3/25 Elizabeth AMPS 222, +2 171, +4 117, +6 98, +8 120, PMPS 126, +2 126, +3 97, +4 120

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Have you got any more tests in today Vicki?

Since the +2 was lower than the Pre-shot, it's usually important to get more tests in since that can be an "early warning" that they might be dropping too fast
 
Hi Chris,
I was going to test at +4, unless you think I should test at +3, which is in about 20 minutes.

Is it good for the +2 to be lower than the pre-shot? I was under the impression that it's desirable. :bookworm: ??

Lizzy is feeling so good you'd think she's on catnip. Tearing through the house knocking things over and flipping up rugs!!
 
Ummm..what's wrong with me. Now that I look, +4 is in 20 minutes...is that possible? Yes, I believe it is. I will do a +4!
 
Hello!
I have a question about a bounce. I thought a bounce was caused by BG numbers going dangerously low , and the liver overcompensating and sending out some stored glucose? Since I didn't test last night, I don't know if her numbers went "too low". But I don't think they did, and here's why - Elizabeth eats a lot at night. So, my question is, could the higher BG have to do with the amount of food consumed, rather than low BG? Or does the term "Bounce" cover both of these?
And when do you suggest I test again?

Thanks!!! :)+ :cat:
 
Bounces happen for several reasons....going TOO low, dropping fast (like dropping from 400-250 in 2 hours) and also, just any time the cats body gets into numbers it's not used to being at....Like if Liz's body has been running in the 300's for a long time, and she gets down to 120, that can trigger a bounce just because the cats body doesn't recognize it as being normal anymore

As she spends more and more time in normal numbers, her body will re-learn that it's OK to be there and then the bounces won't be as high and won't last as long

I think it's totally possible she continued down last night. She'd dropped 33% in just 2 hours, so that would have been a good night to get more tests in

I'd get a +6 or +7 next, but she's slowing down the drop, so either one would be fine I'd think
 
Chris & China said:
I think it's totally possible she continued down last night. She'd dropped 33% in just 2 hours, so that would have been a good night to get more tests in
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I feel terrible if I put her at risk. If she had been in any distress would it have showed this morning? She was perky as ever.
 
She's looking good!!

China dropped to 22 once...never acted any different other than wanting food! The important part is that Liz is feeling good and doing well!

We usually watch for that +2...a lot of times if it's lower than the Pre-shot, that's an "early warning" that they might be dropping too low, so it's a good plan to get more tests in.

If the +2 is about the same as the Pre-shot, usually they're going to have a more "normal" cycle, that slowly goes down to nadir, then slowly heads back up to the next pre-shot

If the +2 is higher, that can signal they're starting a bounce, and those are the times it's usually safe to take a break on testing.

As you get more and more tests with Elizabeth, you'll learn her patterns better and will have a better idea of when you can take pokey breaks and when it's more important to get more tests in
 
Do you think no tests until PMST, and then see what that is. I think it's a given I will have to do a +2?
 
Yeah I think that'd be fine...Looks like she's coming up towards the end of the cycle (which is normal!)

I think you mean PMPS....it's for PM Pre-Shot, just like AMPS is AM Pre-Shot
 
Yes, I mean PMPS. With PMPS being 126, what are my options? How long is it expected to stay up and test? It's 9:30 pm here. I can stay up to do a +2, but I don't know if I can make it to a +4, as I'm feeling tired. Suggestions would be appreciated. Thanks!
 
We really can't say until we see the +2...that'll give us a hint of what might be going on later in the cycle

If you need to sleep, can you set alarms to wake you up later if necessary?
 
Hi Chris,
Question: How long do people set alarms and get up and test their cats at night? I am worried this is a never ending cycle. Just curious.
Thanks!
 
Well....I've been doing it for 22 1/2 months now, but I know there are people who've been doing it longer than I have!

When you get enough data, you gradually learn when it's really important, and when it's something you can do if you happen to have to get up to the bathroom in the wee hours (or is that wee wee hours? ;) )

After awhile, I got to the point where I could get up and get a test without really waking up....and I've actually done it several times and the only way I know I did was because there was a number on the meter that I don't remember getting! I call it "sleep poking"...lol
 
The times when Elizabeth has started low blue and gone down to green, she's usually gone to her lowest around +3. If she's down at +2, I'd try for at least a +3 test. It would be nice to see if Liz is telling you she really needs less insulin. I'm also really quick at getting up, testing, and going back to sleep. And as Chris says, once you know your cat's cycles well enough, you learn when you need to get up. The other trick some people do is to drink a large glass of water before bed if they think they should get up and test.

People here have the same issue when they go to work. That's when an autofeeder can come in handy and you can do the same thing at night. If she's lower at +2, you can load up the autofeeder with higher carb food, set to go off every hour for a few hours to get her over her typical low point in the cycle.
 
Does anyone ever successfully find a dose or create a solutation that doesn't require them to get up at night? I don't want to get up at night indefinitely. I am one of those people who has trouble sleeping, so if I get up, I could be up for hours. I might have to consider the other options.

Do the people that work out of the home set autofeeders during the night, as well as during the day?

She eats Hill's m/d canned, and I think y'all consider that a medium carb diet? I wonder about introducing a lower carb (but not no carb as the Fancy Feast Savory Salmon I gave her yesterday -and a bit today). Would a lower carb food help the situation?
 
Vicki said:
Does anyone ever successfully find a dose or create a solutation that doesn't require them to get up at night?
Click to expand...
Going into remission is one such method. Elizabeth is looking really good and spending a lot of time in healing numbers. She still has a really good chance that she might go off of insulin. Another option, some people aim for regulation instead of remission. In that case, they might lower the dose and let their cat run in slightly higher numbers, but still under renal threshold for the majority of time. Choosing either remission or regulation are both acceptable goals. Let us know which you'd prefer and we'll try to help you get there.
 
yes, of course you can set an autofeeder to open at night!!

I think Wendy suggested that (for now) it looks when Liz starts at low blues, then goes to green, she usually goes to her lowest by +3....you could use an auto feeder set to open at +4 and +5 with something a little higher carb to keep her from dropping any lower and then she'd probably due just fine the rest of the night
 
I'm 1/2 hour away from +4, so I'll do it. Hoping for a good result...zzzzz I definitely need to adjust these shot times, so her shot isn't so late at night!
 
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