Trying to get Samwise regulated

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Sue,

I would think that it is time for you to try a new insulin. Have you looked into Levemir?

Was he on pzi prior to remission?

I've studied your spreadsheet and read the postings. It seems you are doing a great job but the insulin just doesn't seem to be working. Many long-term diabetic do well when switching to Levemir, but Lantus is an option too.

I would urge you to discuss these two insulins with your vet.

Best,
Pam & Layla
 
Pam do you think insulin the the only thing that is not working here? Do you suspect any other issues going on? That's a very distinct pattern Sam has going on. EDIT: Further, I don't think Sam has ever been in remission.
 
I don't know if something else is going on. Unfortunately, that pattern is nothing but high numbers and this has gone on a long time.

What I've gleaned from the other posts is that Samwise is eating lower carb food, no longer eats the dogfood, etc., so if the food is okay, there has to be another reason.

If the insulin is not old, hasn't been shaken, dropped too often, or left in the sun for long periods of time, then I would think the most logical step is another insulin.

If the bloowork/chem panel is within normal limits and the vet cannot find a reason for the high numbers it can't hurt and might help to try another approach.

I'm not an expert in interpreting numbers - but high and flat for a prolonged time period needs action. My own cat is difficult and doesn't fit any mold whatsoever in all the great dosing guides in the sky. When on PZI we had to shoot TID and that was fine for years, but all I can say is that the moment we switched to Levemir, she became a better cat. Layla's numbers are not bronzed but most cats don't have her history of DKA and HL.

I don't think, based on my cat, there is such a thing as a perfect dose. The perfect dose is the one that works today, tomorrow, next week. Next month, the needs might change and another adjustment might be needed.

If he is going to the vet I would urge them to do the bloodwork and maybe the C&S for the urine to rule out any infection that might also be contributing to the numbers.

Best,
Pam & Layla
 
Gator & H (GA) said:
Pam do you think insulin the the only thing that is not working here? Do you suspect any other issues going on? That's a very distinct pattern Sam has going on. Further, I don't think Sam has even been in remission.
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Gator, if I read the history correctly, then Samwise was in remission for a year (the timeframe might be off). He was in remission when he had his dental last summer based on Sue's post.

Best,
Pam & Layla
 
So, I'm asking this because I want to learn, and I don't understand. I thought that the pattern she saw yesterday was encouraging - that maybe the food and the insulin increase finally kicked in for a 196 at +5 and then a very unusual duration with 99 at +12. The higher number at amps today could have been a bounce since she shot 2.3 at 99?

Sue, have you gotten any numbers for today?
 
I'll start another post after this one. No UTI, he's been eating pretty good. He always eats about an hour or so before his first shot in the morning and he eats through out the day. He's skinny which is why we don't with hold food. He did have a very good low day then it goes up high again. Rebound? Could very well be. He goes to the vet tomorrow. confused_cat
 
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