8/8/17 Amethyst +4 at Midnight 415 AMPS 389

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Keep up the good work, just remember anytime the dose is changed can take up to 6 cycles to settle, so it is normal to see BG raise and lower. It's all good, hope to see some movement soon... Come on Amethyst show mommy that you are working it :)
 
If she doesn't give you yellow tonight, and you want to fast track, you could go up to 4.5 units tomorrow.

Work it Amethyst!
 
she is raising where it is normal, and not by much so it is good. Look at others SS, pre-shot should be a higher than mid cycle, and after mid cycle it raises. Like a grin if you were to map it out. It's all good, will be interesting to see if Amethyst has an active cycle today.

Come on Amethyst work that dose :)
 
Pamela & Amethyst said:
When is low enough?? Thanks
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"Low enough to bounce" is different for every cat, but cats often bounce when it goes lower than they're used to. When you see your first yellow, you might see high blood sugars for the next 2-6 cycles if her liver dumps stored glucose into the blood as a reaction to a number it perceives as "too low" - even though yellow is still too high. It's a protective response. If the BG drops quickly over a short period of time, that can also cause a bounce. While Chino no longer bounces from yellows, he does still bounce from blues.

But not all cats bounce, and some come down more quickly than others. Chino used to take a full 6 cycles to come back down, and occasionally he still does, though it looks like the more time he spends in the 100s and below, the more quickly he's able to come back down. Some cats will have a very flat cycle right before the bounce breaks. Chino's BG usually rises until it reaches a higher-than-usual preshot right before he breaks a bounce. You'll come to learn Amethyst's patterns when she starts testing in a range that's low enough to trigger her liver's panic response.
 
Adrian and Chino said:
"Low enough to bounce" is different for every cat, but cats often bounce when it goes lower than they're used to. When you see your first yellow, you might see high blood sugars for the next 2-6 cycles if her liver dumps stored glucose into the blood as a reaction to a number it perceives as "too low" - even though yellow is still too high. It's a protective response. If the BG drops quickly over a short period of time, that can also cause a bounce. While Chino no longer bounces from yellows, he does still bounce from blues.

But not all cats bounce, and some come down more quickly than others. Chino used to take a full 6 cycles to come back down, and occasionally he still does, though it looks like the more time he spends in the 100s and below, the more quickly he's able to come back down. Some cats will have a very flat cycle right before the bounce breaks. Chino's BG usually rises until it reaches a higher-than-usual preshot right before he breaks a bounce. You'll come to learn Amethyst's patterns when she starts testing in a range that's low enough to trigger her liver's panic response.
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Is there anything SPECIAL that needs to be done so that she stays SAFE??? Thanks
 
Marvin's Mom - Nat said:
she is raising where it is normal, and not by much so it is good. Look at others SS, pre-shot should be a higher than mid cycle, and after mid cycle it raises. Like a grin if you were to map it out. It's all good, will be interesting to see if Amethyst has an active cycle today.

Come on Amethyst work that dose :)
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Thank you!
Pamela & Amethyst said:
Is there anything SPECIAL that needs to be done so that she stays SAFE??? Thanks
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DO you think she should be tested for Acromegaly or IIA??
 
I would recommend first to read up a bit on acromegaly, and see if Amethyst has any obvious symptoms of acromegaly. I know most kitty's do not display symptoms, however with Marvin, he did have a few of the main symptoms. I started thinking about it, and looking into it when Marvin reached about 4 or 5 units. He got tested when he was about 6U. As other mention, some kitties are just need more insulin than others. It doesn't hurt to get the test done (except pocket book), once you get results positive or negative at least you have a better idea where you are at, and where to go next. I was scared and relieved at the same time when I found out.
 
Marvin's Mom - Nat said:
I would recommend first to read up a bit on acromegaly, and see if Amethyst has any obvious symptoms of acromegaly. I know most kitty's do not display symptoms, however with Marvin, he did have a few of the main symptoms. I started thinking about it, and looking into it when Marvin reached about 4 or 5 units. He got tested when he was about 6U. As other mention, some kitties are just need more insulin than others. It doesn't hurt to get the test done (except pocket book), once you get results positive or negative at least you have a better idea where you are at, and where to go next. I was scared and relieved at the same time when I found out.
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Hi How was the OTJ Party?? Thank you for getting back to me. I would have to ask DCIN to pay for it because I do not have the money I will read up on it first I just do not understand why she keeps going up and down? Take care
 
An IAA diagnosis might change the way you approach your dosing decisions, but an acromegaly diagnosis wouldn't. The bottom line is that the cat needs a certain amount of insulin, and you keep going until you find an effective dose, no matter what's causing the insulin resistance. From personal experience, knowing that Chino had acromegaly made it easier to take the aggressive approach needed to push through the insulin resistance, and I had him tested when we reached 5 units since I saw that most cats at or above that dose had one condition or the other.

If Amethyst turns out to be a high dose cat, you might consider using regular insulin (available over-the-counter for about $25) which will help lower the blood sugar at the beginning of the cycle so the Lantus has a lower number to work with when it takes effect. If you decide to go this route, you'll need someone with experience who is available to guide you on the first few days of use, will need to test frequently in the beginning (every hour for the first 3-4 hours), start very low, and be very cautious to avoid getting the two mixed up.
 
Adrian and Chino said:
An IAA diagnosis might change the way you approach your dosing decisions, but an acromegaly diagnosis wouldn't. The bottom line is that the cat needs a certain amount of insulin, and you keep going until you find an effective dose, no matter what's causing the insulin resistance. From personal experience, knowing that Chino had acromegaly made it easier to take the aggressive approach needed to push through the insulin resistance, and I had him tested when we reached 5 units since I saw that most cats at or above that dose had one condition or the other.

If Amethyst turns out to be a high dose cat, you might consider using regular insulin (available over-the-counter for about $25) which will help lower the blood sugar at the beginning of the cycle so the Lantus has a lower number to work with when it takes effect. If you decide to go this route, you'll need someone with experience who is available to guide you on the first few days of use, will need to test frequently in the beginning (every hour for the first 3-4 hours), start very low, and be very cautious to avoid getting the two mixed up.
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Thank you!! I hope that is not what I have to do. I am already stressed to the max wanting her to be all right,
 
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