Good job, keep it up. Give him some HC if he drops below 68. Deb will have to tell me when a good time to introduce MC, I'm not too familiar with Alphatrak numbers, the rules are a little different.
When using an Alphatrak, I prefer to start the MC food if the BG is <80-90 mg/dL early in the cycle. If the LC food doesn't bring the number up > 80 at the next retest in 20 minutes, then you want to feed the MC food and to retest again in 20 minutes.
WHEN that low happens is important. If you got that 80-90 later in the cycle, around +5 to +6, maybe a teaspoon of LC food would have done the trick.
If you got a number <68 at mid-cycle, maybe a teaspoon of MC food would have been enough.
Early in the cycle, <68, still dropping, bring out the HC food and have the simple sugar (karo, honey, corn syrup, etc.) standing by.
It's all about "Know thy CAT" and how YOUR cat will react to the carb levels in the food.
These are my opinions that I'm stating below. There is no hard and fast rule that talks about these numbers.
Dropping <68 with an Alphatrak is like dropping <50 with a human meter. You need to monitor and bring those numbers up.
Below 40 human meter, below 50 pet meter, you break out the karo syrup, no questions asked. And keep testing for at least 2 hours, and seeing rising numbers because those simple sugars wear off fast. If you are only feeding the gravy from the HC food, that wears off fast too, so you need to keep monitoring and feeding, until you see consistent rising numbers for at least 2 hours. Preferably until after nadir, as the insulin is still having an effect and may drop those BG levels again.
With trace ketones, try that token dose, of 10-25% of the regular dose. You don't really want to skip if your cat has ketones.
p.s. A DAYTIME pajama party?
I believe my guy definitely earned a dose reduction tonight. He’s 329 PMPS.
