Trouble's spreadsheet and an update- Thoughts Appreciated

[Asrael]

Hi everyone-
I would love to get some input on Troubles spreadsheet- as well as wanted to share an update He is on Lantus.

We are doing a curve of sorts today- but the numbers seem to be higher than they have been over the last few weeks (the vet wants us to call it in when we have done one). I don't know if its bouncing because the numbers have been lower- or maybe he just didn't get a full shot (although it seems as he did).

I was thinking of taking more blood tomorrow- to see if the readings are lower- I think that she may recommend us increasing the dose with these numbers- and I don't feel we need to.. So would appreciate your thoughts

We have decided to try to focus on the tight regulation since he has started having some better numbers- so are trying to be more on regular with our testing, so that we will know when to decrease. We chose not to shoot when he was at 2.8/50 because we felt it was too low- and he immediately went up. So have been shooting when he has been lower- and it seems to be working. His nadir is normally +4.

And Overall Update- He is doing so well. He is eating well- mostly weruva foods, with some FF and freeze dried raw. He is gaining weight- I don't notice his knobby backbone anymore, Although he has more weight to gain. He also has so much more strength. Sometimes he is so hyper- its like when he was a kitten- he hasn't run so much since he lost his leg 3 years ago. He is also living up to his name "Trouble"- he doesn't know how to play nice- and is terrorizing my other cat (poor Chela), and wanting to play/attack us. His coat is better, he is drinking way less, and the litterbox is so much easier to clean. The blood testing can be tricky at times- but he seems to be getting a little better.

Overall we are so happy- and so thankful for all of the advice on the board too!

Anyways- Thanks so much in advance for your thoughts

Asrael

 

[Critter Mom]

Hi Asreal,

I think the occasional higher numbers you've been getting recently could well be bounces off the low numbers.

Technically, per TR you could justify a 0.25 unit increase, but if you are going to tweak it upwards I'd suggest doing it on a daytime cycle when you can monitor. I'd keep an eye on PM cycles, too, because Trouble might be running a bit lower than on the AM cycles.

.

 

[Asrael]

Thanks @Critter Mom for your thoughts- I really don't want to take it up if we don't have too.. especially since he is going nice and low most of the time.. I just know what the vet may see (well I think I know what the vet may say). The last 3-4 days we have been doing more pm tests.. we don't shoot until 8. so usually get the +3, except Fri my husband stayed up. Thinking I will try to test during the day at least once too if we can

 

[Critter Mom]

If you can get tests in both the AM and PM cycles - even if the PM cycle test is a 'before bed' - it can give a much better picture of how the Lantus is working.