Tuesday, July 31, 2007

Something's going on.

I don't know what or why, but there seemed to be a distinct change in Scruffy's response to Levemir. Not that I'm complaining - except that the drastic drops I was seeing seemed to only occur in the middle of the night. He's been below the 50 that I've decided is my bottom line a number of times; the middle-of-the-night that he had the 28, he hopped up on my lap with absolutely no indication that he was so low. I've actually given him laxatone to bring him up on two different occasions. And I hardly know what amount to shoot any more- the 1.5 and 2.0 dosages - and sometimes even 1.0! - now appear to be way too much.

And his ears are bothering him again. I think, probably because of the clindamycin he had prior to and after the dental in July. (Not complaining here, though - thank goodness for the dental!) He's digging at them and shaking his head. I have a giant size bottle of the ear stuff the dermatologist gave me a couple of months ago, and started giving it to him yesterday, much to his annoyance. Boy, does he get mad. I started out just trying to squirt the stuff into his ears, which was awkward because the bottle is big and heavy and I can't tell how much is getting in there. Then I remembered the cotton ball trick, so that's what I've done. The problem with it is that he shakes his head and struggles, and while I'm confident that most of the liquid gets into his ears, it leaves a mess on the fur on the sides of his head. And on my clothes and glasses. And on the carpeting on their window ledge. And wherever else he goes when he hops down indignantly. "High dudgeon." Words from some Victorian novel, but they're definitely appropriate. Today, he is refusing to step where I have been pouring out the ear medicine onto the cotton wads, the dope. Poor cat. And he's such a good boy. How come all this awful stuff keeps happening to him?

Monday, July 23, 2007

I've got a hammock!!!!






For weeks now, I've wanted to have a nice even, gentle curve (like a hammock!) like everyone else who uses Levemir seems to get. And now: TA DA - MY HAMMOCK! (Ignore the 28, please.) Anyway, IT'S A HAMMOCK!

And, even though I screwed it up by only giving 1.0 Levemir for last night's PS, today he looks pretty good again. Oh, how nice it would be if this is the answer for Scruffy.

Thursday, July 19, 2007

Or NOT using R......

Well, after the last three days of surprisingly low numbers at surprisingly early times, I got to wondering if maybe Scruffy and Levemir were telling me that he didn't need the R any more. (He could have been shrieking "Just give me 1/4 unit instead of 1/2!", of course. Who knows?) At any rate, it seemed like an experiment that was worth trying. I did give him very "thin" 1/2 units for the last two R shots, and he still ended up lower than I want him to be.

On 7/18, the first morning without R, he zipped right up to the 400's. I was gone almost all day, but when I got back, he was in the mid-250's at +12, which isn't so bad. So Part 2 is: today, 7/19, I'm going to increase the Levemir by 1/2 unit and see what happens. I had done 2 units a couple of times before and thought that it dropped him too abruptly, but now that he's gotten a week of pretty decent numbers under his belt, so to speak, maybe it'll be a good replacement for R. We'll see. I'm expecting at least one day of really crummy numbers, which is what happened in the past when I increased the Levemir.

Saturday, July 14, 2007

Using R

I DON'T WANT TO USE BOOSTERS. I said that from the beginning, and here I am. On the other hand, maybe if I had started Levemir that way, we'd have made big progress now. Yeah, right.

After Scruffy's dental on July 11, I was determined to try everything to get him into good numbers, and to get one of those elusive bg charts that look like a hammock that everyone else has. So, once again - I think this is the third time, the other two being during the two and a half years we used BCP PZI - I'm adding a small amount of R to almost every shot. The pattern in the past has been that it looks pretty good for the first day or two, and then it starts to seem like the R is causing its own rebound, with the high flat numbers. The good thing about this time is that Levemir does have the ability to get him into good numbers, much more than PZI ever did, so I'm trying to be hopeful.

So far, this is the fourth day of R. Not a whole lot of improvement. I have - stuck away in another notebook someplace - a detailed chart of what a variety of R dosages produced in the way of BG levels in Scruffy. It could be that using half a unit isn't nearly enough, since as I recall it took a whole unit to get him down consistently into a range where BCP could take over. But, and this is sad - I have to admit that last night in the middle of the night, when I tested him and he was at 324, I was actually relieved. Too much stress these days with Milkshake and the seizures; I don't have the energy to be stewing about hypo watches.

I guess I should either go and hunt up that previous data about R, or do another set.

And another thing: I want my emoticons here.

Wednesday, July 11, 2007

It's Dental Day.


Check out the shiny fangs!





And I'm nervous. I really hated leaving him.

We had a horrible night. I fed Scruffy around 8:30. PS was 329, so I gave him 1.5u of levemir. His numbers have been horrible for weeks, even with the addition a week ago of Clindamycin. (And he's thrown up after eating for the last two days, so he's not getting much of the antibiotic anyway.) At any rate, at +4, 1:00 AM, he was down to 178, to my surprise. And dismay. I gave him a can of FF sliced beef, because he tends to drop most between +7 and +9, and he still had a long way to go. At +7, 4AM, he was 150, even with the gravy food. I gave him three treats. He woke up around 8 AM and he was at 459 or something. He wandered into the kitchen and threw up, after much heaving and effort, a tiny little bit of foam. So, I assume that his stomach was sufficiently empty despite the food. By the time we left for the office, his bg was 516. Really crappy number, even if it was +13. The vet's answering machine doesn't take messages, and there's no one in the office until it opens at 10:00. I told the vet about our night, and he seemed to think it was still safe to do the dental, and I hated to think about putting it off because it's so necessary.

Okay, it went well, I guess. No extractions, no loose teeth, just cleaning and polishing. He was apparently fairly uncooperative; I don't know what happened to his sweet, accepting little personality. The technician said, when I came to pick him up, "My, he's quite the little hisser, isn't he?" lol. We were both sopping wet when we got home - stuck in a huge rainstorm. Scruffy made a beeline for the litter boxes, peed for about a half hour, and then ate and ate and ATE. I tested him and was disturbed to discover that he had just registered his first HIGH on the UltraSmart. Talk about stomach-turning. I gave him a half unit of R and 1.5 of levemir, and he wandered off to nap in his Pi. I just tested him a little while ago, and he's down to 238. I wish that this dental would be the magic answer to managing his diabetes. We've got an insulin I like now. If only it would operate like it seems to on everyone else's cat......

Wednesday, July 4, 2007

July numbers

Well, it'd be pretty hard for the July numbers to be any worse than June's were, so here goes:

7/1/07
+9.5 351
AM PS (+13.5) 439 fed 1.5uLevemir
+5.5 264
+9 215
PM PS (+10) 198 fed 1.25uLevemir
+6 398

7/2/07 Vet Visit
AM PS (+13) 456 fed, threw up 1.5uLevemir
+3.5 456
+8 357 starving - gave 1/2 can FF
PM PS (+10) 346 fed +Clindamycin 1.5uLevemir
+7 399

7/3/07 A Curve, So to Speak
AM PS (+14) 427 fed +Clindamycin 1.5uLevemir
+2 387
+4 343
+6 317
+8 253
+10 243 fed, threw up +Clindamycin
PM PS (+12) 311 1.5uLevemir
+2 379
+4 319 1/2 can FF

7/4/07
+10 295
AM PS (+12) 358 fed +Clindamycin 1.5uLevemir
+3.5 407
+
8 285
+10.5 248 fed + Clindamycin
PM PS (+11) 1.5uLevemir
+5.5 197
+7 169

7/5/07
AM PS (+13) 160 fed +Clindamycin 1.5uLevemir
+2 348
+4 411
PM PS (+11) 382 fed +Clindamycin 1.5uLevemir
+4.5 312

7/6/07
AM PS (+13) 413 fed +Clindamycin 1.0uLevemir*
+2.5 395
+6.5 291
PM PS (+10) 201 1.0uLevemir*
+1 fed +Clindamycin
+3.5 116
+6.5 79 1/4 can FF
+8 81
+9 110

7/7/07
AM PS(+14.5) 324 fed +Clindamycin 1.0uLevemir**
+3 431
+4.5 397
PM PS (+11.5) 396 fed +Clindamycin 1.25uLevemir

7/8/07
AM PS (+11.5) 340 fed, threw up +Clindamycin 1.25uLevemir
+5 390
+9 348
PM PS (+11.5_ 338 fed +Clindamycin 1.25uLevemir
+3.5 283

7/9/07
AM PS (+12) 347 fed +Clindamycin 1.25Levemir
+2 375
+7 343
+11.5 408
PM PS (+12) fed, threw up twice + Clindamycin 1.5u
+4.5 318

7/10/07
AM PS (+11) 212 fed, threw up twice + Clindamycin
+11.5 1.5uLevemir
+5.5 298
+10.5 207
PM PS (+12) 329 fed, threw up +Clindamycin
+12.5 1.5uLevemir
+4 178 fed because of dental tomorrow
+6 162
+7 150

7/11/07 Dental Day
+11.5 497 NO FOOD, NO INSULIN
+12.5 516
AM PS (+17) HIGH (post dental) fed .5uR, 1.5u Levemir
+2 378
+3.5 238
+7 121 fed
+9 148
PM PS (+10) 225 1.5uLevemir
+3 321

7/12/07
AM PS (+9) 355 fed , .5uR, 1.5u levemir
+2 286
+5 109
+10 120
PM PS (+11) 121 fed 1.25uLevemir
+4 167
+5 140
+7.5 109

7/13/07
AM PS (+12.5) 293 fed .5uR, 1.25u Levemir
+2 315
+7 259
+8.5 267
PM PS (+10) 275
+11 fed .5uR, 1.5u Levemir
+3.25 141
+5.5 234

7/14/07
AM PS (+12) 430 fed fat.5uR, 1.5u Levemir
+2.5 301
+8 203
PM PS (+12) 256 fed fat.5uR, 1.5u Levemir
+4.5 76 fed - pretty big drop for this early on
+6 101

7/15/07
+9 102
AM PS (+13) 224 fed .5uR, 1.5u Levemir
+2.5 185
+5 83
+6 98
+8 119
PM PS (+11) 205 fed .5uR, 1.5u Levemir
+3 218
+
5.5 205

7/16/07
AM PS (+12) 279 fed .5uR, 1.5u Levemir
+2 111
+3 78
+4 67
+4.5 77
+6 104
+8 136
PM PS (+11.5) 312 fed skinny.5uR, 1.5u Levemir
+5.5 362

7/17/07
AM PS (+12) 384 fed .5uR, 1.5u Levemir Humph - not thrilled about this.
+3 215
+6 103 fed
PM PS (+12.5) 249 fed thin .5uR, 1.5u Levemir
+3 63 ??? fed
+4 39 ???? fed
+5 52
+6 68

7/18/07
AM PS (+11) 168 fed, threw up twice NO R, 1.5u Levemir
+3 215
+4.5 179
+11.5 296 fed
PM PS (+12) 1.5 Levemir
+3 418

7/19/07
AM PS (+11) 256 fed, threw up 2.0uLevemir
+3.5 348
+11 239
PM PS (+12.5) 258 fed 2.0uLevemir
+4 threw up
+6 287

7/20/07
AM PS (+12) 100 !! fed
+13.5 97
+15 109 1.5uLevemir (I know, but I have to be gone all afternoon and evening)
+4 212
PM PS (+10) 185 fed 1.5uLevemir
+4.5 218

7/21/07
+12 75 fed
+13 77
AM PS (+14.5) 113 1.5uLevemir
+5 274
+8 310
PM PS (+9) 300 fed
+9.5 2.0uLevemir
+6 256

7/22/07
AM PS (+13) 290 fed thin .5uR, 1.5uLevemir
+2 107
+3 63 fed gravy FF

+4.5 91
+5.5 118
+10 80 fed
PM PS (+12 ) 102 1.5uLevemir
+3 61
+4 51
+5 28 fed and fed and fed
+5.5 53
+6 122
+6.5 112

7/23/07
+10.5 174
AM PS (+12) 172 fed 1.25uLevemir
+2.5 190
+6 70
+7.5 74
+10.5 79 fed
PM PS (+12 ) 102 1.0uLevemir
+2 288
+4.5 352

7/24/07
AM PS (+10.5) 400 fed
+11 thin .25uR, 1.5uLevemir
+2.5 313
+6 165
+9 132
PM PS (+11) 149 fed 1.25uLevemir
+4 63
+5 53
+6.5 41 fed
+7 30 fed, laxatone
+7.5 57

+8.5 126

7/25/07
AM PS (+14.5) 385 fed 1.0uLevemir

+1.5 439
+5 357
PM PS (+9.5) 332
fed, threw up
+10 1.25uLevemir

+2.5 354
+5 203


7/26/07
+12 80 fed
+13 90
AM PS (+15) 149 1.0uLevemir
+8.5 394 fed
PM PS (+9) 1.25uLevemir
+4.5 299

7/27/07
AM PS (+12.5) 139 fed 1.0uLevemir
+3 374
+4.5 332
+6 332
PM PS (+10.5) 325 fed 1.25uLevemir
+4.5 336

7/28/07
+10.5 268
AM PS (+13) 225 fed 1.25uLevemir
+2.5 118
+4.5 50 fed
+5 58
+6 102
+7 134
PM PS (+10) 158
+11.5 fed 1.0uLevemir
+4.5 197

7/29/07
AM PS (+11) 60 fed
+13 121 1.0uLevemir
+2.5 147
+4 117
+5 99
+7 131
PM PS (+10.5) 172 fed, threw up 1.0uLevemir
+1 110
+1.5 87 fed. laxatone
+2 70 laxatone
+3 119
+4.5 123
+6 111 fed
+8 170

7/30/07
AM PS (+12) 293 fed .5uLevemir

+3 265
+4.5 245
+8.5 111 (???? on a half unit????)
+10.5 96 fed, threw up (I repeat, ??)
+12 130
+14 162
PM PS (+15) 368 .5uLevemir
+1.5 414

7/31/07
AM PS (+9.5) 375 fed 1.0uLevemir
+1 411
+5 121
+7 81
+9 77
+11 78
+13 99
+14 122



* curious, huh? Three weeks ago, 1.0 did nothing.... Of course, that was before the antibiotic.
** so much for that hopeful attempt......

A trip to the vet

June ended, FINALLY, and July began, and Scruffy's numbers were still the pits. So, we went to the vet on 7/2. Whenever. The only thing that appeared to be wrong was the horrendous condition of his teeth. I had intended to have a dental done on him back in March, but his herpes was quite bad, so I put it off. The bloodwork had been done then, and it was all good. At this appointment, he had pockets of redness/blood surrounding many of his teeth. Although I hadn't noticed him having trouble chewing, he was doing a weird picking-up-clumps-and dropping-them thing that he doesn't normally do. The vet was not particularly enthusiastic about doing the dental, for some reason. (Maybe because Scruffy's developed a real aversion to him, with lots of hissing and spitting and scratching?) He mentioned the possibility of problems with anesthesia with older cats; we don't know how old Scruffy is. But he did eventually agree to do the dental next week, and when I requested antibiotics - because I wanted to see if it made a difference in his numbers to have the infection treated, he reluctantly gave me clindamycin. I don't really understand his questioning doing the dental, to be truthful. He did the last one.....

When I complained about the horrible glucose levels we've been seeing, the vet announced that he thought I should do a curve. Because "spotchecks are useless." Well, yeah, but I do "spotchecks" 7 or 8 times a day..... I could be the Queen of One Touch Ultra Strip Usage. And he's never mentioned curves before. Anyway, I did a curve yesterday, just for him. There was a noticeable improvement - not good numbers, but better - over a couple of days ago when I did a whole mess of testing, so I'm going to print out and give him copies of both days. I am very glad that I didn't just wait to start treating the infection until the dental was done.