12/2 Ruby AMPS 168/+3 79/+5 62/+6 64/PMPS 126/+2 106/+3 92/+4 82

[Katherine&Ruby]

Hello world!

New day in the poop saga : The Weruva pumpkin remains undetected in Ruby's bowl as she gobbled up ⅜ tsp of it this morning.

Sending healing thoughts to all of the sick kitties and hugs to all of you who love them so. Have a wonderful day, everyone!

 

[carfurby (GA)]

I hope the pumpkin makes a difference. Nice start. I hope you get a blue/green surf today.

 

[Colio]

Good news on the pumpkin! Hope you and Ruby have a good day today

 

[Diane Tyler's Mom GA]

Afternoon Katherine, nice greens for Ruby , surf safely little girl, I'm glad she
ate the pumpkin , hope it helps, have a good day
She has such a beautiful face

 

[Katherine&Ruby]

@Gill & George I'm not sure if the new feeding schedule is working to keep Ruby from diving early on, like this morning, but it seemed to work last night? Please take a look at her spreadsheet if you have a moment and let me know what you think. She been eating well for the past two days, even with the introduction of the pumpkin and probiotics mixed into her food. She pooped again today, so perhaps that helps her appetite as well. Spacing out smaller portions and feeding her mostly before +5 is keeping her hungry at least, so come shot time she's starving and doesn't seem to notice the needle (I've had to chase her 1 out of 3 times for her shot these days).

 

[Gill & George]

Hi Katherine,
I think this morning and yesterday mornings cycles look great.
Last nights pm cycle was flat, like a mini bounce, she didn't really seem to have a curve.

This morning she started of from a higher point, and when that happens you do tend to get a sharper drop, like you saw this morning. We can never know for sure, but because you fed early on with the small snacks you probably helped her surf rather than having her continue dropping through the cycle.

Overall I think she is looking quite good, so far, I would see for a couple more cycles see what the trend is. With insulin being a hormone there are many things that will influence it's absorption, and is action, as will the food she eats, how quickly she absorbs that and metabolises it, and all that can influence an individual cycle. So it's more important to look at trends than focus on one particular cycle.


I'm going to ask you a question,
when does she usually nadir?
When is her onset?

 

[Cheryl & Jazzy]

I'm glad the pumpkin is working for Ruby. If it goes undetected it's so much easier. Glad she was able to poop again today. Have a great day

 

[Katherine&Ruby]

Hi Katherine,
I think this morning and yesterday mornings cycles look great.
Last nights pm cycle was flat, like a mini bounce, she didn't really seem to have a curve.

This morning she started of from a higher point, and when that happens you do tend to get a sharper drop, like you saw this morning. We can never know for sure, but because you fed early on with the small snacks you probably helped her surf rather than having her continue dropping through the cycle.

Overall I think she is looking quite good, so far, I would see for a couple more cycles see what the trend is. With insulin being a hormone there are many things that will influence it's absorption, and is action, as will the food she eats, how quickly she absorbs that and metabolises it, and all that can influence an individual cycle. So it's more important to look at trends than focus on one particular cycle.

Thank you so much for taking the time and care to check out Ruby's numbers! I agree she's looking great. I am just having a hard time figuring out how sensitive she is to her food, if at all. I don't see food spikes after meals. Even when I fed her 28% HC on 11/28 and 11/30 when she went low, she didn't skyrocket as expected.

I'm going to ask you a question,
when does she usually nadir?
When is her onset?

Those are very good questions! I think her onset moves around a lot as do her nadirs, so she's hard to pin down in that regard. I like testing her at +3 after her morning shot because I think that is on average when onset occurs. Today, she reached her nadir around AMPS +4 or +5 which is when I think it usually happens on average. Yesterday it was earlier and the day before even earlier.

What are your thoughts?

 

[Gill & George]

+4 or +5

Yes I think she often nadirs then, so a little earlier than +6
Until they are very well regulated the nadirs do move around, George nadired as early as +2 and as late as +12., though he more often was around +5 +6. He wasn't overly carb sensitive first time round.

I think her onset moves around

They will do

I like testing her at +3 a

I think that by the time you test at +3 she has often already onset an hour or two earlier.

Let's look at today, she started at 168, my guess is that if you had tested her at +1 you would have seen a drop instead of a spike from the food, that doesn't mean that she hasn't had one (or is not carb sensitive) it's just that it's masked by the insulin onsetting early.
Take 11/30 pm cycle, started at 100, by +2 she was 77, so she also had already onset by +2, the cycle started somewhere between +1 and +2, or maybe before +1.
Take 11/29 pmps122 +2 110, +2 almost the same as pmps, no food bump, again this was an active cycle, so that's why you didn't see a food bump, on this occasion, if I had to guess I would say she onset closer to +2 than the previous two examples and if you had got the +1, you might have seen a slight rise in BG.

I think if you started regularly getting +1 and +2 you would soon see that her onset is often in that area.

On the day she had dropped low by +3 and it took a while to get her to stay up, it is likely she would have signalled that to you with a sharp dip. maybe into the high 50's or low 60's. How does that help, well it helps because you can feed at that point, and you can target the carbs. For instance, if I saw a sharp dip at +1, I would give a higher LC instead of his usual 3% ish he would get an 8 or 9%, maybe higher if I couldn't monitor for some reason.
With George a drop at +1 often signaled a very active cycle, and because he wasn't carb sensitive I had to get proactive with the carb choices. If +1 was about the same then he would probably have a normalish cycle, +2 would tell me more.

So my advice would be start testing +1 /+2, depending on what the numbers suggest then you could skip some of the latter tests. Move the testing around a bit more, once you get a feel for it.

 

[Katherine&Ruby]

Yes I think she often nadirs then, so a little earlier than +6
Until they are very well regulated the nadirs do move around, George nadired as early as +2 and as late as +12., though he more often was around +5 +6. He wasn't overly carb sensitive first time round.


They will do

I think that by the time you test at +3 she has often already onset an hour or two earlier.

Let's look at today, she started at 168, my guess is that if you had tested her at +1 you would have seen a drop instead of a spike from the food, that doesn't mean that she hasn't had one (or is not carb sensitive) it's just that it's masked by the insulin onsetting early.
Take 11/30 pm cycle, started at 100, by +2 she was 77, so she also had already onset by +2, the cycle started somewhere between +1 and +2, or maybe before +1.
Take 11/29 pmps122 +2 110, +2 almost the same as pmps, no food bump, again this was an active cycle, so that's why you didn't see a food bump, on this occasion, if I had to guess I would say she onset closer to +2 than the previous two examples and if you had got the +1, you might have seen a slight rise in BG.

I think if you started regularly getting +1 and +2 you would soon see that her onset is often in that area.

On the day she had dropped low by +3 and it took a while to get her to stay up, it is likely she would have signalled that to you with a sharp dip. maybe into the high 50's or low 60's. How does that help, well it helps because you can feed at that point, and you can target the carbs. For instance, if I saw a sharp dip at +1, I would give a higher LC instead of his usual 3% ish he would get an 8 or 9%, maybe higher if I couldn't monitor for some reason.
With George a drop at +1 often signaled a very active cycle, and because he wasn't carb sensitive I had to get proactive with the carb choices. If +1 was about the same then he would probably have a normalish cycle, +2 would tell me more.

So my advice would be start testing +1 /+2, depending on what the numbers suggest then you could skip some of the latter tests. Move the testing around a bit more, once you get a feel for it.

This is all so very helpful! So grateful that I have a pro like you analyzing her numbers. I would love to see flatter curves from this little cat! I will get more + 1 and +2 readings in the mornings as I often feel totally caught off guard by her dips and dives. Every +2 I've taken in the PM is almost always lower than PMPS, which makes me a little crazy. I look at other spreadsheets with nice obedient cats who don't have active evening cycles and get jealous! I went to the pet store yesterday and stocked up on a variety of what looks to me like delicious MC canned foods that I can use with her usual LC to guide. I'll also look on Dr. Pierson's list for 8% and 9% foods as LC alternatives to the 2% FF Turkey & Giblets she loves so much.

Thank you, Gill!

 

[Katherine&Ruby]

+2 = 106. Since Ruby's dropping quickly, I added 1 tsp of 16% MC to her +2 mini meal of 1/4 can Fancy Feast to see if I can level her off. Getting some higher carb LC tomorrow. See you all at +3!