Yemala 11/11 AMPS 389; +4 155; +8 266; PMPS 371; +2 331; +3 201; +5 158

Today starts with high numbers, only to drop 200 pts. as she approaches nadir.

She's eating now - when she drops this fast, I worry she's heading into dangerous territory. Thus Mala is happily munching on left over roasted chicken.
 
It's absolutely possible, though I feed her chicken whenever she asks.

So with really high numbers bracketing lower surfs, are we looking at a bounce, or is this about duration?

We've been using the same Lantus pen since she came out of remission, could this be old Lantus?
 
We've been using the same Lantus pen since she came out of remission, could this be old Lantus?
When I called Sanofi, I was told that the Lantus is good as long as it is clear and you don't see anything floating in it. With that said, they also stressed that it is designed to be used by humans so they don't stand by that statement entirely when used on pets.

My theory is that it is not an issue of duration because Mala has a typical 12 hour curve during the day, and her AMPS is higher than her PMPS so the Lantus is lasting her all day. There seems to be something happening at night her AMPS is typically substantially higher than her PMPS the night before.

Curious as to what the experienced members would read into that SS. Of course, the changing doses and the depot play a role. That's where experienced members could give more insight.

Hope someone chimes in and explains it for you. :bighug:
 
When I called Sanofi, I was told that the Lantus is good as long as it is clear and you don't see anything floating in it. With that said, they also stressed that it is designed to be used by humans so they don't stand by that statement entirely when used on pets.

My theory is that it is not an issue of duration because Mala has a typical 12 hour curve during the day, and her AMPS is higher than her PMPS so the Lantus is lasting her all day. There seems to be something happening at night her AMPS is typically substantially higher than her PMPS the night before.

Curious as to what the experienced members would read into that SS. Of course, the changing doses and the depot play a role. That's where experienced members could give more insight.

Hope someone chimes in and explains it for you. :bighug:

I hope that, too.

After a relatively nice nadir this afternoon, she's back into the 200s. I don't know what to make of this.

We typically feed her mini-meals of lc food on demand. When Mala wakes and is hungry, we feed her small amounts. Today, she had leftover roast chicken, no carbs. Last night, her treat was raw chicken liver.

I just don't know what to consider in working on these numbers.

Oh, and I checked the pen. The insulin is still clear, I see no floating stuff.
 
he insulin is still clear, I see no floating stuff.
That's good.

Let's see what the experts have to say. Hopefully, they will weigh in tonight. If not, maybe consider posting it as a question in tomorrow's thread.
I'm curious as to how they will interpret this.

In the meantime, be good Mala!!
 
After a relatively nice nadir this afternoon, she's back into the 200s. I don't know what to make of this.
Yemala is simply bouncing from the low numbers last night. When a cat bounces, the numbers aren't always high. They can bobble around a lot like what you're seeing today.

Personally, I'm curious to see how long this bounce will last on the 0.25u dose. Today is only the 4th cycle. We may not have seen what this dose can do once the depot has been built.

About lack of duration...
I don't think it's a problem. I just don't think you've arrived at an optimal dose yet. Hang in there. You will.
 
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