Trying to find article

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NancyJH

Member Since 2020
This morning I read a helpful article about how your BG is heading at 2 hours post shot. It gave percentages and gave a guideline on how things would be heading at nadir. I can’t remember if it was Prozinc specific or not. It was something like if at 2 hours it dropped 50% you would be heading for disaster at nadir, etc. The percentages were helpful to know but I can’t remember where I found it on this site. Thanks
 
Here you go :)

More than a number range, think of the percentage of the drop at +2, that may tell you if your cat is going to drop much lower. Think of that +2 as being an indicator of what direction the BG levels may be headed.
With Prozinc, if you see a 40%, 50% or greater drop, between the pre-shot and that +2, that's a serious heads up warning.
If you see a 20-25%, 30% drop, not quite so worrisome. But still be cautious.

Your cat drops 2 color ranges between pre-shot and the +2, pull out your hypo kit and plan on staying up to test.
Your cat drops 2 color ranges between pre-shot and the nadir, that is to be expected. But you don't want the drop to be much more than 50% between pre-shot and nadir with Prozinc.
Cats tend to bounce high if the drop is 50% or more from pre-shot to nadir.
So you steer those mid-cycles with food, to slow down the steep drop and stop the bounces from being too high.

The steeper the drop, the higher the bounce.

It's a balancing act.

The +2 is like an "early warning" for most cats!
If the +2 is about the same as the PS, it's usually a pretty normal cycle...dropping down to nadir and then rising back up again. (About the same means taking meter variance, that 15% variance that hand held glucometers are allowed to have into account)
If the +2 is higher than the PS, that usually signals a bounce, and those are the cycles when you can usually take a break from testing.
If the +2 is lower than the PS, that's your "Early warning" that kitty might be going much lower later in the cycle so it's important to plan on getting another test or two (or 6) in.

It doesn’t work every time or with every cat. But it does hold true most of the time, so keep this in mind for next time.

It also kind of depends on what BG pre-shot your cat started out the cycle with. Lower than normal, keep a closer eye on the cycle. Lower than you are used to shooting, a number you may not have given insulin before, keep a closer eye on the cycle. Stalled and number rose some, but you did a reduced shot, maybe another test or 2 to see how much the number is rising.

It makes a big difference if your cat starts the cycle in the pink 300-399 mg/dL range (16.6 - 22.16 mmol/L) then if they are in the blue 150 mg/dL range ( 8.3 mmol/L).
 
It's an expanded write-up I did specific to Prozinc.
A bit more information than was contained in Chris & China (GA) post about the +2 BG number being an indicator of what direction the BG numbers were headed.
That +2 test can be invaluable. Highly recommend getting one every cycle if possible. Especially in the PM cycle, when you may need to get some sleep. ;)

I wrote it up in a Word document, and copy and paste it here as needed.
I should probably put it out on google drive for folks to find easier.
Will try to remember to do that, if someone bugs me about it.:facepalm::rolleyes::p
 
The information @Deb & Wink posted is indeed helpful. However, please keep in mind that every cat is different. You need to know how your cat responds to insulin and to food. You need to know when your cat's insulin onset and nadir fall. You also need to keep in mind that there can be considerable variation depending on which insulin you're using. Deb's information is based in experience and observation. It's not based on scientific research -- it doesn't make it any less useful but when you described this as an "article," I immediately thought in terms of a veterinary journal article versus a post on this board and was scratching my head.
 
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