10/05 Eddie AMPS 353 +3 403 PMPS 256 +4 313

So yet again @ +4 we are higher than AMPS. It almost like giving him insulin has the opposite effect of what is intended.
 
Jodey&Eddie&Blue said:
So yet again @ +4 we are higher than AMPS. It almost like giving him insulin has the opposite effect of what is intended.
Click to expand...
Or maybe not. Onset is just the time that insulin starts working. But between AMPS (or PMPS) and onset, the insulin is wearing off plus he's had breakfast, so in most cases his numbers will keep going up until the insulin from his shot kicks in.

Plus it's just the third cycle after his increase, could still be a touch of NDW.
 
Wendy&Neko said:
Or maybe not. Onset is just the time that insulin starts working. But between AMPS (or PMPS) and onset, the insulin is wearing off plus he's had breakfast, so in most cases his numbers will keep going up until the insulin from his shot kicks in.

Plus it's just the third cycle after his increase, could still be a touch of NDW.
Click to expand...
Is what you are saying that in between AMPS (or PMPS) the depot is wearing off and the longer it takes for onset, the higher he numbers will go?
 
No, it's not the depot wearing off, but rather the action from shot he had 12 hours earlier. It's also more noticeable in higher numbers due to too low a dose. Once you finally get tot a good dose for Eddie again, you should start to see flat cycles again. Neko had quite different patterns than Eddie, but if I got a test late in the cycle (like +9) and she was still on her way up at PS, then I knew the insulin was wearing off and her onset number was also going to be higher. If +9 and PS were about the same, or she was dropping into PS, then the earlier test would be more interesting.

Onset is typically around the same time for most cycles. But even once the insulin for that cycle starts to work, it still has some work (time) to take the numbers back down again, especially if there is that rise happening. Yesterday was one example of this, it took a couple hours after onset to get the numbers going down again.
 
Wendy&Neko said:
No, it's not the depot wearing off, but rather the action from shot he had 12 hours earlier. It's also more noticeable in higher numbers due to too low a dose. Once you finally get tot a good dose for Eddie again, you should start to see flat cycles again. Neko had quite different patterns than Eddie, but if I got a test late in the cycle (like +9) and she was still on her way up at PS, then I knew the insulin was wearing off and her onset number was also going to be higher. If +9 and PS were about the same, or she was dropping into PS, then the earlier test would be more interesting.

Onset is typically around the same time for most cycles. But even once the insulin for that cycle starts to work, it still has some work (time) to take the numbers back down again, especially if there is that rise happening. Yesterday was one example of this, it took a couple hours after onset to get the numbers going down again.
Click to expand...

So, correct me if I'm wrong but an AM +9 can be quite different from a PM +9 because during the day Eddie will have had breakfast (insulin), a noon snack (+4) and dinner (+8.5) followed by the PMPS (insulin and big snack). By the time he gets to PM +9, he will have probably had only one good snack @PM +4... By the time PM +9 rolls around he will not likely have had any food...
 
AM+9 can be different than PM+9 for many reasons. Food is just one of them. Trying, as much as is possible, to have similar feeding schedules AM and PM can help even things out. That late AM meal is usually discouraged, at least on Lantus, because you want to feed most of the carbs in the first part of the cycle (before nadir) when the insulin is most active. With Levemir, you can have a bit more wiggle room if the nadir is typically later. I moved Neko's +9 dinner than she had prediabetes, to a snack, followed by a larger dinner at preshot time.

Other reasons AM can be different can do with the depot and whether you've increased or decreased the dose lately, bounces, and just because cat. Cat's very often are lower at night.
 
Hang in there Jodey, just keep pushing that blasted iron ball up the hill! Seeing those blues was a good sign and at some point, there will be a breakthrough dose for Eddie. I loved that Sissypus image from the other day. :):):):):):)
 
Wendy&Neko said:
AM+9 can be different than PM+9 for many reasons. Food is just one of them. Trying, as much as is possible, to have similar feeding schedules AM and PM can help even things out. That late AM meal is usually discouraged, at least on Lantus, because you want to feed most of the carbs in the first part of the cycle (before nadir) when the insulin is most active. With Levemir, you can have a bit more wiggle room if the nadir is typically later. I moved Neko's +9 dinner than she had prediabetes, to a snack, followed by a larger dinner at preshot time.

Other reasons AM can be different can do with the depot and whether you've increased or decreased the dose lately, bounces, and just because cat. Cat's very often are lower at night.
Click to expand...

Ok, so further to this re: feeding schedules. I've always heard that feeding a DM kitty should be 4x daily...Are you saying it's ok to give big food at AMPS and then not again until, say, +9?? I like the "because cat"...I can change the shape of the dinners to be sure.
 
Jodey&Eddie&Blue said:
I've always heard that feeding a DM kitty should be 4x daily...Are you saying it's ok to give big food at AMPS and then not again until, say, +9??
Click to expand...
What we say here is several small meals, with no particular number of them in mind. Neko got fed a few times early in the cycle, then another around +9. Most people feed the main meal at preshot time. With Lantus, when you feed next depends on the cat and how they use the insulin. With Lantus, and a cat that dives right at onset, you try to give food around 1/2 hour before onset, so they don't dive as much. So something like a +2 and a +4 might work for that type of cat. And if someone is generally away (or asleep) around typical nadir, they might leave a feeder to open around them so there is some food available at the typical low point of the cycle. Some of the same general guidelines work for Levemir kitties too, but the timing might be later.
 
You must log in or register to reply here.
Back
Top