1/8 Myagi amps 150, +2 127, +3.5 88, +5 102, +7 139, pmps 158, +2 131

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+2 127
Me thinks my boy is going to mess up my day. If I carb load to safely go out does that interfere with the way his body is handling everything right now?
Ok. Just cancelled plans. Still want answer to question though. Is it as simple as the higher bg clears when the food clears or would it set us back?
 
Myagi and Heidi said:
Me thinks my boy is going to mess up my day. If I carb load to safely go out does that interfere with the way his body is handling everything right now?
Ok. Just cancelled plans. Still want answer to question though. Is it as simple as the higher bg clears when the food clears or would it set us back?
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It would most likely just effect the cycle you are on. There's a small chance it would effect the next cycle.
 
Myagi and Heidi said:
@Marje and Gracie
Biggest hugs and thanks from me and Myagi and even Millie (cause she does love her some Myagi)! :bighug::bighug::bighug:
More questions I'm sure will come, but for now it's only the food. He gets 0 to 3 carb food exclusively with young adult zero crunchies on top to entice when low appy. My cupboard goes straight to mc and hc for crises and I don't have resources to change it up. When I did have some 4 to 8 carb food he spiked on them (and enjoyed them lol), which is why all daily food has been 3 and under. Timed feeding not really an option as they won't touch the auto feeder, have always grazed, and my work schedule is about to radically change making me unavailable most of day (why I was so anxious to take as many steps with him now as possible, as he'd allow lol). So given that, can I still help him surf with the less than 3?

Also, and this is huge (And I keep forgetting to ask till wee hours alone). Is there a no shot number over 50?

If he's under 100 mostly for a week he gets a reduction?

If he drops below 49 on 3 separate occasions, he gets reduction? Or do I count as newbie and it's once under 50?

More later! Thanks again! :bighug:
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Sorry to just get back to you. Sick DH. :eek::eek:

Under TR, the no shot number is below 50 if you are using a human meter, 68 for those using a pet meter. Having said that, you hold the syringe, and if he is running lower than you feel safe shooting and leaving, skip. It becomes easier with them when they quit bouncing and flatten out in low blue and green. The likelihood of a big drop is less but that doesn’t mean they won’t drop from 100 to 40 in a couple hours. Let safety and your availability and ability to test be your guide.

When you say he won’t touch the auto feeder, did you try to train him to it and it scares him? It does take some training. Gracie got it down in two times of putting treats in it and letting it open. Then she tried to pry it open. She was a smart girl. Gracie also used to graze before FD and she was very easy to get on a timed schedule.

If he’s really carb sensitive, yes you can teach him to surf with 0-3% carbs. ECID on carb sensitivity. It just looks to me like he needs just a bit more to slow those drops.

Question: was he dropping quickly before when you tried a 6% food and what happened? Did it shoot him right back up? Or did you give it when he was low and flat and it shot him up? Also remember that when you give food affects the BG. If the kitty is carb sensitive and is flat or it’s later in the cycle (e.g. he’s below 50 and you just want to give him a little bump up), you definitely want to stick with the lower carb food.

Yes, he can earn a reduction by going under 50 once, being in numbers mostly under 100 for a full week, or, if he doesn’t hold reductions well, after he drops between 40 and 50 three times. The other reason you can reduce him is if he’s hovering around 50 and just does not want to come up with HC food, gravy, etc. In other words, if you are having to work really hard for the majority of the cycle to keep him above 50, you might elect to reduce the dose.

Let me know any other questions.
 
Marje and Gracie said:
Sorry to just get back to you. Sick DH. :eek::eek:

Under TR, the no shot number is below 50 if you are using a human meter, 68 for those using a pet meter. Having said that, you hold the syringe, and if he is running lower than you feel safe shooting and leaving, skip. It becomes easier with them when they quit bouncing and flatten out in low blue and green. The likelihood of a big drop is less but that doesn’t mean they won’t drop from 100 to 40 in a couple hours. Let safety and your availability and ability to test be your guide.

When you say he won’t touch the auto feeder, did you try to train him to it and it scares him? It does take some training. Gracie got it down in two times of putting treats in it and letting it open. Then she tried to pry it open. She was a smart girl. Gracie also used to graze before FD and she was very easy to get on a timed schedule.

If he’s really carb sensitive, yes you can teach him to surf with 0-3% carbs. ECID on carb sensitivity. It just looks to me like he needs just a bit more to slow those drops.

Question: was he dropping quickly before when you tried a 6% food and what happened? Did it shoot him right back up? Or did you give it when he was low and flat and it shot him up? Also remember that when you give food affects the BG. If the kitty is carb sensitive and is flat or it’s later in the cycle (e.g. he’s below 50 and you just want to give him a little bump up), you definitely want to stick with the lower carb food.

Yes, he can earn a reduction by going under 50 once, being in numbers mostly under 100 for a full week, or, if he doesn’t hold reductions well, after he drops between 40 and 50 three times. The other reason you can reduce him is if he’s hovering around 50 and just does not want to come up with HC food, gravy, etc. In other words, if you are having to work really hard for the majority of the cycle to keep him above 50, you might elect to reduce the dose.

Let me know any other questions.
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I hope DH feels better fast (men - no offense awesome kitty dads) make the worst patients! :rolleyes:
Thanks as ever with lots of love.
It was before his first reduction. He was rising from greens newbie me wasn't comfortable with. Steered first with 11% then later with the 6% and he doubled.
On the feeder, neither is scared of it but neither will eat out of it. Put paw to drag out treat one time. Otherwise don't seem to care there is food and water in it - no matter how hungry.
Healing hugs to your house! :bighug::bighug:
 
Pmps 158, 0.5u, nibbled only but not worried yet. He likes to make me sweat.

Somebody probably would have had a great all green day if they didn't steal treats! :rolleyes:
 
Duration notes from Marje copied from Juliet thread:

duration is the entire cycle:

+0 - PreShot number.
+1 - Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number. Onset begins around +2 for most cats. You'll probably see an active cycle if the +2 is the same/similar OR lower than the preshot number. Continue testing!
+3 - Often lower than the PreShot number.
+4 - Lower.
+5 - Lower.
+6 - Nadir/Peak (the lowest number of cycle. NOTE: ECID. Not every cat has a mid-cycle nadir. Adjust the hours on this example to fit your cat.)
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (one of the quirks of Lantus/Levemir: some cat's blood glucose numbers dip around +10 or +11... not to be confused with nadir).
+12 - PreShot number.
Loss of duration is very difficult for most to pick out.
 
Duration notes from Marje copied from Juliet thread - part 2:

↑my question:
So why is it important for us to understand duration if we can't even figure what it truly is or it's too subtle for us to ascertain?

It’s important so you can figure out if kitty is bouncing or if he’s lost duration and is going to come right back down after the next shot.

It’s also important if the kitty has extended duration so you can tell if he/she is getting carryover and/or overlap.

Let’s say kitty is 60 at +5 but was fed a lot of HC food and so at +8, is at 285. The BG climbs a little more until the end of the cycle and is at 300 at PMPS. But at +2, kitty onsets from the next shot and drops to 175 and proceeds to have a green cycle. That’s indicative of loss of duration but most members would say it was a bounce that cleared fast.

Why is that important? Because the CG thinks kitty is bouncing and so no test is needed after PMPS until +4 before bed and guess what? Kitty is at 60!!!!

It’s also important because the CG thinks the kitty is bouncing instead of surfing but he can’t surf because of the loss of duration. The CG might think, “well this dose is barely getting him to green for very long” but it could be the HC putting the brakes on the duration.

It’s also important to know if the kitty has a longer duration. Gracie could nadir at +15 from the previous dose on Levemir which would be +3 from the current dose. And then she would onset at +4. I had to be prepared that she was going to likely take a big drop at onset.

While longer or shorter duration might be hard to spot, it can be done with a little practice, learning, asking questions. However, because so many members never learned to spot it, they tell others that it’s a bounce when numbers go up. Sometimes it is a bounce, sometimes it’s just the normal rise at the end of a cycle, sometimes it’s loss of duration.

Gracie's Spreadsheets/Labs; The Celebration of Gracie and her “OTJ” Video; Gracie’s Tribute Video
 
I couldn’t find an example on Myagi’s SS but there are several on Gracie’s after her endoscopy when things went crazy.

Click on her SS and acroll to 10/31. Remember she was on Levemir and so she often nadired at +12. She lost duration the a.m. cycle of 10/31, went up, came back down after PMPS. She bounced then and I gave her R so she was back down by p.m. cycle of 11/1. She lost duration that p.m. cycle, was up by AMPS and then came right back down and nipped green. Lost duration again but came back down in the p.m. cycle 11/2.

It was a trying time because she just couldn’t hold onto her duration and it wasn’t the insulin, the shot, etc. we believe something happened during her endoscopy because everything changed after that. You can see how she started getting into pinks and her overall curves were higher.

Let me know if you see what I’m talking about about. :)
 
Marje and Gracie said:
I couldn’t find an example on Myagi’s SS but there are several on Gracie’s after her endoscopy when things went crazy.

Click on her SS and acroll to 10/31. Remember she was on Levemir and so she often nadired at +12. She lost duration the a.m. cycle of 10/31, went up, came back down after PMPS. She bounced then and I gave her R so she was back down by p.m. cycle of 11/1. She lost duration that p.m. cycle, was up by AMPS and then came right back down and nipped green. Lost duration again but came back down in the p.m. cycle 11/2.

It was a trying time because she just couldn’t hold onto her duration and it wasn’t the insulin, the shot, etc. we believe something happened during her endoscopy because everything changed after that. You can see how she started getting into pinks and her overall curves were higher.

Let me know if you see what I’m talking about about. :)
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Gonna look now. Xo
 
Marje and Gracie said:
I couldn’t find an example on Myagi’s SS but there are several on Gracie’s after her endoscopy when things went crazy.

Click on her SS and acroll to 10/31. Remember she was on Levemir and so she often nadired at +12. She lost duration the a.m. cycle of 10/31, went up, came back down after PMPS. She bounced then and I gave her R so she was back down by p.m. cycle of 11/1. She lost duration that p.m. cycle, was up by AMPS and then came right back down and nipped green. Lost duration again but came back down in the p.m. cycle 11/2.

It was a trying time because she just couldn’t hold onto her duration and it wasn’t the insulin, the shot, etc. we believe something happened during her endoscopy because everything changed after that. You can see how she started getting into pinks and her overall curves were higher.

Let me know if you see what I’m talking about about. :)
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It was kind of hard for me to follow because of the R and her vomiting etc, but it looked like for a couple days she couldn't hold duration for more than 6 hours or so. But I didn't see how you got it changed. Also your own note said unclear if bounce, lack of duration or what. Those were crazy dives she took. What a difficult period for you. :bighug:
Your notes sections were amazing!
 
Myagi and Heidi said:
Also your own note said unclear if bounce, lack of duration or what.
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“Forest for the trees”. I was exhausted, worried, etc. it’s clearer to me now.

I didn’t get it changed. I think there was a physiological change in her. None of the things I’d done before worked. I believe it was because she was sick.:arghh:

I always thought detailed remarks were important for us and also to use in teaching.
 
Marje and Gracie said:
“Forest for the trees”. I was exhausted, worried, etc. it’s clearer to me now.

I didn’t get it changed. I think there was a physiological change in her. None of the things I’d done before worked. I believe it was because she was sick.:arghh:

I always thought detailed remarks were important for us and also to use in teaching.
Click to expand...
Love you
 
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