycles then that way when I increase im home all day sunday to check his bloods.
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

Anna, I understand your wish to increase when you can monitor more. The thing you have to balance with that is that Bailey is still spending the majority of his time above renal threshold (around low 200's). With Bailey's dose as it is, there is something causing insulin resistance, we just don't know what it is. Here is an article on insulin resistance in cats. The important thing about insulin resistance is that you can't spend too long at a dose that's not getting him into blues and greens, or you'll need more insulin to overcome the resistance. If you haven't read it yet, you might want to look at this article on glucose toxicity.

I totally understand how you feel. :YMHUG: It's really hard not to want to give the dose that you think might be a good one the chance to perform. I know I held Neko's dose too long when we were climbing up the dosing scale too - and she kept on giving me greens every once in a while and kept giving me hope. I'd then hold onto the dose too long and it would take me a couple increases before I'd see good numbers again.

The other thing I noticed with Neko is that she'd often get NDW (new dose wonkiness) the first couple of cycles after an increase, so I didn't need to schedule an increase for a day I could monitor because she's likely just be higher right after an increase. Take a look at Bailey's SS and see if you think he is doing the same.

As for the lethargy, Bailey has become used to higher numbers, that is his "normal". When he sees something lower than his normal, he feels lethargic. That's not to say it's low blood sugar, just lower than he's used to. Neko was like that too. Now that I've finally got her used to lower numbers, she feels lethargic if she goes above high yellows.
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

I agree with Wendy's suggestions and comments. Personally, I would use that more aggressive option that I gave you a few days ago and not stay longer than 4 -6 cycles on a dose unless you're at least seeing blue numbers.

I don't see anything today that would make me think he went into lower numbers while you were at work. You test a lot and unless he's just barely touched a lower number and taken off and gone high again, there aren't any lower numbers. If he were in the habit of doing that, I think you would've caught him doing that some time earlier. I think he's just yellow and higher.

Keep it up - that dose is out there and we will get to it.
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

that's really good to know. ive upped him to 7.5 today!

how will I find out whats causing insulin resistance? my vet said we'd just have to admit defeat but im not prepared to just do that :-( ive not got this far with him just to give up!!! so where do we go from here................
 
Re: 04/17 Bailey uk should i have stayed at 6.5u? am worried

The simple answer is that you keep increasing until you get the numbers you're wanting.

It would be great to know the "why" he's needing so much, but the treatment really doesn't vary much even if you know "why"...you just keep increasing the dose until you get to an amount that brings him into lower numbers.

Good luck with the dosecrease Anna! I'll be praying this is a good dose for your sweet Bailey!

Please go ahead and start a new condo today and put the link to this one in it. It's better if they don't cover more than a day or two at a time
 
Status
Not open for further replies.
Back
Top