Re: 4/28 Eeyore PMPS+10=360
I was just looking at Eeyore's ss and reading yesterday's condo. I don't know if my story with Noisy will help but I had a similar situation when we started out.
Noisy came to FDMB on 11u BID of Humulin N, his (bad) vet wanted us to go to 13u BID. I found this board and immediately learned that Noisy might be in chronic Somogyi rebound. We got a new vet, switched to Lantus, dropped dose initially to 2u.
(This is the part that might be similar) If you look at the beginning of Noisy's ss, you'll see we bounced around with dose a little. Internally, I was where I think you might be, suspecting that Noisy was still getting too much insulin. I couldn't shake those discussions about rebound. On 12/24/07 I decided to drop Noisy's dose to 0.25u and start over, similar to your idea of an insulin holiday. On Noisy's ss you can see it took me over a month of hard work to make our way back to the 2u I was at before doing my version of an insulin holiday. I don't necessarily feel bad about doing that even if it was the wrong decision. At the time I was learning and was focused on not missing his dose.
I'll never know but it is very possible that if I had not taken my insulin holiday, Noisy would have gone into remission sooner.
I would do things differently now. Jill's observations and advice last night is what I would embrace if I were in your shoes.
P.S. it is much easier to try Jill's (and others) theory, that Eeyore is under dosed, than it is to withhold insulin and start over.
I don't say this lightly -- you CAN lose a cat for a long time (look at my SS) if you pull the dose out of range, which is what withholding insulin could do. I lost Noisy two times, the first one was for the under dosing reason, the second time was different than the first -- when Noise would hit the pinks, he would get big time stuck, I started using early shots to pound away at that issue.
P.S.S. As far as the idea of TID goes -- I don't see any reason why you wouldn't try the easier solution first. I should add I don't have first hand experience with TID but have watched several people have to go through it and it was VERY hard on them. Those cats were much different than Eeyore, who isn't as complicated.
