9/19 Klinger AMPS 431; +4 322; 5.5 194; 6.5 195; PMPS 361

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Re: 9/19 Klinger AMPS 431

Good luck with the dose increase today. I hope you start seeing some results. I'm glad the high dose peeps are with you.
 
Re: 9/19 Klinger AMPS 431

Thanks Robin. I'm glad the higher dose gals are here with me too. Now I just have to get him tested to see if he truly is an acro kitty so we know for sure what we're dealing with.
 
Re: 9/19 Klinger AMPS 431

Friday should be absolutely fine, just keep an eye for his overall behaviors and that he seems happy.

Test when you can, ANY mid cycle data is useful. (especially between +4-- +7)

Ketone test when you can, especially if we see a lot of red/black again.

Keep shooting near his belly- but move around to different spots as much as possible

Again - thanks so much for grabbing all that data yesterday - soo helpful

and Klinger very well may not be acromegalic, but he does seem to respond better to more insulin. You proved to yourself yesterday that he's not bouncing, crashing, or doing anything scary on 3.4u. Hopefully 3.8u will bring him to the low pinks so he can get used to that for awhile before we bring him down again.

Do what you can to encourage a steady intake of food. I actually manipulate the meals here to feed the biggest meal at nadir time and smaller meals when insulin activity is weakest, ( :-D helps that I'm retired from a "day job"), but don't worry about it-

:-D he's in good hands -YOURS! - and I can see you really care :-D
 
Re: 9/19 Klinger AMPS 431

Thanks, Nancy. Actually yesterday's curve was a breeze compared to when he was first dx. I don't know if it's because we don't tag team him anymore or if it's just gotten easier over time. ;-)
The thing that I noticed this morning - back up - Klinger has always sang or "waahhhhh, waahhhh, waahhhh", over his water bowl before drinking and then giving it a nudge to see the water ripple. This morning when he did it, it startled me, because I realized that I haven't heard him do this in a while. Hopefully that means he's feeling a little like his old self again.
I love my kitty (I don't usually call him Klinger) and it means a lot to me that you all care about him too and are helping us both through this time. I don't know what I would have done without all of the support that I receive here on a daily basis. Thank you!!!!!
 
Re: 9/19 Klinger AMPS 431; +4 322

Hi Marcy -
Just checking in on you and Klinger. You've got great help so really I'm just here to say hello and give you lots of encouragement.

Sorry it took me so long - but some people have said they had to fast their kitties for the IGF=1, GH, and IAA. Others have said no. I know I never did with Merlin. Heather who has had her Boo treated by Dr Lunn for the radiation treatment in Colorado says - Dr Lunn has never had her fast her Boo. So I think you probably really don't have to.

If there is ever anything I can help with please let me know - otherwise I'll just be a cheerleader for you and Klinger! :RAHCAT
 
Re: 9/19 Klinger AMPS 431; +4 322

Thanks so much for finding out for me, Patti!

We have BLUE! :cool:
+5.5 194
+6.5 195

Go Klinger, go Klinger, it's your birthday (not really)! party_cat
 
Re: 9/19 Klinger AMPS 431; +4 322; 5.5 194; 6.5 195

Oh Marcy and Klinger - what a wonderful day for you. I remember so well when I first started getting good numbers for Merlin. SMILES SMILES SMILES!!!!
 
Re: 9/19 Klinger AMPS 431; +4 322; 5.5 194; 6.5 195

wow, he is just full of surprises! I'm curious to see the duration, and where he is at pm preshot. Thats a 230 pt drop! much different from yesterday.

At pmps he should be rising, but if not you might want to see how he's eating, and/or adjust the dose down .2u. Let's not shoot until we see about 220 or higher. It sometimes flies up near PS, so test every 15 min. I know you need to stay on schedule, so if needed, drop back to 3.4u.

I've got to step out- but ill hurry back
 
Re: 9/19 Klinger AMPS 431; +4 322; 5.5 194; 6.5 195; +10 246

Thanks, Nancy.
We're now at +10 246
He had a great day. He played with his catnip ball, went outside, sat in the front porch and watched the birdies.
He could be bouncing...should we go back to 3.6 for a few days and bump back up to 3.8 on Wed and then test him again on Friday?
Thanks,
Marcy
 
Re: 9/19 Klinger AMPS 431; +4 322; 5.5 194; 6.5 195; +10 246

duhhhh, you're in Colorado, I'm in Georgia- I wouldn't trust me lol :lol:

Well, heres the question, and you get to make the decision you are most comfortable with. Prozinc doesnt last the whole 12 hrs usually. so he is going to go back up every pre-shot. For us, Prozinc did not really seem to build up much of a storage shed like levemir and lantus are suppose to, so you are kind of starting over each shot. I expect your kitty will be pink or red at preshot.

and as for bounce, I found out the hard way that you almost have to ignore it for a day or two to get them OK with a new set of colors. According to your WCR he seemed pretty happy in yellow and high blue today, so the way to get more is to keep the dose steady. BUT, I know you are going to work tomorrow, and can't test, so .... maybe you could back off just a bit, and see if we lose the momentum. You actually changed 2 big things yesterday- the dose and the shot location. Shot location IS huge, so maybe you could back off on the dose, and keep the new shot location and we can see what happens. I think I would maybe try 3.6u, in the belly and test when you can, like before bed.

But if you decide to try 3.8 again, know that he is a long way from a 'scary place' at 195. The difference might be what number you start from. Ask yourself, if he drops 230 points from this start point (preshot), will he still be in a safe number? Here's what you saw:
3.4u = 75 pt drop
3.8u = 230 pt drop

Take in consideration, there is a big 10-15% meter variance which could explain some of that difference, but wow! probably best to be safe and go with 3.6u, depending a lot on where you are starting from, what's the pmps?
 
I saw the PMPS of 361 and I would drop the dose a smidge- as I said above. a 240 drop tonight would cause a big bounce tomorrow. Remember he will probably keep rising tonight until +3 and then down again. I vote for 3.6u. Thats the cool thing about PZI its flexible.
 
Nancy,
Thanks so much for the information and helping me sort this out. I've been sitting here for the last 25 min's debating if I should or shouldn't give the 3.8. I was leaning towards the 3.6 because I won't be home tomorrow and I would have worried all day if he had gone too low, but I was also thinking he had really good numbers today and am I just being a worry wort and the lower numbers are where he needs to be.
So, for both of our sanities, I will go with the 3.6. I'll see how he does on that up until Wed (if necessary) and then bump up to the 3.8.
Thanks again!
 
You did great! Always err on the side of safety, that's the beauty of preshot testing! He does not have ketones- so your decision was perfect, and we will keep getting data to help with the next decision...

If you had shot 3.8u and he dropped 240 points, he still would have been above a hypo/seizure level etc, we just would be dealing with a big bounce probably.

Also to make you worry a tiny bit less, remember, cats do have a God given protection mechanism from hypo where the liver creates glucose, and floods the system with it. (BTW--That's the source of "bounce"). Obviously, we don't want to utilize it, but it's there.

see you tomorrow!

and he may not need 3.8u on wednesday. Take it one day at a time and we'll see then. Maybe the shot location change was the change you needed and he'll keep improving, lets give it a chance! I'm serious, it can make a huge difference.
 
Thank you so much for your support, Nancy. It really means a lot to me. I'm pretty tired today. He wore me out with all of his activity. :-D
Have a great night and I'll see you at some point tomorrow.
All the best,
Marcy
 
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