1/4 Silver AMPS 248 PMPS 356 +3=407

Well I was expecting a pink per his pattern but then he will just do his own thing. So is he gonna go low and bounce back into red tonight. Probably. This bouncing is driving this momma bean crazy.

 

Bouncing can be very frustrating. I hope Silver will surf today and not bounce again.

 

So frustrating when something is out of our control... sorry about the bouncing. Hope he settles soon.

 

Thanks.

I have a question about glucose toxicity. If I hold the dose until I have a better idea of how low Silver is going...which, if he’s bouncing at the weekend could take a while to know - how do I find the fine line between holding and avoiding glucose toxicity. Anyone?

 

Would love to know the answer to that one as well.

 

I’ll tag some oldies

@Marje and Gracie
@Jill & Alex (GA)
@Sienne and Gabby (GA)
@Dyana

 

But goodies!

 

I hope you get a satisfying answer, but my wild guess would be that it’s really hard to say and there is no hard and fast timeline, it’s just a pattern that shows up on the SS and can be dealt with reactively at that time. The longer you hold the dose and aren’t seeing good numbers, the likelihood of glucose toxicity increases. As I see it, just like we are grooming them to accept lower numbers, if they sit in higher numbers too long, they think it’s normal.

You’re in a bit of a pickle as far as when it’s safe to increase vs staying at an ineffective dose too long because of your curve limitations and his refusal to corporate by not bouncing in that short window. Hopefully this was a one off and you’ll get the next curve and be able to increase.

 

I sure hope so. Much as id like to quit my job and be his full time carer it’s just not feasible. Wonder what other full time workers do.

 

On this sticky there are a number of comments about what folks that work full time have done in order to manage a job and FD. Although it is written with TR in mind some of the comments may be helpful to you. If you haven't read it or if you have but it was a while ago it might be worth taking a look.
http://www.felinediabetes.com/FDMB/...ion-possible-with-a-full-time-job-yes.129378/

 

Thanks. I did read it. Very interesting. Those workers lived close enough to nip home at lunch and leave late enough in the am that they could get +2. Must be nice.

 

If you are out for 12 hours on a working day, there is not much you can do.
Hang in there, do the curves when you can and grab a spot check whenever an opportunity presents.
Sending active cycle vines for your curve day.

 

I think what you're asking is how long can you hold the dose before glucose toxicity sets in. Please correct me if I've misinterpreted your question.

Some say there's a possibility glucose toxicity *can* set in in a matter of days.

Givens:

• We always recommend knowing how low a dose is dropping kitty prior to making dose adjustments. This will help the caregiver make informed decisions while keeping kitty safe.
• The longer a dose is held (when the dose is too low), the likelihood of glucose toxicity increases.

What I'm saying next is a matter of personal opinion... mine... so take it FWIW.

Given your circumstances... circumstances which apply to you and Silver based on the information you've given us regarding your schedule, limited availability of food mid-cycle, and Silver's data to date... I can only share what I would do. If I were in the same spot as you I would put safety first. I wouldn't adjust the dose until I felt comfortable knowing how low the current dose was dropping him. Personally, I'd rather deal with glucose toxicity (if it sets in) than worry about the safety of my cat.

"If" my schedule were more flexible I might be inclined to take a chance and make an adjustment if I knew I could monitor carefully and/or I knew my cat had food available round the clock AND knew he would self feed when low.

I probably have less fear dealing with glucose toxicity than most on the board today because when I arrived on the FDMB's door step in 2006 the use of Lantus in cats was relatively new in the USA. We were finding our way with the insulin. It was not unusual for caregivers to hold a dose for one to two weeks... some longer. I'm telling you this only to let you know why holding the dose doesn't freak me out as much as it might someone else.

I understand your concerns and your frustration. At this point, I think you're the only one who can weigh the odds and then decide how you should/want to move ahead with Silver.

If I've misinterpreted your question, please disregard my comments...

 

Nope. You got my question spot on. I’m so hoping I can get a non bouncing curve this weekend. I am pretty sure he’s going into blues most days but I’m not convinced he’s going into greens. The few times he’s had blue at night he’s stayed pretty flat. Fingers crossed for this weekend. Thanks.

 

You're welcome... good luck!

 

Just this above.

Rainy soggy but manly hugs from Tyler to Silver.

 

This is a great set of tips, but I don't know that it would work if you have a cat who does sudden deep dives like Girlie. It sounds like a lot of those kitties were pretty predictable after their owners got a predictable +2 and acted on that. I wish Girlie were like that!

 

For a little smile as you gave one to me yesterday when I was feeling the complete and utter pits.
Multi-coloured tutu with hidden blue pleats

 

Love it! You couldn’t find me a geeen tutu ?

 

Back to pink.....looks like same as what he did 12/3 and 12/4 hmmm still too high. I am definitely leaning towards increasing after the curve. Been a week since our last blue.

 

I just got the tag (I’ve been off today) but I see Jill did a great job of answering your question and it was the information you were seeking.

 

Hating these highs

 

yeah, reds do suck

 

I just saw the tag, as well (busy day at work). I agree with Jill -- safety comes first. You can break through glucose toxicity should it occur.

 

Don't blame you at all. You and Silver deserve to see a bit of blue.