May bg #'s with Levemir

Off and on, for most of April and May, Scruffy's had herpes symptoms, mostly snorting and sneezing. He was supposed to have a dental in April, but was too snuffly. He did have the blood work done on 3/30/07. The only out-of-range results were cholesterol at 228 (range 75-220), monocytes at 636 (range 0-600), and T-4 at 0.5 (range 0.8-4.0) And of course, his glucose level, which was 320....

He also in January, 2007, had an appointment with a veterinary ophthalmologist to examine what had been a very small area of discoloration in his left eye. While we were there, I noticed that there was also a brownish area (different from the hourglass-shaped one of the left eye - this one was just a little blot.) The original spot was diagnosed as a "focal iris nevus." The doctor felt that there was minimal concern about either of them at this time, but that the left one should be watched, and checked again in a year. It continued to enlarge and change shape, and when I took Busy to the ophthalmologist, I mentioned Scruffy's eye to her, and she suggested changing his follow-up appointment to September, 2007.


5/1/07

+10.5 138
AM PS (+12.5) 203 fed 1.5u
+4.5 396
+7.5 418
PM PS (+11.5) 354 fed, threw up 1.5u
+5.5 320

5/2/07
AM PS (+12) 292 fed 1.5u
+4 418
+10.5 310
+11 fed
PM PS (+12) 1.5u
+4 380
+5.5 355

5/3/07
+12 200 fed, threw up
AM PS (+12.5) 1.5u
+6 118
+10.5 103 fed
+12.5 92
+14 97
PM PS (+14.5) 106 1.5u
+1.5 141
+2 146

5/4/07
+8.5 51 fed
+10.5 99
AM PS (+11.5) 193 1.5u
+4 268
+8 239 fed
+11.5 372
PM PS (+12) 1.5u
+3 281

5/5/07
+9 74 fed
+10.5 150
AM PS (+11) 1.5u
+6 355
+9 324 fed
PM PS (+12.5) 392 1.5u
+1.5 397 threw up

5/6/07
+8.5 284 fed
AM PS (+13) 319 1.5u
+5.5 264
+7.5 211 fed, threw up twice
+ 9.5 160 fed
+12 149
PM PS (+14) 164 1.5u

5/7/07
+5.5 155 fed
+8 158
AM PS (+11) 190 1.5u
+3 180
+6 166 fed
PM PS (+10) 200 1.5u

5/8/07
AM PS (+8) 82 fed, threw up
+9.5 93 fed
+10.5 91
+12 83
+14 81
+15.5 83
+18 121
PM PS (+19) 157 fed 1.5u
+4.5 306
+7 287

5/9/07
AM PS (+13.5) 309 fed 1.5u
+3 386
PM PS (+11.5) 430 (Ate Busy's dry food) 1.5u
+4 385

5/10/07
AM PS (+12.5) 246 fed 1.5u
+3.5 260
+5 259
+10 119
+11 104 fed
PM PS (+15.5) 189 1.5u
+2 331

5/11/07
AM PS (+8) 396 fed 1.5u
+1.5 434
+5.5 372
+8.5 296
+11.5 215 fed, threw up
PM PS (+12) 1.5u fed
+5.5 fed 31
+5.75 fed 37
+6.5 73
+7 101

5/12/07
+10 170
+12.5 174 fed
+13 175
AM PS (+14) 214 1.0u
+2 374
+3.5 408
PM PS (+9) 419 fed, threw up 1.5u
+4.5 413

5/13/07
AM PS (+12.5) 482 fed 1.5u
+1.5 441
+4.5 401
+11.5 91 fed
+13.5 84
+16 129
PM PS (+17) 191 1.5u

5/14/07
+6.5 339 fed, threw up
AM PS (+8) 357 1.5u
+1.5 384
+8 129
+9 97 fed
+10.5 76
+12 92
+13 101
+13.5 99
PM PS (+15) 112 1.5u
+1 144

5/15/07
+7 76 fed
+10.5 138
AM PS (+11) 1.5u
+2.5 149
+6.5 129
+7 fed
+8 129
PM PS (+10) 231 1.5u
+2.5 248

5/16/07
AM PS (+10.5) 356 fed 1.5u
+4.5 360
+7 336
+11.5 263 fed
PM PS (+12.5) 259 1.5u
+4 361

5/17/07
+12 128 fed
+13.5 130
AM PS (+14.5) 176 1.5u
+4 215
+8 133 fed
+10 173
PM PS (+11) 1.5u

5/18/07
AM PS (+10) 261 fed 1.5u
+2.5 412
PM PS (+11) 320 fed 1.5u
+4.5 373

5/19/07
+9.5 389
AM PS (+12) 420 fed 1.75u
+6.5 401
+8 322
PM PS (+11.5) 326 fed 1.75u
+4.5 270

5/20/07
+12.5 210 fed
AM PS (+14) 292 1.75u
+4.5 384
+9 239
PM PS (+10) 264 fed 1.75u
+2 263

5/21/07
AM PS (+13) 359 fed. threw up 1.75u
+6 265
+8 164
+10 91 fed
+12.5 128
+14 162
PM PS (+14.5) 1.75u
+2.5 265

5/22/07
+5 167
+8 167 fed
AM PS (+11.5) 196 1.75u
+3.5 341
+6.5 340
+10 303 fed, threw up, ate Busy's gravy food
PM PS (+13) 430 1.75u

5/23/07
+8 353 fed
AM PS (+10) 378 1.75u
+5 145
+9 40 fed
+9.5 92
+11 106 fed
+14 100
PM PS (+16) 138 1.5u
+1.5 182

5/24/07
+8.5 369 fed
AM PS (+9) 1.75u
+8 122
+9.5 74 fed
+12.5 55
+13.5 69
+15 87

5/25/07
AM PS (+22) 431 fed 1.75u
+3 453
+5 377
+10.5 309
PM PS (+12) 344 fed 1.75u
+4 235

5/26/07
+12 75 fed
AM PS (+14) 233 1.75u
+3 426
+5.5 412
+8.5 370 fed
PM PS (+9) 1.75u
+5 263

5/27/07
+12.5 77 fed very stuffy and sneezy; ate little
+14 71
+15 92
AM PS (+15.5) 98 1.75u
+2 125
+4 120
+6.5 120
+8 132 fed
PM PS (+10) 147 1.75u
+2.5 231
+4 224

5/28/07
+11 83 fed
AM PS (+13) 100 1.75u
+3 48 fed
+4 42 fed
+6 55
+9 80 fed
+10.5 77
PM PS (+14) 236 1.5u

5/29/07
+7 331 fed, had hairball
AM PS (+8.5) 409 1.75u
+1.5 433
+9 147
+10.5 92 fed, threw up
+13 104
+14.5 105
PM PS (+15) 113 1.5u
+3 156

5/30/07
+6 170
+9.5 177 fed
AM PS (+10) 169 1.5u
+2 107
+3.5 48 fed
+4.5 37 fed
+5.5 34 fed
+6 36 fed
+7.5 88
+9 109 fed
+11.5 172
PM PS (+14) 300 1.25u
+1.5 431

5/31/07
+8 365 fed
AM PS (+12) 385 1.5u
+2 355
+6.5 58 fed
+9.5 118
PM PS (+12) 204 1.0u

This is pretty much where I started feeling like I needed to start over. Too many high numbers, too many low numbers, too much dose changing. It appears that after each dose change, even if it's only .25, there's at least one day of really lousy numbers, frequently in the 400's. And I don't want him in the 40's or lower. I'm not actually even all that enthused about the 50's. All of this month's experimentation with dosage didn't seem to produce any certainties. I think 1.75 is too much. (Is that a tiny little Levemir rebound that he was getting on 1.75?) . 1.0 is too little. 1.5 seems a little erratic - sometimes it works a little too well. I'm sort of liking 1.25 in general. I started out shooting every 12 hours and then discovered that sometimes he's still going down WAY after 12 hours. So now, unless he's really high - over 350 - I'm just waiting a while to see what he's doing, since this tends to happen a lot at night when I'm desperate for sleep. I don't know how people do TID with Levemir - it doesn't seem like a particularly forgiving insulin for using with a scale. And I'm still not comfortable shooting very low, because some of his lowest numbers - the 30's and low 40's - have happened when I've shot over 200 and even 300. It doesn't give me confidence to shoot when he's 100 or under......

All that said, I like Levemir. A LOT. There's a - this sounds dumb, but.... - "calmness" to it that he didn't have with BCP. I think he's feeling good. He bounces around, he even has started being assertive/aggressive with the other cats, which he never did before. Even though he does periodically go lower than I want him to be, and it's pretty much always unfortunately a surprise, there is still an element of what seems like his body having more control or something. I can't explain it. I just think this is good stuff for him. I had previously worked very hard to assure that he got his shot at least an hour or preferably more before he ate, because of the food spikes, and with the long duration that tends to happen with Levemir, I can't do that any more, but the food spikes don't seem to be as much of a problem as they used to be. The time of onset isn't any shorter than it was with BCP. I don't know what makes the difference. I just think, if you add up all the hours and hours that he's been under, say, 200 since we started Levemir, it's an amazing improvement.