Maury's Progress

Starting a new thread for the week with the best cycle yet!

 

Looks like Maury had a calmer day today. Those are great numbers for the day after hitting some lows! Way to go Maury!

 

Hoping to see less pink

 

Well, that 401 gave you less pink.... Somehow I don't think that was the direction you were hoping for...

 

Indeed it was not lol.

 

First time stalling and starting with lower number. Initial PMPS 130. Waited 20 minutes w/o feeding: 144

 

Are you using the Reli-on or the AT2? That's a pretty low PS, although not too far off from 16 March.

 

ReliOn. +20 mins: 132.
Wonering if I should just do 1.75U or fat 1.5U

16 Mar he started rising by this time =\

 

Do you think he might be bouncing from his low the other day? I'm definitely not qualified to give dose advice, and have no experience with the higher numbers, but I wonder if he's being extra sensitive to the insulin right now? I think your idea to reduce a fair amount seems sound.

 

He bounced last night and this morning for sure. I definitely don't want to give too much. Thinking too little would be safer than too much or none.
He is also making sure I don't forget he has not had dinner yet.

 

Will you be able to monitor tonight? How far past shot time are you? If it was me, I'd probably go 1.5u, but then I've had two hypos in three days, so I may be a bit extra cautious right now.

 

Wait, is he still down at 144? I might go even lower on the shot if he isn't rising. That's a really low number.

 

+20 mins 134
He's staying pretty flat.
@Rachel @Kris & Teasel - Help lol

I don't mind the number itself but the fact that he isn't moving at all confuses me on what to do.

 

Lol...it doesn't look like they've been on for awhile...but maybe they get email alerts -- the modern equivalent of sending out the bat signal?

 

Going on 45 minutes over shot time. I'm really puzzled as to what to do . Going to do 1 more test then give him his dinner before he starts eating me

 

I'm curious if he had a late nadir, or if this is the nadir and the insulin lasted extra long today. Lacking input from the experts, you may just have to go with your gut: skip, shoot reduced, or shoot after the food spike hits. The problem with the last option is that you're already so far past shot time that it would make tomorrow hard to fix, plus, there's more risk when you do that since it's a 'fake' number. So for what it's worth, I would either skip or shoot a small dose. Like you said, better to undershoot than to overshoot.

 

His reading before meal was 162 so I gave fat 1.0U. Will get a +2 and decide how close to monitor overnight.

 

I was out and am just seeing this now. I think the fat 1 u will be OK. Do a few tests this evening.

 

Thanks Kris . My gut just tries to tell me not to skip just yet because I don't want to regress his progress.

 

Hey! Sorry, traffic on the way home was a nightmare. Not sure what happened...but I will say 4 cop cars and 1 ambulance were going one way on the road, and a cop was directing traffic the other way...and I was stuck in the middle of all that! Very curious what was going on....yeah I think skipping would be a mistake at this point, since you want to capitalize on this progress!

 

Hope everyone was ok in that incident. Just got a +1 and he bounced . I had a a feeling he would but I wasn't as sure as the past few times because he never stayed so flat for almost an entire hour of stalling .

 

Arg! Little stinker! Hopefully after the food spike is settled his numbers will come down a bit. He's certainly been giving you a lot of color variety in your spreadsheet lately!

 

Could definitely have been a bit of a food spike too.

 

Maury started off with a weird day today, has me worried of course! He barely touched his lunch from last night and his YA dry. Seems like he was feeling a little nausea at breakfast. Meowed like he was hungry, came and sat next to me while I prepared it, but when I sat it down for him he came over, sniffed it and took 1 or 2 bites and walked away. Was a slight wobble too. Went over a couple times to eat more and got less than half eaten and kind of looked disappointed .

Around his +3 he ate a few pieces of YA and his Friskies. Shortly after his test (maybe 30-45 mins), he threw up his treat. He was meowing a little, pacing around me, pawing at the blinds (usually his way of really getting my attention), licking the curtain. I may be reading too much into it but I feel like he was really trying to let me know something. I have a Vet appointment tomorrow morning but I don't know how much them checking his vitals will tell without additional tests. I don't even know what tests they would run.

This behaviour lasted about 4.5 hours. I got his lunch ready around +4, same thing with being excited to hear me getting it ready but set it down, sniff and walk away . He calmed down to his usual self and went to settle on his condo by the window. I served him lunch on the window sill and he ate almost all of it. Since then it's like nothing happened. I'm continuing to watch him to see if it happens again but I am torn if I should keep that appointment. I do feel guilty that I may not have caught his diabetes as early as I could have so if this sign is something starting, I want to catch it early.

Any thoughts are greatly appreciated!

 

Not sure what to say other than watch him the rest of the day and don't cancel the vet appointment just yet. See how he does overnight.

 

That's what I'm doing. The Vet's office offered an afternoon appointment today but I told them I think it's better if I monitor him for the rest of the day and a couple hours in the morning. Might just be some morning sickness. Luckily, I know he is not pregnant .

 

Fingers crossed it was just one of those things, and nothing to worry about! Keep us posted on how it goes at the vet tomorrow!

 

PMPS: 69 on AT2. Going to give dinner with 1T HC FF gravy lovers. No shot tonight. Didn't want to try and stall with this reading. Will test at +2 unless I feel the need to test earlier. No more odd behaviour just really affectionate and even had a good play session

 

At most of his dinner without issue tonight. Went ahead and grabbed a +1.25 and he finished the last few bites of his dinner

 

How is Maury feeling this AM?

 

Cancelled the Vet appointment since there were no further issues. I have a feeling it may have been something in the tap water so I used the water from the filtered water pitcher. I can't drink the tap water. Woke up in the night so I figured I should go check on him in case it was a sign and he didn't come upstairs at all. He was high but I was glad to see he had dropped 66 points by AMPS all by himself! Stuck with the F2.5 again and we're having a gentle curve. Thanks for checking in

 

Glad he's feeling better! I use spring water on my cats, never tap water, so that could be it.

 

Hoping that with more of the yellows and blues, I will start seeing better improvements with his neuropathy. He is wanting to play a little more .

 

His numbers for today indicate a fur shot

 

Or bouncing ...

 

Oh right... how could I forget bouncing can be flat cycles too I just had one on 15 March

 

Been an exciting morning! Another No Shot cycle for Maury. I hope he doesn't bounce too high like the other night when I had to skip. His numbers were very much against the shot though, even after all the stalling

 

Well dang! That was definitely a no shot morning...interesting to see what he does tonight!

 

What is wrong with tap water??

 

to you and your furbaby!!!! Head bump come, on Maury

 

Phoebes, there are minerals and chlorine in my tap water (and most others), so they (the water people) may have added something else or too much chlorine and it bothered him. I have to drink filtered water from my Brita pitcher because I grew up on well water. It's the only thing I changed for him and he went back to eating his food . Never used to bother him, so might just have to wait for whatever is in it to pass through.

Yes Rachel, I'm just hoping he doesn't bounce too high. Going to test around +8 to see how he's doing.

 

That was a definite no shot number!!

 

With more time he just kept going down, like "Nope I don't even want a drop of insulin!" lol. Got my bounce as expected. Hoping he will come back down a little on his own before PMPS

 

Maury has been a little hungrier today and wanting more attention. I hope I am just reading too much into this. Also, been difficult for me to hold the same dose for AM and PM cycles. Any thoughts? I'm struggling trying to analyze his SS

 

The 2.75 u or thereabouts seems to be the good dose. I think they can "wobble" a bit around the narrow good dose range. Teasel is doing this to me now. Sometimes the approximate good dose will generate only blues as lows and sometimes a lime green. It's frustrating but seems to go hand in hand with bounciness. It's like their physiology is like a finely tuned race car and is easily disturbed.

 

Guess I will just try to hold the 2.75U area, so long as numbers permit, for now? It's like sometimes the dose lasts longer than 12 hours, but then he does bounce.

 

Yes, try that. This whole thing is sometimes more art/intuition than science.

 

Hoping he's getting some healing time, even with these weird cycles. Going into month 4, I was hoping to see his neuropathy improving a pinch more. At least it has not gotten worse. Gotta look for the silver lining

 

Attitude is everything!!

 

He's getting some time in healing numbers, and that's important.

 

I hope so, especially with this 3rd no shot again.

 

Well, would you look at that?! I think you should lower his dose a little - try 2.5 u tomorrow, numbers permitting. You've had several lime greens on 2.75 u.

 

Wow! Yeah definitely time for a bit of a decrease!

 

Whoops, just seeing this. He already got his 2.75U this morning. Maybe the 2.75U for a while helped so I will try the 2.5U again, numbers permitting of course

 

Another night of numbers not permitting! I think the flatness of today was a bounce from last nights No Shot number and might see the same tomorrow. Is this a good thing, what's happening here? I'm so

 

It IS good...means he is getting into those good numbers. We'd just prefer 2 shootable preshots. That would be good too, though since it means he needs a dose decrease!

 

Don't get me wrong, it's been nice just having the 1 shot a day , just wanted to make sure it's not harder on his body. Will be going back to 2.5U in the morning (numbers permitting, of course). To be honest, I have not really updated the Vet since his first increase recommended by them. Plus, I think he knows when I'm doing a curve to try and send to the Vet so his numbers are wonky . I'm going to need a new vial of insulin soon so they're probably going to want numbers. Was trying to get that bottle from supply closet but have not heard back

 

Got a shootable number tonight but definitely a fur shot . Per kitty sniff test

 

Oh no! I'm so sorry!!! At least it's a nice pre-shot to start with. Fingers crossed he stays in reasonable numbers anyway.

 

Dang! Well, remember it's just one cycle. You'll get him back.

 

I might've gotten a little excited because he could get a shot tonight LOL. I'm hoping he got a little bit of it and he will do his usual thing and have a pink AMPS again OR YELLOW! I'll take a yellow!

 

I got a red . Could've been a pink though with variation

I think the play sessions are helping him

 

Meh. That was after the fur shot, right? He'll be back on track in no time!

 

I kinda winder if that might be an issue with phoebe. I know sometimes my water stinks to me. Like a wet dog. I have a uber sensitive nose. Like smell a fly fart at 50 years kinda smell. It's a curse most of the time.

 

Yeah

 

Might not see any responses to this comment until tomorrow morning. We're at least back on the last track of 1 No shot number. My mum called to check in and see how he's doing and I told her we have had a few No Shoot numbers. She says to call the Vet. In all honesty, my thought is they will want me to bring him in and then tell me nothing helpful. I do not think this is reason to call the Vet, am I wrong? From what I've learned recently, he might just be earning another reduction . My ultimate goal was not remission for him but if it happens, I won't complain! I aim to get him well regulated so he feels good, gains some muscle back, and walks on his toes again. And if I need to skip his shots for 3 days (just one occurrence in the fall) , he'll be ok.

I have been trying to find another member's SS looking for similar patterns as Maury's but no luck yet.

I turn to you guys before I call any Vet regarding his diabetes . Any thoughts appreciated. Feel free to be blunt as well

 

I think you should try a dose reduction so you can have two shootable PSs consistently. Maybe try 2.25 u for a couple of days? I doubt whether a vet visit would help - they generally have no clue about the nuances of insulin dosing.

 

I'm with Kris on that - both the dose reduction and the vets-aren't-that-helpful part. Although if your vet dose phone calls, you might try that route - but then be prepared to ignore him/her if you get bad advice.

Then the question is how much of a dose reduction? Looking at your spreadsheet, it's looking like his nadir is really late in the cycle. Is that what you think too? That may support the idea that his dose is too high. And also that I see bounces, but don't really see them clearing - although his numbers are complicated enough that I might just be missing them.

I'm curious to see if he gets more predictable with a lower dose.

 

I third! Vets aren't usually super helpful with dose and why pay for it when you can do it yourself?

 

And this is why I turn to you guys . When I get 2 shootable numbers he still hits nadir around +6. Will see how the 2.25U does starting tomorrow morning, numbers permitting of course

 

I am always prepared to ignore Vet's and doctors! They have to say something that makes a lot of sense to get my attention