8/2 Luna - AMPS 365, +6 186, +8 120, PMPS 159, +3 249, +5.5 329
- Thread starter For_Luna
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Crista & Ming
Member Since 2018
Any reason why you're holding doses for this long? On TR, you can change as much as after 6 cycles.
Also I'm curious, what does 1.13 unit look like?
Also I'm curious, what does 1.13 unit look like?
For_Luna
Member Since 2019
We're still on 1.13u because we're getting green numbers in the afternoon and blues at night. And the last time we increased to 1.25, she dropped to 41 before her nadir on the very first dose. Luna bounces after every single low number, so we give her 3 days to clear and then adjust after that. If you look at the last 11 days, she's come back down every time.
The high numbers, and someone who's been around longer can correct me if I'm wrong, are just a reaction to the lows. I'm told eventually that will stop and we'll start seeing a more consistent spreadsheet.
1.13 might not be the best thing to call it, but it helps when I look at the sheet. Some people say a "fat 1u". AmandaE shared this a while back. Basically put the plunger on the back side of the 1u marker. Probably not super accurate, but it seems to be working for Luna. 1u wasn't enough and 1.25 was too much.
What a cat does over two weeks ago at a dose is no indicator of what she will do now on that dose. I wouldn’t use that lime a while ago as a reason to not try 1.25 again if you can monitor. Which brings up my question, is there a reason you are always testing at +6 in the AM now? A cat’s nadir can move around and I see lots of +4-5 and +7 nadirs on Luna’s SS.
For_Luna
Member Since 2019
I'm not opposed to trying 1.25 again, but do we need to? The steep drops from AMPS are a little concerning. We dropped over 300 on 7/24 & 7/31, and almost as much a few other days. And we're getting greens and blues in between the bounces.
If a higher dose would stop the bouncing and bring down the AMPS and overnight numbers, I would be willing to give it a try again even with the good numbers we're getting now. I would just be worried she would drop too low in the morning. But she will more than likely drop below 50 again (has done so 3 times already on 1.25).
I test at +6 because it fits with my work schedule, and it's a good indication if I need to test more before PMPS. If we increase the dose or she has a low start to the day, I get a +3 to see how things are going. There's a method to my madness and so far it's working to keep her safe.
I thought the +6 might be work related, but I saw seven days in a row and figured you might be a workaholic! 
I used to be afraid of high starts, cause Neko could drop a lot farther with a high start. Low starts were more predictable.
What is you AM feeding schedule? Just wondering if there is a way to slow her drops a bit with food. If Luna is dropping from on high, seems to do the biggest drop before +3. Some extra food before onset might slow her down a bit.
I used to be afraid of high starts, cause Neko could drop a lot farther with a high start. Low starts were more predictable.What is you AM feeding schedule? Just wondering if there is a way to slow her drops a bit with food. If Luna is dropping from on high, seems to do the biggest drop before +3. Some extra food before onset might slow her down a bit.
For_Luna
Member Since 2019
She gets a larger meal at 9AM with her insulin, then smaller meals at 1PM and 5 PM. We were kicking around a few different ideas to slow the drop. Right now we're trying a 6-7% carb food instead of her usual 1-2%. Today is day 2 of that experiment, so not sure if it's doing anything. Though the +6 today looks promising. If that doesn't work, we might try 4 meals of 1-2% food every cycle. 9, 12, 3, 6. Night time is similar feeding scheduleI thought the +6 might be work related, but I saw seven days in a row and figured you might be a workaholic!
What is you AM feeding schedule? Just wondering if there is a way to slow her drops a bit with food. If Luna is dropping from on high, seems to do the biggest drop before +3. Some extra food before onset might slow her down a bit.
Crista & Ming
Member Since 2018
I sometimes feed a smaller meal at shot time and then a larger meal before onset because Ming loves to dive. He’s not too carb sensitive and I’ve been using honey in his LC food to slow dives down. I like the honey because its effect dies off in an hour or so. That’s what works for me.
Last night he went from 374 at PMPS to 86 at +5. He’s on Levemir so his onset is a bit later but I sometimes start to see action as quickly as +2. But he stayed flat in the greens with only minimal carb intervention. I fed him honey + 1/4 can LC at +5 and then gave him the rest of his LC food at +6. I fell asleep and tried to wake up to test him as often as I could. I decided not to intervene with food even though he was going lower because I have collected enough data to feel confident he would surf. Of course I would not recommend this until you are familiar with your cat (even then they will be sometimes unpredictable
)
Just some ideas of what I do.
Looks like Luna might give you a nice cycle tonight. Are you able to monitor tonight and perhaps catch some tests beyond +3?
Last night he went from 374 at PMPS to 86 at +5. He’s on Levemir so his onset is a bit later but I sometimes start to see action as quickly as +2. But he stayed flat in the greens with only minimal carb intervention. I fed him honey + 1/4 can LC at +5 and then gave him the rest of his LC food at +6. I fell asleep and tried to wake up to test him as often as I could. I decided not to intervene with food even though he was going lower because I have collected enough data to feel confident he would surf. Of course I would not recommend this until you are familiar with your cat (even then they will be sometimes unpredictable
)Just some ideas of what I do.
Looks like Luna might give you a nice cycle tonight. Are you able to monitor tonight and perhaps catch some tests beyond +3?
For_Luna
Member Since 2019
I sometimes feed a smaller meal at shot time and then a larger meal before onset because Ming loves to dive. He’s not too carb sensitive and I’ve been using honey in his LC food to slow dives down. I like the honey because its effect dies off in an hour or so. That’s what works for me.
Last night he went from 374 at PMPS to 86 at +5. He’s on Levemir so his onset is a bit later but I sometimes start to see action as quickly as +2. But he stayed flat in the greens with only minimal carb intervention. I fed him honey + 1/4 can LC at +5 and then gave him the rest of his LC food at +6. I fell asleep and tried to wake up to test him as often as I could. I decided not to intervene with food even though he was going lower because I have collected enough data to feel confident he would surf. Of course I would not recommend this until you are familiar with your cat (even then they will be sometimes unpredictable
Just some ideas of what I do.
Looks like Luna might give you a nice cycle tonight. Are you able to monitor tonight and perhaps catch some tests beyond +3?
Thanks for the tips! Might be worth a try to get this bouncing under control...if that's even possible.
If things look weird at +3 or she drops from PMPS, I'll be sure to test her again. We've already had a couple of all nighters.
But if she shoots up her usual 200 pts at +3, we're both getting some sleep.
Tomlin
Member Since 2019
I agree with the others. I know we've briefly touched on getting some carbs involved to see if that helps regulate the BG better. I'm hoping it will!
carfurby (GA)
Member Since 2012
Nice slide to blue today. Good luck with the food experiment.
A couple thoughts. First, giving food after nadir, when insulin effect is already fading, can put the brakes on the insulin action, shorten duration, and give you higher preshots. Higher PS means further to dive, and dives can lead to bounces. Instead of feeding at +4 and +8, and once you’ve finished the current food experiment, you could try feeding at +2 and +6. The +2 would give you fresh carbs before onset, the later one could help tide the savage beast over until the next PS meal. Not saying Luna is a savage beast, but mine was when it came to food. Anyway, just some thoughts to see if we can flatten her out a bit.
Nice PMPS, paws crossed for a lovely surf tonight.
Nice PMPS, paws crossed for a lovely surf tonight.
That +6 will tell you if it's night time bouncing.