Murphy's #s driving me crazy

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Carol & Murphy (GA)

Carol & Murphy (GA)

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Take a look at his SS - sometimes his nadir is at +4, yesterday it was +8, and today at +13 he is still going down - thankfully I color my hair or else it would be pure white at this point :facepalm:
Does anyone have any ideas? I had to let him eat at +13 (not that he ate much) but my plan is to check it again around 8 pm and I know it will be high so I plan on giving him 1 unit or less
any comments or suggestions?:banghead:
 
Carol...as always, Murphy is a mystery! I know you said your vet said no to Levemir...but I honestly think at this point, a depot insulin might be the answer. Help you get flatter cycles. You said his objection is because the fructosamine was normal right? Have you showed him your SS and pointed out that it was normal because he has normal numbers sprinkled throughout as well as high numbers?

I think you're doing the best thing for him tonight. Feed him, give him the 2 hours, then check and shoot if he's high enough. I wish I had more advice to offer. I'll try to think about it some and see if I can come up with something, but it seems like Murphy is still dancing to the beat of his own drum! You're doing great Carol...remember we're here for ya!
 
Thanks I do have a plan for getting him on Levemir but I am going out of town in a few weeks and I want to wait until after
So I checked him at 7 pm (1 hr pp) and he was 254 so I gave him 1.2 (he's not eating much tonight now - what a surprise :banghead:
I really think his IBD and pancreatitis cause intermittent inflammation and causes his numbers to go out of whack
 
Well...they all SEEM to be okay (anti jinx). We're all feeling a bit angry at mom for going away for a week last week. They've been a bit off their food and avoiding me some. But I think we're starting to feel better.

I'm just keeping my fingers crossed that we don't run into any more urinary issues! Thanks for asking!
 
Doodles & Karen said:
Carol, Lantus is also good insulin...would your vet agree to that?
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Hi Karen - just saw your Doodles post on the Facebook site - how adorable! I don't think my vet has anything against Levemir - she is against me switching to any other insulin because she thinks he is doing fine and it would be like starting over from day 1 as a brand new diabetic.
 
Hi Carol! I was SOO frustrated with Lev over the weekend, but in retrospect I increased from 1 to 1.5 and probably went right past his best dose. So Went back to. "Fat" 1u. This feels better...

You are not going to like the tiny amount you have to measure with these U 100 insulins. I hate it. I bought digital calipers and that does help but MAN is it hard to make a call between 1u and 1.25u. :eek:
 
Cara and Wynken said:
Hi Carol! I was SOO frustrated with Lev over the weekend, but in retrospect I increased from 1 to 1.5 and probably went right past his best dose. So Went back to. "Fat" 1u. This feels better...

You are not going to like the tiny amount you have to measure with these U 100 insulins. I hate it. I bought digital calipers and that does help but MAN is it hard to make a call between 1u and 1.25u. :eek:
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It just takes a little practice. I used a used syringe and some colored water and now it is easy for me. The .25 dose increases are the answer. If you go up by .5 unit like you said, you can shoot past the right dose. It will get easier.
 
So Cara, I looked at Wynk's SS and didn't understand it - looks like the dose he was getting while you were away was too high? Are you happy you made the switch? I don't understand how you can measure .25 or how to use the calipers? Of course, Murphy's been relatively stable the past few days when I have a vet appt to talk about the switch next week. But Cara, your experience is scaring me
 
Cara, have you joined the Lantus & Levemir group? Wynk had a 39 on 4/12 which means he should've earned an immediate reduction by .25. The depot insulins are much different and there are great people in the group that can help.
 
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This is a photo of .25 The first few times I measure is out, it did seem to take me a bit longer but I can do it easily. Remember, practice makes perfect.

The calipers are easier than I thought they would be. Here's a link with explanation and video. They really do help a lot.
Dosing with Calipers
 
Carol & Murphy said:
I've been using the U-100s with half unit markings so it won't be too much of a shock. Karen, you must be so happy to be seeing those yellows and blues. Do you think it's the Levemir?
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I'm thrilled. There is no other data to show anything but that Levemir has made the difference! I was dosing him with Novolin R 3 times a day along with Lantus and were weren't even close to where we are with the switch. ECID...he did really well with Lantus for a long time.
 
Well, it is just terrific news for you and Doodles. and lucky he's been eating well. It's still the one thing I worry with Murphy and switching - his eating (or lack thereof) is such an ongoing, massive issue
 
Carol & Murphy said:
Well, it is just terrific news for you and Doodles. and lucky he's been eating well. It's still the one thing I worry with Murphy and switching - his eating (or lack thereof) is such an ongoing, massive issue
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You have to be comfortable Carol. Remember the best insulin is the one that works for your kitty. Doodles started on Vetsulin and that was a nightmare. Then again, I wasn't home testing either back then.
 
Carol, Murphy is looking okay the last few days. He does swing a lot though. If we could just bring those preshots down to yellows, it would be beautiful. I think he might having an early nadir lately. That could cause those higher PMPS numbers and then he doesn't come down as much in the evening.

Switching insulin MIGHT give him a better chance to have a flatter cycle. I don't really know because I just don't know enough about the L insulins. Maybe post in their forum? Ask if anyone can take a look at your SS and tell you if they think switching might be helpful?
 
Rachel said:
Switching insulin MIGHT give him a better chance to have a flatter cycle. I don't really know because I just don't know enough about the L insulins.
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Carol, it IS true that the ultra long-acting depot insulin (either of the Ls) can provide you a flatter, more gradual curve in the cycle. (Bat is something of an anomaly, though, so don't even look to her as an example!:rolleyes:)

And you've given ProZinc a good long run ... so a change might be well worth considering. I'd do it while you still have "breathing room" (aka/wiggle-room) in your dosing. (I'm only saying this because I think it would be going easier for Bat-Bat and me on Lantus right now had I chosen to switch her way before we got donw to a dose of 0.10U or less ... very little wiggle-room at this level of dosing.) So ... if you're going to switch, I'd do it sooner rather than later.;)
 
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