Blaze

That is a big drop. Do you have some higher carb food in the house? If not put that on your grocery list! For now if only LC is available you can mix in a bit of honey to up the carbs. I think it would be best to check him again 30 minutes after he finished this snack to see how much that has raised BG and then decide next test.
 
MrWorfMen's Mom said:
That is a big drop. Do you have some higher carb food in the house? If not put that on your grocery list! For now if only LC is available you can mix in a bit of honey to up the carbs. I think it would be best to check him again 30 minutes after he finished this snack to see how much that has raised BG and then decide next test.
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@MrWorfMen's Mom
I have FF gravy lovers. Is that HC?

I gave a couple tablespoons of FF Gravy lovers a couple minutes ago, I hope that’s HC enough.

He finished eating 5 minutes ago so going to test in 25 minutes and post on here.
 
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Good number that a lot of folks would love to see on their SS but it's so early in the cycle. It really looks like Blaze is metabolizing the insulin pretty quickly. It happens with Novolin but you've already got a plan to address that with the switch to Lantus.
 
It's about your bedtime isn't it? How much longer can you stay up without dragging your heels tomorrow?. I'd love to see what he does for at least another another hour. If that's doable, then give him a bit more gravy only from that food and retest in 30 minutes.
 
MrWorfMen's Mom said:
It's about your bedtime isn't it? How much longer can you stay up without dragging your heels tomorrow?. I'd love to see what he does for at least another another hour. If that's doable, then give him a bit more gravy only from that food and retest in 30 minutes.
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@MrWorfMen's Mom

Ya it is my bed time, I have a massive headache tonight too. If I’m up past 9 pm I’m dragging my heels but it’s already almost 10 so I could stay up till 10:30 maybe. Have to be up at 5:30 in the morning to get ready for work.

So give him gravy only right now, no food and test in 30 more minutes?
 
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Whoops, I started a post and don’t know what happened to it. Was going to ask how much gravy but I gave him some until he didn’t want anymore, hope that’s okay?

Will test again in 30 minutes?

I know, that’s just my luck to have a headache tonight when Blaze wants to be in the blue. Dang cat! It’s okay, I’m learning that it’s just how it is when caring for a diabetic kitty. He’s keeping me on my toes!
 
Yes test in 30 minutes (well 25 or so now).

I figured something happened with the post!

If it's any consolation, the fact that he coming down to blues now is very encouraging. I think he'll do great on the Lantus.
 
Yay! I’m happy to see the blues, even if they are happening past my bedtime :woot:
I can’t wait to get the Lantus. I was told it should be shipped today so maybe by next week we will have it. I probably won’t start it until 9/7 though, I will be out of town for a day and a half between 9/4-9/5 and will be in and out during the day on 9/6 so want to hold off on starting it until I’m home with him and can monitor him.
 
They do like similar! He’s a big boy and very handsome! Mitzy is so little, she turned 3 in May and is half the size of her brother’s!

Going to test now, fed the gravy 30 minutes ago exactly!
 
Ok he's up but that may just be the high carbs for now but it should hold him until peak is done so leave him some LC food for overnight and off to bed ..... Sweet Dreams! :)
 
Okay, thank you for staying up and helping me with these numbers! Putting some LC food in the feeder and heading to bed! We’ll see where he is in the morning with AMPS. Thank you Linda, goodnight!:D
 
Yes I'm sure there is a bounce in that AMPS. It's up a wee bit but not much. Bounces are frustrating but normal and all you can do is ride it out. At least we know why he's up this AM.
I'm tired too but then I don't have to go to work so I feel for you. :(
 
MrWorfMen's Mom said:
Yes I'm sure there is a bounce in that AMPS. It's up a wee bit but not much. Bounces are frustrating but normal and all you can do is ride it out. At least we know why he's up this AM.
I'm tired too but then I don't have to go to work so I feel for you. :(
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@MrWorfMen's Mom

Blaze seems to bounce a lot :confused: do you think the 0.75U is a good dose for him right now, based off of his numbers?
 
Unfortunately because Novolin knocks BG down quickly and sharply, bounces are difficult to control. Sometimes you just have to keep increasing dose until you see better numbers and the bouncing eases off. Last night at 149, Blaze had room for a bit more drop but not much. With some cats, if the bouncing is severe, you have to ease them down. It's an every cat is different thing. Blaze bounces but he doesn't bounce sky high nor does he appear to be holding the bounce long so this weekend, if you can monitor, you could try upping the dose a bit if pre-shots allow. I certainly wouldn't recommend increasing when you can't monitor him closely though because we don't want him dropping below about 100.
 
MrWorfMen's Mom said:
Unfortunately because Novolin knocks BG down quickly and sharply, bounces are difficult to control. Sometimes you just have to keep increasing dose until you see better numbers and the bouncing eases off. Last night at 149, Blaze had room for a bit more drop but not much. With some cats, if the bouncing is severe, you have to ease them down. It's an every cat is different thing. Blaze bounces but he doesn't bounce sky high nor does he appear to be holding the bounce long so this weekend, if you can monitor, you could try upping the dose a bit if pre-shots allow. I certainly wouldn't recommend increasing when you can't monitor him closely though because we don't want him dropping below about 100.
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@MrWorfMen's Mom

Okay, this Saturday I will try upping his dose when I will be home to monitor him. Would you say increasing to 1U is a good idea for that? Or is a 0.25U increase too much?

Hopefully once we start Lantus, we see better results :oops:
 
@JanetNJ
I work Monday through Thursday so am not home to monitor him during the day but have been doing 0.75 U for the last two days now, today being the third day 0.75.
 
@MrWorfMen's Mom
Okie dokie, we will try 1U on Saturday and see how that goes! Blaze has a vet appointment this Friday, I have to drop him off between 7 am and 9 am for bloodwork, poor guy hates the vet.
 
I have the Petsafe feeder set to open at +1.5 and +4, is that good or should I add one more?

Blaze seems to get lower in the evening, I think I read that that’s normal, right?
 
@JanetNJ

Thanks Janet! I got the Petsafe time feeder recently so I could set it to open at +1.5 and +4 while I’m at work. Just have to hope my two civvies aren’t eating it instead of Blaze!
 
Yes the majority of cats do go lower at night so I'm sure Blaze will be fine today. I think you could turn the second snack timing back a bit to +3.5 given Blaze seems to hit nadir early.
 
@Beth 73
Hi Beth!! I know, they so amazing and helpful, they feel like life savers to me. I could not do this without them, and you and all the others that have helped me here. I feel very lucky. And thank you, I feel like I don’t know what I’m doing but with the guidance I have here, I know me and Blaze are moving in the right direction:bighug:
 
@MrWorfMen's Mom

Dang Blaze and his bouncies! Oh well! At least he's feeling good today, snuggled on my lap for a bit and then went to scratch his scratcher and now he's napping.
Question about the bouncing, this is "normal" until their bodies can get used to being in those lower numbers? I know with Novolin, it's a little harder because it seems to kick in fast and hard with Blaze and not last very long. I hope Blaze gets better with his bounces once we start Lantus.

Another question, about increasing the dose. We increase the dose to get lower numbers, how do we maintain lower numbers? The goal is to find the correct dose where we are getting consistent low but safe numbers, but then how do you know when he isn't needed insulin anymore or maybe not needing as much?
 
Bounces happen not only with numbers that are lower than kitty is use to but also when BG drops abruptly. With Novolin the drop is almost always somewhat abrupt so bouncing tends to often come with the insulin, Lantus on the other hand works in a much gentler fashion. It doesn't pull numbers down sharply but it's great at holding numbers down. Right now, with Novolin, you aim for the lowest safe numbers and try to maintain with food timing for as long as possible each cycle. Because Novolin doesn't tend to last the entire cycle, holding a good surf in good range is more difficult and sometimes not possible.

When numbers improve, if BG drops below what we deem safe levels (and we always build in cushion here) then you reduce the dose. If BG holds in normal numbers on the reduced dose for say a week, then you'd try another reduction. If you want to see a cat go from a dose of 2.5u to nothing on a SS check out Menace's in my signature from July 2018 till Sept. Bare in mind, my girl was not the norm. She has a high dose condition that had us at one time shooting 16u of insulin twice daily and seeing very little if any movement in her BG. Needless to say, when we finally got traction, I wanted to make darn sure it was going to stick so I took her weaning off slowly but steadily. Nothing like swimming in a sea of normal green numbers while still giving insulin. I used Lantus initially but switched to Levemir because of her high dose but it's a very similar insulin and will give you an idea of how you go about getting to that ultimate goal.

Remember though, remission is not a guarantee no matter what you do but switching to Lantus will up the odds.
 
@MrWorfMen's Mom

Thank you Linda, that explains it all so well and makes sense. I appreciate you explaining it. I just want to learn as much as possible and understand as much as I can so I can make sure Blaze is safe and to try to get him stable. That Lantus can’t get here soon enough!!

I know that remission isn’t guaranteed no matter what I do. I just want to get Blaze stable and get to a point that I don’t feel worried all the time.
 
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