7/23 Rachel’s George >500

[George’s Mom]

Moving over from Main Forum to here.

Prior Post: https://felinediabetes.com/FDMB/threads/george-300-400s.266052/#post-2979580

George’s BSs have been in the 400s about 60% of the time since 7/9. His SS is red, purple, and black (no blue or green at all). I have just recently discovered that he is Acro+ (Thanks Wendy and Bron). He is on 5 units of Lantus every 12 hours as of last night.

I’m hoping for advice for getting his BG #s down. Poor guy is gimping around pretty sadly and I’m worried about his longer term neuropathy from these high #s. He has been wearing a libre sensor for about 3 months now. Zero numbers below 200 since 7/9. Only once has he dipped down below 250.

Prior to 7/9, we were giving him PZI every 8 hours. His Nadirs were lower but shorter (+5 I think) and he bounced back up at about 6-7 hours pretty steeply. This is why we switched to Lantus on 7/9.

Appreciate any advice to get George feeling better. Thank you Wendy for all the help you’ve given so far. Hopefully I continue to hear from you too. You have been so helpful!

Acro: Going to take George to a vet cardiologist asap to assess next steps with Acro.

 

[Wendy&Neko]

Welcome over to this side of the forum. Good job starting out with the right format and link to the previous post. Unlike the Feline Health forum there isn't a daily limit on number of posts, but isn't generally shorter posts daily, or however often you want to post, with the link to the previous one.

We have a number of people here with kitties that have acromegaly (Eddie, Max, Amethyst as examples). Plus Jack who's bloodwork results are pending. Take a look at some of the spreadsheets of the early days of them, plus others you see from the acro forum. You might find them informative.

Out of curiosity, what time of day is your preshot time? We have members that have non standard schedules or from other parts of the world, so it just helps us know what time is "current" to you. Also, we do request that spreadsheets be kept reasonably up to date if possible so we can respond to the current situation.

I'm guessing the (over 500) you are seeing might be a bit of New Dose Wonkiness, as we call it. Just a temporary cycle or two of higher numbers after you increase the dose.

Are you testing him regularly for ketones?

 

[George’s Mom]

Preshot time = BS right before he gets his shot, right? I have him on 8am / 8pm 12 hour shot cycle. I put the preshot level right at his shot time (so it reflects his bS level at 8am /8pm). I added a row to the top of the spreadsheet with the times bc size I was struggling to do the +1 math. It was easier for me to just see the time. Since he has the libre sensor, I have his levels around the clock. I actually added a second tab where I have been adding a screenshot of his daily curves so you can actually see all of his levels 24/7.

I had his SS updated through 7/22 @ 9pm. Bout to update it again now. But I’ve been generally updating it twice a day ish? Should I update more than that?

I hope you’re right on wonkiness. Good call on ketones. I will test him tonight.

I looked at all 4 Cats you mentioned. Looks like the doses are two to three times where we are… With so much red and black on my spreadsheet, I wonder if we will end up that high as well. I know I have to be careful when upping though. Gonna hold steady at 5 for at least 6 cycles unless told to do something different. Thank you for all your help!