? 4/29, Susie, Suggestions Requested in Updated Post

Summer and Susie (GA)

Summer and Susie (GA)

Member Since 2020
https://felinediabetes.com/FDMB/threads/4-28-susie-198-amps.246709/

Do I have the support of this forum to increase to 3 units. Susie is currently on 2.75 and her nadirs, which have been all over the board and at different times of the day, have been:

88, 165, 181,193,199 and 207

I think this calls for an increase but need to know what others think.

@Wendy&Neko or @Marje and Gracie or any others with an opinion. Thanks, folks!

Susie has been unexpectedly low and flat this afternoon. I do not want to reduce her dose but do not want to be up all night checking her blood. Should I feed some medium carb food at PMPS? Of course, this will all depend on her next two test. I am SLGS with reductions at 70. I think she is making progress which is why I don't want to reduce her dose but need some advice with the food tonight so that I don't have to test every hour on the hour.
 
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Summer and Susie said:
I think this calls for an increase but need to know what others think.
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According with SLGS:
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
Given 5 out of 6 of your nadirs are above 150, I would say you should increase by 0.25
 
Hercule's mum said:
According with SLGS:
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
Given 5 out of 6 of your nadirs are above 150, I would say you should increase by 0.25
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Thanks, Karen. I do agree with you. It will be easier to shoot the 3 units as opposed to the 2.75. Those quarter marks are hard to get right even with the calipers.
 
Summer and Susie said:
Thanks for your love and support, Pamela. I wanted to ask you about one of your previous comments. Is the cabergoline for the acromegaly? Is the acromegaly what has caused her eye issues?
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The Cabergoline is for Amethyst Tumor,Acromegaly, it does not stop the Tumor, only SRT will, which cost $15,000,I am praying for a Financial Blessing for that. Amethyst has Glaucoma and Severe Dry Eye, she does not produce her own tears,because of that a Corneal Sequestrum formed in each eye, surgery for each eye is $3,000,so once again praying for a Financial Blessing, Right now she is being treated with 7 eye medications 3x a day .Her Eye Doctor told me that with alot of luck the eye medications may cause the Sequestrums to shrink and disappear,that is my daily prayer right now.:cat::bighug::bighug::bighug::bighug:
 
I don't give officially-sanctioned advice. I can only say that if Susie were my cat, I would increase. With those numbers, you can just follow the SLGS protocol. And yes, I would only increase by .25.
 
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Hercule's mum said:
According with SLGS:
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
Given 5 out of 6 of your nadirs are above 150, I would say you should increase by 0.25
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She just had a 105 at nadir (+6). I may hold off a couple of days.
 
Holding the dose as she just went down to 85 at +7. I am on modified SLGS with reductions at 70. If she continues to slide I might have to decrease the dose. I think she is going to start heading back up. Will check again in 30 minutes. She is a strange cat. She sure takes a long time to react to an increase. Glad I am SLGS.
 
Made the decision at +11 to reduce the dose to 2.50 and feed medium carb food at PMPS. She is not coming up like I would have wanted by this time today.
 
carfurby said:
I'm not sure about increasing the dose. Monday you saw green and low 100s. You may want to wait another week.
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Carla, advice please. Susie has been low and flat all afternoon. I have decided to reduce her dose back to 2.50 units and feed medium carb food tonight. I'm worried about her. She seems to have lost some of her appetite and I don't want to have to test every hour on the hour tonight. What do you think I should do? This day was very unexpected. @carfurby
 
I don't know if I would have reduced at those greens (those were good greens and not low or mid greens) BUT.... you are in the driver's seat.... you KNOW Susie. You are observing Susie... and you need to be comfortable with the situation. She may go back up into the yellows (although this cycle should be influenced by her depot)... and YOU have to sleep tonight. I'm concerned about her loss of appetite... but it could just be the influence of the Convenia. Inappetance is a side-effect (and she's had two of them now) and can be a side-effect of any antibiotic. I hope she'll eat for you and come up to a level that you are comfortable with.
 
Susie was in safe numbers today. She may not have wanted to eat as much because she is in normal numbers. Cats don't eat as much when they get into normal numbers because their bodies process food better. She may bounce tonight or she may surf. If you're worried you can feed her some MC or HC early in the cycle. :bighug:

Can you please type your updates in a new post each time instead of updating the first post? It's harder to see updates when you do it that way, especially if your'e on the board for a short amount of time. If you're taking the time to make a post to say look at the first post, you could do it there. Thanks. :bighug:
 
Suzanne & Darcy said:
I don't know if I would have reduced at those greens (those were good greens and not low or mid greens) BUT.... you are in the driver's seat.... you KNOW Susie. You are observing Susie... and you need to be comfortable with the situation. She may go back up into the yellows (although this cycle should be influenced by her depot)... and YOU have to sleep tonight. I'm concerned about her loss of appetite... but it could just be the influence of the Convenia. Inappetance is a side-effect (and she's had two of them now) and can be a side-effect of any antibiotic. I hope she'll eat for you and come up to a level that you are comfortable with.
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Thanks, Suzanne. She loved that I gave her some Fancy Feast gravy, roasted food. I will continue to monitor but I think she will go up tonight. I reduced the dose and gave her MC food. Thank you for being concerned. Today, was quite the shock. As I said, I am glad I am at SLGS and not TR because she surprised me in 7 days when I was gong to increase.
 
carfurby said:
Susie was in safe numbers today. She may not have wanted to eat as much because she is in normal numbers. Cats don't eat as much when they get into normal numbers because their bodies process food better. She may bounce tonight or she may surf. If you're worried you can feed her some MC or HC early in the cycle. :bighug:

Can you please type your updates in a new post each time instead of updating the first post? It's harder to see updates when you do it that way, especially if your'e on the board for a short amount of time. If you're taking the time to make a post to say look at the first post, you could do it there. Thanks. :bighug:
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I thought I wasn't supposed to post anything new more than once a day so I update my current post for each day - if need be. Hard to not post new concerns during the day if they happen,
 
What they're trying to say is, when you edit a post we don't get notifications and your condo doesn't get bumped to the top, so it goes unnoticed if you update, instead of writing a new comment to your own thread.
 
SashaV said:
What they're trying to say is, when you edit a post we don't get notifications and your condo doesn't get bumped to the top, so it goes unnoticed if you update, instead of writing a new comment to your own thread.
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Thanks, Sasha. I know this. I have been told this. I guess I am just panicky tonight.
 
Summer and Susie said:
She is lower than I would want her to be at 9:00 at night.
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I feel for you, it is difficult to feel comfortable and not to panic with blues when you are used to the pinks and yellows (and reds and blacks) BUT I would have some comfort that the PM +3 is higher than the PMPS by 65 AND you have reduced the dose.

I'm curious, what is your goal for Susie? if 180 at 9pm is too low, what would you want to see?
 
Wendy&Neko said:
Your spreadsheet and signature say SLGS with reductions at 70. Since she didn't go below 70, I'd increase back up to 2.75 units tomorrow morning.
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Done, Wendy.
Liz & Minnie said:
I feel for you, it is difficult to feel comfortable and not to panic with blues when you are used to the pinks and yellows (and reds and blacks) BUT I would have some comfort that the PM +3 is higher than the PMPS by 65 AND you have reduced the dose.

I'm curious, what is your goal for Susie? if 180 at 9pm is too low, what would you want to see?
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It wasn't too low. I was just worried she was going to continue to drop with her nadir usually occurring around +6. My goal is numbers from 70 to 120. I want to keep her safe from hyperglycemia, hypoglycemia and still have a life for myself.
 
carfurby said:
Susie was in safe numbers today. She may not have wanted to eat as much because she is in normal numbers. Cats don't eat as much when they get into normal numbers because their bodies process food better. She may bounce tonight or she may surf. If you're worried you can feed her some MC or HC early in the cycle. :bighug:

Can you please type your updates in a new post each time instead of updating the first post? It's harder to see updates when you do it that way, especially if your'e on the board for a short amount of time. If you're taking the time to make a post to say look at the first post, you could do it there. Thanks. :bighug:
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Will do, Carla.
 
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