Levemir for 5 years, still wildly unstable

[SnowKat]

Edward

NOTE: My color-coding is slightly different than the original spreadsheet; I changed the formula to colors that made more sense to me, after all these years.

It doesn't seem to matter how low or high the dose, I've never been able to get Edward even remotely stabilized. I seem to get random numbers at at any dose. And recently, he has been giving more readings in the 400s and 500s than usual. Even with bounces in the past, 400s were rare and he almost never went over 500.

I will add that lately he has been very needy and prone to incessant meowing and occasional yowling. He gets all the best food and treats and love, but it's like he's trying to tell me something that I'm just not getting.

Am I overdosing? Should I reduce and if so to what? Is he just getting older and therefore less stable (even though he was never really stable)? He is 16 years old, and I know he has some arthritis – could that be contributing to higher numbers? His recent bloodwork and dental were fine. I just can't figure this cat out. Advice is welcome.

 

[kitten68]

Edward
View attachment 74089
NOTE: My color-coding is slightly different than the original spreadsheet; I changed the formula to colors that made more sense to me, after all these years.

It doesn't seem to matter how low or high the dose, I've never been able to get Edward even remotely stabilized. I seem to get random numbers at at any dose. And recently, he has been giving more readings in the 400s and 500s than usual. Even with bounces in the past, 400s were rare and he almost never went over 500.

I will add that lately he has been very needy and prone to incessant meowing and occasional yowling. He gets all the best food and treats and love, but it's like he's trying to tell me something that I'm just not getting.

Am I overdosing? Should I reduce and if so to what? Is he just getting older and therefore less stable (even though he was never really stable)? He is 16 years old, and I know he has some arthritis – could that be contributing to higher numbers? His recent bloodwork and dental were fine. I just can't figure this cat out. Advice is welcome.

i only know so much, but is changing the insulin again an option see how it goes? Lantus was tried can I ask what happened?.. (and numbers that high I can imagine might be the reactions w the yowling, etc you're seeing.. it don't feel great generally. wut u think?..) ..

(note: just looked at SS.. and from what I can maybe see, +2-6 tests are extremely important if possible to do.. test as often as u possibly can.. tests will tell u what's going on. otherwise it's blind.. you're not gonna get a clear picture of what may be going on.. also maybe look into front loading if have yet to.. if u can maybe do, might be helpful..)

(also, if he's eating dry food, unless its like a low sugar one/low carb, controlling numbers is more of a challenge and unpredictable..)

 

[tiffmaxee]

From what I see you aren’t following TR. With a long term diabetic you only reduce if under 40 or 3 times in the 50’s if not holding reductions. In a Quick Look I can’t tell with the dose changes and the colors you use. I don’t have time now to figure this out to be of any help. Although small amounts , I see too too many changes so hard to know if not holding reductions because you need to give them time to see. Someone will be around to offer help.

 

[Wendy&Neko]

Any chance of doing a separate spreadsheet for the last couple weeks with out colour coding? After so many years looking at spreadsheets, those of us who help with dosing are hard wired to look at patterns in the data colours. I just can't see the patterns that make sense in your spreadsheet.

Where are you getting your Levemir from? You've just reminded me I should repost this over on the .com version of the board. If you weren't around, we had to use a backup board for a while, which is what this link is to:

PSA: Levemir phasing out, by region of the world​

You may be forced to switch insulins soon anyway due to lack of availability.