Can someone look at my SS..

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My phone doesn't like spreadsheets, so this is just based on what you said. Wait for someone who can see your.numbers before taking this suggestion.

That said, if the numbers get worse as you increase the dose, it's possible your dose is too high. Oddly enough too much sometimes looks like not enough. I've always had more luck with holding a dose for a week or more-Cass often takes a week (or two) to show the effect of a change in dosr.

From what I saw before my phone froze (not much), you started at 1u and went up from there (fairly quickly). You may consider going back to 1u for a week, and maybe even lower. See if anyone else concurs or has a better suggestion (I hate advising without seeing numbers).
 
After looking at Frazzle's spreadsheet, I would go back to .8u and hold for at least 14 cycles, and getting numbers as you can. I'd ask for eyes to help watch to see where to go from there. :smile: (It helps if you post every day or so to remind eyes to watch.) ;-)

Part of why I suggest this is due to Frazzle's numbers on the 21st, which dipped pretty low from his starting and ending numbers on 1u. Then the dose was dropped to .6 then .8 for a cycle each, then back to 1u for 9 cycles. On the 21st, Frazzle had a "bounce" after the greens and it looks like he hasn't had time to recover (level out) before the insulin doses kept changing (going higher).

It's possible Frazzle's dose may be even lower, or higher. The data you gather will help determine that. :smile:

How is Frazzle in other areas? Peeing, pooping, purring, preening, playfulness? These are also important to note for his overall health. Is he having any other issues?

And how is momma bean? :smile:
 
This is frustrating, AnnMarie. I think lowering is an option. Or you could increase assuming you can watch carefully. ( we could assume you would reach a point where it would be too much insulin and you'd suddenly get a breakthrough low nadir.)

This is the hardest spot - decrease or increase? I think it depends on whether you can monitor.
 
Well wouldn't I have to monitor either way? I think I'm going to lower his dose, how slowly should I do this? Frazzle is doing great, he's putting on weight and playing with the other cats. His drinking and peeing seems under control. He leaves bigger urine balls than the other cats though. I'm doing ok, I'm just frustrated that he's not regulating.

I haven't given him his pm insulin yet so if someone can let me know how I should decrease the dose that would be great.

Thanks

Annemarie
 
You can either go down by .2 or drop to what you want to start with (like .8).

With the pretty greens from the 1u, but awful low from such a high AMPS, I'd go with the .8. But that's me. Bottom line, you are the one with the syringe so it's your call. :smile: What are you comfortable with?
 
Do I have to worry about dropping a whole unit and having him get DKA? Should I start dropping him tonight even though I won't be awake to get a +6 reading?
 
I would just go to .8. Try it a couple cycles and if things aren't changing, then go the other way.

Re monitoring, the decrease isn't as likely to create a problem as increasing. Yes, monitor either way, but if you were going to increase, you should be more diligent, just in case you got a unexpected low nadir.
 
Any time you can get a BG is good, but if you're dropping the dose I don't think you'll have to worry about dropping too low.

DKA is always a concern when a cat isn't regulated. That's part of the reason getting numbers is so important...to try and get kitty regulated. It just takes time. :smile:

Really, you're doing great! It just takes time. I'm often reminded this is a marathon, not a sprint. ohmygod_smile
 
I just realized I was recording the dose wrong for the last week, he was getting 1.6 units, not 1.8 units. This shouldn't matter now that I'm dropping his dose right?
 
I peeked at the SS and see Frazzle had a drop mid-cycle. Hopefully his numbers will come down a bit overall.

Some kitties take a while to adjust to a dose, and I'm thinking Frazzle may be one of them. :smile: We shall see.
 
I peeked for today's results and nothing is there. :sad:

How is Frazzle doing today? Is he enjoying the 5 Ps?

And how is momma bean doing?
 
New numbers are up now. They're still high, how long should I hold at this dose before going up? I hate seeing high numbers everyday and thinking about the damage it's doing to his body!

Suggestions???

Annemarie
 
No, he gets 1 can of friskies in the AM and eats mostly all if it then. My boyfriend is testing him at mid cycle and then feeding him a small can of fancy feast which he gobbles right away. Then I test him when I get home for his PMPS and he eats again. . He has no access to the other cats food. I'm stumped at his numbers!
 
I like how you have the meals spread out through the cycle. I tried to feed all at once after shots and it just doesn't work well for most cats. Having the smaller meals more often helps with the balance with the insulin, too.

I know this can be frustrating. Been there. Still there some times! :lol: This disease really shows me how powerless I am over some stuff. All we can do is keep plugging along until we can figure out what works for our kitty, or someone else's kitty. You'll get there. :smile:

After seeing his past reaction on .8u, I was really hoping to see Tigger slowly come down, to settle, so to speak. When I first looked at the updated numbers, I was thinking inverse curve (when the middle is higher than the ends) but it's really more flat than curved. (Inverse means too much insulin in some cats.)

Are you comfortable with going up a bit on the dose and holding it for a few days to see how he does?
 
If Frazzle is still in the 300s in the PM and AM, I'd bump the dose up to 1.2, and try and get some mid-cycle numbers so we can see what's going on. :smile:
 
Should I start tonight then? I'm really confused about the 2 meters I have. They have been off a lot. Ones high and ones low, then they switch , I have to switch to the bayer contour usb for now, I got 100 free strips . But I'm worried about the number difference.
 
What we're really looking for in the numbers is patterns, so either meter is ok - just note which one your using. :smile: Which meter did you use this morning? The Relion?
 
Okey dokey. :smile:

What has me scratching my head...see on the 12th where Frazzle's mid-cycle number is lower than both AMPS and PMPS? If we were to draw a line, connecting the dots of those numbers on a graph, we'd see a sort of smiley face. Right? That's what we like to see on ProZinc...but with lower numbers overall.

Frazzle then had a "flat" day on the 13th (not much of a smiley), then a bit better of a smiley on the 14th - but still high numbers.

The 15th and today (even with the higher dose), the connected dots would form a frown instead of a smiley.

With the extra readings today, you can see the insulin is working due to the +2 reading. See how it dropped his numbers? And that is after eating! :-D Then his numbers just climbed through +6 and is now heading back down.

I know I mentioned bumping up to 1.2u...but because of the "frowns" I'm not positive that's the right move. I've asked Carl to take a peek. If Sue is around, hopefully she'll take a peek too. If shot time comes and you haven't heard anything from one of us, I think I'd stick to the same dose (1u). Sound reasonable?
 
If his numbers were in yellows I wouldn't hesitate to say I'd drop the dose...to go after those smiley curves. Those high numbers, though, aren't to my liking.

Do you check for ketones?
 
Hi Annemarie,
Question, are you diabetic? The reason I ask.... the difference you are seeing in your meters is sort of troubling. 3 out of 4 tests, the relion read much higher, in the last two, by about 100 points. If you aren't diabetic, then I'd assume your BG would be in the normal range.... can you poke your finger, and test the same drop of blood with each meter and see what you get?

Frazzle's SS, to me, looks like "more insulin" is the way to go, but I sure would like it if you could be confident in one meter or the other going forward.

Carl
 
I think I would kick it up to 1.2 and see what you get. Which meter? Up until now, you've been using the Relion, right? Do you have plenty of strips for either one? I think I'd stick with what you have been using. You can spot/double check with the other on occasion, but it'll probably drive you bonkers. Recently, I went online to look at "user comments" on various meters, and some people did make comments on comparing two different meters (usually one reading higher/lower than the other). Maybe google the Bayer meter and see what people say about it?

Carl
 
yes, we have been using the relion until friday when i got the bayer one in the mail. thats when i started to compare the two. i am running low on relion strips but i have some on order from ebay and they should be here this week. i might have to switch over to the bayer until the strips come in though. hopefully they'll get here soon. i'll start with 1.2 units tonight and keep my fingers crossed!
 
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