? 16/5 Lisa ΑMPS 426 +2 495

It is what we call New Dose Wonkiness. After an increase in the dose, numbers can increase rather than decreasing in the 2nd and 3rd cycle after an increase. They should settle down soon.

Don't bother getting any more tests till PMPS. Enjoy your day :-)
 
I wonder why the same didn't occur when I raised to 0.5, all these high numbers make me unhappy, and she didn't have these before she was on insulin, does this make sense?
 
dionysia ke said:
I wonder why the same didn't occur when I raised to 0.5, all these high numbers make me unhappy, and she didn't have these before she was on insulin, does this make sense?
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Yes it didn't. Maybe the Surolan is also a factor?

When you are testing and increasing in 0.25U, it is not a case of too much insulin. When not on insulin she was high as well.
Once she gets used to lower numbers, the bouncing will reduce. I know it's very upsetting to see such high numbers, but it will get better. It takes a little time to "train" her body not to react to lower numbers.

Insulin is a hormone, not a drug. So the body needs to learn it and it can take 2-3 months for some cats to get regulated.
Just keep increasing as and when the numbers require it and test to see how she is doing on the dose.
 
As for why she would be higher at +2... my cat always goes higher at +2. I always attributed it to two things: (1) he ate food and got a small food bump in his numbers, and (2) he was at the end of a cycle and just the beginning of another cycle so the previous cycle's insulin was kind of "wearing off" but the current cycle's insulin had not really taken effect ("onset" had not occurred yet -- which for us was around +4). Now, with the depot insulins like Lantus and Levemir, you get much flatter cycles and your numbers won't jump up as high as if you were using a single-cycle insulin (which has no depot for the cat to fall back on while he is waiting for the current cycle's insulin to onset). In your case you have also got new dose wonkiness happening and that's playing into it. My kitty always tended to run higher on the second day after a dose increase. Good luck. Hang in there. You've got an amazing coach in Bhooma.
 
Hard to say but be prepared for weeks and weeks. Maybe longer. Maybe shorter. Some people on this site have been trying for years. I don't mean to upset you with this but I have heard that it is sometimes more difficult to get a kitty in remission if they have already been there before. Please, just be patient with your girl. I did see someone on this site that got her cat in remission in two months. It was amazing. Just love on your girl and do the very best you can. This is a marathon - not a sprint.
 
I thought it was encouraging that Lisa has been in remission before with food and pill...
Could we though meet a stage which doesn't have this much commitment and stress?
I am concerned by the values of her insulin so far.
 
Just my opinion but right now Lisa's blood glucose is very high. You are on SLGS so you need to hold that dose of .75 for one week before doing an increase. We should see some improvement in a day or so. These are the times you should be relaxing a little. No, it is not good that she is so high but when the numbers start coming down the stress can increase if you are unprepared. I know you work. Just make sure you leave some low carb cat food for her when you are gone. Did you say if you have an auto feeder? If you switch to TR you can increase the dose sooner but there are other considerations with TR. For me, I don't like the fact that I can't decrease the dose until Susie falls to 50 or below if I am on TR. I'm just not comfortable with that. Right now, on SLGS, you can decrease the dose if Lisa falls below 90. You could switch to TR now and then switch back to SLGS later if you like. I wish I could take away your concerns. Learn all you can by reading the yellow sticky's at the beginning of the Lantus, Baseglar, Levemir forum. The more you know the more control you will have.
 
Thank you so much for your support!!!
I don't have an automatic feeder but my mom is at home and she can feed and shoot. (she can't test though cause she is too afraid of blood)
I really want to get to a point with less monitoring but not so high values too so I can have less stress..
Is this going to be like it when she gets regulated?
 
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Hopefully, you will eventually find a good dose for Lisa. Something in the blue numbers. You don't need to monitor a lot now because she is so very high. Some cats that are regulated are pretty predictable. Others need more monitoring because they tend to be bouncy. Take a look at my (Susie's) spreadsheet from yesterday (5/15). I thought we were doing very well and were fairly regulated then she started dropping yesterday and did not stop dropping. I have never had this happen to me before and I was getting very nervous because I kept giving her low carb food. Nothing was stopping her drop. A 78 at PMPS was all I needed to decide I would not give insulin because I was afraid for her. These are the things that can happen with this horrible disease. Every cat is different. Right now, you should not be stressed about monitoring but we do need to get Lisa's glucose down. The longer she is in the high numbers the harder it will be to break that toxicity and get her down. I'm so glad your Mom can feed and shoot. It would be even better if she could learn to test because you have to test before you shoot to make sure Lisa is safe to give insulin. I was petrified of the testing in the beginning but now it is very easy for me. I put a little Vaseline on Susie's ear tip (to get the blood to "bead") and warm her ear with a warm rice sock to bring the blood to the surface (not hot). Susie has gotten used to it and so have I. I wish I could promise you less stress and monitoring but I simply cannot. Just take it one day at a time, Di. This group is here for you and your girl.
 
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