2/23 Shakespeare

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Oh Sweetie, and you've spent the days helping other people.

You know what I am going to say. :mrgreen: There are some decent nadir numbers in there and the possibility of some bounces. Some good possible doses too. You Need More Numbers, Denise! Get a curve in and let's if it is clearer. I know you haven't had 2 good cycles in a row, but you've had some good cycles. Let's curve, decide whether up or down and leave him there a few cycles?
 
Thanks Sue, I nkow I need more data
I will be trying to get some oever the weekend
Thanks for looking I really appreciate it
I just hate the &%&#($* REDS!
 
First observation, and then I'll actually examine the numbers....
So I'm scrolling down, I get to the blank parts...and I think "well, where's the data from lately? It says "2/23/11" .... who cares if those numbers are all screwy, what about THIS year?"

:lol:
 
OK,
Not going to nag (that's Sue's duty on the SS's!) :mrgreen:

You need to set aside one weekend, and get a +4, +6, and +8 on the same dose two days running.
We need a snapshot.

I don't get why a dose of 3.2 worked one day, not the next day, and then worked again on the third day... 17th and 19th were good.

The best cycle I see recently was the PM on the 16th. He went pretty low from the PMPS number, and didn't really bounce high in the morning like you'd expect.

His numbers have improved slightly on the 3.4 the past three days, especially tonight's PMPS. I would stick with 3.4, and if possible, try to curve this weekend? Determine the dose amount based on if he still has pinks tomorrow?

Carl
 
thanks Carl.....OOPPSSS!
O forgot to record todays numbers and yes I keep putting the year 2011
I am just so darn tired lately...
ok so last night was a great pmps, I was a little excited
until I saw that darned meter this morning reading 488!!!
%&$%()#^%)&(#$(&@*

ok and tonight was 4something so he is high again today
 
Brutal crowd :lol: You know it comes with love Denise :-D

Do you think food has anything to do with this? Does he eat the same thing everyday?

You did get a nice high blue pre shoot after you shot 4 units back on the 6th, but the dose got changed after that so it’s hard to say.
Once you get a curve in, if it supports it maybe try 4 again if you are around to monitor.
 
You have some good nadir's. Your SS reminds me of Sev's a little bit. Wish i had enough experience to advise, but i do want you to know i understand the frustration of no movement or which way to go. Just know i'm here to listen and praying for a breakthrough with Shakes soon!!

THanks for encouraging me everyday! Your fantastic!
 
And ya know I have been thinking about Donna lately too
saying that Asher never really used to bounce until now...jstu like Shakes...
so then it hit me....well they never really bounced cause they never really went too low!!!!
now they are really truly seeing the low numbers so they are bouncing all the
way to Tahiti cause they are truly seeing the numebrs they should have last year!

just a thought
 
Donna
4 untis was too much, he was hypoing and acting badly so I had to reduce
the drops were like 85% in a couple of hours and it was too much for him
 
dmartini4 said:
thanks Carl.....OOPPSSS!
O forgot to record todays numbers and yes I keep putting the year 2011
I am just so darn tired lately...
ok so last night was a great pmps, I was a little excited
until I saw that darned meter this morning reading 488!!!
%&$%()#^%)&(#$(&@*

ok and tonight was 4something so he is high again today
Click to expand...
ah, crap! that shoots my theory to hell.....can we forget today happened and go with what I said?

I'd still advise the same thing, Denise. Two curves, with as much as possible remaining constant (food, meal times, etc). I liked that one night on the 3.8, but that is quite a bump from his current dose. You can live with a shallow curve if you can get his PS numbers down.
What does Shakes think about all this? How's he "doing"?
 
Oh, if you're reading along, Donna, that goes for you too. How is Asher beyond these damn numbers?

Carl
 
He wasnt doing well, sleeping a lot and his neuropathy came back
which is really blowing my mind, which is why i thought he was getting too
mcuh insulin, so I dropped the dosage and since then he is acting better
and his legs look better too!
I do not understand at all!!

Hsi wating is the same...maybe a little less somtimes but overall the same
but why did 4 units make his neuropathy come back?
 
That’s perplexing Denise. You’d think it would be better with more insulin. You are still giving the B12, right?

Carl, Asher was real sluggish last weekend, I was worried about it so I raised the dose maybe quicker than I should have, who knows. But this week he seems fine, and his brother slept more than he did today.

These kitties just do their own thing. Making us crazy is in their job description ohmygod_smile
 
Are you positive it is neuropathy? Can it be something else? Is he on b-12 or something else? Bob's leg weakness turned out to be low potassium levels.
 
No its neuropathy
I went back to giving him 5 pills a day again, I had lowered to 4 pills a day
and its his front leg neuropathy
 
Well technically, it's the higher BG numbers that are supposed to be causing it, not the insulin dose itself, but I was just doing some wiki reading on neuropathy and found this interesting:

http://petdiabetes.wikia.com/wiki/Neuropathy#Mechanics_of_diabetic_neuropathy

There is a form of neuropathy which has been known to doctors treating people with diabetes since the advent of insulin therapy. The name given to it is insulin neuritis, as it often occurs shortly after starting insulin[22]. The problem is that even though it's been around about as long as insulin treatment, the phenomenon is currently not considered common[23]. Insulin neuritis[24] can follow the rapid improvement of diabetic control, but its mechanisms are still elusive[25][26][27]. As you see from this link, one theory is that insulin neuritis is caused by the regeneration of the nerve axons[28][29].
Like the neuropathy which is the result of yet-to-be treated or newly diagnosed diabetes, insulin neuritis also requires time to disappear[30][31].
Click to expand...
It might not fit, or even apply to cats, buts it's weird that you can see what appears to be a worsening of the symptoms when the nerves are actually getting better?
 
Very interesting Carl on the neuropathy. I'm always interested in knowing more about neuro since copper has it bad in his back legs. He has definelty gotten worse since 1st gotten dx. I just can't get him controlled enough.

Good to have the inhouse scientist back!
 
Lori,
I know Copper has been worrying you sick about his neuropathy, but this was also on that site, which is somewhat encouraging?
Diagnosis and treatment is through the establishment of underlying disease (diabetes mellitus) and characteristic neurologic exam findings, and in most cases will resolve in 6 to 12 months if the DM is treated appropriately.
Click to expand...
In some cases it does take a long time, but it still goes away, so never give up hope. He'll get better, it might just take a while. I read somewhere that sometimes the diabetes goes away before the neuropathy completely disappears, so maybe it just takes longer for nerves to heal than it does for a pancreas to heal.
Carl
 
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