7/14 Bubbas AMPS 382, PMPS 283, +2 273

Kitty Kat said:
Question, how can you tell a difference between a bounce and a cat needing to go up in insulin?
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By looking at the nadirs. Night of the 11th, Bubbas saw 100, if not lower. Since you are following SLGS, you hold the dose if nadirs are in the 90-149 range. If nadirs are 150 and above, kitty needs an increase.

Bubbas saw a steep drop from PMPS to +2 last night. When on Lantus big drop from preshot to +2 can indicate a more active cycle that needs either more monitor, or food left out so he can keep himself safe. In other words, you should be leaving food out at night. Not having food means he goes lower, then bounces.
 
Ok thank you very good to know! I was either told or heard recently it wasn't good to leave his food out all night (free eat) so I kind of stopped doing it. But I will start leaving food out for him during the night. And so that might help him NOT bounce by leaving his food out for him at night? I get so confused as to why one day he can have pretty good numbers, then the nextd day his sugars will spike up 300 points over night, even though I am giving him 1 unit every 12 hours, so holding it and sticking to that. Wish I knew the logic behind that lol

And you're saying these dose increase and holding are based off the nadirs daily? Or once a week?

I honestly would like to do TR dosing method, but I don't work from home which it seems like a lot of folks on here do so they have more time to test threw out the day. I can only really test more at night starting at 4:30pm since that's when I get home. I am actively trying to find a work from home job but a lot of them don't pay as much as I get now and there is no chance at ALL I can take a lower paying job, especially now that Bubba's diabetes stuff is taking up my free money I had.

I know this is a walk, and not a race, but I just hope I am doing everything correctly so he can at least be stabilized and regulated soon :/
 
What you are seeing is a typical reaction we call bounces. Annoying to us, but pretty much all cats do this, more so when new to insulin.
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).

A post that might help you: Is Tight Regulation Possible with a Full Time Job? Yes!
 
Thank you for explaining that! I have been confused still a little bit about bouncing and exactly what it is lol


I will go ahead and read that sticky later today! I am very very much considering doing TR starting more than likely this Sunday 07/16 after I do his second curve tomorrow 07/15
 
Kitty Kat said:
Ok thank you very good to know! I was either told or heard recently it wasn't good to leave his food out all night (free eat) so I kind of stopped doing it. But I will start leaving food out for him during the night. And so that might help him NOT bounce by leaving his food out for him at night? I get so confused as to why one day he can have pretty good numbers, then the nextd day his sugars will spike up 300 points over night, even though I am giving him 1 unit every 12 hours, so holding it and sticking to that. Wish I knew the logic behind that lol

And you're saying these dose increase and holding are based off the nadirs daily? Or once a week?

I honestly would like to do TR dosing method, but I don't work from home which it seems like a lot of folks on here do so they have more time to test threw out the day. I can only really test more at night starting at 4:30pm since that's when I get home. I am actively trying to find a work from home job but a lot of them don't pay as much as I get now and there is no chance at ALL I can take a lower paying job, especially now that Bubba's diabetes stuff is taking up my free money I had.

I know this is a walk, and not a race, but I just hope I am doing everything correctly so he can at least be stabilized and regulated soon :/
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I’d like to clarify since I told you that it’s best to not free feed all day. That’s very different than what Wendy is suggesting.

She’s saying to leave food out if he’s going lower or it looks like he is headed down and you can’t be there to test. You can leave food out to let him eat and help keep his BGs up. It is mainly to keep him in safe BGs if you can’t be there to feed. He may or may not bounce still since there are a couple things that cause bouncing: dropping into BGs he’s not used to (even blue) or dropping fast. Many members use auto feeders to provide food every so often if they can’t be there to feed.

That differs very much from what I was saying which free feeding all cycle can cause the duration to be shortened.
 
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Marje and Gracie said:
I’d like to clarify since I told you that it’s best to not free feed all day. That’s very different than what Wendy is suggesting.

She’s saying to leave food out if he’s going lower or it looks like he is headed down and you can’t be there to test. You can leave food out to let him eat and help keep his BGs up. It is mainly to keep him in safe BGs if you can’t be there to feed. He may or may not bounce still since there are a couple things that cause bouncing: dropping into BGs hrs not used to (even blue) or dropping fast. Many members use auto feeders to provide food every so often if they can’t be there to feed.

That differs very much from what I was saying which free feeding all cycle can cause the duration to be shortened.
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Thank you for clarifying that! I guess I misunderstood what was told to me, my apologies!!

I am here at night, all night, and can test whenever. But during the hours I am at work, I’m not home so I can’t test :/ and unfortunately in the mornings, he doesn’t eat his food all in one. He’s a grazer forsure so he won’t eat his full breakfest until a couple
Hours later. So nothing I can do about the am feeding, but the pm feeding I can. So basically, leave food out for him over night if his numbers drop low, but if his numbers are in the high-ish range, only let him eat dinner and that’s it kinda thing?

I try to put his food bowl away before bed, so like 9:30pm. Than he doesn’t get any food again at all until 6:15am
 
Marje and Gracie said:
I’d like to clarify since I told you that it’s best to not free feed all day. That’s very different than what Wendy is suggesting.

She’s saying to leave food out if he’s going lower or it looks like he is headed down and you can’t be there to test. You can leave food out to let him eat and help keep his BGs up. It is mainly to keep him in safe BGs if you can’t be there to feed. He may or may not bounce still since there are a couple things that cause bouncing: dropping into BGs hrs not used to (even blue) or dropping fast. Many members use auto feeders to provide food every so often if they can’t be there to feed.

That differs very much from what I was saying which free feeding all cycle can cause the duration to be shortened.
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I’ve come to realize I may be a little slower at catching on than other people with all this, sorry about that haha seems to be that I need daily instructions on pretty much this whole process as of right now haha
 
Kitty Kat said:
Thank you for clarifying that! I guess I misunderstood what was told to me, my apologies!!

I am here at night, all night, and can test whenever. But during the hours I am at work, I’m not home so I can’t test :/ and unfortunately in the mornings, he doesn’t eat his food all in one. He’s a grazer forsure so he won’t eat his full breakfest until a couple
Hours later. So nothing I can do about the am feeding, but the pm feeding I can. So basically, leave food out for him over night if his numbers drop low, but if his numbers are in the high-ish range, only let him eat dinner and that’s it kinda thing?

I try to put his food bowl away before bed, so like 9:30pm. Than he doesn’t get any food again at all until 6:15am
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Correct! Sorry we confused you but sounds like you understand it now.

The first month is a really steep learning curve but you’re asking great questions. That’s why we are here so never worry about asking us to address your concerns or clarify something.

Good luck with the curve tomorrow.
 
Kitty Kat said:
I’ve come to realize I may be a little slower at catching on than other people with all this, sorry about that haha seems to be that I need daily instructions on pretty much this whole process as of right now haha
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pfftt, not at all. You're catching on faster than most if you want the truth.

It is very tough, even after you find this wonderful place you end up hearing things from this person and that, little tidbits and tips -- some sink in, others go right by -- and getting it all straight without many, many course corrections is probably impossible. I mean, I've been here 1.5 years, seen a cat through insulin therapy all the way to remission...and yet there are still times I am not quite correct in how I understand things sometimes and a more senior member will send a PM correcting. Trust me -- the journey of Feline Diabetes is a long one, perhaps a life-long journey as I am finding out.

Give yourself some credit. You're doing just fine.
 
Hendrick Cuddleclaw said:
pfftt, not at all. You're catching on faster than most if you want the truth.

It is very tough, even after you find this wonderful place you end up hearing things from this person and that, little tidbits and tips -- some sink in, others go right by -- and getting it all straight without many, many course corrections is probably impossible. I mean, I've been here 1.5 years, seen a cat through insulin therapy all the way to remission...and yet there are still times I am not quite correct in how I understand things sometimes and a more senior member will send a PM correcting. Trust me -- the journey of Feline Diabetes is a long one, perhaps a life-long journey as I am finding out.

Give yourself some credit. You're doing just fine.
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Thank you for the kind words! I just wanna do everything I can to get my boy into remission. This process is slow but I’m praying to god it’s going to be worth it!
 
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