Mandy working on getting off insulin

Mandy seems to be trying to go back in remisson. Tues 7/20/10 5:30 am gives me a 36 blood sugar. No signs of low bg.
Gave more food and nutrical. Re checked in 30mins 47.
Vet got us in the seond the offie opened Checked Mandy bg 47 gave 3cc nutrical. Gave some Sq fluid. At 1st Thought she might have UTI. When BG 87 sent us home . .
AT home 9:30AM bg 437. Called ,to give 5 units NPH at 12noon.
12 noon bg 437. 5units NPH. 3pm bg 106. Dr said to feed too big a drop for just 4hrs. 5 pm bg 24,used other ear bg 26.
Changed meters bg 36.
Return to vet . They got 47 bg. Gave 3c nWhen bg 98 sent home.
Arrive home 6:30 pm per vet order give 3 nutrical. Also per orders hold insulin . 9pm bg 259. Midnight 364.
July 21 Called dr with bg 396. Orders 3 units NPH.
10:30AM bg 192.
12 :30 pm bg 36. 3cc Nurtical . call vet.Retest 1 hour
1:30pm bg 143. called Bgs 4:30 pm call .
4;30pm bg 313. Called
8pm bg and 1 unit NPH.
Then in am 1 unit NPH. Do curve.
12 hour curve
7:30am bg 439.1 unit NPH. feed can food.
9:30am 381.
11:30am 331.
1:30pm 330.
3:30pm 377.
5:30pm 422
7:30pm 455. 1unit NPH. Curve finished
July 23
8:30am vet office for yearly exam.
Lab senior panel,ua,frocusmine.
Upped insulin 2unitsNPH
9:35am bg 425.2 units NPH.
Will get bg at hour 4 and 4:30 pm. all vet and get insulin orders for weekend.

So right now we are just watching and hoping.
Any thoughts or advice.\? Thanks everyone.

 

Hi Linda! That is quite a roller coaster ride there which is usually typical of N. It looks like one unit is clearly not enough but 3 units is too much. Maybe the 2 units will be more like it, but it looks like she has been on two units since March already though? How has she been doing up to this point?

I am sure this has already been suggested to you but have you considered trying Mandy on Lantus or Levemir? The curve is much more gentle and the chances of going into remission are much higher. I can't believe how much better Tigger feels on Levemir than he ever did on PZI.

Does your vet use Lantus at all in his practice?

 

Mandy was doing well on 5 units, .

Mandy had gotten all the way to 5units NPH.Then tuesday when this started. She was doing well.
Now we are at 2 units. See hon Now it goes
Vet and I talked about Lanutus , vet said since she was regulate before on N she felt like since Mandy responded to N she did not want to change. She said that if Mandy was a new diabetic she would go straight to Lantus and canned food.But Since Mandy has responded in the pass to canned food and N she wanted to stay here.