Should I Increase Dose With New Dose Wonkiness Going On?

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Sweet Spot

Sweet Spot

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Hi Everyone -

I think most of you know my story and recent loss, but if not...THIS THREAD will help fill you in a bit!

I know it is a holiday for many today, so not many on forum I am sure, but hope someone can guide us before tomorrow morning....

Now that we are settled in, we decided to raise Spot's dose to 3.5 and really begin tight regulation protocol. With his high, flat numbers it was suggested that after six cycles, we raise again, etc. as the protocol suggests.

However, Spot is (as he has been) having that New Dose Wonkiness again, as we expected would happen, with the increased dose. He is "ok" but eating a bit more, drinking a bit more, excited/restless a bit more. Our 6th cycle is TONIGHT which means tomorrow morning he would be due for ANOTHER .5u raise.

So to confirm - even with NDW, if today's numbers stay above 300 consistently, should we raise it another .5u or wait for numbers to "settle?"

Someone mentioned in the other thread he could have glucose toxicity, which could explain why he was acting so healthy and normal before increasing the dose a few days ago.

Just afraid we could bring on an NDW on top of his current NDW - is that even possible?

Thanks so much,
Robin
 
I agree with BJ. As long as you have plenty of supplies and he's eating and you'll be home to monitor, then go for it. We want to see some more yellows and blues in your spreadsheet, little fella. Please keep us posted.
 
Thank you BJM and Dyana!

We sure do want to see better numbers......hopefully following the TR Protocol will get us there safe and sound......

We are "making up for lost time" trying to grab a lot more data/numbers these past few days......his poor ears! He is a trooper.......

Today we are grabbing a +5 +6 +7 +8 because we just don't have a consistent nadir "time" yet (I know it can change as he recovers, but we haven't had full days to find it, so to speak, with all of the chaos on the road, etc.).

So as it stands, will increase .5u tomorrow.........

Thanks again,
Robin
 
Neosporin ointment, not cream, with pain relief may be applied lightly just a couple minutes before testing, then wiped off to test. In addition to helping it heal afterwards and slightly numbing the area, it will help the blood bead up.
Also, as you continue testing, new capillaries will form and it will become easier to test. This will let you go to thinner (higher gauge) lancets if you are currently using the ones for alternate site testing.
 
NDW usually only happens in the first cycle or two after the increase......that's where it got it's name...You increase the dose and you think it should bring the numbers down, but NDW causes them to go higher instead
 
Good luck with the increase. I hope he finds another colour soon.:bighug: When kitties are seeing just numbers above 300, he just needs more juice so you just keep on increasing every six cycles until you see that yellow show up.
 
Thanks to all of you -

I just updated his spreadsheet (may take a few minutes to load...last test was +8 today)...see that is what I don't get. I have heard NDW is at the start of dose increase. But my boy? It is hitting hard about 3 cycles AFTER. He is high and flat as a rock tonight. No curving to be found...and cycle 6 is coming tonight. But no evidence of a bounce either.

My husband and I are hoping that we just never came near his dose yet (combined with craziness and stress in our lives) and that there is a light at the end of the tunnel. Will be dancing for joy to see these numbers come down. The only time we got yellows was in the beginning....back in May...
 
Some kitties just need more insulin. Neko has two high dose conditions, IAA (insulin auto antibodies - think allergy) and acromegaly. One in four diabetics cats have acromegaly. It's a benign pituitary tumor that sends out excess growth hormone which causes insulin growth factor to be produced, which in turn competes with the bodies own insulin. I'm not saying Spot has either, because we don't normally suggest kitties get tested for those conditions until cats get to 6 units. It's just my long winded way of saying that cats need as much insulin as they need, and there are many reasons that the dose varies from cat to cat. Just keep following the protocol, you will get there. :bighug:

BTW, when you are seeing pinks mid cycle, you can ease off the testing unless he's on his way down at a fast clip. When you see higher numbers part way through an increase, it's possible he's getting lower than he's used to overnight and then bouncing. Not dangerously low, just lower than he's used to. Cats can bounce from yellow if they haven't seen it for a while.
 
Wendy and Neko -

Thank you so much. Now that I am more "grounded" and can concentrate better on all of the help and guidance I am receiving, I can't say enough how much better I feel and how much I've learned these past few days from this forum.

We will just keep heading up the TR protocol - watching him, keeping him safe and seeing if his body responds eventually (fingers crossed). If he doesn't, we will address that then and dig a bit deeper as to the root cause...but stay optimistic in the present that he will eventually give us a surprise........a spreadsheet not covered in pinks and reds!!!

I also have to keep reminding myself how much chaos he went through with over a month of travel after my father's death......my husband and I are so relieved we at least could keep him stable and safe under ridiculous amounts of stress and change right when our guy was diagnosed.

Well, I'm rambling now! Will sign off and say again to everyone who has helped us prepare for tomorrow's dose increase, just a huge thank you from all of us..........

Robin, Jim and Spot
 
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