I really do not think so. That is not his usual pattern. His nadir is late remember. He spikes and gradually comes down so the lowest he goes is his preshot. Yes. Already increasing. There will be no green today. More than likely he will be up into pink.
Yeah I know. I feel like I am in a losing battle though. We saw very low green and therefore had to reduce - but obviously that was a mistake as we are now in high yellows. 286 at +3
I should not have reduced but how else do you come down the dosing ladder?
Unfortunately that's part of the dance to go back and forth in dose sometimes. There's a saying around here that it's a marathon, not a sprint.Yeah I know. I feel like I am in a losing battle though. We saw very low green and therefore had to reduce - but obviously that was a mistake as we are now in high yellows. 286 at +3
Yes I’ve heard that before but I am going away in 7 months and he will be off insulin when I am gone for almost three weeks. That’s why I need him on a much lower dose by then. Dont have the time for a marathon.Unfortunately that's part of the dance to go back and forth in dose sometimes. There's a saying around here that it's a marathon, not a sprint.
Yes I agree - he needs to go back up again. So I should not have reduced him in the first place right? He is a long-term diabetic and I didnt see any guidelines as to what long-term diabetic should do when following SLGS when it comes to reductions.I think Silver needs more insulin.
The case for a bounce - His nadir's are late based upon the curve data collected - 2/10 was +10 - 2/11 was +8 - 2/12 was +10 and on those days Silver seemed to pop up a bit for PMPS. So for 2/20 - that PMPS of 50 (which regardless of meter) was one of the lowest numbers he has been at and he might of actually been coming up for a lower number at +8 to +10 range.
That all said - it is cycle 8 since the dose reduction and you have not seen a green. At this point, I would expect a bounce to clear. ECID though. In fact the lowest number is 146.
So back to original statement...I think Silver needs more insulin.
I was gone for 3 weeks when Jones was first diagnosed..I lowered his dose to the dose suggested here and I came back to a cat in greens and blues. September is a long time away and no one can predict where Silver will be by then. Stay in the now as much as you can.
I know it is. Been there and done that.
Thanks. I did wait until he was 50 to reduce. You know - on the other meter that 50 read 94. That’s why I get to wondering whether he was ever really at 50. Maybe I should change my reduction point to 40. I don’t know why Freestyle measures so low. I was on the phone so I’ve mussed his +9. Will have to make it a +10 and pmps. Although I think I’m going to have to see him at +10. They’ve been shouting for food for a while. That will mean his PMPS is on food spike and will be higher.
Nether of you have seen any because there aren't any written guidelines for long-term diabetics when following SLGS. SLGS wasn't created to intentionally push BG numbers down into the range of a healthy cat (50 - 80 mg/dL) like TR.
Looks to me like Silver has become a late nadir cat... for now anyway. While it's not exactly common for Lantus kitties to have late nadirs... it's not rare, either. That doesn't mean he won't switch things up on you at any given time.
*Usually* food spikes can be controlled by feeding strategically timed small meals frequently. While you may be dealing with food spikes, I think you're also dealing with a late nadir kitty. Given your circumstances, I'm not sure if there's anything you can do. You might just have to roll with it for now and hope things change for the better.
He’s doing great. You wouldn’t think there was anything wrong. I do want the low numbers tho as I am hoping he will earn a second remission. Anything is possible. But I won’t take unnecessary risks either. Most of my dosing decisions are judgement calls.
I know it may not seem like it, but that statement is the best part of this whole thread!
Yes, anything is possible and I certainly wouldn't give up hope!
Good. None of us want that to happen.
I know it may not seem like it, but that statement is the best part of this whole thread!
Yes, anything is possible and I certainly wouldn't give up hope!
Good. None of us want that to happen.
Clog away. I might find something helpful.
I did today. It’s hard to make him wait 12 hrs between feedings when I am at home. It’s a necessity during the working day.
I only give him 3/4 a can FF. Should I feed less?
To maintain weight it's 20 cals per pound
Not necessarily. ECID
Understood...like I said, sorry to butt in.
Not really. No. @Stacy & Asia is correct.
Alright, good to know.
Yes I totally agree. But it’s very hard to resist those pitiful “you’re starving me to death” eyes. I would never normally leave a cat food 12 hrs without food. I must five days a week but when I don’t have to I’d rather feed smaller and more often. Yes I know and accept that I won’t know what Monday to Friday is doing which is why I don’t make mid week dosing decisions.
That’s right. It is in my signature.
You’re not butting in at all. I wish I could feed during day. When money isn’t so tight I’ll save up for a couple automatic feeders. But I have two cats and will never know who is getting what.
Ok. You are right, ECID. It was a generally accepted number. I was trying to be helpful. Sorry.
He will only eat Fancy Feast seafood. Had nothing else for 12 years.
I wasn’t really asking if he was getting too much or too little food but the amount per serving. I wasn’t clear.
Nope.You can experiment and see how Silver reacts those smaller meals/more often and it would be great data, however, it isn't your norm and it might just end up frustrating you and causing an unclear picture.
I wish you had more options but life isn't like that is it?
We are powerless to their charms!