How high do you keep going on units before you try another insulin? I'm up to 3.75 now and still getting numbers in the 300s. I was starting to get some lower numbers at 3.5 u but that seems to have disappeared and now we are back in the 300s. The one time I had a 121 ps, I gave 2u only and then her evening number was higher than ever!
Has anyone noticed a change in their cats eyes? I swear sometimes her eyes just don't look right to me-its not cause she has low numbers-more the opposite.
Of course dropping the dose resulted in a higher number at the next shot. You may need to learn to shoot low to stay low. And the IBD doesn't help, either.
The nadir/mid-cycle tests usually give you feedback on whether the dose is too high or not.
When you get up around 6-7 units or see specific indicators of high dose conditions, you test for those conditions if feasible. You can read about them in the Acromegaly/IAA/Cushings forum.
Yes I've never really had low nadirs. Her numbers have been fairly consistent throughout day when she is in 200's and 300s. I got so excited to see those few lower numbers. My vet said maybe she was trying to go into remission but then we are back up again.
I would try and get a few more tests in, for a few days in a row. Especially at night when cats tend to go low, and you are missing a lot of data. I looked at her SS and I find myself wondering what's going on in those gaps.
Plus I agree with BJ, I would reread the protocol and maybe join the tight regulation board as I suspect you are holding a dose too long when it isn't working.
Well I can only do curves on the weekend so I have to stay at a dose for a week. I'm gone during day for work and I'm just not getting up in middle of night. I'm one of those people that needs 8 hrs sleep or I get sick very quickly. I can't afford to get sick. So I'm taking numbers when I can like today I will get several. Just seems like she was doing better when I first started. At least she stayed in 200s most of time. Now she is in 300s a lot.
Honestly looking at his numbers I wouldn't switch yet - instead i would try and stick more closely to the protocol i.e.
1. I would definitely start posting on the lantus board (or here a lot more) and think about being more aggressive i.e. upping the dose every 3-5 days if you don't see more blue or green. (unless she goes under 50) see here; http://www.felinediabetes.com/FDMB/viewforum.php?f=9
You don't need curves to do this - just 3-4 tests a day - always before the shot and a couple spot checks. Whats your schedule like and maybe we can advise when that would be.
2. I would also start shooting the full dose when she is over 150. If she doesn't go low with that, then over time gradually reduce the number at which you will shoot i.e. to 125, then 100 and so on.
Ok. Well I leave for work at 630am and get home about 515pm. I go to bed at 9pm. I don't bother with checks at 9pm cause they don't really tell me much and I feel it's not worth poking her again.
I disagree on not piking her again - if you want to get a better handle on this then the additional data will be invaluable!! Especially for to help you. We can tell a LOT from that data
I would propose something like this , give or take 30 minutes. Always before the shot and then again a few hours after the PM shot before you go to bed
5.30pm - test shoot feed
5.30pm test shoot feed
8.30pm test - and if this is more than 20% lower than the previous test set the alarm for a test in couple more hours if you can. I would aim at least one test in the next few days around PMPS +8 as I wonder if she is gonig low then.
At weekends I would try and get a few more tests mid day like you are doing. I know it seems like a lot of testing and means lost sleep. but it will be worth it to get better control. I can attest to that..and so can a lot of people on here.. and their cats!