new member Hunter 10-28 AMPS 457

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JENNof2

Member Since 2022
We are less than a week in and are not understanding how the AMPS and PMPS numbers for Hunter are higher now that we started insulin. When diagnosed, we opted to begin first by changing his diet to all wet before starting insulin. he was eating 3-4 times a day 2 large 2 small. We took daily AM fasting numbers to get a baseline before starting insulin the following week. Most were in the 300s, including the day he began treatment. Now that he is on insulin, his AMPS are in the 400s.
after the first day at 2.0 units, and a NS bc his numbers were so low, we reduced to 1.5 units, and have stayed there

vet said to feed him only twice per day, right before he gets a shot. the last few days he has eaten two large meals pre shots

please and thank you for sharing thoughts and experience of why the higher pS numbers, and if feeding schedule plays into it at all

linking previous thread of new member questions, if helpful

https://www.felinediabetes.com/FDMB/threads/new-member-hunter-10-25-amps-485-1-359.270045/

thank you


https://www.felinediabetes.com/FDMB/threads/new-member-hunter-10-28-amps-457.270045/
 
Thanks for setting up the spreadsheet and the signature. Also linking the previous thread. All very helpful.
I see that you were advised to reduce the dose to 1.5 units of Prozinc.I would stay at that dose for now.
Are you able to get any tests in during the pm cycles. Even a before bed test would be helpful. The pm cycle is just as important as the am cycle. It is possible Hunter is dropping lower overnight and is bouncing back up higher at AMPS. It is possible Hunter is also bouncing from the lower numbers (the blue BGs in the am cycles) as his body is now used to higher numbers. If you can get more tests in the pm cycle it will tell us more.
Here is an explanation about bouncing fromThe Basics:
  • 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).
It is only very early days yet for Hunter and his body needs to get used to the insulin which is a hormone.
I disagree completely with your vet about only feeding twice a day…that is old thinking. Cats do much better when fed several times a day. I would feed the two preshot meals and then I would give 2 or three small snacks during the first half of all cycles (am and pm cycles)
A snack can be one or two teaspoons of low carb food.
Keep posting and asking questions.
 
Last edited:
Bron and Sheba (GA) said:
Thanks for setting up the spreadsheet and the signature. Also linking the previous thread. All very helpful.
I see that you were advised to reduce the dose to 1.5 units of Prozinc.I would stay at that dose for now.
Are you able to get any tests in during the pm cycles. Even a before bed test would be helpful. The pm cycle is just as important as the am cycle. It is possible Hunter is dropping lower overnight and is bouncing back up higher at AMPS. It is possible Hunter is also bouncing from the lower numbers (the blue BGs in the am cycles) as his body is now used to higher numbers. If you can get more tests in the pm cycle it will tell us more.
Here is an explanation about bouncing fromThe Basics:
  • 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).
It is only very early days yet for Hunter and his body needs to get used to the insulin which is a hormone.
I disagree completely with your vet about only feeding twice a day…that is old thinking. Cats do much better when fed several times a day. I would feed the two preshot meals and then I would give 2 or three small snacks during the first half of all cycles (am and pm cycles)
A snack can be one or two teaspoons of low carb food.
Keep posting and asking questions.
Click to expand...

ty-
we dropped to 1.5. as he responded so dramatically to 2. is it advisable to stay here for a few days to let the body adjust?

my intuition has been uneasy about feeding only twice.

can you further explain good timing for the 2 'snack's - ie +2, +4, or different, and overnight, if the suggested times fall too late, is it ok to leave a small portion out for grazing?

our other cat doesn't overeat, so it's ok to leave things out. we have been feeding her with hunter and 'sneaking' her a smaller snack in between, so she is at 3/4 feedings

thank you again
 
You could try +2 and +5 and see how that goes. We suggest feeding in the first half of the cycle when the insulin is strongest.
You may find that other times in the first half of the cycles works better for Hunter.
Yes it is OK to leave some food out for him to graze on as well, as long as it is picked up for the 2 hours preshot so that the preshot BG is not food influenced.
A lot of us use an automatic timed feeder for when we are not there or for overnight.
 
Just jumping in to second what Bron said about feeding more than x2 a day. We hear that vets said that here all the time and it’s old fashioned advise. It works for dogs, not for cats. Smaller meals throughout the day are also easier on their pancreas. Snacks like freeze dried treats or chicken filets are great!
 
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