Kitty 4/9 amps +4 + 8 pmps 399

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kse

kse

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Okay-- I had to go into work, but do have some numbers.....

4/8 pmps 398 gave 3.5
4/9 amps 397 gave 3.5
ate 1.5 cans FF at amps
4/9 +4 319
ate 1/3 can FF at +4
4/9 +8 345

In the testing the vet and I have done in the past the nadir hit late +7 or +8--so, I was surprised to see it at 345 at + 8---I was expecting something in the low 200s. The food probably, wasn't a good idea at +4.

I will get the pmps/+ 12 and see how high it goes.

Any thoughts?

Help!
She is bright eyed and looks good. No excessive drinking or urinating.
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

Any thoughts?

Top much insulin, not enough data, resistant???
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

The nadir is not necessarily a static number, particularly in the beginning. She may have gone down to the lowest point around +6 today instead of +8.

Let's see what others say, but I think either up or down. That is a very flat curve and in pretty high numbers. Although I still would like to see what you would get at 1.5, I think with her history of DKA, it is best to go up. So up by .25 units and some more testing?

If you don't have to shoot yet, let's see if some others will weigh in.
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

hmmmm, you did get a drop today, but it wasn't a big one. Also, I don't have enough mid cycle checks to know if this is a fluke or a pattern though. Can you maybe get a mid cycle check tomorrow too?
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

I wanted to also add that the 3.5u dose has kept your preshots in the 300s for the most part. Whereas before you were getting 400s and 500s. The only 500s you have gotten since going to 3.5u were due to vet stays - which means it stresses her out a lot!
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

:YMSIGH: When she is at the vet they always seem to get bigger drops in their checks, than I do at home.

I do agree that the preshot numbers have been better since moving up to 3.5.

One more thing I want to mention---every time I give Kitty her insulin, she seems to get really quiet and calm for about 6 hours. I am sure there is s fine line between an old cat relaxing and lethargic. Maybe it is coincidental, but it seems to make her sleepy, for lack of a better word.

I am getting anxious again---ignorance really is bliss sometimes!

I am going to try to get a ketone test tonight.

I have felt so much better about the preshot numbers---if she was resistant would you think her preshot numbers would have come down on the increase!

Any bets on her pmps?

Sue, I'm breathing!
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

While I am grasping for straws, Kitty has a "bad" knee. My "wonderful" vet, prescribed metacam last fall for it. I never gave it, due to the risk. But, I know she hurts some-- she is also arthritic-could the pain effect her bg?

I have thrown a lot out there -- sorry; just looking some help!

She is laying at my feet, waiting for her dinner.
 
Re: Kitty 4/9 amps +4 + 8 pmps---Help

Like Sue said, pain can cause stress, which can raise BGs. The only way to test that is to get some pain medicine, or something to help her arthritis, like cosequin.
 
Okay--what do you make of the 399 pmps?

I thought it would be higher-- only increased 54 points in 4 hours.

She ate a small bit at +8.

I am thinking the nadir happened about +6. Wish I could have got a + 6.

Shot 3.5 tonight.
 
Bigger drops at the vets could be if they don't feed her mid-cycle? (Or if she is stressed and doesn't want to eat there).

I think pain does raise BGs, the pancreatitis crowd might have a good sense of that?

I've heard some people mention the behaviour change after shots - sleepy, lethargic, etc. I've never gotten a fix on what or why though, or if the different reports of it are even related. If they get big drops that can cause them to feel weird from what I have read, but it doesn't look like that's what's going on with her.

I'd be tempted to go for more data. Not all on the same day, but I'd try to get at least one spot check at every hour especially early in the cycle, just to fill out the picture a bit. See what the +1 and +2 look like for instance. Is she zooming? Dropping? Flat? It might not tell you a lot, but you never know, sometimes you can stumble on something unexpected by varying the spot tests, especially when you aren't sure what to do dose-wise.
 
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