6-11 Gizmo PMPS=449; +1=416; +3=405; AMPS=440; +3=353; +6=263

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This is the part I hated, having to be patient for the insulin increase to work. :bighug: Neko would take anywhere from 1 to 6 cycles to show me what the new dose could do. Looks like he got insulin this morning. :)

Work it Gizmo!
 
Wendy&Neko said:
This is the part I hated, having to be patient for the insulin increase to work. :bighug: Neko would take anywhere from 1 to 6 cycles to show me what the new dose could do. Looks like he got insulin this morning. :)

Work it Gizmo!
Click to expand...

Yep. He is down to 263 (+6). Definitely got his insulin this morning. :)
 
I am interpreting his spreadsheet correctly ... It looks to me like he bounced on 6-10 after his morning low, but has cleared the bounce today? I'm still trying to understanding "bouncing."

Also when I increase his dose after the 3 days ... do I look at just the lowest nadir or do I look at the majority of the nadirs? Just curious because he tends to be between:
  • if nadirs are greater than 200, but less than 300 increase the dose by 0.25 unit.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit.
 
Chubba said:
I am interpreting his spreadsheet correctly ... It looks to me like he bounced on 6-10 after his morning low, but has cleared the bounce today? I'm still trying to understanding "bouncing."
Click to expand...
Yes, it looks like you have interpreted correctly. Here is a good explanation of bouncing taken from the Stickie "New to Group" They can also bounce from a fast drop in numbers.

Bouncing - Bouncing is simply a natural reaction to what the cat's system perceives as a BG value that is "too low". "Too low" is relative. If a cat is used to BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose drops too low and/or too fast.The pancreas, then the liver, release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". *Usually*, a bounce will clear kitty's system within 3 days (6 cycles).

Chubba said:
do I look at just the lowest nadir or do I look at the majority of the nadirs? Just curious because he tends to be between:
Click to expand...


You want to look at the lowest number which is the nadir.
 
Ask yourself the question, how low can this dose take Gizmo? That's what you look at when considering what to do next with the dose.

Another factor to consider is NDW or New Dose Wonkiness, a temporary rise in numbers that can happen as the depot builds up again.
 
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