BOUNCING confusion!

Arathi & Yuki

Arathi & Yuki

Member Since 2018
hello all, some advice about bouncing would be much appreciated....does bouncing also raise the glucose in the urine?
is it possible for a cat to be constantly stuck in a cycle of bouncing?
so confused right now about whether yuki is bouncing or just needs a higher dose. her numbers are all over the place. increased her dose by 0.25, and monitoring her.
many thanks !
arathi
 
Arathi & Yuki said:
hello all, some advice about bouncing would be much appreciated....does bouncing also raise the glucose in the urine?
is it possible for a cat to be constantly stuck in a cycle of bouncing?
so confused right now about whether yuki is bouncing or just needs a higher dose. her numbers are all over the place. increased her dose by 0.25, and monitoring her.
many thanks !
arathi
Click to expand...
I just increased .25 as well and got an ugly number. I think Rumpy is bouncing as well, but it is still unclear to me.
 
There is fundamentally no difference between urine and blood glucose. The difference is more related to time. When you test BG, your reading is telling you what the level is now. With UG, the reading is hours old. (Urine has to collect, the bladder fill, and your cat needs to decide to use the litter box.)

Looking at Yuki's spreadsheet, it's hard to make a definite statement about bouncing. It would be very helpful if you could get a "before bed" test every night. Many cats experience lower numbers during the PM cycle. You don't want to miss any dose reduction worthy readings. It's especially important to get tests at night if you can't test during the day.You really need more data to reliably answer your question.

Could you make a note in your in your signature about which dosing method you're using -- either Tight Regulation or SLGS? The point at which you reduce the dose and the amount of time for evaluating the dose differ between the two methods.

As to your question about bouncing, it's certainly possible for a cat to bounce, clear the bounce which may mean that numbers drop low, and then bounce again. What I do want to point out, however, is that Lantus dosing is based on the nadir -- the lowest number in the cycle. You raised Yuki's dose based on the pre-shot numbers. The 49 on 4/20 indicated that you need to reduce the dose. (You reduce if numbers fall below 50 in a cat that's within a year of diagnosis if you're using Tight Regulation and you reduce if numbers fall below 90 with SLGS.) Instead, you held the dose and then increased. In other words, you're giving Yuki too much insulin.
 
Sienne and Gabby (GA) said:
There is fundamentally no difference between urine and blood glucose. The difference is more related to time. When you test BG, your reading is telling you what the level is now. With UG, the reading is hours old. (Urine has to collect, the bladder fill, and your cat needs to decide to use the litter box.)

Looking at Yuki's spreadsheet, it's hard to make a definite statement about bouncing. It would be very helpful if you could get a "before bed" test every night. Many cats experience lower numbers during the PM cycle. You don't want to miss any dose reduction worthy readings. It's especially important to get tests at night if you can't test during the day.You really need more data to reliably answer your question.

Could you make a note in your in your signature about which dosing method you're using -- either Tight Regulation or SLGS? The point at which you reduce the dose and the amount of time for evaluating the dose differ between the two methods.

As to your question about bouncing, it's certainly possible for a cat to bounce, clear the bounce which may mean that numbers drop low, and then bounce again. What I do want to point out, however, is that Lantus dosing is based on the nadir -- the lowest number in the cycle. You raised Yuki's dose based on the pre-shot numbers. The 49 on 4/20 indicated that you need to reduce the dose. (You reduce if numbers fall below 50 in a cat that's within a year of diagnosis if you're using Tight Regulation and you reduce if numbers fall below 90 with SLGS.) Instead, you held the dose and then increased. In other words, you're giving Yuki too much insulin.
Click to expand...

Thanks for your reply. We are following SLGS. I will take more readings, especially nadir ones.
 
No. You have two instances where you should have reduced the dose and didn't. The numbers on 4/23 may reflect some bouncing off of the 59. In addition, you have no idea if the 59 was the lowest that Yuki dropped. Some additional tests would let you know if it was safe for you to go to sleep. The only time you look at the nadir in isolation from the other numbers is if a dose reduction is warranted.

There is a pattern to the numbers and you can't always trust that a reading somewhere around the middle of the cycle is the nadir. With SLGS, you need to be getting a curve once a week. I've read a lot of spreadsheets and I would not be able to tell you where Yuki's nadir or onset fall. Some cats have early nadirs (Gabby's nadir was at around +3) or late nadirs and nadirs can change. It's important to have this kind of information or you will not be able to keep Yuki safe nor will it be easy to make sense out of the numbers. I'd encourage you to dig around on the board and look at the spreadsheets of other members using SLGS (or TR, for that matter). I tested a lot but that was me and my preference. Gabby was a challenge. Other kitties are more straightforward.

 
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