MommaOfMuse
Very Active Member
Okay for those that don't know us, Autumn and I have been doing this tango for coming on 3 years this coming March. But Autumn isn't a PZI kitty she is a Levemir kitty.
Now you are probably wondering why a Lev Kitty would be posting in PZI ISG? Well because after years and years of testing I've come to the conclusion that someone forgot to give Autumn the manual on how she is suppose to use a depot insulin..She believes that it is an In and Out like PZI. And that is how she dances.
So since she uses it like an In and Out and no matter how I try to spin depot insulin protocol rules, she refuses to obey the rules I got to thinking that maybe over here is actually where we need to be.
Here is what I know about Autumn, she is impossible to shoot low to stay low, if I shoot her below 250 she crashes, doesn't matter the dose, under 250 we are going to be having a pajama party.
She gives me an immediate response to dose changes, she just doesn't seem to develop a shed, and she has erratic cycle durations which also makes her impossible to consistently shoot the same dose every 12/12 of a standard depot insulin protocol.
She is approx. 18 years old and was adopted as a diabetic after being left completely untreated for 10+ months after she was diagnosed by her previous person. Which has made her a brittle diabetic and more than likely insulin dependent for life. Prior to coming to live with me, she has been shot in the face/neck/and shoulder and one of those B.B's pierced her thyroid causing her to have a sputtering thyroid which also effects how she uses insulin. Some days her thyroid is working and she uses it fine, other days it is low so she extends her cycle to almost 16 hours. So we kind of have the opposite problem to most In and Out's in that we don't run up against too short of a cycle but too long of one.
Because she doesn't seem to develop a the normal shed of a depot insulin and responses immediately to dose changes I'm thinking that she might benefit from me working with a protocol more fitting PZI than the standard Lantus/Levermir so that we can start eliminating the steep drops and sky high bounces.
Anyone up for the challenge?
Mel and The Fur Gang.
Now you are probably wondering why a Lev Kitty would be posting in PZI ISG? Well because after years and years of testing I've come to the conclusion that someone forgot to give Autumn the manual on how she is suppose to use a depot insulin..She believes that it is an In and Out like PZI. And that is how she dances.
So since she uses it like an In and Out and no matter how I try to spin depot insulin protocol rules, she refuses to obey the rules I got to thinking that maybe over here is actually where we need to be.
Here is what I know about Autumn, she is impossible to shoot low to stay low, if I shoot her below 250 she crashes, doesn't matter the dose, under 250 we are going to be having a pajama party.
She gives me an immediate response to dose changes, she just doesn't seem to develop a shed, and she has erratic cycle durations which also makes her impossible to consistently shoot the same dose every 12/12 of a standard depot insulin protocol.
She is approx. 18 years old and was adopted as a diabetic after being left completely untreated for 10+ months after she was diagnosed by her previous person. Which has made her a brittle diabetic and more than likely insulin dependent for life. Prior to coming to live with me, she has been shot in the face/neck/and shoulder and one of those B.B's pierced her thyroid causing her to have a sputtering thyroid which also effects how she uses insulin. Some days her thyroid is working and she uses it fine, other days it is low so she extends her cycle to almost 16 hours. So we kind of have the opposite problem to most In and Out's in that we don't run up against too short of a cycle but too long of one.
Because she doesn't seem to develop a the normal shed of a depot insulin and responses immediately to dose changes I'm thinking that she might benefit from me working with a protocol more fitting PZI than the standard Lantus/Levermir so that we can start eliminating the steep drops and sky high bounces.
Anyone up for the challenge?
Mel and The Fur Gang.
But on Lantus she is a nightmare and vicious. She actually didn't do too bad on NPH just have to shoot T.I.D until she got down to where even a drop would take her from 300+ to lo. 
I am thinking, like you, the thyroid is always going to be the stealth player in the mix and it may always make things messy.
