Cliff Notes, pt 3

http://www.felinediabetes.com/FDMB/threads/cliff-notes-pt-2.173292/

Starting a new thread!

 

Sure like the pinks midcycle rather than the reds today. And his pre shots continue to look nice. Have to admit his cycles are among the most unusual I have seen. I notice today that his midcycles are lower with the lower dose today. We used to think cycles with an upside curve were indicative of too much insulin. Part of the reasoning is that the the preshots are coming at the tail end of theinsulin potency and they are the lower numbers.

I know you have increased carefully and slowly, but wonder if a quick trial with a lower dose might be worth a try? Having said that, I do not understand why his evening cycles are lower on the same dose....

I am not confident in this advice particularly - just looking for an explanation.

 

Thanks for taking a look at Cliff's spreadsheet, @Sue and Oliver (GA)! I've been happy with his evening cycles lately, but still pretty confused as to while his daytime curves look different.

I have been thinking abt a lower dose test, but I might wait until the end of the week. My vet wanted another curve soon, so I don't want to change much between now and then.

 

PMPS=318
6.75 u

 

+2.5 280

 

Set my alarm for +6 279
We are a bit off schedule w 2hr delay from yesterday.

 

+10 202 --Cliff woke me up, but too early to shoot.

 

+11 was 215, so fed and gave insulin an hr early to try and get closer to our old schedule.

6.75

 

Even though his daytime numbers are odd, the large increase in yellow and blue on your SS is very promising!

 

+2 349

 

Thanks! I'm enjoying these yellows and blues !! and hoping they continue.

 

+6 326

 

+11 337
6.75
Gave shot early to try and make up time.

Going to the movies again tonight, will be home by +4. Will leave food. Seeing=Lion.

 

Take a full box of tissues with you!!

 

Oh, I read your comment right before leaving the car and grabbed more tissues-I still didn't have enough.

 

+4 303

 

+7 236
Amps=238
6.75

 

+3 was in 400's. can't remember exact #, but I think it was 433

 

+7.25 426

Running a little high today.

Trying to figure out when it would be best to do a curve for the vet. His PM cycles are so different than his AM cycles. I'm thinking maybe tomorrow night, since I'll be around and it's the weekend.

After that--I'm not sure how I'll approach his dosing. I don't like these REDs creeping back into the daytime cycle. Might experiment with a lower dose, but I'm just not sure about that.

 

What factors specifically are different during the day that might account for the differences between day and night BGs?

• activity level
• home alone
• feeding schedule
• other?

 

These are all great questions, many of which I've been asking myself! Please see my answers below:

 

Sounds like things are quite similar AM and PM. What a mystery! I wouldn't change the feeding schedule if it's working for Cliff and civvie.

 

Maury's like the reverse of Cliff lol. His PM curve seems to stay a bit higher (flatter maybe?)

 

Last night's #s were ok.
Amps=240
6.75u
+4 303
+8 329

Gonna switch to alpha tracker tonight for curve. Also gonna give 7units, I think

 

Yesterday's curve was not great. All 400's. I will update SS when I'm home tonight.

Today's #s already better. I deceased dose by 0.25 and switched up injection site to be lower in scruff.

Amps=379 relion
6.75u
+3.25 288
+6.5 276
+8.25 235

 

PMPS=237
6.5 u

 

What can happen after you break through the built up insulin resistance is that they become more responsive and the dose has to be decreased carefully. That might be what's going on.

 

+4 264

 

It's interesting that daytime yellow is appearing after the dose decrease.

 

Like those yellows!

 

AMPS=238
6.5 units -- trying a slight decrease in dose

+3 285

I'm not ready to give up on ProZinc yet. We are finally starting to see a response--I just need to figure out what dose he's asking for!

 

+8 309

 

The numbers do look a little bit better. Fingers crossed.

 

Yesterday's PMPS=307
6.5u
+6 273
+8 286

Today's AMPS=296
6.5u
+4 322
+9 312

 

Amps=194, stalled 20min, 204
6.5 u

 

!!

 

no nail biting yet--he was in the 300's at +4 when I left. I can't remember the exact #, but I will record it in the SS when I'm home over lunch.

 

Updated his SS with last night's #s and today's #s:

Amps=194, stalled 20min, 204
6.5 u
+3 335
+8 318

Drew 6.5u for Dave to shoot tonight. Thinking about bumping tomorrow back up to 6.75 because last time I did that he saw some yellows during the day! What a curious little bug. I wish he could talk.

 

I agree - it would be SO much simpler if they could talk. Interesting how he goes up in the middle of the cycle when the dose is decreased. That's his pattern I guess - for now ...

 

PMPS=366
6.5 units

 

+5.5 211

Now I'm a little
Was hoping to test and go to bed, but I'll probably test in 1.5 hrs to see where he is.

 

Nice number but not at bedtime, Cliff!

 

I had fed him 1/8 5oz at +5.5
He's 252 at 6.5

Gonna retire for the night. Did give another 1/4 5oz (his normal bedtime snack)

 

Last night, I woke up around +11 and Cliff was 314

This AMPS=313
6.75
+4 460 !!!

Not sure what is up with that! I increased his AM dose by 0.25. I'm really not sure if I need to increase or decrease with this one during the day time.

Gonna stick with 6.5 at night, because that seems to be working. Might increase that a little on the weekend, to see if I can see some blues at night again.

I also have a new bottle to open soon, probably tomorrow.

 

+8.25 he was 480

I drew up 6.5 for PM cycle. I have a feeling I need to be dosing down during the day.

 

I think he knew I said he was different then other kitty's, now he's been lower past few evenings There must be another forum where our kitty's talk to each other

 

I do believe that all the kitties talk!

 

PMPS=399
6.5u
+4 220

 

+6.5 157-- fed bedtime snack

 

+8 188

 

+12 too low to shoot=110
Fed and waiting two hrs.

Forgot to mention, opened new bottle last night. Hoping 110 was his overnight low, & that he didn't dip lower without me.

Thinking of 6.25 for this morning's shot, maybe even 6.0. Something lower since we're stalling. Will see what his BG is in 2hrs

 

Holy Moly!! Traction action!

 

BG after feeding and waiting 2hrs=286
gave 6units

+2 373

 

Food spike.

 

For sure! He was 333 at +6, at which time I fed him lunch.

We will see where he's at around +11 or +12. I pulled 6.5 u for this evening again. I will be around to monitor.
He is moving so much better lately! I want more time in the blues for him.

 

PMPS at +11 =294
-shot an HR early to try and make up time from stall this am.
I know this was +11, but I still like this #, considering I dropped his dose to 6u this am. I think I'll keep playing with decreased dose in am.

Gave 6.5u tonight.

 

A little vent...
I came home and Buddy (Cliffy) was hiding. Dave said he gave him his shot, so I wasn't too worried. When he didn't come out after a while, I asked Dave abt it, and he mentioned he had trouble getting his ear to bleed and had to poke him "several" times. after a few hours. I tried checking on him (he was hiding behind a futon) but he nipped at me, and one of his teeth scraped my finger. I'm obsessive abt scratches and bites, so I washed it out with soapy water, ran it under water and tried to take care of it best I could. Put antibiotic on it, but will keep an eye on it. Healing thoughts, I guess. I feel dumb, because I should've left him alone. He finally came out now, on his own, but I can tell he's really grumpy.

 

I think your finger will be OK but, like you, I pay attention to cleaning cat wounds. Poor Cliffy and poor you ...

 

Awww that's a tough night! I'm the same as you...I'll go find my kitties and try to get them to come out with me...I worry about them. Sounds like Cliff was just having a tough night...I'm sure he will be loving on you soon!

 

Thank you, both.
He came out and let me test him.
+3.25 299

Fed them their snack an HR earlier. Will test again before bed, or will set an alarm.

 

+5.25 328

 

Glad he's come back out! Maybe he was just needing a bit of alone time...I've seen mine do that every now and then!

 

Tried to give his ears a bit of a break today.

Am info in ss

Pmps=409
6.5u
+5.5 202

 

Amps=200
6u

 

+4.25 300s, will get exact # this afternoon wrote it down

 

PMPS=406
6.5u
+4 300

Cliff is sitting next to us on the couch purring. It's been a good weekend in terms of hanging out with the cats. Hoping for better #s tomorrow.

 

+6 325
Fed late night bedtime snack

 

Cliff has such an unusual pattern to his blood sugar! But some nice blues there too...

 

Amps=308
6.25