Please look at our ss: too little or too much?

Status
Not open for further replies.
Misterbeesmom

Misterbeesmom

Member Since 2016
and tell me what you think. Is this looking like too much insulin or not enough?

Really confused and not understanding why we hit blues briefly and since then mostly pinks while increasing his dosing.

These pinks are driving me batty. Its like pulling teeth trying to get him out of them. I dont understand this at all.


Glucose in urine but no ketones. Drinks and pees a lot.

Thanks in advance
 
Last edited:
You are now with does of 4.8 units getting a relatively shallow curve. Previously when you were on 4 units you obtained lower BG and even one skipped a dose.
What that history I conclude that 4.8 units and even 4 units is too high of a dose. I would reduce dose to say 3.5 units.
 
Larry and Kitties said:
You are now with does of 4.8 units getting a relatively shallow curve. Previously when you were on 4 units you obtained lower BG and even one skipped a dose.
What that history I conclude that 4.8 units and even 4 units is too high of a dose. I would reduce dose to say 3.5 units.
Click to expand...

Thanks
I really dont know what to do. Prior lower doses still gave varied results and were not ideal, so slow increeases seemed warranted. I'm trying to get a lot of feedback because i,m lost and i,m getting conflicting info as to how to proceed.

Why wouldnt i get lower bg numbers on a higher dose?? Its the whole basis on determing dosing. I'm going nuts.
 
Jen, I have direct experience with Teasel of a higher dose not giving lower BGs. It was from all my months before I came to FDMB. Even my vet couldn't explain it adequately to me. All my reading here and elsewhere at the time lead me to understand it as a type of "chronic rebound". Teasel would bounce up to high numbers on a dose and not come down. If I continued at that dose he stayed stuck up there. The longer he was up there at high BGs, the more resistant he became to the insulin and I had to raise the dose. At that point, the dose that originally caused the bouncing that lead to him getting stuck high had absolutely no BG lowering effect.

It was that time of researching intensively that I came across the concept of the "glass floor" that I believe I've mentioned to you before. It refers to the situation of chronic rebound that creates insulin resistance/glucose toxicity (two sides of the same coin) such that the way out is through careful dose increases until a dose is reached that breaks through the glass floor of resistance allowing BGs to drop finally - ie., insulin sensitivity returns. This can happen suddenly and when it does you're in new dosing territory.

I'm very conscious of this chronic rebound situation because that was precisely what lead to Teasel's scary DKA episode in March of this year when he was on Lantus.
 
Decreased his pm dose to give that a try. Didnt go so well. Up and down a lot overnight. Peed and drank more than he had been lately. And now a red amps.
 
Hmmm. It's only one data point but might be pointing toward needing more, not less, insulin. I see you gave 5 u again the AM. That's what I would have done. Keep at it , Jen.
 
It is trial and error. e will see what 5 units brings in the future.
Typically, except for lowering dose, one does not change dose based on on shot with decreased dose.
 
This
Kris & Teasel said:
Jen, I have direct experience with Teasel of a higher dose not giving lower BGs. It was from all my months before I came to FDMB. Even my vet couldn't explain it adequately to me. All my reading here and elsewhere at the time lead me to understand it as a type of "chronic rebound". Teasel would bounce up to high numbers on a dose and not come down. If I continued at that dose he stayed stuck up there. The longer he was up there at high BGs, the more resistant he became to the insulin and I had to raise the dose. At that point, the dose that originally caused the bouncing that lead to him getting stuck high had absolutely no BG lowering effect.

It was that time of researching intensively that I came across the concept of the "glass floor" that I believe I've mentioned to you before. It refers to the situation of chronic rebound that creates insulin resistance/glucose toxicity (two sides of the same coin) such that the way out is through careful dose increases until a dose is reached that breaks through the glass floor of resistance allowing BGs to drop finally - ie., insulin sensitivity returns. This can happen suddenly and when it does you're in new dosing territory.

I'm very conscious of this chronic rebound situation because that was precisely what lead to Teasel's scary DKA episode in March of this year when he was on Lantus.
Click to expand...
This is helpful to me as it describes Smokys situation perfectly. I did just switch him to prozinc in the last 24 hours. I will have to wait and see how he does on the prozinc.
 
Status
Not open for further replies.
Back
Top