1/27 Mikey PMPS 72, +5 72 +5.5 59

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Oh man!!! We go out to dinner and look what I missed but I'm glad the implied threat of the Borg Queen encouraged you to shoot! I see Wendy gave you my BOS...very cool. Good job shooting!!!

Also good job getting him up. Remember to stay on it even after he comes up because the HC/honey will wear off.

On the reducie...sometimes they need a higher dose for a short time to kickstart them and then they do better on the dose you increased from. Good luck with the reduction! We're cheering for Mikey.
 
The dose reduction criteria you asked about on the German board are:
  • A drop into the 30s
  • A week in normal numbers
  • 3 drops on separate days into the 40 - 50 range
 
I have seen articles referring to Levemir being used in cats, but nothing that says cats go flatter using it. Let me know if you want a reference to cats using Levemir. I think most of the studies are from U of Queensland.

If it's been a while since Mikey has had a dental, it's a good thing to get checked out. I took Neko in for a dental a couple of weeks ago for some gum work (due to excess growth from he acromegaly) and the dental vet found a deep gum pocket down to the jaw. The tooth looked perfectly fine to the eye but the X-ray revealed it. Her dose has gone down a little bit since the dental. Lucy/Voula had a dental a few days after, and Voula is noticing that Lucy is getting better duration from the insulin now.
 
He's 66 at +4. Do I want to stop feeding him or give more LC? Now that he appears to be heading up, it would be helpful to have a plan for when to test. I'd like to get to bed at some point, but I can set the alarm to test, if I need to.
 
Marje and Gracie said:
Oh man!!! We go out to dinner and look what I missed but I'm glad the implied threat of the Borg Queen encouraged you to shoot! I see Wendy gave you my BOS...very cool. Good job shooting!!!

Also good job getting him up. Remember to stay on it even after he comes up because the HC/honey will wear off.

On the reducie...sometimes they need a higher dose for a short time to kickstart them and then they do better on the dose you increased from. Good luck with the reduction! We're cheering for Mikey.
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Thanks, Marje. The Borg Queen is very scary! ;)
 
Sienne and Gabby said:
The dose reduction criteria you asked about on the German board are:
  • A drop into the 30s
  • A week in normal numbers
  • 3 drops on separate days into the 40 - 50 range
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So I guess I have to reduce. Sigh. Better safe than sorry, though, especially since I'll be back to work on Thursday. Thanks for responding.
 
It's a fine line between him having enough LC on that he doesn't come back down and also bring able to go without food for a couple hours so you can see if numbers are rising and get some sleep.

I believe you gave him 8% last time. You can either give him a little LC and test in an hour or not feed and test in 30-45 mins to be sure he's still coming up.

Fixed his SS.
 
you can hold off on feeding him now. you want 2 tests flat or rising, after you've stopped feeding. take a peek below at the guidelines:

If your cat is testing in low numbers and you are not getting a quick response to your post, there are several things you need to do. (Low numbers are under 50mg/dL or 2.8 mmol/L.)

  • Depending on how carbohydrate sensitive your cat is, feed approximately a teaspoon or less of gravy from high carb food or high carb food only.
    (If you have a cat with GI issues, using a couple of drops of syrup plus low carb food is an alternative.)
  • Test again in 15 – 20 min. Depending on the numbers, give more HC food.
  • Repeat the above steps every 15 – 20 min. until your cat tests in the 50 mg/dL (2.8 mmol/L) or above range for 2 consecutive tests. Continue to feed in small amounts to keep numbers in a safe range.
  • Test in 30 - 40 min. and repeat the test and feed process until there are 2 consecutive tests where numbers are stable or rising.
  • Test in an hour and follow the same steps.
DO NOT become complacent. If number have risen after one or two tests, it’s important to continue testing. Numbers may bobble up and down as the HC food and/or Karo wear off. DO NOT get one test where your cat has risen from low numbers into the 50s and go to sleep or leave the house. You are putting your cat in a risky situation. When in doubt, leave HC food out.​
 
Wendy&Neko said:
I have seen articles referring to Levemir being used in cats, but nothing that says cats go flatter using it. Let me know if you want a reference to cats using Levemir. I think most of the studies are from U of Queensland.

If it's been a while since Mikey has had a dental, it's a good thing to get checked out. I took Neko in for a dental a couple of weeks ago for some gum work (due to excess growth from he acromegaly) and the dental vet found a deep gum pocket down to the jaw. The tooth looked perfectly fine to the eye but the X-ray revealed it. Her dose has gone down a little bit since the dental. Lucy/Voula had a dental a few days after, and Voula is noticing that Lucy is getting better duration from the insulin now.
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Those references would be helpful. No rush, though. It will take some time to get everything together.

Mikey has never needed a dental. His teeth have always been great. I think it would still be wise to have them checked, though. I also want to go over my spreadsheet with my vet. I don't want him to be totally detached from Mikey's treatment, even though I'm not following his directions to a T. Or much at all...
 
He's 64 at 4.5, which I assume is flat. I didn't feed him at +4 and I'm not feeding him now. I'll test again at +5. If he's flat, where do I go from there? What times should I set the alarm for? He is just the cutest thing ever snoozing on the desk. He's still a stink'ear, though!
 
I'm not sure any of us can be sure of what he'll do next. trust your gut, mary - you know the little guy better than any of us. if in doubt, test more often. :bighug:
 
He's 72 at +5. Do you think it would be safe to go 2 hours before testing again, if I'm not up in an hour. I feel comfortable with that, but I feel better running it by someone who has more experience than I do. I'm kind of expecting the bounce to start soon, although I'm hoping against hope that he won't do it.
 
by the way, mary, he's now spent about 11 hours in green numbers - the longest he's ever made it. be encouraged that him staying in greens will help his body accept them as normal.

Your efforts are worth it!

are you wanting to sleep? if so, i'd give him some more 3% and recheck in 1.5-2 hrs. If you're just wanting a break from poking, i think you could hold off and not feed, then honestly, i'd check in another hour, just to make sure he isn't dropping back down. We usually want to see 2 hrs without feeding, with numbers either flat or rising, to assume that he's going to hold up.
 
Thanks, Julie. I didn't realize that the long green streak would help with liver bootcamp. I really hope he stops bouncing so much. It will be 2 hrs since he's eaten in about 20 minutes. If he's still ok after the 2 hours is up, should I still set an alarm? If he needs to be tested at a certain time, I can do that, much as I'd rather not. Otherwise, I'll just test him if I wake up to use the bathroom. Considering how much herbal tea etc. I've had while hanging out with him tonight, that might be sooner than I need to test. :)
 
if he goes 2 hrs since eating and he's still holding his BGs up or flat at that point, then i'd think you'd be ok just leaving him out some 3% and going to bed. Of course, I don't have a crystal ball, but that's what i'm thinking at this point.

Jill's technique for retesting is to drink a large glass of water before bed and then test with that wake-up call. :D

yes, absolutely - the longer he spends in green numbers, the more it helps his body accept it as normal. when that happens, the bouncing can often stop, or at least lessen considerably. all that time in green is fantastic for him!!!
 
Unfortunately, our little stink'ear has dropped again. I'm about to give him some 3% and set an alarm. Actually, I'm going to set two. so I won't forget to set it when I get up. I can always turn it off if he's bouncing. I'll be on still for a bit, but I'll be on my tablet, so communications will be limited and subject to the whims of autocorrect. Thank you so much for all the help tonight. I'll be back on, if there are problems.
 
Marycatmom said:
He's something else. I'm soooo bummed about the reduction! Maybe this time the .5 will hold.

One other thing I wanted to ask. I'm not ready to switch him over to Lev yet, but it's something that I'm thinking about. In order to do that, I'd have to convince my vet to prescribe it. Does anyone have any links to scientific articles I could give him to persuade him? I want to get Mikey in soon to check out his teeth, and that would be a good time to plant the seed. I'm positive he'll never prescribe it without talking it over with the practice owner, so this will take some time. Meanwhile, they have a discount on dentals right now! Although I'm not so sure he needs one. His breath smells like cat food, not anything else.
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I am curious, why do you want to switch him to Lev? If I remember correctly when Sami first started in insulin she was on something called Vetsulin, and then after the first round they switched to Lantus. I know there are many types of insulin and I am just wondering why some people/vets go with one over the other.
 
Tina & Sami said:
I am curious, why do you want to switch him to Lev? If I remember correctly when Sami first started in insulin she was on something called Vetsulin, and then after the first round they switched to Lantus. I know there are many types of insulin and I am just wondering why some people/vets go with one over the other.
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I'm not sure I do want to switch him, but I'm considering it, because cats tend to have flatter cycles on Lev. Mikey is the king of bounce. I'm still hoping that it won't be necessary, but I want to have my ducks in a row.
 
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