Do we know what contributes to Bouncing?

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Oreo's human

Oreo's human

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Hello everyone, O-man was doing well and we had gone several weeks without insulin or an extremely low does of 0.2U. He was doing well then on Sunday his numbers came back up but more than the numbers he was acting strangely. Eventually, after a shot and watching he started coming around and threw up...there was dry food on his tummy, which we have no idea where he got. It was not our dog food. (He has always loved dog food and we have to watch him or he will sneak it.) He has been on house arrest for the last few days and the numbers have not really stabilized or made sense to me. I am worried there could be something secondary going on causing the numbers to flux so strangely. He seems great today. Just curious what everyone else thought. What actually defines Bouncing? Is there a certain amount of BG change that is implied with that term? Thanks! Blairanne
 
Bouncing is a response to lower than usual glucose numbers, dropping rapidly, or dropping too low when giving insulin. The liver responds by releasing stored glucose (glycogen) to bring the levels back up. This overshoots and may remain elevated for up to 3 days based on observations here.
 
The dry food could have influenced the numbers. It looks like he is back on track this am.

We do have a way to give drops of insulin if you want to try that at some point.
 
Oreo's human said:
@BJM...He hasn't acted like he has any low BG problems.
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Lower than usual means if he's been running in the 400s and gets to the 200s, he might bounce.
Also, just because you haven't seen any behaviors suggesting low glucose, doesn't mean he hasn't had some ... like that 46 mg/dL on the 22nd.

Drop dosing

Using a colored liquid, so you can see it more easily, fill a syringe to 0.5 units (on a U-100 syringe).
Slowly squeeze out equal-sized drops, maybe by twisting the plunger, until you can get the same number of drops per 0.5 units every time.

Now, you can draw up more than the amount you need, and squeeze out drops to the dose you want.
You discharge the excess into the sink.

Decreases may be done a drop at a time.
 
@Oreo's human - Your signature says you use an Alpha Trak meter - is this correct? If not, could you change that in your signature, please?
@BJM - If this is correct, can you help Blairanne replace the headings on her SS with the Alpha Trak headings? (I'm totally stupid re: spreadsheet setup, as you know.:rolleyes:) Thanks!
 
It is more than replacing the headings; you have to adjust the number ranges for the conditional formatting.
It may work better to start over, at least for the last few weeks, using this template.
 
Thanks for the new template, I didn't know one existed for the AlphaTrak; I was just keeping up with corrected numbers in my head. It didn't bother me enough to change all the conditional formatting myself. ;) Didn't realize it was leading to confusion. THANKS! Thank you also for the drop dosage info. We have not been doing this as closely as we can. We ran right into several days where he went hypo even with .2U and we stopped giving insulin daily around that time. We have been just dosing as needed which of course is not ideal because it isn't consistent. He is a grazer always has been and I think that has actually helped a lot.

With the current issue, I totally agree with Sue and Oliver that the mysterious dry food might have been the start but yesterday his numbers where in the mid 300s really high for O and I know he'd been fasting. (I checked it twice and checked the meter.) Though I am hoping that was a fluke because the next day he had gone back down. Our vet is out of town and I keep playing with the idea of taking him to a new vet just to get him check out for a secondary infection but he seems to feel ok so I hate to stress him. I keep playing with the idea of trying a new vet anyway.
 
Oreo's human said:
;) Didn't realize it was leading to confusion. THANKS!
Our vet is out of town and I keep playing with the idea of taking him to a new vet just to get him check out for a secondary infection but he seems to feel ok so I hate to stress him. I keep playing with the idea of trying a new vet anyway.
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Re: Spreadsheet - Ha! Some days it doesn't take much to confuse me; Bat-Bat could tell you that! :D

If you take a peek at Bat-Bat's SS, you'll see that we're dosing "as needed," too. Was just looking at Oreo's SS: Am I correct in assuming that you can't be around during the week for testing near nadir? (meaning work outside the home, etc.)
 
@Robin&BB I can be right now but as we have not been injecting so I haven't been testing nadir simply because I don't know what at what time point that would fall. I did a couple of in the middle of the day tests this week. He also is a grazer as I mentioned before which complicates things a little. It is a little hard for me to test him right now. I am expecting and Oreo is not always compliant. I know that sounds crazy but I am huge and he knows it! ;) little stinker!
 
Oreo's human said:
@Robin&BB It is a little hard for me to test him right now. I am expecting and Oreo is not always compliant. I know that sounds crazy but I am huge and he knows it! ;) little stinker!
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Doesn't sound crazy at all! Having been huge like that myself once (30 years ago, gained 60 lbs & had a 10-lb. girl:eek:), I am envisioning what it would be like trying to chase down a non-compliant kitty with a growing sweet-roll in the oven. Oof-da! I feel for you.
 
Later on, when you can: Since you're mini-dosing as needed, you might try lowering that shot limit to between 150-160 - but only when you're available to monitor that near nadir-time. After 5 days off, Bat popped suddenly popped a 181 ... and hit a 73 by +4, when it was <0.15U. So I still monitor near-nadir whenever she gets shot, even at that dinky dose.
 
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