Kitty 9/1....tid....

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kse

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Kitty is still cruising along on her tid schedule. I have updated the SS.

I have read so many posts about the high preshots and inconsistent responses to Prozinc, but I must say that since going to tid and consistenly sticking with a dose--we are finally getting a consistent response. Everyone knows that Kitty was irregular in her response to insulin and her preshots were higher than most here. Even initially when going tid, I changed her dose regularly, and continued to get a varied response. So, finally I decided to just stick with a dose and see what it gave me. I even chose a somewhat reduced dose---3.5U vs. 3.9U. The only time I change her dose now is if we get an uncomfortably low preshot--then I do reduce. I can not verify why or what has provided her with a better response, but for the last couple of weeks her preshots have almost become predictable within a range. And, that range falls into the 20 percent meter variation that we accept.

The only reason I mention this as a broad response is, I wonder if some would be better served by sticking with doses longer. I was consistently increasing doses when test were above a certain number, then the next dose I would reduce because the test was lower. I very seldom shot the same dose two days in a row. Looking back, I wonder if I wasn't contributing to the varied response Kitty was having. Was I shooting into bounces? Was I undershooting when numbers were rising rapidly? I was consistently chasing "test" numbers.

Kitty definitely was having a duration problem before tid. But, early on when dosing tid--we were still getting red and even a couple of black preshots! But, I was changing her doses consistently. So, I can't contribute tid totally to the lower preshots--because early on with tid, when I was changing doses she was still getting high preshots at +8.

I just put this out there as food for thought.....but, I think there is something to sticking with doses longer and allowing their body to adjust to the amount of insulin being dosed.

I might be back tomorrow with a red preshot and feeling you can throw these thoughts out the window.....BUT, today I am pretty convinced that there is something to be gained by sticking with doses for a period of time.

I hope you all are having a GREAT DAY! We are in full gear at work and that coupled with the Irene clean up is keeping me very busy!
 
Re: Kitty 8/31 tid....

Thats what I have done with Shakes and he does so much better when I stick with the 3units!(or 3.2)
I havae been doing that for months and he has ups and downs but I truly feel that sticking with a dose
 
I have been trying to stick with a dose as long as possible before switching but it is hard. I always want to react & shoot higher when she goes higher!
 
Kim,
You have done an amazing job compiling data, and now you can go back and make sense of it. She's been doing great since you decided to stick with 3.5. The couple times she goes outside the lines, you can see it is from hurry-cane stress, or a late/missed shot. You can also see how the fluids seem to help her out for at least one, sometimes 2 days. The couple of low 300s could just as well have been high yellows with the meter variance.
It looks like by sticking to dose, her body has adapted to it very well, and now you appear to be giving her pancreas just the right amount of help to keep her stable. Like you said, her numbers have become almost predictable, and I think you can stop fearing the red PSs. Well, put it this way, if you were to get one, you could be fairly sure it won't be because of insulin. The red would indicate "something else" going on. You could keep the dose, and fix what's ailing her.
The fact that you have put this much effort into taking care of Kitty and always seem to be in a positive frame of mind even on her bad days is something you should be proud of! I think people get some inspiration just from that.
I do have a couple questions - I didn't scroll up far on your SS, but do you note in the comments section when you are starting a new vial of PZI? Have you seen evidence that the old vial is petering out when it gets old or almost used up? Have you always gotten the insulin from the same source/lab?


Kitty is looking good!
Carl
 
Thanks Carl!

Yes, I do always note the beginning of a new vial in the SS. I really thought early on that I could see the insulin pooping out, in fact--I was the main "voice" for Prozinc poop out! But, the vial I am using now is down to just a few doses being left, and I am seeing no evidence of the insulin pooping out. I actually use a vial a month--so, I am on my sixth vial of prozinc!

Normally, when I start a new vial I do reduce slightly, as I do think it is more potent initially--but, only for about a week.

Yes, I do consistently get the insulin from the same source---my vet.
 
"Prozinc poop out".. classic!

Ah, my vet didn't have it on hand. I had to order mine in the mail from Texas.
 
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