2/11 Max amps 368 +1 326 +2 267 +3 183 + 4 133 +5 87 +7 95 +10 205 PMPS 348

Max & Lori

Very Active Member
Still have questions about how the best way to flatten him out. I’m not sure feeding the higher carb early in the cycle is going to do it yet. Still working with that one, but after looking at other SS I’ve also wondered if his dose is slightly too high? Or not, and instead needs a slight increase to help the bounce not be so high? Or would short acting insulin R bring down the bounce so that I am not starting with a very high number and maybe the cycle would flatten out a little faster? I am completely confused and have no idea. I have been going by the nadirs as I’m supposed to, and I know that’s the right thing to do, but I just feel like there has to be something that would work better. He has an extremely complex medical history and no two cats are the same, I realize that. I also know treating diabetes in cats is not the same as treating people (cats much more difficult in my experience), especially a cat with acromegaly. I am not experienced enough to figure it all out yet. I just think something needs tweaking with the insulin, whether it’s adding R for the high bounces or an adjustment in his Lev…I don’t know. I’m being patient, because I have to be…but I’m still wondering if there’s something else I am missing to help Max. Prev post https://felinediabetes.com/FDMB/thr...-2-302-3-256-4-142-5-127.274000/#post-3044262
 
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but after looking at other SS I’ve also wondered if his dose is slightly too high?
His dose is too high if he goes under the reduction point. What are you currently using for that? I agree that you do have room for a small increase if you want to.

Using R is a possibility, but it does take a bit of work and learning - with an experienced person here to help you out. And quite a bit more monitoring to start. Reducing bounces is not one of the classic reasons we use R with. Mostly we use R in cases of ketones or higher doses than Max is now. I started using it after Neko's first SRT when her dose started jumping up quickly. Plus, it's not a good idea to use R if kitty is clearing bounces quickly, which Max often does. The trickiest part of using R is in fact learning when not to use it.
 
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