12/14 Henry PMPS 81 +2 71 +3 53 +3.5 53 +4 60 +4.5 67
- Thread starter Golf2015
- Start date
Bandit's Mom
Member Since 2019
Look at him go! He looks like wants another reduction, but the 3.25 unit depot will still be at play.
Golf2015
Member Since 2020
Yes I agree with want little I know about the whole process
Butters & Lyla
Member Since 2020
Congrats on yesterday's reduction!
Such beautiful green cycles. Great job both of you.
Such beautiful green cycles. Great job both of you.
Golf2015
Member Since 2020
Congrats on yesterday's reduction!
Thank You Lyla
You’ve got this down, Robert. Great work with the food.
Bhooma (@Bandit's Mom) is correct that the larger dose depot (3.25u) is still in play here so we want to be careful about reductions for a couple cycles.
The natural question is “for how long and at what BG do we reduce”? If he drops between 40-50 within four cycles of the new dose, we probably do not want to reduce again but it certainly bears looking at. For example, if he does do that but you are having to feed him nothing but HC to keep him steady around 50, it’s time to reduce. But if you feed LC and he comes right up or stabilizes, then we hold off.
However, if he drops below 40, regardless of how many cycles after the last reduction, we reduce at the very next shot.
Bhooma (@Bandit's Mom) is correct that the larger dose depot (3.25u) is still in play here so we want to be careful about reductions for a couple cycles.
The natural question is “for how long and at what BG do we reduce”? If he drops between 40-50 within four cycles of the new dose, we probably do not want to reduce again but it certainly bears looking at. For example, if he does do that but you are having to feed him nothing but HC to keep him steady around 50, it’s time to reduce. But if you feed LC and he comes right up or stabilizes, then we hold off.
However, if he drops below 40, regardless of how many cycles after the last reduction, we reduce at the very next shot.
Golf2015
Member Since 2020
OK, I understand
Sandy and Black Kitty
Member Since 2009
Golf2015
Member Since 2020
May the green be with you
View attachment 58638[/QUOT
Like I said Sandy you're alright
Makes it easier
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Beautiful day!
Golf2015
Member Since 2020
Another potentially busy night
Golf2015
Member Since 2020
Another potentially busy night
Wow this is where more experience is speaking. I thought is was going to be softer than the other night that earned the reduction.
So is +3 too long for a check being it is one hour from the prior?
Now Henry was fed 1.2oz of 2% carb at +2
Do you anticipate potential 50's?
Look at the morning cycle on 12/13. His pattern is almost identical to tonight only he’s starting a tiny bit lower. That cycle, he was 89 at AMPS, 79 at +2 and then proceeded to 49 by +4. Tonight, he was 81 at PMPS and 71 at +2. Look at last night as well. There was a 9 mg/dL difference between PMPS and +2 and he dropped to 53 by +2.5.
You gave him 10% at +2 last night. Just sayin’....
Golf2015
Member Since 2020
OK, Marje we just fed Henry @+2.45 (2) tsp(s) of 10% carb
Did I interpret that correct?
You’ve been doing a great job at feeding him and knowing how he reacts. I was just pointing out what you did before and wondered what you felt was different tonight. We will see what he does here shortly.
One thing we often find when the dose starts down is that it requires less carbs to keep the numbers flat but that’s usually when the dose gets under 0.5u. But...ECID.
Golf2015
Member Since 2020
Good question I will answer that for you (two thoughts)
I thought the 70's being 20 points higher than 50 I could wait an hour and make a call about what Henry might need if necessary
Second thought is the third cycle shot ( PMPS Today) Henry would not have the drops prior to the cycle you mention above in other words Henry would be flat for a few cycles now that 3.0 units was more in play and then be prepared for a rush to the 50" again possibly beginning cycle number 7
I looked at the flat cycles prior to the one's you mention
Hope this helps you on my frame of mind which is still at the freshman level
Yes, thank you. I appreciate that you thought it out....that’s important to learning.
You don’t want to over feed. You gave him 19% @+3 so I wouldn’t arbitrarily feed him before testing.
Golf2015
Member Since 2020
No....there is no such general “rule”. It’s more what you determine is applicable to him based on what he’s doing, what he’s done before, and what you’ve fed.
Glad you were able to test alone! That’s improvement!
Golf2015
Member Since 2020
I can have more success performing the tests from about 9:00pm and on because Henry just wants to sleep
This will allow my wife to nap between 9:00pm and 11:30pm
She feeds the cats at 11:30pm
So I'm going to put more effort to perform the tests at the times stated above ==> she needs the sleep I got to step it up out of respect for her if I can perform those tests in that time frame it will allow her to get a potential 2-1/2 hour nap
But to perform a test the middle of the day game over He's fully rested
Golf2015
Member Since 2020
I'm happy you were observing data points that I was missing tonight
What I saw was (3) parts during the 3.25units
1) First two cycles BG readings will have depot influence meaning larger dropping points
2) Next four cycles BG readings have no depot influence which has less point differences stable, flat
3) After the sixth cycle watch for a potential drop because the pancreas will be participating by a small fraction which cause a DEEP DIVE again similar to the depot leaching off during the first two cycles
There is where my brain is at
What I saw was (3) parts during the 3.25units
1) First two cycles BG readings will have depot influence meaning larger dropping points
2) Next four cycles BG readings have no depot influence which has less point differences stable, flat
3) After the sixth cycle watch for a potential drop because the pancreas will be participating by a small fraction which cause a DEEP DIVE again similar to the depot leaching off during the first two cycles
There is where my brain is at
Maybe some catnip?
Golf2015
Member Since 2020
Maybe some catnip?
I'll try it (CATNIP)
Again....I’m really happy you are thinking this out.
1. You mean depot influence from the higher dose from which you reduced?
2. Although the depot from a larger dose can influence up to six cycles, it’s usually four. That would take up two of your four cycles in #2.
3. Maybe. I’ve seen cats on the same low dose in just flat greens for weeks and weeks.
Maybe give some to Henry, too.
Golf2015
Member Since 2020
Again....I’m really happy you are thinking this out.
1. You mean depot influence from the higher dose from which you reduced? - Yes this statement is correct from my thinking
2. Although the depot from a larger dose can influence up to six cycles, it’s usually four. That would take up two of your four cycles in #2. Yes my thought is more stable very little need to address potential spikes But no guarantees
3. Maybe. I’ve seen cats on the same low dose in just flat greens for weeks and weeks. But if a dive occurs could it be the pancreas moved up an increment
Maybe give some to Henry, too.
No, I don’t agree with this. While beta cells are healing in normal numbers, they are still “fragile”. The pancreas is probably not helping out with endogenous insulin until the dose is very low and the cat is ready for remission. The drops are due to the depot. Each shot is cumulative and when the depot is overfull, the BG drops.
This is great news!
I don’t know specific names but there are always members who fall into that category. Diabetic Cats in Need provides insulin when they can. Some of the Vetsulin/ caninsulin users do so because they can’t afford Lantus or Levemir. Many, many members get their insulin from Canada where it is much cheaper.
Golf2015
Member Since 2020
This where I get my insulin Mark's Pharmacy. I would be willing to purchase a box of (5) Lantus pens for somebody because nothing is free in life this includes your mentoring me this is how I could pay back what I receive from you
That is so kind, Robert, you can PM @Chris & China (GA) as she is a counselor for DCIN.
But kindness is always free and help here is always, always free. We pay it forward by helping each other. You can always pick a new member on health and just offer them moral support, info about testing, or any basics you’ve learned and want to share. You are a very kind person, Robert.
Good night!