1-17 Zeke PMPS 305

[MrZ]

Well, this is what I was afraid of. At least this didn't happen yesterday on my birthday.

Should we feed him 7% and keep him high so that he doesn't dive again and continue bouncing?

Here's a recap of today:
AMPS/220
+1.25/204
+2.25/127
+3.25/73
+4.25/63
+5.25/73

Zeke's Yesterday

 

[Marje and Gracie]

Just out of curiosity....do you use a pen or vial and when was the last time you changed it? It might be on your SS but I couldn't find it.

Here is my suspicion FWIW. There may be other theories ...I'm certain there are.

Zeke is on his lowest dose. It's getting him good nadirs but it might not be enough to keep him from bouncing. However, I would be concerned that if you took him up any at all to smooth the bouncing, you'd be afraid to leave him. And you'd have to really feed the curve more than you should. He likes to dive and I see "some" cats (Gracie included) that seem to bounce worse from the dives than from the lower numbers (to a point).

And keep in mind there are so many variables that can affect a cycle. Rate of absorption which we know can vary a great deal from shot to shot. How accurate was the dose? Was it the same as you gave yesterday? Was the food fed different (doesn't really look like it to me from yesterday and today a.m. cycles), etc....you get my drift. Sometimes they just throw one wonky number in there. Sometimes that wonky number is a high before a break. And Zeke was just surfing today at +5.25 and maybe decided to come down a little more.

So instead of really stressing about one number, I try to wear my patience pants (really difficult for me) and see what the trend is if the nadirs are where I want them. If the latter exists, I just try to ignore the bounces and let her flatten (you will note that is what I've been trying to do with this last increase).

I'd see what he does tonight and where his AMPS is tomorrow. I know it's hard. No one likes pink especially once you are very addicted to green. On the 7%....I'd try to be consistent in whatever you choose. Sometimes a food won't bump them up but it will help with the dive.

Anyway....those are just my thoughts.

I am sorry I missed your birthday yesterday!! I hope it was spectacular and you got to get out for a nice evening!

Happy Belated Birthday, Laura!!!

 

[MrZ]

Just out of curiosity....do you use a pen or vial and when was the last time you changed it?

It's a vial. Here's what I posted yesterday:

Our Lantus is about 5 months old. Could it be that we need to replace it? We keep it refrigerated but we did leave the bottle overnight with a kennel when we boarded Zeke back in November so who knows what they did with it. Additionally, we probably had some contamination early on when we were pumpinge the insulin back into the bottle in an effort to eliminate bubbles when filling the syringe (before we watched Julie's video on the proper technique for syringe filling). The insulin is still clear (no particles or cloudiness) so perhaps it's still fine but thought I'd mention it. Thoughts?

Here is my suspicion FWIW.

What is FWIW?

BTW - I love the picture of the kitty. Thanks for the well wishes.

 

[Marje and Gracie]

FWIW: for what it's worth.

Sorry I missed the info about the vial yesterday. I must have been really googly eyed.

Five months is pretty good. Does it have any floaties, is it cloudy, or anything? If you were injecting insulin back into it, what "can" happen is the silicone from the syringe can get in there. How that might affect the insulin is anyone's guess.

I've found that when a pen or vial start to get a little toasty (they work but are not as effective as when new), numbers just get wonky. They don't get horrible and stay horrible unless you are using bad insulin.

So ....depending on how much is left, it's up to you whether you want to spend $$ to replace it IF you think there is an issue. (I can't see it).

 

[MrZ]

Sorry I missed the info about the vial yesterday. I must have been really googly eyed.

OH, no. It was easy to miss. It was my last post.

Five months is pretty good. ...... I've found that when a pen or vial start to get a little toasty (they work but are not as effective as when new), numbers just get wonky. They don't get horrible and stay horrible unless you are using bad insulin.

So ....depending on how much is left, it's up to you whether you want to spend $$ to replace it IF you think there is an issue. (I can't see it).

"You can't see it" means you don't think the insulin is bad, right? These don't look like wonky numbers? What's been bothering us is that any food after about +3.5 causes him to rise quickly. Found it puzzling (and frustrating) that the dose was good enough to get him down but not good enough to keep his PSBGs from steadily increasing. Nothing we could do but just sit and wait to see which way he was gonna go - Better or worse?