Suzanne & Cobb(GA)
Member Since 2013
Yesterday
Sweet preshot this morning. It's like he knew the increase was coming and tried to head me off. I'm not falling for that, Mr. Cobb!! :lol:
Since it is a new day, I'll answer the questions from last night's condo here, and bold follow up questions.
Question: Can the R have a different effect depending on when it is shot? For example, at a pre-shot the Lantus is pretty much gone. Should I shoot a higher dose of R at preshot versus when the Lantus is still working in the system like at +6? I notice in BK's SS the doses were the same at PS and +6 at the beginning. +6 was a little less in the last 2 charts.
Hypothetical Situational Question: Cobb started at 123/154 this morning. I'm anticipating a bounce. Say his +2 is above 200. That could either be a food spike (which he doesn't always have) or it could be the beginning of a bounce. I don't give R at +2 because of the overlapping nadirs. Say at +6, he is still climbing and is around 275. Per my current scale that would be 1uR. But you know if he's bouncing, he's most likely going up even higher. Do I adjust the scale for a bounce and give a little extra R to see if I can quash the bounce?
IAA Question: How do you tell if it is a bounce or if it is the antibodies grabbing on? Does it matter which it is? I would think it does because if it is the antibodies you want to push through and try to kill them. If it's a bounce you risk the bounce breaking after you've given more insulin, a quick drop and setting up another bounce.
Question: I know smaller meals are typically recommended because it's easier on the pancreas, perhaps Cobb is the exception to this? Should I try bigger meals at shot time?
The vet we saw last week suggested adding some lower carb food into Cobb's diet. She agreed that 5% carb is really low, but said he might benefit from mixing in some zero carb food throughout the day as well. So offer the 5% food at shot time, and supplement with zero carb food during the cycles. We are off to PetSmart today to look for the food.
I think those are all the questions that needed answers. If not, ask me again please. Let's get this figured out! :smile:
I did return to 23uL this morning. He was lower than normal too. 123 on the first test, 154 on the retest. I'm guessing those low numbers are R-induced, but maybe they'll stick around long enough to let the Lantus do some good work!
Have a great Monday everyone!
~Suzanne
Sweet preshot this morning. It's like he knew the increase was coming and tried to head me off. I'm not falling for that, Mr. Cobb!! :lol:
Since it is a new day, I'll answer the questions from last night's condo here, and bold follow up questions.
I don't think so. We found some bupe left over from awhile ago and gave it to him for a day or so. He is coming around more than he did before the dental. He doesn't seem to be in any pain when Matt scratches under his chin and he is eating well. So I don't think he is any pain.Sandy and Black Kitty said:
Not necessarily with preshot number. I agree. I think I could give more R after the nadir on some days, in hopes of bringing down that PMPS. I was studying BK's SS and saw Sandy shot R as low as 200, until that last chart. I haven't shot R below 250, so I will have to see if there is an opportunity to do that and see how Cobb tolerates it, and maybe shooting it a little lower will bring him into some lower numbers.julie & punkin (ga) said:
Question: Can the R have a different effect depending on when it is shot? For example, at a pre-shot the Lantus is pretty much gone. Should I shoot a higher dose of R at preshot versus when the Lantus is still working in the system like at +6? I notice in BK's SS the doses were the same at PS and +6 at the beginning. +6 was a little less in the last 2 charts.
Hypothetical Situational Question: Cobb started at 123/154 this morning. I'm anticipating a bounce. Say his +2 is above 200. That could either be a food spike (which he doesn't always have) or it could be the beginning of a bounce. I don't give R at +2 because of the overlapping nadirs. Say at +6, he is still climbing and is around 275. Per my current scale that would be 1uR. But you know if he's bouncing, he's most likely going up even higher. Do I adjust the scale for a bounce and give a little extra R to see if I can quash the bounce?
IAA Question: How do you tell if it is a bounce or if it is the antibodies grabbing on? Does it matter which it is? I would think it does because if it is the antibodies you want to push through and try to kill them. If it's a bounce you risk the bounce breaking after you've given more insulin, a quick drop and setting up another bounce.
No Rescue Remedy. He was in a bathroom by himself in the back of the house, so fairly quiet unless we were coming in and out of the garage. Did he eat less? He ate a big meal (a 5.5oz can) about an hour before we left - to avoid him getting hungry on the trip. So he didn't have any mini meals the day of travel. At my parents house, I gave him a bigger dinner so I wouldn't have to get up as often throughout the night. I didn't take our timed feeder. I like the times feeder, in theory, but if he hadn't woken me for food last night, I wouldn't have gotten that 154.julie & punkin (ga) said:
Question: I know smaller meals are typically recommended because it's easier on the pancreas, perhaps Cobb is the exception to this? Should I try bigger meals at shot time?
The vet we saw last week suggested adding some lower carb food into Cobb's diet. She agreed that 5% carb is really low, but said he might benefit from mixing in some zero carb food throughout the day as well. So offer the 5% food at shot time, and supplement with zero carb food during the cycles. We are off to PetSmart today to look for the food.
Tired doesn't begin to describe it. I try to nap during the day when Matty sleeps. But he is working on dropping naps, so those are getting to be fewer and fewer. Thank you though! We're pushing through. It's amazing how little sleep the body can function on, although I can't imagine working a full-time job right now. It's been a biatch of a sleep regression, probably linked directly to him starting to walk, but we'll figure it out. My fear is that when Matty starts to sleep better, Cobb will start dropping. :roll: It's a conspiracy, I tell you! Thank goodness I got all that sleep as a teenager. :lol:Wendy&Neko said:
I think those are all the questions that needed answers. If not, ask me again please. Let's get this figured out! :smile:
I did return to 23uL this morning. He was lower than normal too. 123 on the first test, 154 on the retest. I'm guessing those low numbers are R-induced, but maybe they'll stick around long enough to let the Lantus do some good work!
Have a great Monday everyone!
~Suzanne
Way to go Cobb!
I just need some tough love to reduce that down. With cats that are just IAA, they typically have "regular" diabetes which means the pancreas not working 100% and more smaller meals would be better. With an acro/IAA combo, it's hard to say what shape the pancreas is in. I wish I knew for Neko. She does get some small snacks of freeze dried/0 carb fresh meat in the later part of the cycle. You could try adding some boiled chicken or turkey breast pieces in as snacks during the cycle. And when Neko gets fed on Lev should be different than Lantus because the nadir and onset are later. What you want to do is look at the cycle and see when the major drops typically occur and make sure Cobb has some carbs on board to balance the insulin when that happens. In my defense, Neko used to have some pretty good drops early in the cycle so many smaller meals early made sense for her on Lantus.
