5/21 Jane is 53 @ +3 -- fed karo - how bad is this?

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Kris & Jane (GA)

Kris & Jane (GA)

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reduced her dose to a hair's breadth over zero - i'm calling it 0.15 for consistency's sake - but holy buckets, 53 at +3 -- fed some high carb and 1 ml karo. are we in for it bad?
 
I'm wondering if you might want to try using a higher carb food when you get a pre-shot number that's in the pinks or lower. Jane seems very sensitive to Lantus and I'm thinking that maybe a higher carb food will flatten things out.

Just in case I've not asked this, how are you feeding? Are you giving one major meal per cycle or are you dividing Jane's food up over the early part of the cycle?
 
she's a 24/7 grazer, always has been, and i don't want to mess with that when she's at such a low weight. actually, dh and i both think today she feels like she's put on a little weight (she went from her girlish 7.5lbs to 5 in the direbeasties crisis three weeks ago). this morning's numbers looked good - and i guess she could surf where she is right through nadir - but i've been out of the insulin game so long and she's been doing some crazy stuff.

but yes, her appytite is good. i'll pick up some FF tomorrow with carbs from cals in the 12-18% range - thoughts?
 
I've been watching your SS all day. I'm so glad you posted!
I think the Karo was a good thing in this case -- for this cat.
It won't last long though - will she eat the high carb food ? - it should last a bit longer than the karo - but make it heavy on the gravy.

Kris, I've been tempted to say from the beginning to try NO insulin but I didn't want to seem crazy. I think it's possible that her need for insulin was very short lived.
I don't want to get your hopes up by saying that - but seriously I think it needs to be considered.
So my suggestion is to either drop the dose again down to 0.05 or to try a dry run. A 0.05 is basically a dose that is lined up with the zero - it's whatever is in the syringe that you push out by keeping the syringe pressed. A tiny single drop.

edit to add - for what it's worth - if it were me I'd try the 0.05u dose
 
I think it's going to be trial and error. A lot will depend on how carb sensitive Jane is. An 8 - 10% might be OK or you may need to go to MC. If she grazes, it might make sense on the days when she's not bouncing, to give a little less of the MC and as the day progresses, give her LC as the insulin will be wearing off. You may want to look into getting a timed feeder so you can have some control over the carb content of what Jane has access to throughout the cycle if you're not home.

Since Jane has GI issues, if you don't want to use the FF, you could try your own "recipe" with respect to how much Karo to mix in (e.g., 1/2 teaspoon may be HC, 1/4 teaspoon may be MC).
 
She doesn't seem to mind the Karo mixed in, so that's an excellent idea -- I'm finding as we slowly explore canned foods again that she tolerates most turkey varieties fairly well - the FF classic T&G is smooth sailing.

How will I know when it makes sense to try a "dry run"? Are there any protocols you know of?
 
Kris & Jane said:
How will I know when it makes sense to try a "dry run"? Are there any protocols you know of?
Click to expand...

:roll: weeeelll yes -- there is a normal way of doing things... it's just that jane doesn't seem to want to play by those rules - lol!
Normally you work your way down the dosing scale... then after a couple of weeks of steady numbers (usually in the green range) you try no insulin.
Obviously that looks nothing like what is going on here - thus explaining why I didn't want to say it and sound crazy ;-)
But she IS working herself down the dosing scale :-D

-the good news is you've almost found your dose. :)
It's not anything above 0.15 obviously ... and there's not a lot of choices below that - so you're not going to spend a month working your way up to the right dose like some people need to. :cool:

You can do this a couple of different ways. you can drop the dose again to 0.1 and see if that does the trick or drop it it 0.05 -- either way, if it's not good you can change it. I'd just like to see her settle down - all this bouncing has got to be tiring for her.
 
Good, Dian. I was hoping you would post!

It probably needs to be said ( in case newbies are reading this) that normally a reading of 53 is not a cause for concern - and it's not really in this case either. It's the way Jane drops so quickly... and the concern is that @+3 she's not done dropping.
I've been thinking about you guys all night... and I'm wondering if you'll be home this weekend?
I ask, because if you will be there to monitor her, the best course of action might be to go ahead and try the 0.1 - that way if she bounces high you won't feel as anxious as you would giving her less. I know how it feels when your cat is in high numbers and you wonder if you are underdosing - the temptation to bump up that dose is incredibly high... and it usually becomes too much to bare about the time the numbers break. :roll:
Hopefully that will be a good dose for her - and the bonus is that it's easy to measure. If it drops her too low then you can reduce it more - if after a few cycles it seems like it's not enough, you can go back to 0.15
What do you think?
 
I'm home all weekend! Honestly, I don't know that I can tell the difference between .15 and .1, except that it's a hair closer to the zero line. i sent dian a photo of what i was calling 0.25, and she concurred, but lacking dose lines way down there, the only thing i can do is be consistent. wouldn't it be great if they made a special diluted lantus for microdosers, with a special syringe you could actually appreciably SEE? sigh.
 
Support fly by. I checked Jane's SS first thing when I woke up and thought ooooh, she's doing better.
She has a great staff. :mrgreen:
 
You are on a tiny, tiny dose - .15. Jane simply cannot hypo on a dose like that, so there is no need whatsoever to feed high-carb or karo. A 53 is a very, very normal number and a 53 at +3 makes me think her pancreas did the work, not the insulin. This is a good thing.
 
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