5/30 Harley PMPS 339

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Harley and Pattie

Harley and Pattie

Member Since 2010
Been a tough 2 weeks for Harley and me. Work has been a ***** and he suffered for it. Had late shots, skipped one altogether but he seems ok through it all.

I found an old post that I had printed and want to know what you all think of it. Hate to say that I don't remember who even suggested this but it has to do with the use of R at +8 or +9. Harley was in a bounce and I wondered how I could have avoided it. He hit 170 and when way up from there. In part it reads:

"Have you ever used R at +9 or +10? Like with that 170 at +9. If he'd had a touch of R in the second half of the next cycle to just hold him flat until the next lantus took effect, it might've kept him out the the pinks."

He is in that cycle again? This kinda makes sense to me.

Pattie

http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=70825

Anyone reading this who might be new - please remember that this is a question about Harley only and any answer should not be used on your cat. Harley has IAA and it affects the use of insulin.
 
Re: 5/29 Harley PMPS 222

222 PM. I shot 3.5u and gave about 1 tsp gravy mixed in his LC food. Hope I didn't make a mistake there. If he bounces, should I try a bit more R or let it ride. I don't want him to stay in the pink too long...I have a feeling it is not doing him any good.

Pattie
 
Re: 5/29 Harley PMPS 222

Hey Pattie. I don't know who told you that, but I would never give J.D. any R when he was less than 300. I only use R if J.D. seems to be staying in the pinks for awhile. But that's how I use it. Maybe the person who told you that, knew something I do not. My experience with R is that it is sometimes unpredictable in that it could start to have an affect at the same time J.D. is coming down for some reason, and he will crash, and then it's just more bounces.
Maybe send a PM to Sandy and Black Kitty, would be my advice.
 
Re: 5/29 Harley PMPS 222

that was probably me. :mrgreen: I'm a big fan of using R (when you know how and have used it successfully in your cat) to prevent the high numbers from happening, rather than waiting until the high numbers happen and then trying to shoot them down. The trick is that you really have to know your cat because you have to know when the high numbers are coming so you can be in front of them.

Some things you'll want to watch out for:

Never use R in this way when you think a bounce is about to clear. You want to do it at the beginning of a bounce, not the middle or the end.

Only after nadir. Probably the best strategy to start with is to be sure you're catching a rise after nadir, and then just barely tap him with R. To begin with, you'll only want to try this in cycles when you know he is about to bounce high. Later you might be able to be more aggressive, but start very conservatively.

Today worked out nicely because you caught him at the very first sign of a rise. It appears that the R helped hold him flat at the end of the cycle, instead of letting him keep going up.
 
Re: 5/30 Harley PMPS 408

The bounce happened as I thought it would. Libby, if you are around, can you help me with this. He stays in the pinks way to long and I am not sure what to do.

Pattie
 
Re: 5/30 Harley PMPS 408

Hugs to you Pattie! Sorry things are going the way they are. I hope Harley comes down and stays down soon. Have a great day!!
 
Re: 5/30 Harley AMPS 408

Hi guys .. no dosing advice from me, but maybe if you put the question in your title? I hope we can get harley down .. no fun being that high I'm sure ..
 
Harley did fall to 339 tonight. Tomorrow he has a vet appointment. I am going to ask for labs. Think I will have them done every 6 months just to keep up on things.

pattie
 
Hi Pattie, I'll do the best I can. I can't be here every day anymore, but I'll try to explain so you'll understand what I'm thinking.

For Harley, he does bounce hard and he is fairly predictable about when he will bounce. After all this time, you have figured out when he is about to bounce. Yesterday you caught the very beginning of a bounce and hit it with a touch of R, and it looks like that did a good thing by keeping him flat in the 2nd half of the cycle. Good job there! Just be sure the bounce has started before you give R - wait for a rise, even if it's a small one, so you know he's not still dropping. I think if you gave R to Harley when he was blue and dropping, he might drop too far, but if he's blue and rising after nadir then it seems to work.

Another little bit of R at PMPS last night probably would have been fine, because you know his bounces tend to last at least one whole cycle. I probably would not have given R after nadir last night because by that time I would have had some doubt about whether the bounce was about to clear or not. You might collect data that would have shown that it would be ok to give R then, but for the moment I would not.

I do think that for Harley, once he hits red there is a chance he is going to turn around and start heading down. You don't want to give R when a bounce is clearing, because then you have downward motion from the R at the same time as downward motion from the bounce clearing, and together those two things can make him go down TOO fast (and then bounce again, even harder). So I don't think I would give R when he is already red because a lot of times he does drop quickly from red even without R. If you can learn how to use R to help keep him from getting to red in the first place, that would be a good achievement.

You should probably consider increasing your L dose too. It sort of looks like might be starting to build resistance again - I only say that because of the pattern of hitting green on a dose and then no more response until you increase again.

So maybe a starting point, for now, is to say that when you know there is a bounce coming, give some R at the first sign of a rise after nadir, then some R at the next PS. Then no more R until you see the next bounce starting.
 
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