6 decreases in 13 days - Input welcome :)

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TheBowHuntress

Member Since 2012
Gobbles has had six .25 U decreases in the past13 days; one of which he didn't "earn" according to Lantus TRP. The unearned .25 U reduction was my being a BCS yesterday PM because his AM cycle mimicked his 3/7 AM cycle and I was being cautious. Well, even with the unearned decrease, he dropped to 40 today; thus another reduction.

I am not going to get my hopes up just yet, but it appears that my boy is tired of being diabetic... Is there some potential medical reason that could cause such sudden decreases?

Comments anyone?
 
Just keep walking him down that dosing scale...and we will be keeping our fingers crossed he has just gotten tired of those needle sticks. :-D

About the only thing that I have heard of that will eat BGs and causing them to go low is some forms of cancer.

Mel, Maxwell, Autumn & The Fur Gang
 
Kat.
On PZI, Bob went from 4u doses down to .25u doses in 4 weeks. It just "happened". He got better. Gobbles does look like he's getting tired of dancing, so I think I'd just follow his lead. ;-)

Carl
 
Although now while he is on a dose over .5u is a good time to grab an old syringe and start working on your microdosing skills and practice getting 5 drops out of .5u of water, so when he does decide he wants a dose below .5u you will be ready. :-D

Mel, Maxwell, Autumn & The Fur Gang
 
MommaOfMuse said:
Although now while he is on a dose over .5u is a good time to grab an old syringe and start working on your microdosing skills and practice getting 5 drops out of .5u of water, so when he does decide he wants a dose below .5u you will be ready. :-D

Mel, Maxwell, Autumn & The Fur Gang
Great idea Mel! So .5 U is 5 drops? I've been wondering how the heck some of the members give just a few drops...when I give him his shot PM, I will keep the syringe and practice, practice, practice (anti-jinx). His Lantus pen is down to about 18 U. I was just thinking the other day to call the pharmacy for another one--I may just hold up on that....
 
TheBowHuntress said:
So .5 U is 5 drops
Well it is as close as we humans can get. But yeah it equals out to about a .1 per drop of insulin. Then when you get good at 5 drops from .5u you can work on getting 10 drops out of that same .5u so the dose per drop becomes .05u ...Have fun :lol:

Mel, Maxwell, Autumn & The Fur Gang
 
Looking good Gobbles. I would ask on TR about dropping his dose so soon after a prior reduction since you may be seeing depot effects. However we all have our paws crossed cos he is looking so good!!!

Here is a post on doing small amounts (scroll to bottom for syringe pics http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=18139)and if you get even smaller I can help with that since Bailey is a microdose cat.
 
Wendy&Tiggy said:
Looking good Gobbles. I would ask on TR about dropping his dose so soon after a prior reduction since you may be seeing depot effects. However we all have our paws crossed cos he is looking so good!!!

Here is a post on doing small amounts (scroll to bottom for syringe pics http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=18139)and if you get even smaller I can help with that since Bailey is a microdose cat.
Thanks Wendy. By "depot effects", do you mean bounce or resistance??? I'm not following confused_cat Thanks for the link; I saved it...!!! Hopefully, I'll need it :)
 
I think she means...

The "depot" gets established over the course of a few cycles. Sometimes when you reduce really close together, there's a chance that the level of insulin in his body is in part due to the higher doses he's had over the past couple/few days. So even though you reduced to 1u, the numbers can be lower because he's still got residual effects of the 1.25 or 1.50 unit doses he just came down off of.
Just like you might not see an immediate effect when you increase a dose, and it takes a few cycles to "sink in", the same can happen when you reduce. The depot has to settle down to the "new dose" level.

If you look at enough spreadsheets, you'll see times when (I think Libby mentioned it earlier), a kitty will get a reduction, and it will "fail" and the corrective action is to "go back to the last good dose". So you increase back, and a couple days later, he'll drop back down below 50. So you sit there thinking "well, 1.25u is too much, but 1u didn't work well enough" and wonder what the heck you're supposed to try next. That's when you see people try to give a "fat 1u" or a "skinny 1.25u" dose. The right dose is someplace in between the two.

Carl
 
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