6/5 TUXIE AMPS 293; +2-367; +3-295; +5-230; +7-151; PMPS-338 :+3-238 Pattern changing

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Tuxedo Mom

Tuxedo Mom

Member Since 2014
ALPHA TRAK 2 PET METER Reads higher than human meter

Yesterday:

http://www.felinediabetes.com/FDMB/...292-7-158-9-214-pmps-290.138943/#post-1433248

Tuxie's numbers yesterday were less bouncy. It seems his "usual" (is there ever a usual with our kitties??) pattern is changing, maybe in response to the dose increase from 5+ days ago. His PS numbers have been better, but now he shows a more definite food bounce in the first few hours. And his nadir seems to be coming around +7 or later rather than at +6. Other than the food spikes after morning and evening shots His curves are much gentler than before without the huge swings in numbers. Hopefully Tuxie can keep this pattern and get his numbers down another notch.

Last night my kitties finally had their first "cat war" since the granddkitties came to stay here. Gizmo went to jump on the counter but didn't quite make it. Tuxie rushed in hissing and fur all raised and the fur flew for a few seconds. After Gizmo and her sister Smokie skeedadled back down the basement, Tuxie sat in the kitchen, licking his paws and looking generally quite pleased with himself. I haven't seen him move that fast for quite awhile now.
 
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Nadirs can change -- I think it's how our kitties make sure we're paying attention!

If you're following TR, I'd be increasing every 3 days especially if you're beginning to see some movement. It would be good to see the overall level of Tuxie's numbers come down a bit.
 
Sienne and Gabby said:
Nadirs can change -- I think it's how our kitties make sure we're paying attention!

If you're following TR, I'd be increasing every 3 days especially if you're beginning to see some movement. It would be good to see the overall level of Tuxie's numbers come down a bit.
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I am sort of following TR but taking longer to change doses, since he seems to take 5-6 days to respond to dose changes. If I change his dose according to protocol then I would actually be missing his response days. I am actually considering going to a SLGS protocol because of this. I would rather wait a few extra days and see what is happening, rather than bump up the dose and have him bouncing all over the place.
 
You know your cat! I would just encourage you to keep an eye on how Tuxie is responding. If you see there's good momentum with respect to the numbers showing a better range in response to a dose increase and then the numbers pooping out, you may be holding the dose too long. Just weigh the pros and cons so if there's a matter of "breaking through" the higher range, you can take advantage of the momentum.
 
Sienne and Gabby said:
You know your cat! I would just encourage you to keep an eye on how Tuxie is responding. If you see there's good momentum with respect to the numbers showing a better range in response to a dose increase and then the numbers pooping out, you may be holding the dose too long. Just weigh the pros and cons so if there's a matter of "breaking through" the higher range, you can take advantage of the momentum.
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I agree with what you are saying and I won't let him sit too long at a dose, but in some ways I am letting him tell me when to increase rather than rigidly following a protocol. Considering his readings are done on an AT pet meter, the colour coding and numbers seem worse than they are. He definitely is not where he needs to be, but I am happier with stable, non-bouncy cycles and working on coming down, rather than speeding up the doses and having him bounce from blacks to blues. I am also feeding his drops to keep him from going into the greens to help smooth out his cycles.
 
FWIW, I wouldn't worry about the difference between the AT and human meter unless Tuxie drops to a 68 or thereabout. Higher numbers are still higher numbers and the difference between the meters is most relevant when you're in dose reduction territory.
 
Sienne and Gabby said:
FWIW, I wouldn't worry about the difference between the AT and human meter unless Tuxie drops to a 68 or thereabout. Higher numbers are still higher numbers and the difference between the meters is most relevant when you're in dose reduction territory.
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Since most people here talk in human numbers and the colours on the S/S are set for human I still mentally convert. For instance a "black" number on an AT meter would be a "pink" number on a human, which definitely looks much better and is not as depressing. ;)
 
As someone who had to go through the pain of glucose toxicity (and other resistance issues), I encourage you to find that balance between waiting long enough, but not too long. With Neko, if she hasn't seen normal numbers for as little as six cycles, she'll develop a little toxicity and bounce even worse when she finally sees those numbers again. I found that as long as she is nadiring in the 70's (human meter) her bounces are way less. It is much easier to keep a cat at a stable, less bouncy range when a good part of that time is in normal numbers, than it is to maintain flat cycles at a higher range.

Sorry about the cat scuffle, but it looks like Tuxie is still boss!
 
Wendy&Neko said:
As someone who had to go through the pain of glucose toxicity (and other resistance issues), I encourage you to find that balance between waiting long enough, but not too long. With Neko, if she hasn't seen normal numbers for as little as six cycles, she'll develop a little toxicity and bounce even worse when she finally sees those numbers again. I found that as long as she is nadiring in the 70's (human meter) her bounces are way less. It is much easier to keep a cat at a stable, less bouncy range when a good part of that time is in normal numbers, than it is to maintain flat cycles at a higher range.

Sorry about the cat scuffle, but it looks like Tuxie is still boss!
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Thanks for your input. I will increase his dose, but I am just not totally comfortable with doing it every 3 days as the TR protocol calls for. He just takes longer to show reactions to dose changes. If I increase every 3 days per protocol Tuxie may miss a good dose. I do understand that holding a dose too long can lead to glucose toxicity, so I am trying very hard to find that right balance.

This may not be totally accurate but this site gives a charting for target ranges. I have seen similar charts on other sites as well. The numbers quoted are from a human meter. Unless Tuxie is looking like remission may be possible I really don't want to try to force him down into normal non-diabetic numbers.

http://petdiabetes.wikia.com/wiki/Blood_sugar_guidelines


I would ideally like to have Tuxie spend as much time as possible in the 90-162 range on an AT meter, which is lower than the target range listed on the page I linked to.
 
mstyles said:
I'm in the same boat as you with the AT meter. I try to remember that Coop's SS looks worse than it would if we were using a human meter.
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Yes it is difficult being in the minority who use pet meters, especially when everything is listed for protocol and in discussions by human numbers. I do have a Free Style Lite human meter than I do side by side comparisons by every now and then. The standard difference I find with the two is 35% higher on the AT2 meter than on the FS Lite meter.

For example this morning I did Tuxie's +5 test on both.

AT meter 12.8 mmol/L (230 US) FS Lite 8.3 mmol/L (150 US) which is exactly 35% difference.

I try to do side by side comparisons at high numbers and low numbers and it still stays pretty much the same difference.
 
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