5/10 Gus PMPS 227;+4=403/R.25;+2R=513

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bev5477

Member Since 2011
At +3R, Gus was still high enough to be a little aggressive with the R. Hopefully, he come down gently like the other day. Have a great day to all who visit LL.
 
Re: 5/10 Gus AMPS HI;R.25;+3R=567;R.25

Goodness, what is up with our boys? Haven't they had enough taste of the good colors that they would learn to stop all this
bouncy, bouncy stuff.. @-) @-)
I wish you very much luck with your little man today.. Come on Gus, nothing to see up here, move along!! :lol:
 
Re: 5/10 Gus AMPS HI;R.25;+3R=567;R.25

No kiddin what is up with these kitties these days. Wasn't it just yesterday Gus has a blue pre-shot number? Leo is doing the exact same thing at the moment, we had such a nice blue day on the 8th, and he's been red, pink, yellow....everything but blue since then.

You are doing so great with Gus Bev! He's a very lucky kitty.
 
Re: 5/10 Gus AMPS HI;R.25;+3R=567;R.25

With such high BG numbers, you can be more aggressive with the basal - 4cycles on a dose is plenty to see that Gus is not getting enough insulin.

With so much R and no testing to see what the R is doing, you could be clouding the picture, by pulling down too often with the R, Gus could be coming down hard from the R then bouncing right back up by your next test. Whenever giving R, it is wise to get a couple tests in to see how the R is working.

Do you know when you will be getting your test results for acro and IAA? Those two numbers will be helpful in guiding your method of treatment.
 
Re: 5/10 Gus AMPS HI;R.25;+3R=567;R.25

Hi guys .. ouch on those numbers Gus .. what's up with that? Come on down now ok? Hang in there guys, I know it's hard and frustrating at times, but you are doing wonderful! have a great day guys!
 
Re: 5/10 Gus AMPS HI;R.25;+3R=567;R.25

at least we know what he is bouncing from - he just isn't used to blues yet. Last time it took him 4 cycles to clear the bounce, so hopefully you'll wake up to something nicer in the morning.
 
Re: 5/10 Gus PMPS 227; +3=320

Gayle, Gus hasn't had any testing for acro. I've asked before but never got much of an answer: How does the treatment of FD in a cat with acromegaly differ from the standard? I know they need much more insulin than your average FD cat, but what else?
 
Re: 5/10 Gus PMPS 227; +3=320

Bev, it's not so much that you will treat drastically different, but you do need to know if Gus has a functional pancreas or not.

A functional pancreas will mean that if Gus goes low, feeding him HC may not work to bring up his numbers, and it may even cause them to drop even lower! It is for that reason that acros should avoid green numbers - acro means that BG blue range is their green range, and yellow is like blues. Acro positive is a permanent condition in the majority of cases.

If positive for IAA, you need to be more aggressive and push for green because IAA can be temporary, and if you are successful, you can beat IAA and Gus could go OTJ.

There is a difference: acro causes the diabetes in most cases.

There are some acros that are low dose - Shadoe has been down as low as 2.75u and up to 17u BID. The dose fluctuates, unlike regular DM, so testing is very important because needs can rev up or down quickly. The GH output dictates dose.

When you reach a dose like Gus is getting, and you have been feeding wet low carb food, and health issues including dental have been ruled out, you are likely looking at insulin resistance, so until you have him tested, it is safer to go on the assumption that Gus would test positive.

There are also precautions needed for acros - soft tissue growth is an issue in the throat so any tubing at vet should be kitten sized. There are plenty of other issues that affect acros and not regular DM kitties, so the testing is a good thing to get done.
I don't know what other kind of info you wanted, but just ask and you can get some answers.
 
Thank you for explaining some things Gayle. I'll speak to the vet about getting the tests done and we'll go from there. As far as Gus' response to R goes, I'll agree with you that I should (in a couple of instances as shown on the spreadsheet) test after R. But, I do have to respectfully say that although it is a possibility that Gus may be dropping hard and bouncing back up by the next test, it is highly unlikely. After collecting much data, we found that .1R holds Gus relatively flat (for use to cover a food spike), .25R gives about a 100 point drop (used when he is 350-450) and .5R causes a more dramatic drop and should be used after nadir or if he's off the charts. He also seldom reacts to the R at +1R, usually at +2R and +3R shows a slight rise. I think I've only done one +4R ever. It was an acknowledged mistake, by me, when Gus got .5R at preshot one day. That was the day he fell 300 pts. in 3 hours. It was never done again. I use the R early as I can in the bounce to keep him low as I can. If there is a frequent use of R, that's why. If I shouldn't be using it in that way, I'd like to know because I'll stop. As you can see with the latest dose of R tonight, he still is hitting the 500s after 2 hours out. I'll test in another hour but can you imagine where he'd be without the R? I do agree with you, Gus has to be viewed as being positive, but I'll find out if he falls into either of those categories. Thanks again for your help. Why do I sense as if I'm at the bottom of another learning curve :roll:
 
Bev,
You may be on the edge of just a change in the path of your journey, but definitely not at the bottom of your learning curve.
You may be in a rowboat near the shore where the waves are a bit rougher than on the open sea.
Regardless of the results of the tests, you still have a great deal of data gathered like knowing how Gus responds to R.
All you need to know now is the condition of his pancreas; if he tests positive, you can expect more of a fluctuation in response to the insulins - sort of like sitting in that rowboat and feeling the movement of the waves .... sometimes calm, sometimes gentle rocking, and others are whoa close to tipping.
It's the nature of the beast.
 
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