Good day now bad...

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donnahc

donnahc

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We have a better start this morning. Amps was 229 (I shot 2u last night) which is a huge relief from yesterday's terrible numbers....I shot 1.4 this morning and I am going to try to hold that as long as possible.
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Well that has ended quickly. At +4 today Asher was at 351, at +6 417. It’s like he never got insulin. I am positive no fur shot.

I am trying not be "tied to the numbers" but this is bad. I am thinking his pancreas sputtered maybe when he went low recently? And now it’s not working at all and we need to be back up to 2-3 units? Could this be something we just have to ride out? He did not go that low last night to bounce, and his amps was good today and mid day horrible. I shutter to think what pmps will be.

What do you guys think? I am thinking I should call the vet. Or am I being a spaz about this? We just have never had such bad numbers for so long.

Any suggestions anyone has we would so appreciate. I know, breathe.
 
Re: Good day now bad...please help

Maybe my 1.4 was just too low. I'm sorry, maybe bad advice. I don't think you should shoot until at least 10 (just in case something odd happens and he goes down again) and be sure he is rising. Then you could definitely up the dose.

I'm sorry. He looked good earlier at 1.4 but the change was probably too much of a drop from 2 units.

I wouldn't panic. It's just one cycle. You can fix it.
 
Re: Good day now bad...please help

Not blaming you at all Sue, please don’t think that. Look how low he went a couple days ago on 1.4. It’s just crazy. I don’t know what to think except that he needs more. I just hope there is not some underlying problem.
 
Re: Good day now bad...please help

Question that might benefit all...so if a pancreas sputters, what happens, does it kick in a little then quit? Is it different every time? Could getting a cat in good numbers help this along?
 
Re: Good day now bad...please help

Donna,

How is he otherwise? Besides the BGs, I mean. Could he have gotten into anything at all?

I wouldn't panic over one cycle, especially if he seems fine (no litter box issues or anything?). I know. Easier said than done. Besides, he's your baby and you want to care for him. :smile:

If everything else is fine, I'd look at increasing his dose when you can monitor.

If I understand the pancreas sputtering...it's all going to depend on the pancreas, how much it sputters, how long it sputters, and all that ... um ... stuff. One of those things we have absolutely no control over how much, when, or where. Fun, huh? So there's no telling when it may, or may not, sputter again.
 
Re: Good day now bad...please help

He seems just fine, purring a few minutes ago. He’s pretty sleepy today so maybe he’s a bit more sluggish, but it’s cold and raining here and he’s in front of the fire, so I’d be sleepy too ;)

I just have never had 300s and 400s for days since he was dx’ed. I just worry something else could be wrong. Both cats eat the same thing so there is no chance he got into something. They don’t like people food except for their boiled chicken or shrimp. Oh, and olives, but that’s another story ;)
 
Re: Good day now bad...please help

Hi Donna,

I would ride out this cycle and see what happens, it could be setting up as an inverse curve if his pmps comes back down. If it doesn't then you are right that it just isn't enough insulin.

Either way your PMPS will help tell the story of today.

It looks like yesterday's high flat numbers could have been from the lower numbers the day before, remember that it takes several cycles to clear those.

Yes Hon Breeeath.
 
Re: Good day now bad...please help

ok, but dont panic yet
we need to see his pmps
What if he brings himself down, could we say inverse curve?
I am throwing inverse curve in there because he has been so weird lately
I know how you are feeling right now with the high numbers as I am feeling the same thing
but the worst thing you can do is panic and not stay calm and think all sscenerios thru

FYI
I saw a 473 last night at preshot paniced and upped his dose to 3.8
and as it turned out it was too much as his +5 was 112 and dropping fast so I had to feed EVo Dry
\
I think our problem is that we are really knd of dealing with "a new cat"
we were treating them as though they were regulated but in actuality they were not
so this is a different dance down.
but dont worry I am paniced also!
hang in there and wait for the +12 and we can all think it through then
what time is your +12?
 
Re: Good day now bad...please help

Thanks guys. I think that is what has Tom and I so distressed. if it is an inverse curve and too much insulin, it seems unbelievable but we’d have to lower. Just scared to do that since he was always a big gulper. But Denise you are right, we have different kitties now, esp since Asher’s dental. Wow. Head spinning.

Our +12 is 5 pm now. I’ll get some numbers this afternoon since I am back home now to see if we can tell which way he is going. I won’t even wager a guess right now (but history makes me wanna say up) ohmygod_smile
 
Re: Good day now bad...please help

8.5 was just 385, down from the 417 at +6

I was an art major so I’d have to get a calculator out ohmygod_smile but that’s prob close to within the 20% meter variance.....
 
Re: Good day now bad...please help

Can we line all these kids up in a room and give them a firm talking to about how they need to work with us so we can get them better?
I feel your frustration. Its the never ending two steps forward, one step back. Or some days, one step forward two steps back.
How many days of "its just one number" does it take until its not just one number anymore?
 
Re: Good day now bad...please help

That’s what I worry about Amy. But I am a professional worrier, esp about my babies. I know this too shall pass, but I def don’t want to do any damage if I can avoid it.

I am laughing about the visual of lining our kids up and giving them a talking to. What I really admire about cats, and the same thing that can be so annoying, is them doing what they want and practically whipping you the finger while doing it. angry(2)_cat
 
Re: Good day now bad...please help

I'm a professional worrier, too. I picture it like a bunch of kindergarteners who stick there tongue out at the teacher as soon as she turns her back. I swear I can hear my civvie, Midgie, giggling when Ru does it. :lol:
 
Re: Good day now bad...please help

I am with Robin and Denise---maybe an inverse curve?

I am also laughing at "I was an art a major......I need to get out a calculator!!!" :lol:

Here's hoping you get some answers to the wonky cycles!
 
Re: Good day now bad...please help

Haha absolutely! Nipper starts trolling me when she feels I'm ignoring her. Just last week when I was on a con call she was standing on my desk, slowly pushing my keys towards the edge, watching me all the while to see if I was getting steamed, then knocked them over the edge, watched them drop, then looked back at me like "U mad?" and sauntered off. :twisted:

I know how frustrating it is to have high numbers, but he's not dangerously high. If you can sort him out within a few days and reup the dose as needed, that would be better than having him crash/bounce/crash/bounce.

Lori
 
Re: Good day now bad...please help

Well, I just heard back from our vet. He thinks most of the bad we have seen like these 300s in the morning, etc., is Somogyi rebound, as we all thought here. He still thinks Asher is getting too much insulin, and wants us to hold 1.2u for about a week to let things shake out. (so Sue, your dose guess was pretty much on the mark with what our vet said) Then we can go up or down as needed. He said not to panic, "and test less if need be not to panic” :lol: right..., if we see high numbers here and there until this levels out.

Wow. (I had a flash back to my old vet who would have been yelling 3 UNITS! and shaking her finger at me at me)

So there you have it. Scary to me, seeing high numbers and I won’t be shooting more. Whole new ballgame for now I guess and I have to retrain my brain.
Still curious what you nice folks think too....

Thanks for all your kind advice and remarks! Will keep you updated on pmps in case you have a lottery goin’ amongst yourselves :lol:
 
Re: Good day now bad...please help

My last cat China used to do the “talk to the tail”. She was big on giving us the cold shoulder if we went away for a couple days too. Our guys now greet us at the door (most likely they are thinking "the feed bags are home, let’s eat").
 
.....and for those playing along at home....we do not have an inverse curve tonight :(
pmps is 400
Now I really don’t wanna do what the vet says, hold 1.2, even less insulin on a 400.

Any thoughts? Do I play along for a few days? Is this totally wrong?
 
Well, I am kinda nervous about giving any advice. :oops: To me, it doesn't look like the 1.4 is enough. It worked 2 days ago but not today. I think I would increase some, but not back up to 2?
 
I just tried calling the vet and I missed him since he was on early shift today. I can try again at 8:30 tomorrow morning.

Makes us nervous too, so what we did was shoot 1.4 again tonight, same as what we shot this morning. I’ll see what Asher is in the morning, and I’ll call the vet. I feel like I need to plead a case for a higher dose to hang with, and if Asher is on the moon again, I’ll see what he says.

This stuff makes me nutz.
 
oh crap...what to do...
what did you do?
I know its hard, but look at shakes last night ,
he was 473!! and I got so nervous I upped the dose
and he went to low to fast, so the 471 must have been a bounce last night
 
Can't give any advice on the dose as the numbers are puzzling to me but I hope you get the vet in the AM. Perhaps you can fax over the SS in advance so he can take a look at the #'s then he can make a suggestion based on the data? Seems it would be hard to explain the #'s over the phone without the data to look at.
 
This vet is real reasonable and I gave him the link to our spreadsheet. I email him and he checks it whenever I have a Q for him.
He was looking at it when he called me. So he knows all the numbers except the last two, the +8.5 of 300 something and the pmps of 400.

Dunno if he figured we’d have an inverse curve today too, or what. I know he wants us to hold something lower for everything to clear.

I picked this vet because he was sensitive NOT to overdose our cat, unlike the vet I was leaving at the time. So I know he is cautious and I appreciate that a lot.
 
Pfft. What other momma bean would fret herself to pieces, worrying about her baby? Hmmm? :lol: Asher is lucky to have you, Donna. :-D
 
This was interesting to read. My Sneakers has had three high numbers these last two cycles and I don't know why.
I've taken away the human food. She's had a different can for Friskies but that is it. Oh, and I started a new batch of the chicken recipe.
 
That’s good you got rid of the human food Heather. It takes away one more variable that probably isn’t real good for Sneakers overall. I’m a cat spoiler too, so I know how hard it is to be “strict”.
 
Hi Donna,

I'm going to have to side with the Vet on this. When I look at your ss I see bounce after bounce.

I think that dropping back on the dose and holding it for a while will allow Asher to clear the bouncing and you can start fresh.

Just my 2 cants.
 
Tom and I have talked this over all night, and yes Robin, I think you are right. I just hope Asher is not sky high the whole time we are holding. I just tested him at +4.5 tonight and he did come down from 400 to 261. I breathed a sigh of relief. So hopefully this won’t be too scary for the momma :shock:
Thanks for letting me know your thoughts. Makes me feel much better about it.
 
Believe me Donna, I get the freak out factor when you see those 400's, I usually went into some sort of hyper adrenalin overdrive to get those #'s down, that's why people tell us to breath.

That was a very nice +4.5 on 1.4u.

Better too high for a few days than too low for a day.
 
I think that the 1.4u is doing just fine tonight.

I think that the Vet went with 1.2u because it is low enough to let the bounces clear. Go with what ever you are most comfortable with. The doses are close enough.
 
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