2/4 George AMPS 456 +2 476 /+11 450 PMPS 504 +2 414 +5 369
- Thread starter Gill & George
- Start date
Have fun skiing today. Sorry you got such a permission slip from George to go.
Per TR, you could go up another 0.5 units after six cycles if nadirs remain above 300, though sometimes we fast track after four. Let’s see what he does the next two cycles before deciding if he needs a fast track,
Per TR, you could go up another 0.5 units after six cycles if nadirs remain above 300, though sometimes we fast track after four. Let’s see what he does the next two cycles before deciding if he needs a fast track,
carfurby (GA)
Member Since 2012
I hope George's numbers come down soon. Enjoy the skiing.
Sue and Luci
Member Since 2017
Good Morning Gill! Hope you enjoy your skiing day. Always good to have a day off 
Hope George gets back down to the lagoon soon!
Hope George gets back down to the lagoon soon!
Bobbie And Bubba
Member Since 2015
Enjoy your ski trip. Sorry permission was granted by Sir George.
Jill & Scooter
Member Since 2018
Skiing sounds fun. Haven’t been in years.
Come on down George!
Come on down George!
Krystina & Nelli
Member Since 2018
Woo hoo
!
Mandarin'sMom
Member Since 2014
I guess that's at least one good thing about those yucky numbers... George, I think it's time to get back with the program and head back down.
Rosie & Bailey
Member Since 2018
Hope you are enjoying your ski day, and that George decides to give you nice lower numbers soon.
Gill & George
Member Since 2015
Thank you all for your kind thoughts.
We've had a good day on the hill BFG ate all his snacks and was hungry when we got home and did a +11, I gave him a teaspoon of LC because he was hungry and I felt sorry for him, not recommended since it influences the ps test, but given +11 was 450, for one time only I gave in to his big eyes and persistent MAaawr.
Anyway PMPS 504, don't even get me started.
Looks like the indulin is not touching the sides.
We have a quandary, a delicate balancing act, the steroids will be wearing out come Wednesday (3 cycles away) but he's been in high numbers for a number of days, and there's every chance glucose toxicity may have set in, so I doubt he's going to go back to normal BG's when they wear off. My gut tells me he is going to need some insulin su okpport to get him back on track.
The longer he's in high numbers the harder we are going to have to battle, and at his age and for the sake of his kidneys, I want to get him under the renal threshhold and ideally surffing those greens asap.
If a return to the falls is on the cards great, but tight glycaemic control is the first objective.
So my thoughts at this stage are, that I will continue with the dosecreases, in a relatively aggressive manner.
For any reading, this is because George is a long term diabetic, out of remission, we normally have to be a bit more aggressive with kitties that relapse if we hope to get them back to the falls. Also it's not our first rodeo and I can be available for him 24/7 e testing as often as necessary.
So @Wendy&Neko @Marje and Gracie , what do you guys think?
Take him up 0.5u tomorrow am or wait 6 cycles (assuming I don't see yellow)
I will of course be on high alert, and ready to take whatever action necessary, watching for any signs of the Steroid waning.
We've had a good day on the hill BFG ate all his snacks and was hungry when we got home and did a +11, I gave him a teaspoon of LC because he was hungry and I felt sorry for him, not recommended since it influences the ps test, but given +11 was 450, for one time only I gave in to his big eyes and persistent MAaawr.
Anyway PMPS 504,
don't even get me started.Looks like the indulin is not touching the sides.
We have a quandary, a delicate balancing act, the steroids will be wearing out come Wednesday (3 cycles away) but he's been in high numbers for a number of days, and there's every chance glucose toxicity may have set in, so I doubt he's going to go back to normal BG's when they wear off. My gut tells me he is going to need some insulin su okpport to get him back on track.
The longer he's in high numbers the harder we are going to have to battle, and at his age and for the sake of his kidneys, I want to get him under the renal threshhold and ideally surffing those greens asap.
If a return to the falls is on the cards great, but tight glycaemic control is the first objective.
So my thoughts at this stage are, that I will continue with the dosecreases, in a relatively aggressive manner.
For any reading, this is because George is a long term diabetic, out of remission, we normally have to be a bit more aggressive with kitties that relapse if we hope to get them back to the falls. Also it's not our first rodeo and I can be available for him 24/7 e testing as often as necessary.
So @Wendy&Neko @Marje and Gracie , what do you guys think?
Take him up 0.5u tomorrow am or wait 6 cycles (assuming I don't see yellow)
I will of course be on high alert, and ready to take whatever action necessary, watching for any signs of the Steroid waning.
Jill & Alex (GA)
Member Since 2009
Sorry to see George back on the juice, Gill.
Just curious... how much does George weigh?
Just curious... how much does George weigh?
Gill & George
Member Since 2015
6.75kg, so this is a small dose for him based on weight. Earlier in the year when his teeth were bad just a smidge of juice got him back on track, and since his dental in April he's been better than ever.
+5 is 369, so some downward movement hopefully this is steroids wearing off.
Btw Jill thanks for clarification in Judy"s post.
Jill & Alex (GA)
Member Since 2009
Hmm, that would put him at 1.68u if using the TR calculation for initial starting dose. Increasing by 0.5u would put him at 1.25u.
Because of not knowing when the steroid might wear off... just a thought... take him up by 0.25u after every 4 cycles until you see some marked improvement. That would give you a little more control/a smaller depot to deal with if the steroid suddenly wears off.
Not knowing when or if the steroid will wear off quickly/without warning is a little concerning.
Whatever you decide, I know you'll do whatever it takes to keep George safe.
Good luck!
To those following... this advice is strictly for Gill and George.
ETA:
You're welcome!Btw Jill thanks for clarification in Judy"s post.
Bobbie And Bubba
Member Since 2015
I like Jill's plan. It approaches aggressively with a smaller depot to deal with should the steroids wear off suddenly. And because you are home 24/7 he'll be in good hands.
Glad you had a good day on the slope.
Glad you had a good day on the slope.
Ella & Rusty & Stu(GA)
Member Since 2010
Yo, Deputy George, come down a bit more. The lagoon awaits.
Great that you could get a good day of skiing. I hope that the steroid is finally wearing off. Good luck with the dose increas(es). Sometimes you just have to go with your intuition.
Great that you could get a good day of skiing. I hope that the steroid is finally wearing off. Good luck with the dose increas(es). Sometimes you just have to go with your intuition.
You will know soon enough if the steroid wearing off will make a difference. You can always move faster if you don’t see a significant change soon.
I agree, too, with the dose increase and also that you can speed it up a little more if you need to, if numbers stay high, because you are there to test and feed.
Down you go nice and slow George!
Down you go nice and slow George!