16/02 - Wolvi - AMPS 373; +3 271; +5.5 98; + 7.5 53; +8.25 59; + 9 62; 10.5 99; PMPS 156; +2 325

It's afternoon now here in Portugal and yes he is sleeping
Aw sleepy kitty!

Do you think you will be able to test often tonight? He may bounce, but if he stays low and you give full dose it could be a busy night. Do you need sleep? That may determine what dose to give him tonight.

When did he have the IAA/acromegaly/thyroid tests done?
 
I can stay with him tonight... no problem but imagine if he under 70, can I gave him the full dose?
But of course we have 4 h ahead
 
+8.25 - 59
He has stopped falling, that is good. Get a test at +9?

If he bounces he will be with high numbers, correct?
This can be stupid but sometimes I think I don't understand correctly the term "bounce"
Not stupid at all! Yes, a bounce is his body's reaction to numbers that it perceives to be too low. His body, specifically his liver, has gotten used to higher numbers and thinks of them as normal numbers. When he drops lower, the body panics and tries to protect him from a hypoglycemic event and floods the blood with glucose. So till his body gets used to lower numbers, it will react this way. Lower numbers will be followed by higher numbers which can last as long as 6 cycles.

Here is our definition of bouncing:
"Bouncing is simply a natural 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 BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose 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 to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". Usually, a bounce will clear kitty's system within 3 days (6 cycles)."
 
That's what I learned (read here at forum) about it... the only thing is that I thought is that could happen only the next cycle after the lower numbers occur - my vet usually refers to it as somogyi effect, but she also tells that this effect is not well proven in cats.
So if he bounces tonight his numbers will be high isn't it?
So why Melissa said that it could be a "fun night?"
 
Last edited:
Your vet is right, somogyi effect isn't proven in cats. Somogyi effect by definition is hyperglycemia caused by an undetected hypoglycemic event (so under 40-50 on a human meter usually).

A bounce is different. It's not from hypoglycemia necessarily, its just from any number that is perceived as too low or dropping too fast - that is different for every cat. Some cats bounce from yellow numbers, or smaller drops. But the majority of the time when you see a very large drop, or lower than usual numbers, a bounce is coming. Question is when....sometimes they start the bounce in the same cycle, sometimes it starts a few hours later
 
Your vet is right, somogyi effect isn't proven in cats. Somogyi effect by definition is hyperglycemia caused by an undetected hypoglycemic event (so under 40-50 on a human meter usually).

A bounce is different. It's not from hypoglycemia necessarily, its just from any number that is perceived as too low or dropping too fast - that is different for every cat. Some cats bounce from yellow numbers, or smaller drops. But the majority of the time when you see a very large drop, or lower than usual numbers, a bounce is coming. Question is when....sometimes they start the bounce in the same cycle, sometimes it starts a few hours later
Now I understandddddddddddd ;-)
 
You might want to feed him a little before +10 so that he isn't too low at PMPS to shoot. No food 2 hours before the shot because we don't want a preshot number that is food-influenced.
Ok I will gave him...
And I can gave him 1U what ever is value is?
Or gave him just 1U only if he is higher then what?
 
I will be with him. He needs to get used to low numbers :)

If you see his SS from 2019. It was just like that and went into remission from one day to another
 
Good job handling the numbers today, a great stretch of green.:D
the only thing is that I thought is that could happen only the next cycle after the lower numbers occur - my vet usually refers to it as somogyi effect, but she also tells that this effect is not well proven in cats.
Since this is a soapbox item, I'm going to make a stronger claim. Symogyi has been proven to very rarely exist, almost never on cats who's dose started low, had safe increases, and caregiver is monitoring. More detail in this paper proving that: Rebound hyperglycaemia in diabetic cats.pdf

Nice greens today. Another thing about bounces as we call them, a cat's reaction can be unique to the cat. Neko's worst part of the bounce was typically three cycles after the low numbers event. Having said that, I hope Wolvi behaves tonight.
 
At PMPS +2 he is 325.
He is already bouncing isn't it?
Yes ma'am! You get to sleep tonight. As for identifying patterns, look at the 12th - he bounced into the PM cycle and was still high by morning. He usually takes a few cycles to clear. You could always grab a +5/+6 if it would make you feel better
 
Back
Top