keep gradually lowering dose and BG still dropping

Julie and Honey

Julie and Honey

Member Since 2018
Have been having to continually lower dose in the last month and have also been having to skip doses because preshot is low and does not come up after waiting an hour. Was going to shoot lowered dose started last night again this morning and preshot was lower and did not come up. I tried shooting a reduced dose at a lower pre shot number a couple of days ago and she was borderline hypo level and I am sure knowing her history, she would have gone lower had I not intervened. She used to bounce, but lately seems she is staying lower or a bounce only lasts a cycle where they used to last for at least 3 days.

Almost sounds like her pancreas might be trying to help out, but I would be surprised if that would be the case after almost a year on insulin. Seems like it is too late for that.

Was at .7 and decreased at smaller increments over the last month or so because in past a quarter point drop or raise ended up being too much or too little and was stuck for weeks on too low a dose. In the past month or so was at .7, then .6, then .55, then .5, then .375, now was starting .25 last night and had to skip this mornings shot again.

Thoughts from old timers appreciated.
 
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Does sound like pancreas is starting to kick in. And it can happen even after a year.

Last night's pink is probably because of no shot but clearly indicates she still needs some.

What is your no shot # ?.
 
I would have shot those numbers in the 140's - shoot low to stay low.

If you want the road to remission look at some of the recently OTJ success stories like @Jill & Scooter and @Charlotte’s mom - both had to shoot lower and lower numbers until there was no room to shoot any more...

There is no time limit on when a cat might go into remission - some go quickly, others take a very long time...years in some cases.
 
In preparing for vet tomorrow I am checking her weight records and she has dropped 11 ounces just short of 3/4 lb in the last month, so that is likely part of it also. She does not eat as much as she used to, no longer ravenous and sleeping more. I had not taken that into account, so not as much of a mystery as I thought.

No point shooting low numbers if their BG is not rising to compensate for insulin and risking a hypo as I did trying shooting a lower number recently. I have not slept through the night in a year as it is.

I think I answered my own question by realizing her weight has dropped, so never mind... thanks.
 
Julie and Honey said:
No point shooting low numbers if their BG is not rising to compensate for insulin and risking a hypo as I did trying shooting a lower number recently. I have not slept through the night in a year as it is.
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Cycles are often a lot flatter when you shoot lower. When you get a chance to monitor, I suggest trying to shoot those numbers in the 140’s with a full dose. You are not new at this. The last time you shot less insulin on a lower dose, it was a bounce breaking cycle, which tend to be more active. I am not sure why you aren’t sleeping through the night. Most of the before bed tests are missing. Getting that test and knowing Neko would be safe helped me sleep better.
 
I'm another spreadsheet reader who's not sure why you're not shooting lower numbers. The information about "no shot" numbers is geared toward those members who are new to managing their cat's diabetes. You're a year past diagnosis -- not a "newbie" any more.

I'd encourage you to start shooting lower numbers. with Lantus, the cycles tend to flatten out when you shoot lower numbers. As long as numbers aren't dropping, typically is safe to shoot.

Like Wendy, I'd strongly encourage you to get at least a before bed test every night.
 
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