12-08 Small Kitty - amps 358 pmps 229 +2.5 236 +4.5 104 +6 90 +7.5 133 - Faster bounce clearing

[Photorecon]

Good morning all,

So another day in the meter, week-end is coming and that's very good as Small Kitty
is requiring me to stay on ''alert'' way more then before. It used to be one test at the
morning, another at preshot and a final one before bed. On bouncy day the case was
solved, one test and that's it but now that bounces are cleared more quickly and there
is more of them testing is becoming quite too intense. Staying awake late to avoid
numbers getting to low is piling up fatigue and test frequency to intense.
I'll never know if he went down to the blue or green yesterday but I knew he
was heading down because he was meowing so asking for food.

Any system you might think about to feed the curve ? Any range of numbers
where filling the feeder with xyz quantity of food would keep him safe ?
Ideally testing should be done by 8 or max 9 (+2-3).

Wish you all a very good pay day (the case being)

Sébastien
Yesterday

 

[Osha]

I don't have any advice on the food, but wanted to let you know you are not alone in experiencing major fatigue. I've never had so little and broken sleep in my life. I just keep looking at the reward of our sweet kitties being healthy, active and loving. It sure would be nice if we could take cat naps like they do all day long!

I hope your day is better than yesterday Sebastien and that you have clients who are grateful for your help!

 

[carfurby (GA)]

I was never able to stay up at night testing during the week with Furball. I had to have my sleep if I had to work the next day. I made sure I left plenty of food out for her if I thought she might dip down. A couple of times I did have to set an alarm and get up to test, but most of the time I did not. It is okay to feed HC food if you need SK to not drop too low and you need sleep. I hope you can work something out.

 

[Photorecon]

Just found an old post with information about bounces, definition, solution to avoid.
Thing is that I'm not sure if this is still valid information. If it is, the example below
would indicate that what's happening is not always bounces. When going down
Small Kitty goes back to his typical range, not above.

Here is the information :
(From http://www.felinediabetes.com/FDMB/threads/what-is-a-bounce.108796/ )


Context :

• you'll see a high reading at a time when you're not even supposed to see traces. The spikes are almost as bad for the cat's long term health as sustained high BG levels, so they should be stopped
• can last 72 hours. The liver will generally kick in when BG levels get below 60, but in some it may happen at a higher level.

Example :

• If the cat's range is generally 60 to 300 over the course of the day, then he drops to 39 and bounces back up to 280, that is NOT Somogyi Rebound by definition. If the cat drops to 39 then bounces back up to 330, that might be Somogyi Rebound

Solution :

• If hypoglycemia is an unconfirmed possibility, simply decrease the insulin by 20% for three days and see if the spikes disappear. Since food causes blood glucose to rise, it's impossible to differentiate a Somogyi spike from a post-peak food spike -- another argument in favor of restricted feeding.

Can we really talk about bounce ? What about this 20% reduction and restrict feeding ?

Hope someone can demystify this

 

[Tuxedo Mom]

Can we really talk about bounce ? What about this 20% reduction and restrict feeding ?

The 20% reduction refers to when you are getting high numbers and you are not sure whether your kitty went into a very low number. With SK on Dec 6 you KNOW he went low so there is not a question about that. Since a bounce because of the counter-regulatory hormones that are released, can take up to 3 days (6 cycles) to clear there is really nothing you can do about it other than wait it out. SK seems to be clearing the bounces faster and lately has not bounced as high as before, which would appear to mean that his body is not reacting as strongly to the lower numbers as it did in the past. There are up to 3 days for the counter-regulatory process to clear, plus you take a reduction so the numbers are not going to fall back down right away. SK is getting more numbers in the lower ranges, more greens, blues and yellows and less in the reds and blacks, so that indicates a positive forward motion.

With my kitties regardless of the dose if I see a big drop or a very fast drop I will see a much higher bounce for a day or so.

 

[Photorecon]

With my kitties regardless of the dose if I see a big drop or a very fast drop I will see a much higher bounce for a day or so.

Yeah, Tuxie is very bad on this, hormones are reacting very strongly. Maxie is not
that bad and seem to be doing pretty well.

I'm trying to find some keywords to find scientific researches to understand
what's happening on the hormonal point of view. Maybe just a droplet of maple
syrup on the raw food would cheat the hormones in thinking a straight line is
the way to go.

Thanks for sharing your knowledge Mary Ann !
.

 

[Tuxedo Mom]

Yeah, Tuxie is very bad on this, hormones are reacting very strongly. Maxie is not
that bad and seem to be doing pretty well.

I'm trying to find some keywords to find scientific researches to understand
what's happening on the hormonal point of view. Maybe just a droplet of maple
syrup on the raw food would cheat the hormones in thinking a straight line is
the way to go.

Thanks for sharing your knowledge Mary Ann !
.

The problem with big or sudden drops is that we, as petparents don't always have a warning when it is going to happen even if we are testing often, which makes it difficult to try to fend off the bounce. If you see a larger drop at +2, then you can try giving some extra carbs to keep the drop from nose-diving, but if you don't test until say +4 and the numbers are already way down, then the "damage" is done and a bounce will most certainly be happening. Hormones are not always predictable...actually very seldom are they predictable. I remember another member (can't remember the name ) saying it is like an adolescent with raging hormones...one day they are sweet and kind and the next they are like a raging bull. We can only predict what "should" happen and then go with the flow. You have exogenous insulin we are injecting, perhaps some endogenous insulin being produced by the pancreas and a whole host of other hormonal processes going on within your kitties body. The endocrine and exocrine systems are very very complicated with many organs and hormones and chemical processes happening all the time and a change in one part of this can affect so many other body functions

 

[Photorecon]

Pmps 229 ! That's still deadly to most kitties but still, pretty good for a reduced dose

Think tonight will be another intensive one. With all these test I'm almost a TR now !

Will try to bring him up to the bed once I go sleep. Will bring the NC treat and shake the
can so he jump on the bed. Will just need to test and back to sleep again

Thank you very much Mary-Ann for your scientific explanation, sure there is something to
do to cheat the system so it doesn't panic.

In the mean time will make everything ready in case of a dive.
.