? 4/30 Max amps 371, +4 340, +11 192, pmps 163, +2 118, +3 81, +4 63

MindyC

MindyC

Member Since 2019
We had a good sleep once we finally got to bed last night. Here’s yesterday’s condo.

He’s bouncing this cycle...hoping we don’t end up with another low night in return. I need more sleep.

Ended up taking husband in for stitches this morning after he sliced his thumb open on his razor. Was going to try to get Max in to the vet because he peed in the bathroom again last night, but with the ER trip I didn’t call early enough. Will try again tomorrow...and then make some calls to a new vet. This is the second time they’ve tried to push me off with a urinary tract infection. I’d consider trying to get a sample and just take that in if I had a scale and could tell them how much he weighs. He’s gained some, so they wouldn’t be able to dose accurately.
 
Well crap...looks like we’re in for a second night of low numbers. His pmps was 163–I tested 3 times and got 172, 163, and 152 progressively. I gave his shot anyway, we’ll see how he does this evening. I think it’s the same thing that happened yesterday—he had a very late nadir for some reason, and was still dropping at shot time.

Unless he hits 50, I am not planning to stay up to +6. I’ve been up late too many nights in a row, and I just can’t do it.

I did change the feeder so he will have food at shot and +2.5. I’m debating pushing that to +3, but I’ll have to pay attention and make sure he eats. When the feedings are that far apart, he doesn’t always catch the 2nd one.
 
Would doing something like 1U in the AM and .75U in the PM help break his bouncing cycle? In general he seems to have more active cycles at night, and when he was on novolin the vet suggested dosing that way. Any thoughts?
 
Oooh, maybe he’ll cruise better tonight. 118 @ +2, and he hasn’t had second dinner yet. :D
 
MindyC said:
Would doing something like 1U in the AM and .75U in the PM help break his bouncing cycle? In general he seems to have more active cycles at night, and when he was on novolin the vet suggested dosing that way. Any thoughts?
Click to expand...
Bouncing is tough, I know because Mav likes his bounces too. You may be in for some good numbers tonight...seems to me he's already on the move with that +2. But, my crystal ball is fuzzy these days, hoping he just gives you a good safe surf.

Clearing bounces so quickly is good! Novolin works so much differently (and is harsher) than Lantus. With Lantus I am sure there may be other forums/web pages/ methods out there, but here, we suggest to try and keep Lantus dosing consistent both cycles because it is a depot insulin, see here for more reading.... http://www.felinediabetes.com/FDMB/threads/what-is-the-insulin-depot.150/

With the bounces, they happen usually from a steep drop in BG or getting to lower numbers the kitty isn't used to. You could try and feed when you see a +2 that is 20% lower than preshot, it would be possibly an indication of a more active cycle, so feeding earlier can help flatten out the drop. Just a suggestion, as I'm not familiar with your usual feeding schedule.

Maybe get a +3? ;)

ETA, sorry about the peeing, not something (thankfully) that I am experienced with, but it is my understanding that UTIs are often the culprit.
 
Christie & Maverick said:
Bouncing is tough, I know because Mav likes his bounces too. You may be in for some good numbers tonight...seems to me he's already on the move with that +2. But, my crystal ball is fuzzy these days, hoping he just gives you a good safe surf.

Clearing bounces so quickly is good! Novolin works so much differently (and is harsher) than Lantus. With Lantus I am sure there may be other forums/web pages/ methods out there, but here, we suggest to try and keep Lantus dosing consistent both cycles because it is a depot insulin, see here for more reading.... http://www.felinediabetes.com/FDMB/threads/what-is-the-insulin-depot.150/

With the bounces, they happen usually from a steep drop in BG or getting to lower numbers the kitty isn't used to. You could try and feed when you see a +2 that is 20% lower than preshot, it would be possibly an indication of a more active cycle, so feeding earlier can help flatten out the drop. Just a suggestion, as I'm not familiar with your usual feeding schedule.

Maybe get a +3? ;)

ETA, sorry about the peeing, not something (thankfully) that I am experienced with, but it is my understanding that UTIs are often the culprit.
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Thanks for the input, I do appreciate it. I hadn't thought about the depot part of this insulin, tho I still wonder if the .25U difference might not be too much if is a daily thing (so his doses would average out to 7/8 of a unit between the two). I don't plan to change anything until we have more data in the blues and greens to be sure. The other thought I had was that we may need to switch to caliper dosing, so that if what he really needs is .9U to be consistent, then he can get it. Lord knows we have enough chaos in this house as it is (2 kids, 2 dogs, 2 cats)...consistency would be nice in something! As much as I'd love remission, I really don't expect it, so I'm preparing for this to be long-term and to need to get my husband on board with testing/shooting. He did it before, just hasn't gotten there yet this time.

As for feeding, we use a timed feeder. The cats are very attuned to it, and usually are sitting next to it waiting to turn. If Max eats a large meal too fast, he pukes. And only eating every 12 hours also makes him pukey with the CRF. That's actually why we started with the feeder a few years ago. Feeding schedules are a puzzle unto themselves here too...if we have the feeder set for every 6 hours, somebody misses a feeding, because Max is the alpha and Truman will wait for him to eat his fill first, then scarf whatever is left. We are currently overfeeding to be sure that Max gets enough food (both of them were skinny anyway...Max because of the diabetes, Truman because Max was hogging the food!), and by comparison Truman is starting to look a little chubby, but we'll deal with that when we get Max into something that resembles a regular pattern. Anyway...we have two feedings fairly close together so that Truman gets enough while Max is full. I think we had it at 1.5hrs apart, twice each day, and we've experimented with stretching those feedings since Max's diagnosis. Too far apart and Max sleeps through the second feeding. Today I changed it to 2.5hrs apart, and he tried to sleep on my lap instead of eating second dinner this evening. He ate when I put him by the food, tho.

Off to get a +3 now...
 
63 @ +4. I think he's going to surf well tonight. I shall be heading to bed soon...will probably get a +4.5 before I pack it in for the night, tho.
 
Worst case, you can always abort this cycle with high carb food.

You might want to consider calipers. With the variations in syringe markings, it made a big difference when I could finally be consistent with dosing. I did notice my rainbow queen settle down a bit.

As Christie said, Max does like big bounce inducing drops. You might want read this post on feeding the curve http://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
 
Wendy&Neko said:
Worst case, you can always abort this cycle with high carb food.

You might want to consider calipers. With the variations in syringe markings, it made a big difference when I could finally be consistent with dosing. I did notice my rainbow queen settle down a bit.

As Christie said, Max does like big bounce inducing drops. You might want read this post on feeding the curve http://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
Click to expand...
Thanks, Wendy. I am definitely considering the calipers. I need to do more reading on that, and get my hands on some. If we try to feed the curve, that's probably going to have to wait a bit. Max spends nearly all his time sleeping these days, and I have a feeling the feedings will be wasted because the other cat will eat them and Max will just sleep.
 
64 @ +4.5, so he's holding just fine. I gave him some of his regular LC food (everyone else got treats too...party again at our house!), and I'm off to bed. He came nearly running (as fast as he gets these days, anyway) when he heard me get out the can. LOL.

We'll see how bad his bounce is in the morning...
 
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