? Meaning of flat curves without much BG movement?

Discussion in 'Feline Health - (The Main Forum)' started by Amanda and a Loudogg, Oct 29, 2017.

  1. Amanda and a Loudogg

    Amanda and a Loudogg Member

    Joined:
    Jun 16, 2017
    Hi all!
    I performed a curve yesterday and a mini curve today. Both days provided flat curves with very little movement in his BGs. He has been running unusually high this week, which I thought had started from stress from annoying noises, but it's continued long after you'd think it would have cleared. Just another thing to worry about, but I digress.

    Can someone refresh my memory about what these flat curves indicate? Is it an indication that the dose may be too high? I can't remember, and I feel like it's something I've heard before. :p

    Thanks in advance!
     
  2. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    Sorry no one answered you! I should know the meaning too, I used to:confused:! Since you’re using vetsulin, I’ll tag @Kris & Teasel and @JanetNJ
     
  3. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    How old is your Vetsulin?? You have lots of tests in and the S/S is showing barely any movement the last week. There doesn't appear to be any major drops which would be causing any bouncing.
     
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  4. Amanda and a Loudogg

    Amanda and a Loudogg Member

    Joined:
    Jun 16, 2017
    I just got this bottle at his last vet visit on 10/11, so it's only 2.5 weeks old. I have no idea why his BGs have not been moving, even after I increased the dose. I lowered the dose last night in case it is because the dose is too high. I know it's silly to expect miracles, but he's in the high 300s again this morning, and I'm really hard-pressed not to give him 2.25u again, even though it didn't seem to do much of anything. Ugh! This is so frustrating!!!

    ETA: I did give 2.25u this morning. At this point I'm tempted to bump him up to 2.5 to see if that helps. I'm also tempted to call the vet, but after going there 10/11 and spending almost $300 on a "probable" lung infection that was treated but not verified, I'm not sure if I want to go back and be brushed off again. :arghh:
     
    Last edited: Oct 30, 2017
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  5. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    Then the insulin is good. I always like to check since I have seen numbers creeping up and staying flat sometimes when the efficacy is wearing out. I see the vet gave Convenia for the possible lung infection. Convenia is not the best choice is antibiotics for any infections with kitties. It is"convenient" since the petparent does not have to pill their kitty, but was originally developed for skin infections in dogs. Were all the rest of the labs okay...no other potential problems? Is he eating, drinking, pooping, peeing, playing normally?

    Lou had some decent readings after your vet visit. The only thing I might suggest is trying to get some later evening readings. He seems to have a later nadir with Vetsulin...around +5 or +6 and even later sometimes. There is a chance he may be dropping lower at night...kitties like to do late night drops to make it difficult for us..sigh... If there are no bigger drops in the night cycle, then you might want to increase the dose.
     
  6. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I'm not sure if I can help. Your SS notes mention extra stress recently from noise so that might be aggravating the situation. He's a bouncy guy at a variety of doses, as is mine. My kitty also bounces up and gets stuck in high numbers very easily. I wonder if that's going on? That "probable" lung infection might be a part of it too. You're doing the right thing with carefully increasing his dose.
     
    Last edited: Oct 30, 2017
  7. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    You could certainly try 2.5 units when the preshots are over 300 provided you are around to test.
     
  8. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    How do his lungs seem to you now? Any coughing? Panting? Sneezing?
     
  9. Amanda and a Loudogg

    Amanda and a Loudogg Member

    Joined:
    Jun 16, 2017
    Hello everyone! I appreciate your replies. I apologize for the delay - I wanted to review his test results before I responded.

    His labwork was relatively unremarkable. His kidney and liver numbers were fantastic. In fact, the only abnormal results in the chem panel were the glucose and cholesterol. The CBC had some results out of range. According to their ranges, his WBC count, neutrophils, and monocytes were low. She said it was because the WBCs were pooling somewhere, likely in the lungs. I'm not an expert, but I'd never heard of that explanation before. Usually an infection causes an increase in WBC count, and usually neutrophils or lymphocytes - depending on the type of infection (bacterial vs viral). I did enter the lab values in his spreadsheet if anyone was interested in the specifics.

    So the diagnosis was probable lung infection, although I had not and still have not witnessed any symptoms. He can be a bit loud while sleeping, but he's always been loud. I work tomorrow, but I'm going to set an alarm to test him at +7 (he usually has been peaking at +6 to +8, so I'm hoping to catch him). Hoping I'll rule out bouncing (although I know one test doesn't completely rule that out). If not, I'll think about upping his dose, but I won't be able to monitor until Wednesday. :facepalm:
     
  10. LuanneP

    LuanneP Member

    Joined:
    Jul 24, 2017
    I don't have any advice but I can so relate. Merry's curves are very flat & I can't figure it out. We've been increasing his dosage to no avail so I went back to a lower dose last week in case his dose was too high but he still has a flat curve. I hope you can figure things out for Lou :)
     

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