? 01/04 Mumf PMPS 165 +3.5 97 worried about oncoming hypo

MumfsFriend

MumfsFriend

Member Since 2021
Dear all,

So my sugar cat and I are still at it. As per the vet’s orders I had reduced Mumf to one unit over Christmas and once his blood glucose was on the rise again, the vet had to me back to 1.25 units. Now we’ve had the issue that he keeps dropping and staying low, then bouncing back the next day.
I’ve had some low pre-shot values where I’ve had to decrease the dose to one unit and now I gave him a full dose tonight and he’s at 97 at +3.5. He’s feeling well and I’m feeding him something now, will look at his sugar again in about 30 minutes. But I also technically will have to go to bed in the next two hours (won’t if he keeps dropping obviously). The vet wants to see him in two weeks to have a look at his fructosamine…

I am wondering if I should really reduce him to one unit in general. He seems to be reacting strongly and bouncing quite a bit. The vet said to keep him at 1.25 unless he has a pre-shot of 150 or lower but looking at the way he’s dropping now, I’m not sure I should do that. I will talk to the vet again tomorrow but I wanted to see if anyone has any ideas on the spot. Thank you.
 
Bouncing is normal for cats, especially when newly diagnosed. What is your goal? If remission you need to see those bg numbers in normal range. Gradually lower your new shot or token dose numbers. Skipping too much will give you these ups and downs more than ever. Give some mc to prevent him going under 90.
 
tiffmaxee said:
Bouncing is normal for cats, especially when newly diagnosed. What is your goal? If remission you need to see those bg numbers in normal range. Gradually lower your new shot or token dose numbers. Skipping too much will give you these ups and downs more than ever. Give some mc to prevent him going under 90.
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well, we’re not actually aiming for remission, because I don’t really know how long he’s had diabetes before he was diagnosed. I would like for him to be in stable numbers… it’s been up and down and I will talk to the vet tomorrow and probably keep him on one unit for a while to see what happens. Because I know it’s not good to keep skipping shots or working on a sliding scale.
 
Next time, try the low carb first. As I said on the FB group, 97 (and 95) are both nice safe numbers that you really want to see! Usually, just a little regular low carb food will usually help to level them out and stop dropping quite so fast.

Normal blood glucose for cats is 50-120 on a human meter (to give you some context as to where 90's are compared to normal numbers for cats)
 
I will definitely do that, thank you. I think I kind of panicked and then gave him the mid carb, and shortly after that I read your comment and facepalmed myself :P

I guess I will see what his AMPS will be like tomorrow and then make a decision about his dose. But he’s been dropping so fast I feel like I should have him down to one unit to see what happens over the course of a week. I went back up so quickly the last time after three or four days per the vet’s orders and that might just have been too short.

Chris & China (GA) said:
Next time, try the low carb first. As I said on the FB group, 97 (and 95) are both nice safe numbers that you really want to see! Usually, just a little regular low carb food will usually help to level them out and stop dropping quite so fast.

Normal blood glucose for cats is 50-120 on a human meter (to give you some context as to where 90's are compared to normal numbers for cats)
Click to expand...
 
If you are following SLGS as per your siganture, it's dropping below 90 that gives you the indication the dose needs to go down.
 
Wendy&Neko said:
If you are following SLGS as per your siganture, it's dropping below 90 that gives you the indication the dose needs to go down.
Click to expand...

Hm, ok… even if he’s dropping fast that doesn’t contribute to the decision? I mean, he would’ve probably dropped below 90 if I hadn’t intervened tonight. I think it’s going to be a long road until I understand these dosing methods lol
 
We dose based on how low a dose takes the cat, not the speed with which they get there. We also dose based on what numbers we see, not based on what might have been, maybe.
 
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