9/7 - GIDEON BLUE - AMPS = 384, inc dosage to 2 units BID, +3=444, +7.5=317, PMPS=417, +3=385.

[Shiloh567]

https://www.felinediabetes.com/FDMB...e-amps-370-4-443-8-461-pmps-496-3-460.234823/

Yup, my boy is a tough one to regulate....actually his glucose levels are much like a bouncing ball.
This morning we increased his Lantus dose to 2 units BID. We have been there before, actually several times, and have had to decrease due to Gideon going hypo.

Yesterday, I made sure I had a wide variety to MC and HC food in case of a hypo event. I also have Karo. I put the food in plastic shoe boxes and labeled them based on the carb %age of the food inside. I have one that is (10 - 13), (14 -15), (17, 20, 23-25, & 27). I am hoping I will not need them.

Thank you for your assistance on our journey.

 

[JaxBenji]

Good luck! You are so prepared! and I love writing the carb % with sharpie on the cans to keep my brain straight Sounds like you have a great system to feed the curve!

 

[tiffmaxee]

I hope this time Gideon is getting the message! If he continues to try to win the award for how high can I jump and dive safely it might be time to consider a switch to Levimir. Although it hasn’t helped Jayla’s Dre it has helped others like Luci. @Sue and Luci What do you think?

 

[Sue and Luci]

One rule of thumb that I always tried to do was if Luci dropped 100 points or more that was my 'call to action'. Medium carb food and test again in 30 minutes...to fend off going hypo...

Keep trying...sooner or later that pancreas is going to stabilize and things will get a bit better.

 

[Shiloh567]

Thanks Sue. Gideon did drop more than 100 today, but it was hours apart. At what timeframe should I start to give medium carb with a 100 point drop? For example if we start at 400 AMPS, and test at +3 and he is 299, med carb food would be good, or is 299 still not low enough at +3 to be concerned of a hypo event?

I did read this week on the Facebook page of a kitty that went hypo and didn't make it. They did not get insulin that morning, because their BG was low, and they continued to go lower. Karo did not help, and the ER vet could not stabilize. This really had me concerned, especially with no insulin being given. I wonder if other issues can lower a kitties' BG.

 

[tiffmaxee]

Thanks Sue. Gideon did drop more than 100 today, but it was hours apart. At what timeframe should I start to give medium carb with a 100 point drop? For example if we start at 400 AMPS, and test at +3 and he is 299, med carb food would be good, or is 299 still not low enough at +3 to be concerned of a hypo event?

I did read this week on the Facebook page of a kitty that went hypo and didn't make it. They did not get insulin that morning, because their BG was low, and they continued to go lower. Karo did not help, and the ER vet could not stabilize. This really had me concerned, especially with no insulin being given. I wonder if other issues can lower a kitties' BG.

The question I have with that is done did they not test long enough at night? I’m not on FB so don’t know specifics. It’s why I never stopped testing until late enough at night and no food for two hours. Very sad. It’s also why a day high is far better when a cat can’t be monitored

 

[Sue and Luci]

At what timeframe should I start to give medium carb with a 100 point drop?

The general rule we follow around here - and I've had to tell DH this - anytime Luci drops 100 points - if it's from 300 to 200, then it might be an active cycle and although we don't feed MC at those numbers, I ask him to get another test either at one hour or 90 minutes later...if she's dropped another 100 points then we're pretty sure she won't stop until she bottoms out...Luci has a tendency to dive, dive, dive.

I probably wouldn't bother trying to feed the curve (a dropping number) IF she was over 200...it's the under 200's where things can get tricky...

The problem with these kitties is they just won't tell you when it's coming! Did you see what Luci did this morning? DH forgot to check her earlier and she was on her way down to see the sharks...so about all I can say is agree to check again when there's a 100 or more drop...save the MC/HC food for when he gets closer to 100's...or seems to be progressing too quickly.

It's all in the testing...that's the only way we know what the heck is going on.

As far Facebook...so many of those people are new to diabetes...and are listening to their uninformed vets who've told them to go home and shoot 2 units and come back next week...only problem is they don't tell them to test...OR they don't know how to test yet...

Just remember testing is your best insight into what's going on with your cat...test, test, and test some more...that's what will make all the difference in the world...

 

[AliceR]

One rule of thumb that I always tried to do was if Luci dropped 100 points or more that was my 'call to action

Hi. 100 points over how long?

Catman man was competing in the bounce-off but just leveled our in the pinks and yellows untile yesterday.

 

[Sue and Luci]

Hi. 100 points over how long?

Catman man was competing in the bounce-off but just leveled our in the pinks and yellows untile yesterday.

For us, it's just from one test to the next - if she drops 100 points between AMPS and ideally 2+, then I give her a bite of MC (if she's significantly below 200 at that point)...then I set an alarm to get another test in an hour.

For example,this morning she was 281. If I test her at 2+ and she's under 181, that's a 100 point drop, time for me to pay attention as it's likely that she'll drop rapidly for another few hours. While I'm not trying to stop her from getting down into better numbers, I am trying to slow the drop...so she'll get a teaspoon of MC with LC and then another test in an hour.

If she drops from 281 to under 100, she'll get a larger portion of MC, no LC, because that's a much bigger drop. And I set an alarm to get another test in an hour.

But these are behaviors/responses I've learned over time. Every cat is different and you may find that your cat doesn't respond as well to MC food. If so, then use only LD. It's a trial and error kind of thing.