04/28 Eddie AMPS 371 +8 398 PMPS 326 +8 338

Hello here is yesterday:

https://felinediabetes.com/FDMB/thr...283-8-311-pmps-346-8-380.289331/#post-3174221

@Wendy&Neko guess I'm looking at another increase?

 

What do you think? Are you happy with nadirs in the yellows? I'd do a 2 unit increase if you decide you need one. Increases should be 10-15% of the size of the total dose.

 

Well, I'm torn. I'd like to see Eddie at least in the low yellow or high blue. I'm torn because of 1) wanting to keep Eddie safe (like I concerned about him ending in Emerg with that overly high BG, which has happened a couple of times in the past) and what the WSU endocrinologist vet said (which I posted earlier): "I’m sort of out of ideas, but to be honest, I am not at all bothered with the numbers and the fact that he is maintaining his weight makes me really happy. I agree with the insulin adjustments that have been made this month – it looks fine to me! I would honestly probably stay the course for now with what you are currently doing and I am ok with those insulin adjustments. I think getting a dental would be great and June isn’t too far off. I think you are doing really well! Kudos!!"

Like I can't figure out why she would not be bothered with the high numbers.

 

I agree I don't understand vet responses sometimes.

 

Also, look at this AM +8

And she's an IM specialist at a veterinary teaching hospital...

 

That's nuts! I mean I agree with her and I am glad he is "ok" but the numbers indicate differently.

I think if you can be around to monitor I'd increase personally. His numbers don't look much different. I will say though I have no experience with levimer though and you increased 3 days ago. You know Eddie best go with your gut!

 

The higher the nadirs, the higher the highest numbers. Depends how much time you want him below renal threshold. For Neko, that meant nadirs in the 70-80 range on a human meter. Each cat is different. But if you look at Eddie's SS, the higher numbers go away if he spends more time in those low blues.

The IM vet at Colorado State University, also a teaching hospital, suggested I take reductions when Neko went under 70, (human meter), but was OK with her that low. EVID. Each vet is different.

If it is IAA causing the higher numbers, the way to treat IAA is to show it normal BG numbers - otherwise you'll end up and up and up.

 

So, really, then an increase of 2u is appropriate. I’m home tomorrow, all day.

 

So, in spite of Mirtazapine and making a catfood smoothie, we had another bout of syringe wars. I've increased and I feel awful, like somehow I've failed Eddie with each increase.

 

You haven't failed Eddie. There's just only so much that we as caregivers can do. At some point Eddie's body has to do the rest.

 

Thanks, Wendy. I needed that.