5/16 Tuxie AMPS-526 +2-460;+3-328 :+4-259;+9-451 Huge Bounces

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My cat Sheba bounces a lot and looking at Tuxie's SS I can see he had a bounce from 260 to 83 in a couple of hours in the pm cycle yesterday. That is a big drop. I find anything much over 50 points in an hour will trigger a bounce in Sheba. Her onset of insulin is +3 to +3 and a half hours, so I test each half hour from then until +5 when it usually slows down to a more sedate drop. If she is dropping too fast I feed her MC or HC food to slow the drop and control it. It is not always easy and I often fail to slow it enough.
On 13 May am cycle he also had a big drop from 295 to 121, a drop of 174 in 2 hours. Then he started to bounce by +11.
If you can work out when his onset is and when his biggest drop occurs you can feed his drop and stop it dropping to far or too fast or both. Sheba is consistent with her onset and length of time when the biggest and fastest drop occurs. Hope this has helped
 
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Bron and Sheba said:
My cat Sheba bounces a lot and looking at Tuxie's SS I can see he had a drop from 260 to 83 in a couple of hours in the pm cycle yesterday. That is a big drop. I find anything much over 50 points in an hour will trigger a drop in Sheba. Her onset of insulin is +3 to +3 and a half hours, so I test each half hour from then until +5 when it usually slows down to a more sedate drop. If she is dropping too fast I feed her MC or HC food to slow the drop and control it. It is not always easy and I often fail to slow it enough.
On 13 May am cycle he also had a big drop from 295 to 121, a drop of 174 in 2 hours. Then he started to bounce by +11.
If you can work out when his onset is and when his biggest drop occurs you can feed his drop and stop it dropping to far or too fast or both. Sheba is consistent with her onset and length of time when the biggest and fastest drop occurs. Hope this has helped
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Thanks for the input. Tuxie usually starts his onset around +3-+3.5. In the past his nadir has been coming around +6 - +7 but the last few days or so it is coming even later. I have been giving MC and HC food when he starts to drop too quick. Up until the last few days Tuxie's pattern was pretty consistent but then he decided to switch things around a bit to keep me guessing. I think he does this on purpose :)

From past data it looks like he may not always get the full 12 hour duration from the Levemir. Plus he has had 2 dose reductions in 3 days because of his lower numbers, So between the ?shorter duration?, the dose reductions and the bounce I expected from yesterday's numbers, I don't know for sure which one is most responsible or whether it is just a combination of all 3. Just some extra dance steps added to the sugar dance I guess :)
 
rhiannon and shadow said:
too many factors there....
paws crossed for a slow decent.

check your title.... date is wrong....
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Thanks...he seems to have slowed down which is good since I was out for 3 hours and have to go out again tonite for the same.

Sorry about the date...that is what happens when you start a new post at 4:00AM before all the brain cells are awake :)
 
Lori & Lulu said:
Whoa Tuxie, slow down there !!
How are you, Mary Ann? Hope you're having a good weekend.:bighug:
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Hi Lori...So far so good...just waiting for the rain to start. We are forecast for lots of rain tonight, tomorrow and maybe even a bit of snow on Monday :(

I hope your Lulu decides to settle into her good numbers again soon. Our kitties certainly keep us on our toes don't they??

((HUGS)) to you and Lulu :)
 
julie & punkin (ga) said:
Fingers crossed for you today!
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Thanks Julie. It looks like today is going to be all about bouncing and high numbers. Hopefully I will get a better handle on which way to go with his dose in the next day or two. At least then I can make time to be home and test if I up the dose again. Sometimes you just have to put up with higher numbers to keep your sanity when you can't be there before and at nadir time.
 
Tuxedo Mom said:
Sometimes you just have to put up with higher numbers to keep your sanity when you can't be there before and at nadir time.
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Very true. My DH was sick for about a month and I had my hands full between caring for him and working so I had to let Gracie run a little higher than I would have liked but at least she was safe and I could rest at night.

As I mentioned yesterday, we normally wouldn't reduce by 0.5u once much less twice but there are times when safety requires us to do so (e.g. we know we aren't going to be around). But also a reduction of that size at a dose of 6u, is less percentage wise, than if Tuxie were at 2u. Yes? Even still, it might have been a bit too much for him so watch the trends and be prepared to go back up per the protocol when you can be there to monitor him if it's evident he's failed the reduction.

On his SS, the date column (column A) is too narrow so it's hard to see the dates well. Is it possible for you to go to the World sheet, go up to the top of column A and next to the line between column A and column B (where they are labelled), hover over the line. You should get an arrow pointing to the right. Left click, hold down, and move the line a titch to the right so the date is totally visible. It should also correct the US sheet. If you have any problems, please PM me and I'll fix it for you. :):)
 
Marje and Gracie said:
Very true. My DH was sick for about a month and I had my hands full between caring for him and working so I had to let Gracie run a little higher than I would have liked but at least she was safe and I could rest at night.

As I mentioned yesterday, we normally wouldn't reduce by 0.5u once much less twice but there are times when safety requires us to do so (e.g. we know we aren't going to be around). But also a reduction of that size at a dose of 6u, is less percentage wise, than if Tuxie were at 2u. Yes? Even still, it might have been a bit too much for him so watch the trends and be prepared to go back up per the protocol when you can be there to monitor him if it's evident he's failed the reduction.

On his SS, the date column (column A) is too narrow so it's hard to see the dates well. Is it possible for you to go to the World sheet, go up to the top of column A and next to the line between column A and column B (where they are labelled), hover over the line. You should get an arrow pointing to the right. Left click, hold down, and move the line a titch to the right so the date is totally visible. It should also correct the US sheet. If you have any problems, please PM me and I'll fix it for you. :):)
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I can't imagine how hard that must have been for you to be taking care of your husband, working and dealing with Gracie at the same time. As you said you do the best you can in whatever the situation is. I know when my late husband had cancer I lived at the hospital for 6 weeks, but I took leave from work and my kitties were both healthy then. But trying to juggle my son, who was young then,(thank god for Grandma)running home to feed and cuddle the kitties and taking care of necessities all while being with my DH for his treatments and doing his daily care and fighting with the doctors about his treatment, about wore me out.

I know I should have left the second reduction, but the timing was bad for not being able to monitor him all day. Tuxie was definitely feeling the lower numbers...he was literally crying for food constantly until his numbers went up. Even with giving MC 18% and HC 38% the numbers were not going up much at all and then fell back. And then his nadirs were coming later than usual so I had lost his regular "pattern" that I could usually count on. Even those few hours away from home would have driven me bonkers if he was still throwing out the same numbers.

I did look at the % decrease which is why I took the extra reduction. He really only had a reduction of less than 10% in total with both reductions. A different time and I might have left him to run a few more days at the first reduced dose. At worst it will be interesting to see how he responds to that big a reduction and if he stays high then I increase and continue on. It is not the best approach, but I keep my sanity :)

I changed the date column on the world page but it did not carry over to the US.. so I changed it on the US page separately. However...it added some extra "00"s after the date...I have no idea why or how??? I am not spreadsheet literate. I hope this will work okay???
 
I don't know if anyone mentioned the technique of "shooting through the bounce" to you. When kitties earn a reduction, one thing you can do if you see a bounce has started at the next preshot, is to shoot the old higher dose one more time, before reducing the cycle after that. Sometimes that little bit of extra juice for one more cycle will take the edge off the bounce.

When Neko first started seeing lower numbers, she was "starving" and very anxious until her numbers got higher. Tuxie will get better as he spends more time in normal numbers.

For what it's worth, Neko got up to 8.75U. Her first reduction was .25U, but after than I did .5U reductions until 3.5 units, when they stopped working and I had to switch to .25U reductions. However, I think her IAA was breaking after SRT and she would often do two reductions a week during freefall.

Happy Victoria Day! I hope you are having some fun and getting out as you wanted to. In some ways, bounces can be blessings. And "snow?" - yuck!
 
Wendy&Neko said:
I don't know if anyone mentioned the technique of "shooting through the bounce" to you. When kitties earn a reduction, one thing you can do if you see a bounce has started at the next preshot, is to shoot the old higher dose one more time, before reducing the cycle after that. Sometimes that little bit of extra juice for one more cycle will take the edge off the bounce.

When Neko first started seeing lower numbers, she was "starving" and very anxious until her numbers got higher. Tuxie will get better as he spends more time in normal numbers.

For what it's worth, Neko got up to 8.75U. Her first reduction was .25U, but after than I did .5U reductions until 3.5 units, when they stopped working and I had to switch to .25U reductions. However, I think her IAA was breaking after SRT and she would often do two reductions a week during freefall.

Happy Victoria Day! I hope you are having some fun and getting out as you wanted to. In some ways, bounces can be blessings. And "snow?" - yuck!
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Thanks for the information about shooting through a bounce. I probably wouldn't have dropped him the .5unit except that I was so worried about not being around all the time when he was having such active cycles. Even tonight he went from PMPS of 551 to +2 of 412. I have to go feed my son's kitties so I will cut the visit short a bit and get back and check him in case he decides to have another active cycle.
 
Safety first! I often drop Neko's dose temporarily if I know I've got a cycle coming up when I can't get any other tests.

Be good tonight Tuxie!
 
Shooting through the bounce is a great technique to have in your toolbox but it's important to use it when you can be around the first few times. You'll learn when it can help and when it might cause you to be dealing with quickly dropping numbers.

For example, I know if I reduced Gracie's dose because she earned a reduction by going below 40, but she came up easily, then it's probably fine to shoot through the bounce because she's not likely to come back down.

But if I've been fighting all day to keep her above 40 and I reduce the dose, even if the BG shoots up, I wond shoot through the bounce because she can come right back down quickly. ECID....best to learn what Tuxie does when you shoot through the bounce when you are at home the first times you try it.

If you have a chance to PM me tomorrow, I can help with the SS really fast.
 
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