03/15 Butters AMPS 86/+2 135/+3 175/+5 117/+8 88/+11 104/PMPS 99

Butters & Lyla

Butters & Lyla

Member Since 2020
Yesterday

Today started off well but is going off the rails. No, she didn't get any contraband. I'm shocked at how quickly her numbers are going up. It was a mistake to change her food schedule and reduce insulin at the same time. It broke the "one change at a time" rule and I have regrets. How do I know which change is causing high numbers? Or maybe it's both?

Wendy&Neko said:
What I meant about late feeds and dose is that for cats that are really close to remission but still blue preshots, a small snack late cycle can help bring them down. Butters isn’t there yet.
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I have another question about the food change. You've said Butters's dose is too high for food later in the cycle. But we previously had a discussion where, because of the late nadirs, I was left with the impression that it made sense to feed her a little less food early on in the cycle and feed something later in the cycle.

What was it about Butters's numbers specifically that indicated to you I should be front loading food in the first half of the cycle? She is still nadiring late mostly, though the overall numbers are higher. So I'm wondering what is the outcome you are hoping for for Butters by having me try front loading her food? She is still pretty miserable about the change. I want to know what the goal is so I know whether it is worth it to keep trying.

Wendy&Neko said:
Another option not listed, and I am not the best at recognizing this, but some cats have an inverted cycle when the dose is too high. In other wards, I would not increase but rather go the other direction.
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Do you think it's safe to say now that Butters's inverted cycles are due to not enough insulin rather than too much?

I'm thinking she gets the rest of this cycle to figure herself out and for everyone to wonder if it's "the high before the low", and then I am going back up to .75u tonight.:)
 
Hm, wondering if Butter's has a limited edition manual? Also, I love looking at 01/13/2021 on your SS. I suppose that's what you are thinking of too :bighug:

Hang in there mama bean. Follow the numbers with your tools :bighug:
 
Butters & Lyla said:
You've said Butters's dose is too high for food later in the cycle.
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You've said Butters's dose is too high for food later in the cycle, as a technique to bring down blue preshots. That technique is what we suggest for kitties on very low doses but still higher preshots. Butters isn't suffering from blue preshots, or low enough in dose to suggest it yet. Sorry if I wasn't clear on that. Because Butters has a later nadir, it's fine to feed her later in the cycle up to her nadir, if that's what she needs/wants. I thought I read you were wanting to not wake up in the week hours to feed her.
Butters & Lyla said:
Soooo I think I'm going to try feeding her more in the earlier part of her cycles, and just leave a little food available for later, but not wake her up to make her eat. At least for a few nights on a trial basis.
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I'm curious to see what the day brings.
 
I always fed at AMPS + 3 and +8 but not PMPS +8 until that low dose Wendy is talking about came.
The reason I always fed at AMPS +8 was simply because that time was all the pet's mealtime, and I didn't want to leave Tina out . . .even though she had passed her primary nadir. Seemed to work well.
I fed equal size snacks through the cycles.

I am confident you will find the answer. One other thing is that if BG was not low enough, I would delay a snack, as I have done that with myself.for years. I did not delay the shot time snacks.

Eyes are on you Butters Baby!!

One more thought. If Butters has delayed gastric emptying, that can cause unpredictable BG numbers. She could go low if the food stays in the stomach for too long, and shoot higher after BMs. I don't see much of this in the SS though?
 
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Aww, sorry to see the higher blues today Lyla :(
I was also hoping that it was just the fur shot messing with yesterday's numbers. But yeah I can see why you would want to increase again. It's not trending where it should.
 
I'm so confused by her numbers. :confused:
Wendy&Neko said:
You've said Butters's dose is too high for food later in the cycle, as a technique to bring down blue preshots.
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I think this confused me when you were suggesting no food for Butters, since she hasn't had an issue with blue preshots. I couldn't figure out how the food change was going to help her. It did not register that you were actually trying to help me with sleep! :bighug:. Sorry for misunderstanding what you meant.
Red & Rover (GA) said:
Fur shot?
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The partial FS was four cycles ago. Do you think maybe it could still be in play? I haven't done another FS since that one, though.
tiffmaxee said:
I wonder if she will continue down right up to PMPS. Maybe she read my first post.
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I mean...she is here sitting on my lap while I update her numbers, so she has had opportunities to read it. Who knows whether she will decide to listen or not!
 
Tina Marie and Jan said:
I always fed at AMPS + 3 and +8 but not PMPS +8 until that low dose Wendy is talking about came.
The reason I always fed at AMPS +8 was simply because that time was all the pet's mealtime, and I didn't want to leave Tina out . . .even though she had passed her primary nadir. Seemed to work well.
I fed equal size snacks through the cycles.

I am confident you will find the answer. One other thing is that if BG was not low enough, I would delay a snack, as I have done that with myself.for years. I did not delay the shot time snacks.

Eyes are on you Butters Baby!!

One more thought. If Butters has delayed gastric emptying, that can cause unpredictable BG numbers. She could go low if the food stays in the stomach for too long, and shoot higher after BMs. I don't see much of this in the SS though?
Click to expand...
Thanks Jan! I've been taking her daily food allotment and generally splitting it into between 4 - 5 meals per cycle. They are all roughly equal, give or take a few grams. I normally feed her at preshot, +3, +5 to +6.5ish, and +8 to +9.5ish. Good thing she tends to nadir late:joyful:. I don't like to load her up with too much food at once because of the chronic pancreatitis. But with so many mini-meals, it does make it trickier to delay snacks if her numbers are higher, but I will try this whenever I can.

So I don't think that Butters has delayed gastric emptying, looking at her numbers around the time of her last few BMs. Vet didn't mention this when I had to bring her in recently for that constipation episode. I will keep an eye out...just in case I see a higher number after a BM.
 
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