1/20 Nacho AMPS - 295 (16.4) on new dose of 3.5units

Trace248

Trace248

Member Since 2021
Good morning guys! Good news on the Nacho front with his blood levels back in the yellow. Yes I am aware it may probably due to new dose wonkiness, but either way this helicopter mother is pleased that we are heading in the right direction once more! I'll check him again around 11am to see how he's doing :-)
 
Yeah for that yellow preshot. :)

New Dose Wonkiness makes numbers go up, not down. I wonder how low he got last night. Getting those before bed tests is a good habit to get into as many cats go lower at night and we dose based on how low the dose is taking the cat.

Here's the link to your previous post here, which we include for connectivity. https://www.felinediabetes.com/FDMB/threads/1-19-day-1-new-dosage-3-5units.241703/
 
Wendy&Neko said:
Yeah for that yellow preshot. :)

New Dose Wonkiness makes numbers go up, not down. I wonder how low he got last night. Getting those before bed tests is a good habit to get into as many cats go lower at night and we dose based on how low the dose is taking the cat.

Here's the link to your previous post here, which we include for connectivity. https://www.felinediabetes.com/FDMB/threads/1-19-day-1-new-dosage-3-5units.241703/
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I promise I'll get one tonight.... had an early start this morning so had to get the zzzs but day off tomorrow. I'll try and get one at 11am today and 11pm tonight as well
 
Wendy&Neko said:
Yeah for that yellow preshot. :)

New Dose Wonkiness makes numbers go up, not down. I wonder how low he got last night. Getting those before bed tests is a good habit to get into as many cats go lower at night and we dose based on how low the dose is taking the cat.

Here's the link to your previous post here, which we include for connectivity. https://www.felinediabetes.com/FDMB/threads/1-19-day-1-new-dosage-3-5units.241703/
Click to expand...
Hmmm that's interesting then about the drop in sugars. I'm glad I decided to go a bit lower with the 3.5..... I was talking to a friend yesterday about it as she has diabetes and she said the jump in insulin sugggested from the vets was not based on any real data. We were checking him once a month with the vet and based on that one test his levels were put up to 6 units! At least now I am learning and know better
 
Cats that are used to high numbers will bounce from yellow. Not saying he is bouncing today, but we could tell at your next test.
 
Most vets increase in 1 unit increments, a few vets in 1/2 unit increments. Increasing in 1/4 unit increments means you won’t go past the best dose and it’s safer for the kitty. And as long as you are testing you can be confident you are not overdosing.
And if you are following the TR protocol or SLGS method you should do well.
Have you decided to do the TR? If so can you put it in the signature please as we always look at the signature and SS before giving dosing advice.:)
 
Bron and Sheba (GA) said:
Most vets increase in 1 unit increments, a few vets in 1/2 unit increments. Increasing in 1/4 unit increments means you won’t go past the best dose and it’s safer for the kitty. And as long as you are testing you can be confident you are not overdosing.
And if you are following the TR protocol or SLGS method you should do well.
Have you decided to do the TR? If so can you put it in the signature please as we always look at the signature and SS before giving dosing advice.:)
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I really don't know what's best. What I mean by the vets, is that 1 blood sugar test once a month was not nearly enough data to increase it to 6 units in a 4 month period. Just my opinion. I guess I need to see what the next few tests hold for him, I don't want to increase him too quickly until his body adjusts and with the TR approach I would already be increasing him tomorrow night....
 
Testing once a month is definitely not enough to increase to 6 units in 4 months.
With TR you only increase the dose if the numbers tell you to.
Once Nacho gets nadir under 300you would go back to increases of 1/4 unit.
With SLGS you can only increase the dose every 7 days which is not ideal when you need to get him into better numbers sooner.
You can always swap back to SLGS.
But it’s up to you. What you are comfortable with .
 
Bron and Sheba (GA) said:
Testing once a month is definitely not enough to increase to 6 units in 4 months.
With TR you only increase the dose if the numbers tell you to.
Once Nacho gets nadir under 300you would go back to increases of 1/4 unit.
With SLGS you can only increase the dose every 7 days which is not ideal when you need to get him into better numbers sooner.
You can always swap back to SLGS.
But it’s up to you. What you are comfortable with .
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I'll take the advice from everyone here... I want to get his numbers good no matter the method, so I am happy to be guided
 
He most likely just needs more insulin which you are working on.
When a cat gets regulated on Lantus they should get nice flat green cycles.
You are working towards that!
 
Bron and Sheba (GA) said:
He most likely just needs more insulin which you are working on.
When a cat gets regulated on Lantus they should get nice flat green cycles.
You are working towards that!
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Well that's a good start! Even on the higher numbers he was flat too.... maybe we just need to find the right dosage!
 
Yup, looks like a bounce from however low he went last night. Didn't need to be super low, just lower than he's used to. This too will pass, up to six cycles for a bounce.
 
Trace248 said:
Oh thanks @Bron and Sheba (GA) .... didn't know haha! I'm not worried... I'm sure it will settle down xx
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It will. May be one cycle but could be up to 6 cycles. Nacho has to get used to being in normal numbers again. At the moment he thinks the higher numbers are normal and when he drops lower, his body thinks it has to save itself and dumps the glucose and regulatory hormones into the system. The more he can be in more normal numbers the more used to them he will get many hopefully the bouncing will ease off.
It is just a matter of waiting it out.
 
Bron and Sheba (GA) said:
It will. May be one cycle but could be up to 6 cycles. Nacho has to get used to being in normal numbers again. At the moment he thinks the higher numbers are normal and when he drops lower, his body thinks it has to save itself and dumps the glucose and regulatory hormones into the system. The more he can be in more normal numbers the more used to them he will get many hopefully the bouncing will ease off.
It is just a matter of waiting it out.
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When do you think I should check him tonight? 11, 1 or 4am
 
Sorry no one got back to you. Id check at 1 am. That should tell you if you need to check again.
Good luck with the new dose.
He is such a gorgeous boy. Do you have any more photos of him?
 
Bron and Sheba (GA) said:
Sorry no one got back to you. Id check at 1 am. That should tell you if you need to check again.
Good luck with the new dose.
He is such a gorgeous boy. Do you have any more photos of him?
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What should I look for at 1am? A decrease I guess? I don't know how to share more photos :-)
 
Trace248 said:
What should I look for at 1am? A decrease I guess? I don't know how to share more photos :)
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If the BG has dropped a lot, I would test again to see if it is going to drop lower. 1am (?+6) should be around the nadir. If he’s going to come off the bounce, he could keep dropping.

To upload a photo, look for the box next to the “post reply” box below that says “upload a file” ....press that and it will give you options. You can upload a photo from there.
 
It says I'm not allowed to upload anything.... not sure why. Should I worry about the drop??? I'm feeling very anxious
 
Trace248 said:
It says I'm not allowed to upload anything.... not sure why. Should I worry about the drop??? I'm feeling very anxious
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Don’t feel anxious. Just be aware he will start to drop from the 535 at some point. If it would relieve your anxiety, test earlier if you want. He may only drop into reds or pinks if he is still bouncing. Remember you can control a drop with food and you are in control when you are testing.

The upload a file button is saying the same thing to me at the moment...maybe a glitch. If it is still doing it tomorrow I will report it.
 
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Sometimes when cats are coming off the bounce, they can drop faster and lower than a normal cycle and they can end up at the end of a cycle in green numbers unexpectedly. If you are testing you can see it happening and control the drop with food.
Nacho is not showing any signs of doing that at the moment and his lower numbers are still high.
 
Bron and Sheba (GA) said:
Sometimes when cats are coming off the bounce, they can drop faster and lower than a normal cycle and they can end up at the end of a cycle in green numbers unexpectedly. If you are testing you can see it happening and control the drop with food.
Nacho is not showing any signs of doing that at the moment and his lower numbers are still high.
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Thanks Bron xx I appreciate the help. I really am a helicopter mother haha
 
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