Shaikha 4/23 AM & PM PS plus curve info

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wombat88

wombat88

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Not sure if I'm doing this right, but I was going to post her AM & PM pre-shot BG levels here, along with the curve info from today... Will be doing a curve at 2 hour intervals today -- can't do it all through the night, but will do it up until I go to bed tonight. I did get a late start today though, as her insulin was given later than usual (about 2 hours late -- overslept!). Didn't want to overwhelm you with multiple threads reporting individual curve posts.

AMPS = 352, gave 2 units
+2 = 278
+4 = 155
+6 = 111
+8 = 271
+10 = 370
PMPS = >370, gave 2 units (gave food/insulin around +11 but didn't have the heart to stick her again)
+6 = 288 (really taken at +6.5)
 
beautiful start.
you don't have to do the night shift...particularly if shaikha is getting tired of it.
better to wait and do another day shift and maybe (if possible) get one night shift +6 or so...
 
Rob & Harley said:
You don't have to do it for 24 hours, just 12. Good luck today.
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Whew! She's really good with ear pricks, but I sort of feel sorry for those ears on days I do curves. I'll try to get one at +6 after her PM meal today, especially if the other values look like they are dropping too low today.

Wendy
 
Sending good vibes for nice #'s today for Shaikha.

The people on FDMB are wonderful and really helped me turn my cat Max's health around so you've come to what I think is the best place for help and support.
 
Looks good so far, and nice way to keep all the data in one spot! It does get confusing when it's spread out.

For general information on curves, one option is mini-curves - every 3 hours instead of every 2. I also used to sometimes do a half curve one day and half another day a few days later for ear preservation, something like +2 +4 +6 one day, +6 +8 +10 another. And many people never do actual curves, just vary the spot test times and get in a spot test more or less every day/cycle. Works best if you are home a lot of course.
 
beautiful curve so far...let's see if he's done dropping. as of now this does not appear to be an overdosed kitty.
 
lori and tom said:
beautiful curve so far...let's see if he's done dropping. as of now this does not appear to be an overdosed kitty.
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She's definitely done dropping. The lowest she got was 111 (though of course could have been a little lower an hour before or after my check), and she's up to 271 now so definitely rising again.

The question is this... she's acting very hungry now. Since I was late on the insulin and food this morning, should I try to get her back on schedule and feed (and shoot) a little earlier in order to get her back to a more typical schedule? I was thinking about feeding around 7:30pm or 8pm my time, which would be around the +10.5 or +11 mark. I sort of hate to make her wait until 9pm to eat, but will if need be.

It appears then she reaches nadir around 6 hours, which I guess is pretty typical for this insulin. I'm fairly certain if I wait for the full 12 hours we'll be back in the high 300s or low 400s given the way she's gone up since the 6 hour mark.

I will try to do another test at the +6 mark after her PM insulin, though I'll have to set an alarm clock because I need to get to bed early in order to make Easter dawn service.

Ideas welcome.
 
yes with this insulin you can feed, test and shoot early.
 
only thing is we won't get to see how high she goes in this curve....
from what this so far shows is she responds nicely to the insulin but lacks duration.
i think this has been an ongoing issue with this insulin since it's change over from the original pzi.
it will be good to see how she handle's the night dose with her +6 test.
depending on what her +10 shows i think she has had a nice shaped curve with a rather short duration and possibly zooming toward the end there.
if that continues....like and is not fixable the next step would be levemir.
that insulin has worked magic for tomtom and many other difficult kitties on pzi.
 
She's already up to 370 at +10. I'm fairly certain given past patterns that we'll see mid to high 400s tonight if we wait another two hours.

If it won't hurt to do so, I think I want to do a shoot around now. Her back legs have gone out on her a couple of times (not collapsing, just seeming clumsy?) and that was how she acted prior to the neuropathy acting up. I stopped the methylcobalamin last week, and am thinking that probably wasn't a good idea. I plan to give that to her tonight along with her other meds (prednisolone, zantac, ondansetron, sucralfate, folic acid, and nutrived). Poor thing is a pill-popping factory these days. She's good about them, thankfully.

I can still test at +6 if that will help. I still will do another curve tomorrow, though will have to work around church activities in the AM.
 
Okay, that's what I did. She was happy to eat! I'll do another test mid-AM to see how she's doing, at the +6 level after this shot. Will likely have to play a little with dosing tomorrow AM to ensure I get it done before church. I may need to do a +3 in the AM vs. +2 and +4, but should be able to do +2 intervals the rest of the day.

Thanks so much for your feedback today! I just didn't want her getting so high if I could avoid it. I don't think the 400s are good for healing that neuropathy, or for keeping her UTIs under control. She starts spilling sugar a lot if levels rise too much. I've never seen ketones, but I use Smart Cat Boxes for litter and we grow mold nicely in the urine containers in 1-2 days if she's running high like this (ick!). Lots of sugar in the urine when that happens. She's been drinking a lot, also not a good sign.
 
no Wendy i agree with you 100%. as a matter of fact you may end up wanting to dose TID 3X's a day
 
lori and tom said:
no Wendy i agree with you 100%. as a matter of fact you may end up wanting to dose TID 3X's a day
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How does it work with 3x per day? I'm not sure how I'd work that around my schedule, or my friend's. Do you adjust the dose down to compensate for the more frequent intervals? Not that I'd make that change immediately mind you (and probably could not do it before I leave as I've got about two weeks before I leave the country), so we may have to muddle by with 2x per day and hope we can manage it. If she continues to be poorly controlled I'll probably have to change her to another insulin when I return.
 
Nice curve today. I'll second what Lori said :mrgreen: . I had thought the dose might be a hair high based on some of the uneven-ness in the PSs, but really looking at today's curve it doesn't look too high. Either perfect but yes, short duration, or maybe could be nudged up just a teeny bit, like a fat 2u, possibly up to 2.2 but I wouldn't probably go there right away.

TID is a good idea IMO but can be pretty exhausting. I think you divide the 24 hour dose by 3 instead of 2 to get your dose, but you always have to be sure you have a rising # so you don't risk doubling up on a nadir. Which means you either need a mid-cycle test every 8 hr cycle, or you have to do a rising # check (one test followed by another maybe 10-20 min later) to be sure it is safe for the next shot. If you can tolerate it (I couldn't when I tried, just burned through too many test strips, plus the schedule is tough) it can work quite well. Some people do that for a few days/weeks and then get better duration and can go back to BID shooting.
 
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