Bailey11 year old cream Burmese boy curve results

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Shaz Butler

Shaz Butler

Member Since 2016
Hiall

Me again.

I did our 2nd curve for Bailey on Sunday but ran out of test strips until last night.

Someone kindly the other day sent me a link to a SS to input these results. I cannot now find it. I don't know if it will work on my iPad and I have no PC. I do not have Word.

These were the results:
1st test before breakfast 08:30hrs 22.6
2nd test 11:00hrs 17.8
3rd test 13:30 (5 hrs after insulin) 3.1
4th test 15:30hrs (7hrs after insulin) 3.4
5th test 18:30hrs 3.4

I gave him 1 unit instead of 1.5 at 20:30 hrs
Then following morning before breakfast ar 08:30hrs 30.6
Then I had no strips until late last night
08:30 hrs today before breakfast 34.2

Bailey has a small meal every 5hrs or so. No biscuits for last 2 days!
 
Hi Shaz
I sympathise with your comment about not knowing if something will work on your iPad. That's all I have too and it's quite frustrating when we're asked to do something and we can't work it out! Hopefully one of the technically minded people here can help you with that, but meanwhile...

Do you think you could start to give us your results in the standard way so we can see at a glance how Bailey is using the insulin? It will simplify things. So for example the data you've supplied above would read:

AMPS (morning pre-shot BG) - 22.6 ?u given
+ 2.5 (2.5 hrs after shot) - 17.8
+ 5 - 3.1
+7 - 3.4
+10 - 3.4

PMPS (evening pre-shot) - ?? 1u given
AMPS (morning pre-shot) - 30.6

AMPS - 34.2

Does this make sense? In other words, don't worry about the time of day or whether it's the first, second or fifth test of the day that you test - the figures you give us are all in relation to how Bailey is using the insulin you've given him.

We in the UK, Canada and other parts of the world use one scale to measure BG results; people in the US use another scale and will find it easier if you multiply your BG numbers by 18.

As for your results themselves, other more experienced members will advise you but you can see that there is a very steep drop between +2.5 and +5 which is when the insulin has really kicked in. Without knowing what the BGs are until your last reading this morning at 34.2 we don't know what's happened in between but you want to keep an eye on those mid-cycle numbers as they are going rather low. The subsequent high climbs again either show that Bailey has used up all his insulin or possibly is bouncing... again, more experienced members will make this clearer and it will be something to talk to your vet about too.

Hopefully if you have more strips now you can try another curve - please let us know how you get on.

Good luck.

Diana
 
Hi Shaz,

Well done for getting that curve! :bighug:

Wow, that is a steeeeep drop.
And, given that you're using an Alphatrak meter those low numbers could be hypoglycemic (the A'trak manufacturers say that numbers below 3.6 may be hypoglycemic (the A'trak 'reads' a little higher than human glucose meters)).
The high number that you got at the next pre-shot test is probably a 'bounce' caused by the preceeding very low numbers; although the fast rate of drop could be enough to trigger a bounce on it's own, even if the blood glucose hadn't dropped to a low level.
(A note on bouncing: When the blood glucose drops too low or too fast the body can release stored glucose to raise the level; and it can also release counter regulatory hormones, the purpose of which is to try to keep the blood glucose high for a while - up to a few days in some cases....) It's a protection mechanism.

Shaz Butler said:
Bailey has a small meal every 5hrs or so. No biscuits for last 2 days!
Click to expand...
Do I understand correctly that you've removed dry food from the diet? If so then that could account for the drop in numbers.
What are you feeding Bailey now, Shaz?

Shaz Butler said:
I gave him 1 unit instead of 1.5 at 20:30 hrs
Click to expand...
Yes, a dose reduction is definitely in order!
And you may find that Bailey continues to drop in numbers for a few days while until the influence of the dry food is completely out of his system.
It may be that even the one unit turns out to be too much...

Are you able to get a test a couple of hours after his evening shot? That '+2' (2 hours after insulin shot) can often give good clues as to how the insulin cycle may go.
Bailey's numbers may drop from the next dose, or he may remain a bit high because of having 'bounced'.

And be aware that cats can be more sensitive to insulin following a hypo. (Note: We don't know for sure that Bailey did suffer the effects of hypo, but those numbers were certainly in hypo territory).


You're doing a brilliant job, Shaz. :)

Eliz
 
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...And here is the link to the FDMB 'Hypo' doc. It's worth reading it through and then printing it out to keep somewhere handy in case of emergencies...
How to treat HYPOS - THEY CAN KILL! Print this Out!!

Do be aware though that the numbers in the main body of this document refer to numbers from human glucose meters. The Alphatrak usually reads a little higher than these numbers. Unfortunately, there isn't a way to consistently/reliably convert human meter numbers to A'trak numbers (or vice versa), but at low numbers you may get an approximate 'human meter' comparison if you deduct one mmol from your A'trak numbers (ie. a 2.5 on a human meter may be a 3.5 on an A'trak - but we do not know for sure, it's a guesstimate. So, do watch your cat closely for symptoms at low numbers, as well as keeping an eye on the numbers themselves.)

Eliz
 
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