Magic seems to be stabilising and everyone's prayers seem to be doing the trick to my immense relief. We have had a really rocky time but seem finally to be getting there. When I did her first glucose curve on the 3units of insulin, which she has been on since discharge, she had two critical blood glucose dips. At 4hrs she went to 2.9mmols and at 8hrs she went to 1.8mmols both of which are dangerously low. I was horrified and did a control check on the monitor as I wondered it if had become faulty, but it wasn't. She looked otherwise well and without the blood glucose reading I was oblivious. I felt like I'd had ice water poured over me as this has obviously been happening while I have been at work in the preceding days too and I just never knew.
Logically the nadir, which is the name for the lowest reading, would occur around 6hrs and I had been testing at this point when I was not at work. Similarly her vet appointments where around the 6hr stage and didn't pick this up either. Trust my Magic to be like the recession and have a double dip! This all happened on the 19th Jul and it has taken me this long to even make a flippant comment about it as it scared me so much.
Luckily, her diabetes and critical care vet were both on shift on the day this happened and it was really reassuring that staff who knew her were available and could give very specific advice. We withheld the insulin for the evening dose, and the next day she was still lower than would be expected so she has been reduced to one unit of insulin twice daily. She seems to be maintaining really well so far on this dose and the latest curve done this weekend has shown a really nice consistent level. Crucially, none of this Saturday's results made me want to wet myself!
In herself she continues to be an absolute delight and I am still blown away by how good she is even when I am stabbing her ear or scruff. She occasionally protests or gives me a warning snarl or swipe if it is sore, but there is absolutely no malice or injury. She sits without being held and if she jumps to the top of the sofa or window ledge she will come back if coaxed. This morning I was in a rush as I had a 9am meeting. When I came out of the kitchen after drawing up the insulin I was all set to find her but saw the last inch of her tail disappear round the living room door as she was making her way to the sofa to wait on me to come and do the needful. I cannot imagine how awful this whole process would be if I had to kitty wrangle and see her being distressed. Obviously, I would do it as it needs done but being able to work in partnership with her is a blessing.
I'm not sure where we are headed next with her condition but probably just need to have faith. We see her lovely diabetes vet on Thursday and I'll write an update on where next from now. In the meantime, thank you so much and please accept my virtual hug to you all.