LT 8/17 AMPS=396, +2.25 238 +3 86 3.5 90 +4 91 +5 83 +6 114 +8 410 +10 519 PMPS 452

Suzanne Burton

Suzanne Burton

Member Since 2019
Yesterday's Post http://www.felinediabetes.com/FDMB/...-5-82-6-80-7-78-pmps-576.218206/#post-2425862

As you can see, yesterday was pretty interesting. Ended the night in the black, but starting this morning in the violet and hoping to get to the yellow daisies during the day. Two acts of contraband thievery yesterday, but I've got things locked down now.
Testing is going so much better, except in the morning where he's anxious for food, and then it takes 2 of us. I plan on doing some testing at times that haven't been tested. I hope sometime to do some tests in the nights, but due to my Addison's disease getting up in the night can adversely affect my health. Of course, he was flying too low at night, I would test him. Thanks to all who stuck with me yesterday - LT, Bob (DH), and I certainly appreciate it.
 
Moving down. Will check at +3. If it's ok at+3, then I'm going to do +5, 6, 7, and 10. Wanting to see if I can narrow down the nadir.
 
So LT decided blue wasn't worth it and dove into the green. I'll check in a half- hour and, if he goes below 68, do the same as yesterday right (except leave out the chix. soup and kibble thievery parts)? Should I not of given him a full dose this a.m.? And what about tonight?
 
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Do you think the +8 of 410 is a bounce or do you think he is running out of insulin prior to the end of the cycle? He was doing so well today and I know he didn't get any food anywhere. I did give him 2 small pieces of canine Salmon Purebites, but I don't see any carbs on the label.
 
It seems since he went low today, that the carbs/bounce was clearing. Otherwise wouldn't he have stayed high all day? We are just 8 days in, and the good news is testing is going well and shots are going well and he eats really well. He's also more playful and putting on weight. But I'm baffled by these numbers. He's getting Friskies Poultry Platter, 95 grams each meal which is 116 calories/meal. Plus he gets a few bites of boiled chicken breast (plain, no additives). Is there still a chance these fasting numbers will settle down?
 
By what you describe, LT is feeling better already. That's great!
I saw it described here, that AMPS and PMPS look like bookends in the beginning, with lower BGs in the middle of the cycle. After some time, those higher AMPS and PMPS numbers will look more like the better numbers during mid-cycle. I have been watching it work like that in several other spreadsheets.
Sorry if you already knew that . . . I am still trying to understand :cat::).
 
Thanks, Jan. I don't remember previously hearing what you wrote about the BGs often being higher at the AMPS and PMPS. That's a great explanation - I just need to put on my patience pants and try to get 3 days in a row with a good shot and no carb heisting. He's looked all over today, even trying to get into the diabetic dog's Glycobalance food - talk about desperation :eek:.
 
Suzanne Burton said:
His numbers are worse today than when he got into the kibble yesterday. These later cycle numbers are worse than when he was diagnosed. I just don't understand how he can be going so high? @Chris & China (GA) .
Click to expand...

Suzanne, that's just his body reacting to the low numbers he had earlier today. When they get back into good numbers, their body isn't used to that - and his system is then flooded with stored up glycogen (sugars) which is then in his blood stream and you test and see all that high sugar - it'll come back down and lets hope he can get off the trampoline and do it a bit more gently for your sake. It's hard to see nice green numbers and then those screaming take-offs way way back up high into the reds and blacks...but it happens - we've seen that a lot when kitties first start on insulin. This is a big shock to their systems - and you'll have to buckle up - because the ride is just getting started. Hang on...hopefully it'll settle out sooner than not! At least he's already hitting those nice green lagoon numbers - that's when he's in the healing zone - so the longer he's there, the better...just gotta keep him from going too low - glad to hear he's eating and perhaps becoming a little more cooperative? Give him treats - like the freeze dried salmon in the morning - just enough to keep him calm while you get that first test - a little freeze dried salmon isn't going to change his numbers - as you're testing.

My Luci is the same way - she's not going to sit around and wait for the clock to test/eat!:facepalm: She has a hearty appetite and wants her food shortly after I get up - so I'd better not be fooling around long with preparations - because she's hungry and demanding her breakfast and her dinner!

It'll get better with each day! You're doing a terrific job! And so is DH :) Perhaps he'll get up sometime in the night and help you out by getting a quick test??? Sometimes this FD takes a 'team' approach to cover all the bases :rolleyes:
 
Take a look at this graph. LT would be on the left side. It takes time for the body to realize that lower numbers are perfectly fine and not a threat. Patience pants.

  • "Fluctuations are very common in this phase before BGs start to stabilize under consistent dosing: a typical curve of cat over the first 1.5 months on Lantus can be seen here: Lantus Starting Graph".
 
My mom always used to tell my dad, who was short on patience (it must be hereditary), that "Patience is a virtue." Thanks everyone for being patient with me. It's these big swings that drive me crazy. But the info you have given me shows me the big picture - sometimes it's hard to see that when I'm down in the trenches. If I get up in the night for a test, what is the best time in the cycle to test? I usually wake up between 2 and 3:30 which would be around +8 - +9.5.
 
How about a +3 or +4? Then a + 6 depending on the number at +4. If you see a decent drop at +4, for example, you might want to check again. The whole point is more data collection to find the Nadir, or peak of the insulin during the PM cycle. It isn't always at the same hour as the AM cycle. Several nights, I would recheck numbers until I could predict when the rise started. That data helps so much. But, diabetes is never completely predictable so we can never get overconfident.

I used to lose more sleep than I do now. Being able to finally understand your cat's cycles better is so helpful. I have finally adjusted to the alarm at night, plus I don't have to use it as often!
 
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