nckitties3
Member Since 2013
Another high start, on to plan 'b'.
5/13 Lucian +5/161,+7/150,+9/380,PMPS HI,+2.5/495,4.75/281
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Jill & Alex (GA)
Member Since 2009
Re: 5/13 Lucian AMPS 505
darn! i was hoping he wouldn't bounce so high!
let's hope this bounce is short-lived.
i have a bunch of things to do today, but will check back later...
have a good day!
darn! i was hoping he wouldn't bounce so high!
let's hope this bounce is short-lived.
i have a bunch of things to do today, but will check back later...
have a good day!
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505
It's not 600+, so it could be worse. I'll take even a small improvement.
Lucian, being the bouncy boy he is, might take longer with the controlled drop to show effect. I'm in it for the long haul.
Looking at the past 5 months, I don't expect him to do anything quickly, except bounce. 
If we can get a little control over that, it's a very good thing, in my book.
Thanks again for all the help last night.
It's not 600+, so it could be worse. I'll take even a small improvement.
Lucian, being the bouncy boy he is, might take longer with the controlled drop to show effect. I'm in it for the long haul.
Looking at the past 5 months, I don't expect him to do anything quickly, except bounce. If we can get a little control over that, it's a very good thing, in my book.Thanks again for all the help last night.
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505,3.5/256
That's a 50% drop in 3.5 hrs. Got to be a way to slow him down. Dropping that hard just leaves him open to bounce, I believe. hmmmmmmm....
And I am having a hard time getting him to eat today, after the MC last night to control his drop. Have 4 different cans open! Finally got him to eat a little whitefish and tuna. :-x Gonna have to figure a way around that. ohmygod_smile
That's a 50% drop in 3.5 hrs. Got to be a way to slow him down. Dropping that hard just leaves him open to bounce, I believe. hmmmmmmm....
And I am having a hard time getting him to eat today, after the MC last night to control his drop. Have 4 different cans open! Finally got him to eat a little whitefish and tuna. :-x Gonna have to figure a way around that. ohmygod_smile
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161
Gonna give 1 tsp MC and 1 tsp LC to try to slow down his drop, have to go to DR and won't be back for a while, maybe not till +9. ohmygod_smile
Gonna give 1 tsp MC and 1 tsp LC to try to slow down his drop, have to go to DR and won't be back for a while, maybe not till +9. ohmygod_smile
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380
That didn't seem to work too well. Maybe tomorrow. :YMSIGH: I know it takes time, break out the patience pants. :roll:
That didn't seem to work too well. Maybe tomorrow. :YMSIGH: I know it takes time, break out the patience pants. :roll:
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
I just don't get it. :cry:
I just don't get it. :cry:
Jill & Alex (GA)
Member Since 2009
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
the good news... 1.75u is capable of dropping him 355 points on a cycle immediately following a green!
from your PM:
i know how discouraging all this can be, but try to keep your chin up. rome wasn't built in a day...
yep, it ugly, but it's to be expected. he dropped 355 points that we know of today (maybe more). it's those steep drops that cause him to bounce.nckitties3 said:
the good news... 1.75u is capable of dropping him 355 points on a cycle immediately following a green!
purr-fect! your instincts were right on the money. that's exactly what you want to do... slow him down when he starts to take a dive.
from your PM:
it's not so much a need to hold him around 100 (although when he's going low you don't want him to earn a reduction... not yet anyway), but try to keep him from diving 300 or 400 points in a single cycle... if possible. i realize it's not always possible! it's those steep drops that cause him to bounce so high.
i know how discouraging all this can be, but try to keep your chin up. rome wasn't built in a day...
Jill & Alex (GA)
Member Since 2009
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
in response to your PM:
i would hold the dose for now.
i wish i could "plan ahead" with diabetic kitties. i analyze the data and then suggest changes accordingly. he made an attempt to clear the bounce today. let's see if that's the best he can do with this dose. if not, there's more insulin where that came from.
in response to your PM:
i would hold the dose for now.
i wish i could "plan ahead" with diabetic kitties. i analyze the data and then suggest changes accordingly. he made an attempt to clear the bounce today. let's see if that's the best he can do with this dose. if not, there's more insulin where that came from.
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
I was hoping to keep him in mid 100's and maybe he wouldn't bounce like that. I added tiny bit of MC to his meals twice before +7, not much, but I thought enough to keep him from crashing and I really think he would have. But I didn't expect that PMPS. It wasn't because of the MC, right? I had to be gone for 4 hrs, I thought he'd be ok with the little boost.
He usually is higher at his +3 or4, didn't expect that mad dash to the bottom. Guess I'm gonna have to start testing at +2 instead.
I'm leaning more and more towards a bolus with him, maybe he's one of those cats?
I am so frustrated and so afraid I'll lose him cause I can't help him.
I was hoping to keep him in mid 100's and maybe he wouldn't bounce like that. I added tiny bit of MC to his meals twice before +7, not much, but I thought enough to keep him from crashing and I really think he would have. But I didn't expect that PMPS. It wasn't because of the MC, right? I had to be gone for 4 hrs, I thought he'd be ok with the little boost.
He usually is higher at his +3 or4, didn't expect that mad dash to the bottom. Guess I'm gonna have to start testing at +2 instead.
I'm leaning more and more towards a bolus with him, maybe he's one of those cats?
I am so frustrated and so afraid I'll lose him cause I can't help him.
Jill & Alex (GA)
Member Since 2009
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
no, it's not food that causes bounces. it's the dives or dropping into lower numbers that cause a bounce. lucian just happens to be an award winning diver.
i have real mixed emotions about incorporating the use of R as a bolus with lucian. he can drop so fast on just his lantus dose. i'm not sure if R would help or make things worse. that said, *maybe* a tiny dose of R would help if you could catch him on his way up. it *might* be a way of keeping him from soaring to the moon.
no, it's not food that causes bounces. it's the dives or dropping into lower numbers that cause a bounce. lucian just happens to be an award winning diver.
i have real mixed emotions about incorporating the use of R as a bolus with lucian. he can drop so fast on just his lantus dose. i'm not sure if R would help or make things worse. that said, *maybe* a tiny dose of R would help if you could catch him on his way up. it *might* be a way of keeping him from soaring to the moon.
nckitties3
Member Since 2013
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
Sorry about the delay, I had to pull myself together. :cry:
From what I understand, a bolus would be given like at +10 when he's already way too high and headed for that 'meter greeting', so it would be in and out by the time he nadir'd from the Lantus, right?
I may be grasping at straws, I know. But it would seem like it would keep him from doing that and help him to be a little more consistent in his bg's. Do I understand that right?
Sorry about the delay, I had to pull myself together. :cry:
From what I understand, a bolus would be given like at +10 when he's already way too high and headed for that 'meter greeting', so it would be in and out by the time he nadir'd from the Lantus, right?
I may be grasping at straws, I know. But it would seem like it would keep him from doing that and help him to be a little more consistent in his bg's. Do I understand that right?
nckitties3
Member Since 2013
Re: 5/13 Lucian +5/161,+7/150,+9/380,PMPS HI,+2.5/495
I started trying to slow him down at +3.5 w/1 tsp MC on his food, then half tsp at +5 and +7, I thought that would be enough, but he had already dropped to far, too fast by that point, is what I'm seeing. Would I have been better off to give more and try to keep him in the 200's? Or was it already too late with that 50% drop by +3.5? I think maybe so. Gonna start testing at +2, not wait till 3 or 4 until he shows me I can.
I started trying to slow him down at +3.5 w/1 tsp MC on his food, then half tsp at +5 and +7, I thought that would be enough, but he had already dropped to far, too fast by that point, is what I'm seeing. Would I have been better off to give more and try to keep him in the 200's? Or was it already too late with that 50% drop by +3.5? I think maybe so. Gonna start testing at +2, not wait till 3 or 4 until he shows me I can.
Jill & Alex (GA)
Member Since 2009
Re: 5/13 Lucian AMPS 505,3.5/256,+5/161,+7/150,+9/380,PMPS H
the following comments are made with lucian in mind (not every cat)...
that's one way of giving R as a bolus. R has a duration of about 4 - 5 hours (depending on the cat). a small dose of R could be administered after nadir and at +10 if you're confident he's headed to the moon. that would allow the R to be mostly out of his system before the typical onset of lantus.
another options is to administer R at +8, or +9 as long as it's after nadir... if he's beginning to zoom upwards and you're confident he'll continue to zoom upwards after a low.
key points to using R with lucian:
R can be useful a useful tool until kitty reaches his optimal lantus/levemir dose.
he had already dropped quite a bit by +3.5 so at that point it was difficult to slow him down. +1s & +2s and +10s & +11s are called "the forgotten spot checks". they'll often yield hints as to where kitty is headed... and how quickly he's planning on getting there.
nckitties3 said:
the following comments are made with lucian in mind (not every cat)...
that's one way of giving R as a bolus. R has a duration of about 4 - 5 hours (depending on the cat). a small dose of R could be administered after nadir and at +10 if you're confident he's headed to the moon. that would allow the R to be mostly out of his system before the typical onset of lantus.
another options is to administer R at +8, or +9 as long as it's after nadir... if he's beginning to zoom upwards and you're confident he'll continue to zoom upwards after a low.
key points to using R with lucian:
- you have to "know thy cat". in others words, you have to be confident in knowing where your cat is headed number-wise.
- you never want the nadirs of lantus and R to coincide.
- you never want to administer R as the bounce is about to break.
- all you want the R to do is to "take the edge off" the numbers. you're not looking for a drop of more than 50 - 100 points because a drop of more than that can set kitty up for yet another bounce.
- because R is a powerful insulin, it's in your best interest to start with a tiny dose (0.1u) and test every hour for the first 4 - 5 hours. this will allow you to collect R data. you want to learn the same things as you do with lantus: the onset, nadir, and duration of R. it's possible the R dose will have to be increased, but many kitties, including my own, will drop 100 points or more from a tiny dose of 0.1 unit R.
that's the goal!nckitties3 said:
R can be useful a useful tool until kitty reaches his optimal lantus/levemir dose.
you did the best you could possibly do with the information you had!nckitties3 said:
he had already dropped quite a bit by +3.5 so at that point it was difficult to slow him down. +1s & +2s and +10s & +11s are called "the forgotten spot checks". they'll often yield hints as to where kitty is headed... and how quickly he's planning on getting there.
nckitties3
Member Since 2013
Re: 5/13 Lucian +5/161,+7/150,+9/380,PMPS HI,+2.5/495
OK, I had some of the info wrong.
For 1, I don't 'know' him. He is so all over the place.
What I was looking at was that +10 where is jumped to 515, 3 hrs after green. Thought that looked like a good time for a bolus.
But again, he isn't consistent enough to even predict onset, much less nadir. So I can see where it would be next to impossible to use it safely.
Just tested at +4.75...281 Still dropping hard, though not as fast as today.. Over 50% in less than 5 hrs. Would have tested sooner, but fell asleep, (the meds). I gave him the last of the MC, in hopes of slowing it down. Right or wrong, it's done.
I could try giving a little earlier on, have to get more tomorrow. Trying to change the info in my head, for 5 months, all I thought I was striving for was getting him low enough for a reduction.
OK, I had some of the info wrong.
For 1, I don't 'know' him. He is so all over the place.
What I was looking at was that +10 where is jumped to 515, 3 hrs after green. Thought that looked like a good time for a bolus.
But again, he isn't consistent enough to even predict onset, much less nadir. So I can see where it would be next to impossible to use it safely.
Just tested at +4.75...281 Still dropping hard, though not as fast as today.. Over 50% in less than 5 hrs. Would have tested sooner, but fell asleep, (the meds). I gave him the last of the MC, in hopes of slowing it down. Right or wrong, it's done.
I could try giving a little earlier on, have to get more tomorrow. Trying to change the info in my head, for 5 months, all I thought I was striving for was getting him low enough for a reduction.
Jill & Alex (GA)
Member Since 2009
Re: 5/13 Lucian +5/161,+7/150,+9/380,PMPS HI,+2.5/495,4.75/2
deb, there is no right or wrong here. try different ways of controlling the curve (choice of foods, timing, amounts of food, etc.). there's no one way to do it right. managing a curve with food takes a lot of trial and error... til you find what works for lucian.
just giving you a head's up...
i work long days on T-W-TH (10 - 12 hours). sometimes i have cancellations and can get online during the day/evening. sometimes i don't... which is one of the main reasons i generally don't post much any more.
didn't want you to think i was abandoning you. :mrgreen:
deb, there is no right or wrong here. try different ways of controlling the curve (choice of foods, timing, amounts of food, etc.). there's no one way to do it right. managing a curve with food takes a lot of trial and error... til you find what works for lucian.
just giving you a head's up...
i work long days on T-W-TH (10 - 12 hours). sometimes i have cancellations and can get online during the day/evening. sometimes i don't... which is one of the main reasons i generally don't post much any more.
didn't want you to think i was abandoning you. :mrgreen:
nckitties3
Member Since 2013
Re: 5/13 Lucian +5/161,+7/150,+9/380,PMPS HI,+2.5/495,4.75/2
It's ok. Sorry you have to work such long hrs.
It's ok. Sorry you have to work such long hrs.
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