12/31 Ozy AMPS-109,+3-77,+8-100,PMPS-110

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donaleen and Ozy

donaleen and Ozy

Member Since 2013
Previous http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=110915

Ozy is feeling good this morning and felt good last night both times I was up to test him. No, I did NOT set the alarm, nature called in both cases. But, as long as I was up I tested him. Last night he cruised in the very low yellows.

Would you call last night a bounce that he cleared fast?

We are doing better with the new shot location except that last night we forgot to do it WHILE he was eating (too used to doing it after he eats) but we managed. I mentioned in my SS that Harpo, one of Ozy's civvies, has started stealing Ozy's food. I think Harpo is feeling jealous of all the attention Ozy is getting and that is one of the ways he is showing it. And Ozy isn't finishing his food like he always used to, so Harpo is moving in. It used to be that only Ozy stole food from anyone else. I mention this just because it is getting harder to monitor how much Ozy eats.

I see that the syringes are in Portland. Now if they can just get the truck to deliver them....

My heart goes out to Hershey and his beans.... how scary! And to Suzanne and Cobb. And to all of you who stayed up with them.
 
Re: 12/31 Ozy AMPS-109

dancing_cat dancing_cat dancing_cat dancing_cat dancing_cat
happy dancing in Baltimore!

:RAHCAT Go Ozy Go ! :RAHCAT

Carbohydrates are being better metabolized thanks to the insulin and energy is now getting to his cells. The hunger is curbed.

Well done!
 
Re: 12/31 Ozy AMPS-109

Might have been a bounce. Could still be. My Tiggy has these weird bounces where he goes up a bit to say pink, then drops a little to say low yellow (which makes me think the bounce has cleared) and then sits flat yellow for a day or two. ECID I guess.
 
Re: 12/31 Ozy AMPS-109

wow - i wake up to Ozy at 109!!! Two days in a row of fantastic beginnings!

I might call that a mini-bounce that he already resolved. yes. One cycle with slightly higher nadirs, but here we are again. Wonderful. Very obliging of the syringes to make it to town before you needed them. :lol:
 
Re: 12/31 Ozy AMPS-109

I have had enough excitement/stress for a bit. Hoping for things to just settle down. I have come to like a quiet life.

Ozy is curled beside me sleeping. I like having him near me. I think he is a bit tired of all the constant checking and attention. But he puts up with me anyway.

We have done okay with the scruff shots. I do find it more difficult to do but I suppose I will adjust. It's hard because he jerks his head when he eats and because that is such a hairy place. But I haven't smelled any insulin so that is good.

Happy New Year to you all. And thank you so much for the guidance and support.

donaleen
 
Re: 12/31 Ozy AMPS-109

Thanks, Pattie. I appreciate your support.

I just thought I'd paint a little picture of how it is to test Ozy. He is very good about it. But the other two are very nosy. Pippin gets on the arm of the chair and tries to get a good view. Harpo often jumps on my back to remind me that it is treat time. Ozy is the easy one!

Harpo is also known as R Crumb. Anyone remember his comics where he liked to get piggy back rides? Well, that is Harpo. Any time I bend over he is likely to jump on my back. I think it is some kind of domination. In the summer with less clothing it can be painful

Update at +2... Ozy goes green!
 
Re: 12/31 Ozy AMPS-109

Oh so cute. U need to take a picture. I am thinking of adopting another diabetic mid January unless someone can talk mr out of it. So far no takers

Pattie
 
Re: 12/31 Ozy AMPS-109

Here he is... and yes, I was bent over testing.



If you can afford it, I say go for it.

I sometimes dream of adding another kitty to our household. I'd like an older adult because I know it is so hard to find them homes but scared of the expense.
 

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Re: 12/31 Ozy AMPS-109,+2-86

My newest one Melody is IAA positive and 4. This is diabetic and 3. I think they would play together. My other 2 are 11 and really don't want to play that much anymore

Pattie
 
Re: 12/31 Ozy AMPS-109,+2-86

I posted a photo for you. Did you see?

I remember that when I was volunteering at the humane society there was a diabetic kitty I was crazy for. Her name was Mouse. John nixed it because of the diabetes. And here we are anyway....
 
Re: 12/31 Ozy AMPS-109,+2-86

I see the picture.funny. Seems to like the back though. Well, I gotta go cook. Give Ozy a hug and Happy New Year

Pattie
 
Re: 12/31 Ozy AMPS-109,+2-86

Since Ozy is down to 86 and I don't understand his cycles on Levemir, I think I will be doing a fair amount of testing today after all....

And Ozy liked the hug... he is waking up now. An hour since bupe, almost like clockwork, he wakes up.

Update: And now at 77 at +3.

Wishing I understood Levemir cycles better.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77

:mrgreen: :mrgreen: :mrgreen: :mrgreen:

Speaking of bupe, what shots/timings did he have yesterday and over night? How's his appetite?

Regarding Lev cycles, understanding will come with time. For now, go with the flow :cool:
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77

Hi Sandy.

He has bupe at pretty close to pre-shot, morning and night. It is an oral liquid. I give him .2 ml via syringe in his cheek pockets (as best I can). I put the bupe times in his SS....bupe times yesterday: AMPS and PMPS. today: bupe @AM+1.5

His appetite is pretty normal and was last night as well.

He was a little off yesterday. Lethargic. Vacant. Had to be encouraged to eat. It was off enough that I kept a very close eye on him. But he perked up late in the afternoon and has been himself since then. I knew he was off at the time but even more sure of it when he came out of it. During the time, I was unsure if it was paranoia or real.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77

Fantastic. I am so happy!!!!!!

As far as the lev cycle, I also think you should just go with it for now until we figure his out. Wendy/Neko and I (with Gracie) will often see the nadir for our girls at about +15 which is where Ozy is from his shot last night. Then they rise, then come back down. We'll have to see what Ozy wants to do but I am l-o-v-i-n-g this!!!
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77

donaleen and Ozy said:
He was a little off yesterday. Lethargic. Vacant. Had to be encouraged to eat. It was off enough that I kept a very close eye on him. But he perked up late in the afternoon and has been himself since then. I knew he was off at the time but even more sure of it when he came out of it. During the time, I was unsure if it was paranoia or real.
Click to expand...
Sometimes when they have been in high numbers for a long time, the sudden change to lower ones can feel crappy. I have a diabetic friend who told me that. It didn't take long for her to start feeling great in low numbers, and crappy when high. It's just a change from what he is used to.

But yay! On these last couple of days! Don't worry about the cycle. Because of the depot action, it's better to look at the action in "waves" over a few days rather than just 12 hours at a time. What I see is that his highest number for the past couple of days was 214, and that's great! He has been under renal threshhold since Sunday night. :mrgreen:

It may or may not have anything to do with shot location. You also did a significant dose increase a few days ago. The good numbers showed up on the 5th cycle of the new dose, so he is probably just liking this dose a lot.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77

Thanks Marje and Libby for your support and advice.

Libby, what you said makes absolute sense. However, Ozy usually feels better in low numbers than high numbers. The first time he went under 50 he felt sooooo good that I really didn't want to see him go up again. But there have been a few times when he felt bad in lower numbers, like he did yesterday. I am a helicopter parent with him for sure.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108

Libby and Lucy said:
Because of the depot action, it's better to look at the action in "waves" over a few days rather than just 12 hours at a time
Click to expand...
Wise words :cool:

In case you are so inclined. . .
Check out BKs ss, specifically the tab labelled 'Graph'. It's one (ugly) week in BKs journey. For me, graphing it over time makes it easier for me to see the waves and patterns.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108

Thanks, Sandy. I did spend some time with Black Kitty's SS a while ago but I really wanted something that told me why you did what you did and your condos have gone away (I think from a server change?).

I will look for what you said. I did download all Ozy's data and put it into a database so I could try to learn things from it. But I didn't learn much. If you look at September, you will see a lot of reductions without the every twenty minute test data I used to have. I would love to be better at making sense of the SS data. I am a data person but this data is hard for me to read.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108

Putting all of Ozys data into a database. . .you are indeed a data person.
The more data you collect the more the picture will emerge.

It's a drag that the old board is no longer available. There is a wealth of information, not to mention the feeling of that stroll down memory lane. They were different times; LLers had just started the ss method of tracking BGs! Back then even those with vast FD experience had none when it came to IAA. We were truly in uncharted territory.

It is likely true that BK may have been first to get tested. We went right for the Acro test (the thought of Acro terrified me back then). Everyone was anxiously awaiting the results, to confirm the obvious. And the results came back - negative?!? Now what? One of the wise ones had heard of extreme insulin resistance and pointed me to the test, as a last resort. Those results - extreme insulin resistance.

It was quite scarey at times. Jill/Alex, Libby/Lucy and other folks that were part of the 'class of 2008-2009' remember the many ups and downs (and downs and ups) as twists and turns, not to mention the occasional nail biter nailbite_smile . .or 2. . . :oops:

Why I did what I did? High level - on the outside chance that I could get BK regulated at numbers under the renal threshold. On a shot by shot basis - in general I stumbled along the best I could and listened to the guidance of those with experience.

And here he is, with 4 years at the Falls under his belt. The last cat anyone, especially myself, expected would go OTJ was BK.

If something on BKs ss sparks a question, don't hesitate to ask.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108,+7-107

That looks like a nice surf for Ozy :-D I just wanted to pop by and wish you a Happy New Year! Hope you have a great night :razz:
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108,+7-107,+8-100

Thanks for the offer, Sandy. Very excited by your offer! I'd love to ask you questions about what was going on. You are an absolute legend. I know I am not alone in my interest.

He doesn't have a profile anywhere, does he? I'd like to make a sort of history for black kitty, for myself to understand, and for others because your condo history is gone.

oh, FEDEX just delivered those syringes and they are AMAZING!!!! They are easier to read, much easier to adjust, they are more accurate, the needles are a little shorter, and they are cheaper than the ones I was getting at Walgreens. I can see now how one could get a tiny micro dose. I couldn't see that with my old ones. Hey, guys, if you don't have these, get them (thanks Julie)

http://www.americandiabeteswholesale.com/product/terumo-thinpro-insulin-syringe_5891_112.htm

And thanks for stopping by Sienne and Rachel.

He is down a tiny bit at +8, 100 exactly.
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108,+8-100

yay! it's the little things that matter, isn't it?! i'm glad they came and glad you like them. I think you'll find measuring doses with them to be a little easier.

love the pic of Harpo on your back! Anya jumps on my back but i don't tolerate it - you're a good sport. Her claws go right through into my back.

Ozy - well, what can we say about Ozy today except that this is a great dose for him at the moment. He looks super! It's like a Happy New Year gift from Ozy to you! Enjoy!
 
Re: 12/31 Ozy AMPS-109,+2-86,+3-77,+5-108,+8-100

Thanks, Julie.

I was putting away the paper from MSU and it says the following

Insulin Growth Factor 88 with a reference range of 12-92

Insulin Autoantibody 68% H with a reference range of <=20%

I think they mean they see his 68 as a High reading, don't you?

Oh and at the bottom, it say H = High Result.

And there IS an interpretation:

"This normal concentration of insulin-like growth factor 1 does not provide support for a differential diagnosis of acrmomegaly. The elevated insuling auotoantibody index result provides support for the presence of insulin-binding antibodies, which may be present when there is good glycemic control. Is there insulin resistance?"

Kent R Refsal, DVM PhD

What does "which may be present when there is good glycemic control. " mean???

I uploaded it to my Google Drive

here is the link

https://drive.google.com/file/d/0B6CxgyuIGH9TSWx6UlNFSkhndEk/edit?usp=sharing
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+9-113

Another beautiful day for Ozy today! I love the low blues surfing. :-D And even better than he seems to be doing the lower numbers during the day and higher at night. What a considerate cat!

The IAA results are less than or equal to 20 are the normal number range. Anything over is a sign of resistance. Neko's number was 52. I just took a look at her results, and it said less than yours does. I'd guess H means high results. The second part of the interpretation means, I think, that the antibodies would be present even if Ozy was in good BG numbers. But I'm not sure. You could always ask the vet.

Cute pic of the kitty on the back. Neko used to do that when she was younger and lighter. I'm so glad she's gotten over that. :lol:
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+9-113

I would interpret that the same way that Wendy is describing. What it might be referring to is that even when you have good control of the blood sugar, the iaa # remains the same.

It's like when i had punkin tested initially for acro and he had a 281, then a year later (and post-SRT) he had a 304. The CSU folks told me the number doesn't usually decrease, even though he showed signs that the SRT was effective.
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+9-113

I thought someone wanted an interpretation of IAA results and what was high...

Anyway. Ozy is still in the low 100's, which is great. He is in my lap and seems good. He hasnt' had as much to eat today. But he seems fine.
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

i showed his ss to DH a few minutes ago - these past couple of days have been so good for him. even the bounce was half-hearted. seems like he's getting used to these numbers, and they are mighty fine numbers!
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

We know from members' experience that syringes do not all measure the same. You might want to do a comparison between the Walgreens syringes and the Terumos to see if they measure 6.5u the same.
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

You definitely want to do a comparison. When I switched to terumo's, I unknowingly gave about a 1/3 of a unit reduction . It could have been the other way which would have
been worse.
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

John, who loads the syringes says they are very close, maybe different by a few drops. Thanks for thinking of that.
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

Just be sure you continue to monitor as you have been. If the Terumos have more drops in a dose than the Walgreens, he might throw you some low numbers.....vice versa if the Walgreens have more drops.
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

What another glorious day for Ozy!!!

There is definitely a variation between type of syringe. You will likely have to make some adjustments.

OOps...thought this post went through earlier. :shock: :lol:
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

Thanks, Marje. It was hard to be sure. We loaded one syringe with 6.5 units, expressed it and then sucked it up with the other brand. I am sure we could be off by a few drops. I will definitely monitor him carefully tonight. Thanks for thinking of us and helping us on our journey.

My love to you,
donaleen
 
Re: 12/31 Ozy AMPS-109,+3-77,+5-108,+8-100,+11-115

You're so welcome! We see all so excited to see Ozy doing so well. :YMHUG: :YMHUG: :YMHUG: :YMHUG:
 
Happy New Year!

Man-oh-man, Ozy has got one serious case of the BLUES \M/ \M/ \M/

donaleen and Ozy said:
Insulin Autoantibody 68% H with a reference range of <=20%

I think they mean they see his 68 as a High reading, don't you?

Oh and at the bottom, it say H = High Result.

And there IS an interpretation:

"This normal concentration of insulin-like growth factor 1 does not provide support for a differential diagnosis of acrmomegaly. The elevated insuling auotoantibody index result provides support for the presence of insulin-binding antibodies, which may be present when there is good glycemic control.
Click to expand...

FWIW BKs test result of 84% was interpreted as 'extreme insulin resistance'

donaleen and Ozy said:
What does "which may be present when there is good glycemic control. " mean???
Click to expand...
I think it may be that once you have antibodies you will always test positive, even if the BGs are under control. I had BK retested on 11/07/2009, after I realized things were changing (I noted things seemed way different on 11/03/2009)- I was certain it had to have gone down. Results were the same, which the vet predicted - she ordered the retest to indulge me. BK should be due for BW soon; I'm going to have him re-tested, in the interest of seeing if the reading is still the same. I believe it will be.

So. . .Considering that antibodies may be present even when there is good glycemic control. . .
donaleen and Ozy said:
Is there insulin resistance?"
Click to expand...
Time will tell. :cool:

I do not have a profile on BK :oops: (shame on me) I should.
 
Thanks Julie and Sandy. You are both very dear to me. Julie, I love your Woots!

I have to say that this thing where the IAA/IGF-1 test results don't change baffles me. How can those test be diagnostic? What are they diagnosing? What does change that makes it possible to control their glucose or even go off insulin?

Happy New Year all from one happy bean.
 
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