Time to increase dose again?

[Mancat]

Bit bummed out this morning, guys. Everything was going great for those few days but I'll let her SS do the explaining on this one. All I can say is that nothing has changed. Behavior, eating, drinking, bathroom habits all consistent and unchanged. All food is 4% carbs or less. No change there. She's slowly gaining weight back. Mood is friendly and playful. She seems bright, clear and inquisitive. We played with a fascinating piece of string at the end of my comforter yesterday. If it weren't for her numbers you'd think nothing was wrong with her.

 

[Sue and Oliver (GA)]

Well, it is great to hear she is acting well and enjoying life. But I can see why you are bummed by the numbers. I don't know. There are two choices - reduce and see if the high and flat is too much insulin. Or raise and see if it improves. I see nothing in the daytime to bounce from; it is possible she drops at night....

I think I might be tempted to lower for a cycle, when you can monitor levels and ketones and see if the numbers look better. Maybe 1.8 just for a couple cycles and if no improvement, then up. My thinking is that high and flat doesn't fit with your previous numbers at all. It's possible that 2 worked for a while and you just need an increase, but I guess I'd try the lower first.

How old is the insulin?

 

[Mancat]

I can drop her down to 1.8 this weekend so I can do a curve on her and keep an eye on it as you said. Ketones are always coming back negative for her.

The insulin is about 2 weeks old. I just got a brand new bottle. Got it from my vet and brought it home and immediately put it in the fridge so I know the integrity is good. It's cloudy and suspended in the vial.