05/29 Merlin PMPS 461 (pre-shot) 401 @+1 302 @+2 175 @+3 133 @+4, 88 @+4.5, 119 @+5, 182 @+6,169@6.5

All readings are on Libre Sensor unless otherwise indicated.

PMPS 461 1/2 can 15% carb fed
+1 401 no food
+1.5 346 fed 1 tsp. 15%
+2 302 no food
+2.5 220 fed tsp 1.9%
+3 175 fed tsp. 6.1%
+3.5 133 fed 1 tsp. 15%
+4 133 fed 1 tsp. 9.2%
+4.5 88 (131 on human meter) fed 1 tsp. 22% (lick e lix)
+5 119, (133 on human meter) fed 1 tsp. 15%
+5.5
 
PMPS 461 1/2 can 15% carb fed
+1 401 no food
+1.5 346 fed 1 tsp. 15%
+2 302 no food
+2.5 220 fed tsp 1.9%
+3 175 fed tsp. 6.1%
+3.5 133 fed 1 tsp. 15%
+4 133 fed 1 tsp. 9.2%
+4.5 88 (131 on human meter) fed 1 tsp. 22% (lick e lix)
+5 119, (133 on human meter) fed 1 tsp. 15%
+5.5 113 (151 on human meter) fed 1 tsp 2.9%
 
Last edited:
Yep. 10 minutes from now is 4am. This is totally insane. We are so very tired of this. I bet you are too. I have trouble seeing where this is going and when it will end with a happy conclusion of a doable schedule. Thanks so much for your help. I don’t know how much more i can take though… not that i have a choice. I know its for Merlin. We love him so much. But this doesn’t seem like it could possibly ever be sorted out any time soon. Does everybody do this much day after day, night after night?
 
I have the same thoughts. It's only Merlin's fourth day on insulin, of course. I have been wondering how this is sustainable for you all. It will not be, because you are not getting any sleep. An occasional late night is one thing, but having to do these marathons both morning and night every time he gets insulin is something that I've not encountered before. However, maybe others like Bron and Wendy have experience with this?
 
I guess we maybe need to consider a different insulin… I don’t know. I’m too tired to think about it. I will do another reading in 30 minutes. To make sure he is rising, right?
 
Merlin, May 29, PM Cycle:

PMPS 461 1/2 can 15% carb fed
+1 401 no food
+1.5 346 fed 1 tsp. 15%
+2 302 no food
+2.5 220 fed tsp 1.9%
+3 175 fed tsp. 6.1%
+3.5 133 fed 1 tsp. 15%
+4 133 fed 1 tsp. 9.2%
+4.5 88 (131 on human meter) fed 1 tsp. 22% (lick e lix)
+5 119, (133 on human meter) fed 1 tsp. 15%
+5.5 113 (151 on human meter) fed 1 tsp 2.9%
+6 182 no food
 
It feels like we are stuck in this endless loop. I know we have to give him insulin tomorrow morning and night and stay up again. I just don’t see an end to it. Sadly, I think the only other insulin available in Ireland is Caninsulin. Maybe that would work for him? Or maybe not. But we would have to do this all over again from scratch. I cant entrust him to a vet. I only trust you guys. But we have some kind of unusual cat who maybe cant be regulated on insulin. Regulated as in not needing to be fed spoonfuls every hour all day long to stay normal. What are we going to do? Is there anyone out there in FDMB land who has had this experience and got through it?
 
How about we pick the brains of Wendy and some others tomorrow? They wouldn’t have tp read through the whole thread, but perhaps just look at the spreadsheet and the summaries of what’s been going on.
 
I think with the comparison between this number 211 and the last human meter number at 5.5. Of 151, he’s fine for you to go to bed now. Since it is now 6.5. He only had one tsp of very low carb at that 5.5.
 
Merlin, May 29, PM Cycle:

PMPS 461 1/2 can 15% carb fed
+1 401 no food
+1.5 346 fed 1 tsp. 15%
+2 302 no food
+2.5 220 fed tsp 1.9%
+3 175 fed tsp. 6.1%
+3.5 133 fed 1 tsp. 15%
+4 133 fed 1 tsp. 9.2%
+4.5 88 (131 on human meter) fed 1 tsp. 22% (lick e lix)
+5 119, (133 on human meter) fed 1 tsp. 15%
+5.5 113 (151 on human meter) fed 1 tsp 2.9%
+6 182 no food
+6.5 169 (211 human meter)
 
Merlin, May 29, PM Cycle:

PMPS 461 1/2 can 15% carb fed
+1 401 no food
+1.5 346 fed 1 tsp. 15%
+2 302 no food
+2.5 220 fed tsp 1.9%
+3 175 fed tsp. 6.1%
+3.5 133 fed 1 tsp. 15%
+4 133 fed 1 tsp. 9.2%
+4.5 88 (131 on human meter) fed 1 tsp. 22% (lick e lix)
+5 119, (133 on human meter) fed 1 tsp. 15%
+5.5 113 (151 on human meter) fed 1 tsp 2.9%
+6 182 no food
+6.5 169 (211 human meter)[/QUOT
11.0 on libre just now
 
I guess we maybe need to consider a different insulin
I think maybe a different approach should be tried first.
PMPS 461 1/2 can 15% carb fed
+1 401 no food
+1.5 346 fed 1 tsp. 15%
+2 302 no food
+2.5 220 fed tsp 1.9%
+3 175 fed tsp. 6.1%
+3.5 133 fed 1 tsp. 15%
+4 133 fed 1 tsp. 9.2%
+4.5 88 (131 on human meter) fed 1 tsp. 22% (lick e lix)
+5 119, (133 on human meter) fed 1 tsp. 15%
+5.5 113 (151 on human meter) fed 1 tsp 2.9%
+6 182 no food
+6.5 169 (211 human meter)
I would not have fed high carb food as often as you have been, nor should you need to continue to test or look at his BG every half hour until +6.5. That is unsustainable. Before people had Libres (very recent technology), it was a lot less tests/ear pricks. Rather, you need to learn how Merlin responds to Lantus, and test appropriately. Learning his onset, nadir, and duration will make your life much easier. Then you'll know when to test and learn when to feed. By the way, food experiments take time, you can't switch it up every day.

First, I'd like to figure out when his onset is, then you can feed some higher carb food about 20-30 minutes before then to slow his fast drop. Feeding HC at preshot doesn't make sense to me as it's too early in the cycle, he's not dropping then. It also hides when his onset is as his numbers are artificially inflated by carbs.

Next step is figuring out his nadir, cause the cat is on his way up after that, and you are closer to bed. I would not have fed HC at that 88 at +4.5. 88 is a very safe number. I would have given LC and tested 1/2 hour later. If he'd been flat or starting to rise at that point, you'd be much closer to going to bed. However by giving HC, you have to wait a couple hours after that HC wears off to see if he's still safe. I definitely would not have fed anything higher carb at +5. He was on his way up and over 100. That also delayed you getting to bed sooner. And probably shortened duration.

I had a late nadir girl, I was very focused on learning what I could do to go to bed earlier. Merlin looks like a early nadir cat, that should make life much earlier for you in the long run, once you learn the onset, nadir and his response to food.

I would like to get someone who had a cat that dived early, to take a look at Merlin's situation. However, I'll be frank, any daily thread over 200 posts is intimidating to read and digest. The summaries Suzanne have been doing help, but there still is a lot to wade through. Figuring out when to test so you don't have to get data every half hour will help shorten the content.
 
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