? Bear 4/14 AMPS 488, +2.75 353, +6 180 - Vet recommends dropping dose?

[Meredith Bear’s Mom]

Hi everyone,

Bear is still starting to creep up a little higher. I know these have been attributed to bouncing. I know @Bron and Sheba (GA) reminded me that bounces typically clear in 3 days, but Bear hasn't seen a number in the 60's for 5 days now. My vet suggested dropping him down another .25U to see if that helps. What do you all think?

Previous post: https://felinediabetes.com/FDMB/threads/bear-4-10-amps-167-2-240.276298/#post-3063106

 

[tiffmaxee]

I would not decrease his dose. He has not dropped under 50 even once. He will keep bouncing most likely until he has several streaks of blue/green cycles and his body adjusts to normal bg. I would actually be thinking about an increase. Let’s see what the threat does. @Bron and Sheba (GA)

 

[Meredith Bear’s Mom]

@tiffmaxee thanks. She keeps mentioning Symogying and I was kind of like "seems to be some conflicting research about that..." She's looking into how the Symogy is different from a bounce.

 

[tiffmaxee]

There is literature that says Somogyi does not happen with cats. Let me see if I can find that for you.

see #43.

https://felinediabetes.com/FDMB/thr...2-10-5-99-pmps-156-2-325.259429/#post-2914661

 

[Meredith Bear’s Mom]

There is literature that says Somogyi does not happen with cats. Let me see if I can find that for you.

see #43.

https://felinediabetes.com/FDMB/thr...2-10-5-99-pmps-156-2-325.259429/#post-2914661

Thanks! Will pass along.

 

[Bron and Sheba (GA)]

I agree with what @tiffmaxee has said

 

[Meredith Bear’s Mom]

I agree with what @tiffmaxee has said

Thank you.

 

[Wendy&Neko]

You are holding the dose too long. If following TR, we hold doses with green nadirs for 10 cycles, unless kitty is regulated. Looks like Bear's pancreas is getting a little tired. Time for that increase. Good luck with the new dose.

 

[Meredith Bear’s Mom]

You are holding the dose too long. If following TR, we hold doses with green nadirs for 10 cycles, unless kitty is regulated. Looks like Bear's pancreas is getting a little tired. Time for that increase. Good luck with the new dose.

Oh okay - can you explain the 10 cycles a bit more? I think when I posted last I was supposed to keep his dose the same. When should I have switched over?

 

[Meredith Bear’s Mom]

You are holding the dose too long. If following TR, we hold doses with green nadirs for 10 cycles, unless kitty is regulated. Looks like Bear's pancreas is getting a little tired. Time for that increase. Good luck with the new dose.

I won’t be able to monitor as closely tomorrow and Sunday as I won’t be home during the day as frequently as usual. I think I’d probably feel better waiting to increase his dose when I can monitor constantly. What do you think?

 

[Wendy&Neko]

10 cycles = 5 days. If he was getting nadirs in the 50's, it wouldn't leave you much room to increase, but haven't seen 50's since April 4th. 10 cycles = 5 days. A little more insulin can help get rid of those higher numbers and you can do that without him dropping too low with feeding at the right times. The goal of TR is tight regulation. Here is the definition:

Tightly regulated - generally below 150 (8.3) and usually in the 60-120 (3.3-6.7) range, no hypoglycemia, still receiving insulin

His nadirs have been creeping up, a sign he's getting used to those higher numbers.

Sorry about tonight's PMPS.

 

[Meredith Bear’s Mom]

10 cycles = 5 days. If he was getting nadirs in the 50's, it wouldn't leave you much room to increase, but haven't seen 50's since April 4th. 10 cycles = 5 days. A little more insulin can help get rid of those higher numbers and you can do that without him dropping too low with feeding at the right times. The goal of TR is tight regulation. Here is the definition: His nadirs have been creeping up, a sign he's getting used to those higher numbers.

Sorry about tonight's PMPS.

Thank you Wendy, I appreciate the clarification