1/9 Ole AMPS 429 +2 HI +2.5 500 +7 468 PMPS 449 +2 350

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Rebekah

Member Since 2013
Good morning!
viewtopic.php?f=9&t=111506#p1176254

Last night's BG's after .1uR and 5uL
+1 429
+2 449
+3 421
+4 402

429....I of course was hoping for lower. That number is popular with Ole, and I'm waiting for my test solution to be mailed to me for my new monitor.

Ole was up at pm+10 asking for his breakfast. That is earlier that usual. I give him a meat snack (this morning baked chicken) and put him in the garage for a time out. He loves being out there and it gives us time to catch a few more zzzz's. If I don't give him a time out, he will be persistent, using all of the wiles of his wiley ways to get his way and more food. I should have tested him, but was somewhat foggy and forgot.

He is giving himself his morning wash. He has healthy poos, 1-2x/day and plenty of pees. It's like a pee fest in our house! I monitor the LB closely, scooping it in the am and pm. I hope to see him more active this morning with a smaller food spike.

I will be able to come home for lunch to give him a test and a meal, but otherwise, I will be out of the house until +11.5. Tomorrow I will have a quieter work day, working from my studio.

I hope you all are having a good one thus fur!

Rebekah and Ole
 
Re: 1/9 Ole AMPS 429

I hope Ole will slide down for you today. It's easy to think I should have tested when we were half asleep. I think we've all done that before.
 
Re: 1/9 Ole AMPS 429

Hi guys .. ok Ole, time to give up these numbers! I think it's real funny ole get's a "time out" in the garage! :lol: What a silly cat ... have a great day guys!
 
Re: 1/9 Ole AMPS 429 +2 HI

Hello,

My wish for a slight food spike did not come true. This is very stressful.

Negative for ketones

I'm off to work.
Rebekah
 
Re: 1/9 Ole AMPS 429 +2 HI

Rebekah said:
Hello,

My wish for a slight food spike did not come true. This is very stressful.

I'm off to work.
Rebekah
I know. It's discouraging isn't it? You'll find the right dose. You're increasing safely. It might take a bit to get there. It took us a little more than a month of fast tracking to get to a dose that Cobb is responding to. But it'll happen. One day you'll be seeing the reds and then after a dosecrease they'll be in the rearview. Going up inch by inch is safer than jumping and risking hypo!

We've considered giving Cobb a time out as well. There used to be nights where I had to out him in his carrier in another room with the door to mine closed. He was THAT bad!

Hang in there! You're doing great! Try to have a good day!
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500

Thanks for your words of support Suzanne and all!

I was a bit of a wreck heading to my +3 meeting, but just as I was walking out the door, Ole brought me his ball to play fetch with. It is though he was telling me that it was going to be all right. I tossed the ball for him a couple of times and he fetched it slowly, but he is looking good. A quick test shows a drop of 100. I'm leaving the house feeling a little bit better.

Thanks Ole and the rest of you!
Rebekah
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500

Hi there :cool:
Rebekah said:
This is very stressful.
It is indeed, however It will get better.
Persistence Prevails

:?: Has Ole ever had a dental cleaning?
Periodontal disease, or even one bad tooth can have a HUGE impact on BG.

If I had not addressed BKs teeth & gums, he would not have gone OTJ. No doubt about it.
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500

We're pulling for you, Rebekah. I find it very difficult when Ozy is high, which is lower than Ole.
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500

:?: Has Ole ever had a dental cleaning?
Periodontal disease, or even one bad tooth can have a HUGE impact on BG.

If I had not addressed BKs teeth & gums, he would not have gone OTJ. No doubt about it.[/quote]


Ole has not had what I would call full dental work up, but he has had his teeth and gums checked several times through out this process. I believe Dr Romans was looking for other potential causes for his high BG's, but didn't see anything alarming. I look at his teeth and smell his breath regularly for signs of other problems too, and everything seems fine to these untrained eyes. Do you suggest a more in depth dental check up?
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500 +7 468 another R shot???

Hello all,

Thank you for your visits. Ole really appreciates that you are pulling for him.

I was wondering, if Ole tests in the black, should I give him a R shot?

Thank you
Rebekah
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500 +7 468 another R shot???

You can give him some R, if you will be around to monitor him. You could test again at +8 and give it then. Hopefully, it will bring his numbers down to a better range for his PS tonight.
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500 +7 468 PMPS 449

Good evening!

I am always happier when Ole's numbers are out of the black. Black freaks me out because he has had so many.

Tomorrow I only have to be out of the house for a couple of hours then I can work from home. I will be able to test him more and perhaps try a +8 R, if he goes back into black, which I know he does not want to do, because none of us like it and we are all sick of it.

Please let me know your thoughts. All of your help and attention always make me feel just a little bit better.

Thank you
Rebekah
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500 +7 468 PMPS 449

someone told me a few days ago about a tooth that did fall out, although the kitty hadn't had a dental and one wasn't suggested - was that Ole' or Cobb?

i think as you see these same string of high numbers, you can safely try the R again, same 0.1u dose, at preshot, or +7 or later. that doesn't apply if you see numbers coming down - then let us help you decide if it's a good time or not. it might be - but let us help you make sure. i'd feel comfortable with anything over 400 - i just would NOT shoot it between +1 -+5, just to make sure we do everything possible to avoid a coinciding nadir between the 2 insulins. So I would not have shot that +2 this morning, even though he was at HI. It probably would've been ok, and maybe someone who knew their cat well and had more extensive experience with using R on their cat would've done it, but in your situation, i wouldn't have recommended it.

repeat the same process you did before with testing every hour or so for 4-5 hours after the R shot.

you're doing everything you can, Rebekah. he'll get there! i like hearing that he brought you his toy to toss! that's super! exercise does help make cells more receptive to insulin so any exercise he gets is good exercise.
 
Re: 1/9 Ole AMPS 429 +2 HI +2.5 500 +7 468 PMPS 449

Hi there :cool:

Rebekah said:
Ole has not had what I would call full dental work up, but he has had his teeth and gums checked several times through out this process.
:?: Were his teeth and gums checked while he was under anesthesia for something else?
 
Hi all

Thanks Sandy for your help.

Ole was not under sedation when his mouth has been looked at, the exam has been cursory, but looked at 2-3 times since April.

I do not plan on giving Ole R without being advised. I'm way too much of a newby for that! I rely on the wisdom of others for sure. hahahaha!

His numbers seem to be coming down this evening.

Hope springs eternal!
Rebekah
 
Hi Rebekah :cool:

Unfortunately a cursory exam cannot reveal what may be lurking below the gum line.

below is a graph illustrating BKs average daily insulin intake, month by month (Lantus & R combined) for the 21 months he needed insulin. (If you click on it & open in a new tab or window it is a bit easier on the eyes)

It also illustrates what a difference attention to dental issues can make.

As you can see, from Feb to Nov 2008 things were not going well.
That October, I noticed a lump, about the size of a marble, on the back of his neck, slightly below his collar.
On 10/22/2008 Dr. K removed the lump and sent it out for examination - thankfully it was benign.
While BK was under anesthesia for the lump removal, Dr. K took a good look inside his mouth. She saw part of one of his back teeth had broke away an a fragment remained, which was easily removed. She also saw that he needed to see a veterinary dental specialist as what was going on with his teeth and gums was beyond her comfort level.

Things started changing - fast. On 10/30/2008 we had our first R free day since I started using R - 4 months earlier.Then the second R free day, then the third. . .
That is the first sharp drop on the graph in average daily insulin - Oct 2008 45u - Nov 2008 27u. From removing one bad tooth.

I was thrilled. He had turned a corner. I made an appointment with a veterinary dental specialist, Dr. B. for early December.
She took radiographs and ended up removing 8 (I think) teeth, most of which had resorption lesions under the gum line.
Then it was time to fasten our seat-belts as BKs insulin needs plummeted to a daily average of 6.5u for April 2009.

April 11 2009 was a landmark date - BK was down to a dose of 3u and he had his first solid green cycle.
Spirits were high in LL , the tone in BKs condo had changed - visitors now joked, all in good fun, about BK being a 'microdose' kitty and would ask if I was having difficulty seeing such a small dose. :lol:

Then the very next week, the week of 04/13/2009, the Pink crept back in - the following week red was back on the scene. . .
It was back up the dosing ladder, it was devastating.

One day BK yawned one of those really big yawns and I happened to be right in front of him and noticed red gums around one of his molars. I took him back to the dentist and on 05/29/2009 several more teeth were removed. And the slide down the dosing scale resumed . . .all the way to the falls.

Since all the serious work was complete and BK was OTJ, his regular vet, Dr. K , took care of his yearly cleanings and any extractions from that point on. BK is now toothless .

Food for thought.
 

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julie & punkin (ga) said:
so it wasn't him that had a tooth randomly fall out?
Just caught up on Rebekah's condo.

That was Cobb that had the tooth fall out and a full dental was actually discouraged due to his anesthesia issues from a few years ago.
 
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