? Low BGs even after a reduction!

[Ricki Lee]

Hello all! This is actually my first post on the board but I am somewhat active in the Facebook group.

My Cena is 12, was diagnosed at the end of February when we brought him in for an abscessed tooth that caused him to have a swollen cheek (there were not really any other signs) and had a senior blood panel done. He had dental surgery on March 26 to have 5 extractions and a cleaning, which was very successful and he healed nicely from. Since then, his numbers have gone down and down and quickly, I reduced his dose (Lantus) from 1 to .5 the day before yesterday after seeing <60 numbers, and then tonight again <60 at +3 PMPS (have since given 1 tbsp Fancy Feast chunky chicken with a drop of Karo twice which brought him up to 97 and then 136 at +4). We use an Alphatrak 2 meter.

His spreadsheet is here: https://docs.google.com/spreadsheets/d/1ADsZWPwgALKtpCg6aaE0j6tN2EEnJYey9hB1jb-3hUk/edit?usp=sharing

Another dosage decrease (.25) was recommended however does this look like remission?

 

[Chris & China (GA)]

It's not remission just yet, but he has earned a reduction to .25 by dropping below 68 yesterday!

His new dose would be .25

If he were to drop below 68 on the AlphaTrak again, he'd earn a reduction to .1 and if he did it again, down to 1 drop.

The other way he can earn reductions is to stay in normal numbers for 7 days. So he'd need to stay between 68-150 with most of the numbers under 120 and then he'd drop down to .1......and another 7 days to drop down to 1 drop.

We recommend keeping the cat on insulin as long as safely possible so that the pancreas has the best chance at a full recovery. We want a strong remission, not a fast one!

Right off hand, I'd say getting his teeth fixed has really helped!!!

 

[Ricki Lee]

It's not remission just yet, but he has earned a reduction to .25 by dropping below 68 yesterday!

His new dose would be .25

If he were to drop below 68 on the AlphaTrak again, he'd earn a reduction to .1 and if he did it again, down to 1 drop.

The other way he can earn reductions is to stay in normal numbers for 7 days. So he'd need to stay between 68-150 with most of the numbers under 120 and then he'd drop down to .1......and another 7 days to drop down to 1 drop.

We recommend keeping the cat on insulin as long as safely possible so that the pancreas has the best chance at a full recovery. We want a strong remission, not a fast one!

Right off hand, I'd say getting his teeth fixed has really helped!!!

Thanks so much!! I will shoot .25 in the AM and monitor him closely to see how another reduction affects his bg. That's good to know about the week of normal #, that's about what happened before this reduction so I am optimistic about it happening again but we will stay the course.

I'm gonna get one more +6 test in about 15 min and if he is still around the same as +4 and +5, I am going to bed

 

[Ricki Lee]

I may be jumping the gun here but although he is still in the blues today, it doesnt seem that the .25 is reducing him much and I haven't seen a green yet. Could it be that .5 was the good dose and that drop was residual from the previous 1u?

 

[Chris & China (GA)]

Could it be that .5 was the good dose and that drop was residual from the previous 1u?

Yes, it's possible but by the 3rd cycle (4/29 PM cycle when he dropped to 55) the higher depot shouldn't have had that much of an impact.

It's possible he may need a dose between .25 and .5 but give him a few cycles and see what happens.

 

[Ricki Lee]

Will do!