Frodo - does he need increase or decrease?

[Ruth Ann and Frodo]

Still trying to figure out what is going on with him. Have gotten a couple of curves that have what I think is a reasonable shape (BG drops, then rises back to more-or-less where it was), and not particularly low at the nadir. We’ve increased the dosage a little, but he still seems to be hanging high most of the time. BUT, there was that surprising reading 3/23 amps, which is why I’m being super cautious about increases.
I also note that when we started him on insulin in January, we were mostly only testing 6 hour post-shot numbers (at the vet’s direction) and the numbers we were getting then weren’t substantially different from what we’re getting now with larger insulin doses (or maybe were actually less). So I wonder if we might have gotten him into some sort of “rebound loop”. His numbers just don’t seem to want to come down.
Anybody have experience with this sort of thing, or thoughts on which way to adjust his dose. I’m afraid of too high pushing him into rebound, but hanging where he is right now isn’t getting his numbers down either.
Ruth Ann
p.s. using ReliOn Confirm meter

 

[Sue and Oliver (GA)]

Hmmm. 3/23 was interesting. Wonder what happened then? I can't remember - is he on all low carb food? Any chance he is getting into higher carb food? . If he is completely on low carb, I guess I would continue to raise the dose, .5 units every 3-4 days, as long you can monitor carefully. We don't usually worry about high dose conditions until you get in the 5 -6 unit range. He has been high for a pretty long time. At that point, you wonder about toxicity and the need to "break through"

Here is an thread

http://www.felinediabetes.com/FDMB/threads/feline-diabetes-and-glucose-toxicity-links.62960/



The only other idea I have is an ongoing infection (teeth?)

 

[Ruth Ann and Frodo]

Teeth were checked by the vet a couple of weeks ago - some tartar but no infection. He gets whatever raw he wants, plus Fancy Feast Classic and some Friskies Pate flavors. It occurred to me that he may be getting more carbs than a couple months ago, since I've been trying to get him to eat more, and that mostly means canned which he prefers (of course!) to raw. Those canned varieties may be fairly low carb, but they're not as low as raw meat. He is so skinny and needs to put on some weight - was never fat so doesn't fit the usual profile for a cat with diabetes.

 

[Mitzelplik's Mom]

Hi Ruth Ann,
I agree with Sue - keep slowly nudging up his dose and monitoring. Sounds like you're doing everything right.

Joan