Eddie: LANTUS + BOUNCE (IAA/Acromegaly)

Jodey&Eddie&Blue

Jodey&Eddie&Blue

Member Since 2021
Hello Everyone,
It was recommended to me to post in here in addition to the IAA/Acromegaly/Cushings Board as I was told there's a lot of experience here and Im hoping to get some insight into Eddie's insulin experience.

I'm also linking this email to my original post for convenience sake.
https://felinediabetes.com/FDMB/threads/acromegaly-iaa-newish-member.253501/

I'm grateful for the support I've had so far and am hoping to hear what others might think.

Thank you.
Jodey and Eddie
 
Hi Jodey, and welcome! waving to you from Calgary! What a remarkable story, two kitties with acro, but I see you have already had some amazing insight and guidance from Wendy.

I also suggest, like Wendy mentioned to continue to get at least a before bed test, and often the +2 gives a good indication of where the cycle may go. If it is much lower than preshot, that would mean following up with some additional tests.

While not acro or IAA, my Mav does seem to prefer Levemir over Lantus, and I often find I can get better duration and less crazy drops and subsequent bouncing than I used to see with Lantus.

Good luck with your upcoming appointment, I hope all goes well.
 
I don't know what on earth is happening! Look at the crazy day. It started out so promising. I feel discouraged. The VCA clinic just contacted me to tell me we have to cancel the CTs in Victoria as the scanner has gone down and parts are coming from Japan. I had to cancel hotel, ferry, all after I spent two days putting things in order for my sitter for the other cats and Max, the dog. This is exhausting this week.

But what about the numbers? What is happening??
 
Hi Jodey - I replied on your other post too. He's bouncing, just like he's done when he's seen lower numbers before. Once he spends more time in lower, but normal numbers, his body will gradually get used to it and bounce less. I've also heard some people say that cats are bouncier after SRT. Not sure I noticed it. Neko was bouncy before and after SRT. Or at least the first one, second SRT she was much flatter going in and after.
 
Oh, sorry about the appointment troubles. As for Eddie's numbers today, he's bouncing from the 157 earlier.

Bouncing - is simply a reaction to what the cat's system perceives as a BG value that is "too low". "too low" is relative. If a cat is used to BG in the 200s, 300s or higher for a long time, then even a BG of 150 can trigger a "bounce". Bouncing can also be triggered if the BG drops too low and/or too fast. The pancreas, then the liver release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream. *Usually* bounces clear within 3days (6 cycles).
 
Christie & Maverick said:
Oh, sorry about the appointment troubles. As for Eddie's numbers today, he's bouncing from the 157 earlier.

Bouncing - is simply a reaction to what the cat's system perceives as a BG value that is "too low". "too low" is relative. If a cat is used to BG in the 200s, 300s or higher for a long time, then even a BG of 150 can trigger a "bounce". Bouncing can also be triggered if the BG drops too low and/or too fast. The pancreas, then the liver release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream. *Usually* bounces clear within 3days (6 cycles).
Click to expand...


Thank you Christie and Wendy for helping me to understand bounce. I think it must be a fail-safe response to a perceived threat. So interesting. A question, though, can a bounce turn into DKA?
 
From this post: Ketones, Diabetic Ketoacidosis (DKA), and Blood Ketone Meters
The basic recipe for developing DKA = an insufficient supply of insulin + inappetance + infection OR other systemic stresses.

So temporary high numbers are not part of the formula. However, if the insulin dose is too low, he's off his food and there is inflammation/infection, then high numbers can have an impact. Are you testing regularly for ketones? It's a good practice to test daily if in high numbers.
 
I'm wondering about the insulin dose. Eddie is not off his food. On the contrary. Besides the fluctuating numbers--and his weight gain--he seems physically just fine, if that makes sense. He runs for food. He comes for a treat when I do a BG test. I've not tested for ketones. I have a couple of litter boxes, which I clean a number of times a day, but Eddie shares them with other cats, so it's hard to get in while he using the box. I ordered a human ketone meter as one FB Diabetic Cats group recommended doing. I have the strips but have not had the opportunity to use one as I need to catch him in the box, so to speak.
 
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