05/23 Eddie AMPS 194 +2.5 171 +5 126 PMPS 302 +2.5 198 +5.5 126 (Holiday dose question May 25-28th)

Jodey&Eddie&Blue

Jodey&Eddie&Blue

Member Since 2021
Good morning,
Here is yesterday's bounce story in the wake of the last few days of nightly blues and even greens.
https://felinediabetes.com/FDMB/threads/05-22-eddie-amps-342-3-355-pmps-374-2-5-268.263626/

As his spreadsheet shows, Eddie is on 10.5 for the last 4 days. I have to travel to attend a conference May 25th-28th. I would leave the morning of the 25th after giving 10.5 u insulin and would return before PMPS on May 28th.

I'm wondering: should I keep him on 10.5u regardless? I have a pet/house sitter who is able to give medications, including insulin but who is not confident enough to test so it will be just shooting without for a few days.

@Wendy&Neko you said to ask two days before I leave. Hoping for some guidance.
 
What is your comfort zone for his nadirs to be while you are gone? Do you think he will eat as well for the petsitter as he does for you?
 
If you are happy with either dose, then pick one. 10.0 gives a small margin of safety, but might keep him higher than you want. It's a toss up. Other considerations are whether you think the petsitter will be able to easily draw the correct dose. At least you are on the line either way.
 
I
Wendy&Neko said:
If you are happy with either dose, then pick one. 10.0 gives a small margin of safety, but might keep him higher than you want. It's a toss up. Other considerations are whether you think the petsitter will be able to easily draw the correct dose. At least you are on the line either way.
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I'm going to ask the petsitter to drop over tomorrow afternoon so that I can be assured she knows where 10.5u is on the syringe. I'm thinking that to go back to 10u is to have him go back to higher BG as you mention above.

I have a question, though, which I'm hoping you can address: if you look at Eddie's SS the blues and greens appear at intervals with doses from, say, May 2 through to today with similar frequencies, the only difference is we go from 9u to 9.50 to 10u and now to 10.5u with the same results, at least to my somewhat inexperienced eye. Why is it that in spite of regular increases his BG patterns seem (maybe that's the operative word) to be the same.

I ask now because I read a posting on the FB version of FDMB by one of the moderators who said in response to someone's posting about appropriate dose that sometimes too much insulin acts like too little. I am, if not confused by that, then certainly wondering what this means. Can you unpack this claim? I guess I'm reading it as if it might speak to the issue of Eddie's blues/greens patterns being similar in spite of (?) increasing insulin amounts. Or is this actually just IAA and it's a vicious circle?

Does this make sense? I'd really appreciate some clarity here.
@Wendy&Neko @FrostD do you have any thoughts here? @Bandit's Mom do you recall seeing that FB post?
 
Jodey&Eddie said:
I ask now because I read a posting on the FB version of FDMB by one of the moderators who said in response to someone's posting about appropriate dose that sometimes too much insulin acts like too little.
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Jodey&Eddie said:
@Bandit's Mom do you recall seeing that FB post?
Click to expand...
The post was that "without enough tests, too much insulin can look like too little insulin". Meaning, that if a CG does not test enough to see how low the cat is going on a dose, and only catches bounces from the cat dropping low on a dose, s/he can think that the cat is not getting enough insulin.
 
Bandit's Mom said:
The post was that "without enough tests, too much insulin can look like too little insulin". Meaning, that if a CG does not test enough to see how low the cat is going on a dose, and only catches bounces from the cat dropping low on a dose, s/he can think that the cat is not getting enough insulin.
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Oh, thanks, Bhooma. I had read it on my phone, then lost it and couldn't find it again so remembered it incompletely. Thank you.
 
I hate that phrase “ too much looks like too little”. That person that said you that should not be a moderator. The phrase gets used far too often and confuses far too many people. It is not only lack of testing, but also starting too high a dose and too large increases combined with lack of testing. And often people use the phrase without the caveats or forget the phrase came with caveats. I just wouldn’t say it at all. Not to mention, the FB group is not supposed to be giving dosing suggestions.

And yes, the antibodies are nasty.
 
Wendy&Neko said:
I hate that phrase “ too much looks like too little”. That person that said you that should not be a moderator. The phrase gets used far too often and confuses far too many people. It is not only lack of testing, but also starting too high a dose and too large increases combined with lack of testing. And often people use the phrase without the caveats or forget the phrase came with caveats. I just wouldn’t say it at all. Not to mention, the FB group is not supposed to be giving dosing suggestions.

And yes, the antibodies are nasty.
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Hi Wendy, the poster did not say that to me. The reference was to a post I read (on my phone). Also, to be fair, the poster was not giving a dosing suggestion but was responding to a question about a cat whose doses were increasing but numbers remained high.

And, damn those antibodies. :(:cat: It's like they are allergic to the very thing they need to survive.
 
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