Kitty 7/25 tid

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kse

kse

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7/24
pmps 365 shot a fat 3.25
+5 303


7/25
amps 321 shot a fat 3.25
+4.5 293 FLAT--

mdps 254 Hello Yellow! shot a fat 3.25
+5 249 We are not greedy!

pmps 282 Thanks for sticking around yellow! shot a fat 3.25


Good Morning,

We press on with the 3.25. I am glad we are staying away from the reds and blacks, now our objective is to slowly increase and drive the numbers into the yellows.


Prayers and warm thoughts for Alex.
 
Kitty is looking good! I think I'm finally getting Shaikha to a better place too. It look a lot more insulin in her case, but we've definitely got some sort of flareup going on. Thank goodness for fluids and bupe! (and insulin, of course).

I'm so happy to see this working out better for her. You'll get her to yellows (and blues!), no doubt. It is definitely nice not seeing reds and blacks, though (for us both!).
 
AM cycle is looking flat again...I think I have had enough of the 3.25 dose--does anyone see a problem increasing to 3.5?
 
You've only been at the 3.25u dose for a day and a half now, right? I might give it one more day to see if there ends up being more movement and then take it up to 3.5u.
 
Okay, I stuck with the fat 3.25---

mdps 254 -----hello yellow, nice to see you again! :mrgreen:

Saint Sue fixed the SS...should be good to go!
 
hi Kim,
you guys are doing so well!!
loving the yellow preshots for you both!
looking Good :mrgreen:

Denise and Shakes
 
Nice yellow! So do you think you will stick with TID? It does seem to be keeping her from swinging so high or wildly.
 
I thrive on challenges!!!!! :lol: So, I am sticking with PZI and tid!

If I get to the point that I think we aren't seeing continued improvement, we might change......but, not now! Thanks for the help with the tid dosing!
 
I think you are doing great, Kim. The change in her SS is remarkable. My guess is that with CP on board now, you'll have to stay on the dark side with Nancy and I, at least for the time being. :mrgreen: I've found TID very helpful with this condition because you just don't seem to get the duration you'd expect when the pancreas is unhappy. That's definitely been the case with Miss Shaikha. Since her CP has flared up, it amazes me how well TID fits her pattern of insulin use. She just needs lots more insulin more often. Not as much as Kitty or Payne, mind you, but a big increase from where she is when she's feeling better.
 
Technically you are only supposed to shoot on a rising # - I'm not sure though when the numbers are high overall if it matters that much. I mean the idea is they are supposed to be past nadir, but when there's no discernable nadir....? What does anyone think?
 
I scratched my head on that also.

I feel like all of Kitties numbers are rising :lol:


Please let me know .......
 
My understanding is that you are only supposed to shoot a rising number because if it's falling you don't know how low it will go---but if you are in the high numbers, there doesn't seem to be any real chance of dropping too low.
 
My thinking is 250 at +8 for Kitty......no danger of going low! I am not sure she is ever in danger of going low....unless she is vomiting or on new vial with fluids on board!
 
Curious what you said about when she was in the hospital it took days for her to respond to PZ. Do you know if that was just a dose question, like it took them a while to find her dose, or did they think she actually maybe doesn't respond well to it as an insulin. Certainly not all cats respond equally well to all insulins, I'm wondering if that is a sign that it's not the right insulin for her? Might not be that at all, could just be dose, or maybe DKA is like that, just curious if the vets commented on what it means that it took several days for her to respond to PZI.
 
My understanding was/is, that after/during DKA it takes their body time to adjust back to long lasting insulin. The vets use R and then once the ketones are gone, they reintroduce the long lasting insulin. Maybe Nancy can confirm, but I don't think the PZ was the problem.....I think it is just their bodies adjusting after DKA.
 
We have experienced DKA at a University hospital and at a private 24/7 vet and it is my understanding that they are on a drip R almost the whole time. If a long lasting insulin were introduced while the R was being dripped .... even vets don't want to deal with a hypo. Usually after a short period of no ketones, the drip is removed and the long lasting insulin is re-introduced. And then the cat is sent home and this is where most problems begin.

Because the kitty has had constant R ..... it is like a kid eating a lot of candy, at some point all sugar will make you sick. I would imagine even the L's face this same problem, maybe even more because a post DKA kit has a hard time waiting for the shed to build ..... and there is that period where sometimes R has to be added but not usually with a pzi kitty, so in this instance, it is probably better than the L's.

And not to talk bad about Kim's vet ..... but, I would wonder what is fact or her lack of understanding DKA, that plays into what happened. It is disheartening to constantly hear the wonder of the L's when pzi can be as good, if not better in so many cases .... especially with complex cats, who sometimes need complex solutions.
 
pmps 282 shot 3.25 fat

So the yellows are hanging around.......I hope they stay. We are not greedy, we love YELLOW!
 
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