11/28 Eddie AMPS 337 +4.25 338 PMPS 387 +6.5 392

Wendy&Neko said:
Does Eddie typically bounce after he sees green?
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The most recent time he's seen green was with the increase from 14u to 16u on November 8th. He went high the next day when he went back to 14u. The other time was November 1 at AMPS a few days after an increase.

So, the short answer is "typically" doesn't really apply. Rather green is anomalous and now we've decreased from 15u to 14u...

The other greens are pre-SRT, also. @Wendy&Neko
 
SRT has no impact on bouncing. Either his body is used to greens, or it isn't. I'd say he isn't used to green. Don't forget 11/19 PM as an example.
 
Wendy&Neko said:
SRT has no impact on bouncing. Either his body is used to greens, or it isn't. I'd say he isn't used to green. Don't forget 11/19 PM as an example.
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Yes, ok, but what does that actually mean if he's not used to greens? Does that mean when he hits the infrequent green that he bounces because of the unfamiliarity? And, does that mean that the reduction is/was in order? It's funny because he hit that green at the same time we were discussing an increase!
 
Here is the 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).
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Bounces can also happen if they do a steep drop.
Jodey&Eddie&Blue said:
Yes, ok, but what does that actually mean if he's not used to greens? Does that mean when he hits the infrequent green that he bounces because of the unfamiliarity? And, does that mean that the reduction is/was in order?
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The first two questions are answered in the definition of a bounce. He bounces long enough that his body doesn't get used to greens. When you are following SLGS for dosing, a reduction is indicated if you see them go below 90. He did, thus a reduction was in order.

When you are able to follow TR safely, you could increase. More insulin will give him a chance to bring down the overall numbers and get him to see low blues and upper greens more often so he could try to get used to them. However, there is also risk with an increase, and until your schedule permits more testing, SLGS will be safer. This is especially given that Eddie is post SRT and less predictable.
 
Wendy&Neko said:
Here is the definition of bouncing:

Bounces can also happen if they do a steep drop.

The first two questions are answered in the definition of a bounce. He bounces long enough that his body doesn't get used to greens. When you are following SLGS for dosing, a reduction is indicated if you see them go below 90. He did, thus a reduction was in order.

When you are able to follow TR safely, you could increase. More insulin will give him a chance to bring down the overall numbers and get him to see low blues and upper greens more often so he could try to get used to them. However, there is also risk with an increase, and until your schedule permits more testing, SLGS will be safer. This is especially given that Eddie is post SRT and less predictable.
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I have some flexibility with my time as the term is over. As you can see, I've been getting a test in at night and when I can get home, during the day.

But let me ask: after this reduction he is at 14u. How long should he be on this dose until I can put him back on 15u, safely, if that's what he needs?

For sure, the issue is complicated because of the post SRT and the less predictable.
 
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