? 5/6 Ivy, AMPS 400, New to TR, higher doses causing steep drops

Staci & Ivy

Member Since 2022
https://www.felinediabetes.com/FDMB...w-requested-bouncy-kitty.277083/#post-3068364
Previously posted link above. (Hope this works)
Earlier this week we started TR protocol.
We increased Ivy’s Lantus dose by .25 unit up to 2.5 units
Three days later increased dose again another .25 unit to 2.75 units (her nadir was above 200.)
Yesterday, Friday, after her PM meal & Lantus dose, at PM +2/3. She began sharply dropping and continued to do so as the evening progressed.
After pm 2.75 unit dose, @+4 she dropped to 165 then @ +6 to 159

I intervened at first with about 1 ounce low carb food, which didn’t do too much to raise her for more than 15 minutes, and eventually started giving her half a teaspoon to 1 teaspoon of medium carb (fancy feast, chicken, and liver grilled) to bring up /reduce the rapid drop.
Today, Her a.m. dose at 6:30 am kept her bg very high, (about 400 or above) all day until about 2 pm (+8) began dropping, now at (3 pm) +9 to 264.
It seems she reacts to these increased doses, by going very high, then sharply Dropping several hours later.

What is the best response when I see her sharply dropping quickly? Is it best to give her a little mc food to try to avoid the sharp drop?
Or do I let her drop to see how low she will go, except intervene when she gets near hypo threshold?
Will she adjust to these higher doses and stop the steep drops, or are the doses too high for her to handle?
Obviously we are trying to lower her overall high bg numbers.
Since she’s now dropping into the 100s, is that her new nadir (or would that have to be her consistent nadir) to decide to hold her dose or increase her dose again after 3 days?
Thank you.
 
Normal bg is 50-100 on a human meter. She was never too low. Feed lc hourly unless you see the bg approaching the 50’s and not close to nadir. Reserve hc for a drop under 50 or you can’t monitor much longer. A green nadir if over 50 is perfectly safe.

Since you saw a string of blue and might have gone on longer had you not fed mc hold the dose another day.

As for new nadir, we look for patterns rather than day if blue. When you see blue and new you hold the dose at least 10 cycles to see if it continues or goes back up.
 
Normal bg is 50-100 on a human meter. She was never too low. Feed lc hourly unless you see the bg approaching the 50’s and not close to nadir. Reserve hc for a drop under 50 or you can’t monitor much longer. A green nadir if over 50 is perfectly safe.

Since you saw a string of blue and might have gone on longer had you not fed mc hold the dose another day.

As for new nadir, we look for patterns rather than day if blue. When you see blue and new you hold the dose at least 10 cycles to see if it continues or goes back up.
Ok, thanks for that explanation. How much lc food would you give hourly if she continued to drop over several hours? @tiffmaxee
 
How much lc food would you give hourly if she continued to drop over several hours?
This will depend on how carb sensitive Ivy is. Cats vary quite a bit. You will need to experiment and see what works for Ivy. Start with a tsp or two and try that for a while. This post goes into more details: Using Food to Manipulate the Curve

Right now Ivy is doing a lot of bouncing, which is perfectly normal. As she gets used to seeing lower numbers, closer to normal range, she won't bounce as much and those drops won't be as steep. Now that you are following TR for dosing, you'll get there sooner.
 
This will depend on how carb sensitive Ivy is. Cats vary quite a bit. You will need to experiment and see what works for Ivy. Start with a tsp or two and try that for a while. This post goes into more details: Using Food to Manipulate the Curve

Right now Ivy is doing a lot of bouncing, which is perfectly normal. As she gets used to seeing lower numbers, closer to normal range, she won't bounce as much and those drops won't be as steep. Now that you are following TR for dosing, you'll get there sooner.
Ivy doesn’t seem to be helped too much with lc carbs when diving. She only gains about 15-20 points for 10-20 minutes then starts to drop again. that’s why I tried a tiny amount of mc carb food, 1/2 -1 tsp at most just to stop the drastic drop.
I wasn’t sure if I should use lc or mc to stop the deep dive. I know she will just bounce way high as a result of the deep dive @Wendy&Neko
(Are you suggesting lc or mc food when she dives? )
 
It takes 20 minutes for the BG to rise. Honey works faster, about 25 but wears off fast too.
 
What are you using for MC? Just wondering what carb% that is compared to her regular food.
 
What are you using for MC? Just wondering what carb% that is compared to her regular food.
fancy feast, chicken, and liver grilled was what I used
As mc @Wendy&Neko
Her normal diet is homemade lamb and sweet potato recipe, 6% carb. I barely get a rise out of that for her.
 
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