5/7 CRYSTAL AMPS 173 +9.75 290 + 10 203 GAVE R PMPS 286 Gave R +2 320 | Feline Diabetes Message Board - FDMB

5/7 CRYSTAL AMPS 173 +9.75 290 + 10 203 GAVE R PMPS 286 Gave R +2 320

Status
Not open for further replies.
suki & crystal (GA)

suki & crystal (GA)

Member since 2014
yesterday

Hi all,

Well I knew it was too good to last, Crystal's found that blasted trampoline that Neko and Sheba have been bouncing around on lately and is having a go herself! Obviously the 0.75uR this morning didn't have any effect so a bigger dose tonight. Deciding whether to give a dose of R at +10 to halt the rise, think I will. bbl
 
PMPS was 286 so gave another 1.0u R (making 2.0u in total from +10). This is a totally new concept for me, giving the full dose over +10 and PMPS so I hope it works, paws crossed.
 
Recap on Crystal figures today:

173 AMPS
238 + 3.5
232 +5
275 +7.75
290 +9.75
293 +10 + 1.0u R
286 PMPS + 1u R
320 +2

Just when it was all going so well...... don't know what to make of these figures, wondering when the R is going to kick in, if at all? First pink test since April 27 :( Any thoughts?
 
Work that R, Crystal...and stay off the trampoline!!! Unfortunately I really don't have any first-hand R experience, but hopefully someone will come along with an answer for you soon....
 
This is where I am wondering if using something like NPH, which lasts 6-8 hours might work to keep the glucose from rising much at the end of a cycle and to keep it down while the Levemir was not yet kicking much. I think of it like chinking a log cabin. You are filling in insulin coverage when the Levemir isn't working at max.
 
Bummer on the pink. :( I had noticed how long she'd gone without it but didn't want to say anything to jinx it. At least she's back in yellows now. I wonder if maybe sticking to your R scale of 2 or 2.5U when you see yellow might work better than 1 unit. That second unit later on seems to have turned her around.
 
@BJM - not sure what NPH is, can you explain please?
@Wendy&Neko - she's slowly coming down, not at the rate we've been seeing lately but at least going in the right direction. I think you are right, with hindsight, perhaps I should have waited until PMPS and given her the full dose of either 2 or 2.5 R then, rather than splitting the dose at +10 and PMPS. I was apprehensive about giving anything larger than 1u at +10. Not quite got to grips with giving R at other times, when and amounts.
@Suzanne & Cobb(GA) thanks for looking in Suzanne, do you think I should go back up with the Lev? would that help?
 
I would go back up with the Lev. The low numbers you saw on 5/2 could have been left over from the larger depot. 52 looks like it was a good dose and you've used R on most of your preshots since you decreased.
 
NPH stands for neutral protein Hagedorn. It is a type of insulin which lasts 6-8 hours, depending on the cat. I suspect it might only last 6 hours in Suki because of the acromegaly. In the US, it is sold as Humulin or Novolin N or NPH. If it is available where you are (France?), you would test it as you tested the R - cautiously, with a low dose, until you saw how it worked for Suki. If she has moderate to steep rises in the last 4 to 3 hours of her cycle and it takes at least 3 to 4 hours for the Lev to kick in at the beginning, N might help cover that period to control the glucose. Its an option, not a mandate.
 
219 at AMPS. Gave 52u Lev and 1.5u R
Thanks BJ for explaining about NPH and your suggestion. I will read up on it and, more importantly, check whether it's available here, although I have a vague relocation that it's not.
 
If not, just remember R typically lasts about 4-5 hours in the cat with a nadir of about +2 or so, so when you dose it, do so in the period when the Levemir is waning at the end of the cycle or likely to start kicking in at the beginning. That period of time is when you are most likely to need the R. I've got a picture of the approximate periods when this might happen. Note that the periods where you can supplement may be shifted later or earlier based on when the end of cycle rise and start of cycle fall in glucose typically happens in your cat.
Chinking2.jpg

 
Status
Not open for further replies.
Back
Top