8/23 Toeby PMPS 149, +2 131, +4 41, +4.5 144

Laurasboyz

Laurasboyz

Member Since 2020
Our last post, a week ago today: https://www.felinediabetes.com/FDMB...pmps-137-3-59-4-77-5-121.251510/#post-2837875

Tonight I caught my first sub 50 reading at the 0.10 unit dose.
He was 50 at +5 this morning, and 54 at +4 last Wednesday morning, so he's been skating around lime green values.
I now don't really think the budesonide is affecting these BG's as the low readings are happening both on the morning after he gets his dose at supper, the morning after his day off, and now the evening OF his dose.

I may have to move to a drop dose, or perhaps do as his vet suggested, and stop the insulin and see if he'll stay mostly in blue numbers.

His reading half an hour after the 41, after some high carb food gravy, is 144...
That seems like a big jump in a half hour, so I did this test twice and I think it's correct.
 
PerfumedCatMom said:
Wendy said this to me today, so I'll say it to you: what are your goals with Toeby?
Click to expand...

Ah, that Wendy... :)
I feel like the kid in Kung Fu series.... "Grasshopper... snatch the pebbles from my hand"
I'm probably showing my age with that one. ;)

Initially, my goal was to get him into remission.
And, admittedly this was more about me than him, if I am honest.
So that I could get my life back:
Where I could sleep in if I wanted; go to bed when I wanted; do something for the day and not worry about being back home for a specific time; or have my friend come stay with the cats so I could go away overnight.
To not have a constant worry about killing him with a well-intended and thought-out dose of insulin.

The amount of insulin he currently takes is minute.
The vet calls it a "micro dose"... I know many here would say that is not so, that even a one-drop dose (the possible next step down for him) is a realistic regimen, and not a "micro dose".
But the new vet has indicated that she thinks I am putting him too close too danger and I should stop doing that - she doesn't like seeing the sub 50 values at all.
I have kept on because I am working on the goal of remission, and I guess I'd love to be able to say "I did it!!"

If I knew I was still progressing towards my original goal of remission, not just floundering around, I would feel better.

I am pretty sure Toeby has more going on than just diabetes, that couldn't be precisely determined at our local vet clinic.
I am okay with that... he's 16, he's had a pretty good and healthy life so far, and we're all going to go at some point.
That's not saying I wish him gone, or don't care, I wouldn't be doing all the things I do for him if I didn't care, or want him to stick around.

My job as a responsible pet owner is to love my cats, care for them to the very best of my abilities, stick out the difficult times, and try to help them live their fullest, healthiest, happiest lives.
And then, when the time comes, help them leave this life without undue suffering.
Every pet deserves nothing less.

So.
What are my goals with him now?
Love him, give him a comfortable life, not kill him accidentally with too much insulin, not neglect his brother, and help him leave this world painlessly when that time comes.
I think that's my goals?
Laura

PS
Toeby's brother is an absolutely wonderful cat who is cuddly (unlike Mister Toeby). a real character, whose only health problem (touching wood) is arthritis and more limited mobility with his age.
I wish he got half the limelight and attention that Toeby does... maybe we should have a forum for civvies so that for every shitty post we can put up a happy post... :)
 
Then maybe you should take him off insulin. :) I’d keep testing him regularly to make sure he’s not going too high but do what you need to do for him and your life. It doesn’t have to be either/or, all or nothing.
 
Thanks, Katherine.
Do you think he is showing ANY signs that if I take him off the insulin he'll do okay?
The greens he's had lately on this 0.10 give me hope, but I don't know if they really mean anything positive overall.

I do know this: this morning I'm meeting 7 girl friends - the 8 of us normally go away on an overnight trip, but the pandemic squashed that - and we've been doing this every year for more than 25 years.
It's a wonderful thing really, someone to be quite proud of, to carry on for so long.
And truth be told, if my DH wasn't going to be home to monitor him this morning, I'd be so uptight about leaving him after last night's weird reading at +4 (after I will be gone from the house) that I'd be in knots about going.
THAT's the part of this that I hate... the constant worry.
I am sure everyone on this board knows the feeling.
Laura
 
It may be that a drop dose is a good plan since generally speaking you want to see minimal blues when going OTJ. Here is the link to earning reductions and OTJ trials

Had Toeby been getting more numbers in the 50-80 range, with an occasional number in 100-120, on 0.1u then you might have been able to consider no insulin, but to me, I can't see that he's quite there yet on his own.

I wonder if you might try and feed a little higher LC or MC earlier in the cycle to prevent the drops? Also, perhaps try feeding a little LC snack at +9 to see if you can get the preshots down a bit?
 
@Christie & Maverick Hi, and thanks. I am giving him a +9 snack when I can... I have discovered having just food down for him at +9 doesn't mean he'll eat it, he often sleeps the +9 hour.
If I wake him up and offer a snack with a little warm water in it, he'll eat it.
I could try to feed him higher carb food earlier and see how that goes, for sure.
Laura
 
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