9/30 Ivy amps 239, +2.25 85, +4 48 +6 53 (Libre); +7 121, +8 89 (Contour), PMPS 82 Libre

Staci & Ivy

Staci & Ivy

Member Since 2022
https://www.felinediabetes.com/FDMB...tour-pmps-400-4-250-fast-am-drop-dose.282064/
Happy Saturday. Reduced Ivy’s dose to 2.25 u last night at pmps and this am.
Let’s see what she does today.
We are supposed to go out for dinner this evening, which always adds to my stress level. (Especially since she begins a dive sometimes at +1.5 ish when we will be out.) I do leave her 12.5% food in feeder, but when she’s really diving fast she needs more than that. :banghead:
Makes it hard to enjoy the little things. Sigh.

@Angela & Cleo I would love your follow up thoughts, if you get a minute, about why you think Ivy has been earning 3 reductions this week. Curious to gain understanding.

Have a safe Saturday everybody.
 
Sorry for not getting back to you sooner. My Friday was not a good day for the human. Work was exhausting and the rain here brought water into the basement. I considered building an ark :rolleyes: !

First a couple of questions. How is Ivy feeling/acting? All 5 P's? (Peeing pooping playing purring and preening?)
What are you feeding her carb%?
Have you changed the feed/snack schedule?
 
Angela & Cleo said:
Sorry for not getting back to you sooner. My Friday was not a good day for the human
. Work was exhausting and the rain here brought water into the basement. I considered building an ark :rolleyes: !

First a couple of questions. How is Ivy feeling/acting? All 5 P's? (Peeing pooping playing purring and preening?)
What are you feeding her carb%?
Have you changed the feed/snack schedule?
Click to expand...
Ugh? I saw the torrential rains in NY yesterday. So sorry you had to deal with that. I’ve had a flooded basement before and it’s truly a night. No apologies needed! I hope all will be ok in your home!

Ivy 5 ps seem good. Especially after last week and the sedatives and reduced eating episode for a few days with very soft stools. She seems recovered at this point.

I am still feeding the mixture of 12.5% and 9.25%, lamb diet.
I have not changed the schedule as I had hoped, since all of her reductions have been going on.
I was afraid to mess with anything until she sort of stabilized on a particular dose.
I was really Afraid to continue with changing more things simultaneous while she was changing doses every day or 2.

If she stabilizers on this dose, I plan to continue that change.
 
I suspect that the better BGs are being impacted by Ivy feeling better ;). Remember that insulin is a hormone and works on more than "carbs in food".

Personal story...I used to smother-mother Cleo for the early months of her diagnosis. I think the stress of me hovering may have been a trigger for her getting FLUTD. When I switched my mindset from "fixing" her to "enjoying" her and her natural cat behaviors, FD (shooting and testing) became just something that was part of our day along with play time and cuddle time and cleaning the litter boxes (she likes to watch me scoop her poop then immediately use the boxes...weirdo) etc.

I also think she's more 'carb sensitive' than you thought. A food change can take a week or two. Glucose toxicity can take hold in a lot less time than that.

If Ivy were my cat, I would continue to reduce the carbs regardless of the insulin dose as long as I can monitor.
Just my 2¢
 
+1.75 160 ( Libre)
fed 2 tsp 12.5% lamb, she seems to be clearing a bounce
From her red/ pink then yellowish range from last night after the lows (and reduction she earned yesterday.)
I’m sure the larger depot is in play here, too. Could be a bit of a cycle.
 
Angela & Cleo said:
I suspect that the better BGs are being impacted by Ivy feeling better ;). Remember that insulin is a hormone and works on more than "carbs in food".

Personal story...I used to smother-mother Cleo for the early months of her diagnosis. I think the stress of me hovering may have been a trigger for her getting FLUTD. When I switched my mindset from "fixing" her to "enjoying" her and her natural cat behaviors, FD (shooting and testing) became just something that was part of our day along with play time and cuddle time and cleaning the litter boxes (she likes to watch me scoop her poop then immediately use the boxes...weirdo) etc.

I also think she's more 'carb sensitive' than you thought. A food change can take a week or two. Glucose toxicity can take hold in a lot less time than that.

If Ivy were my cat, I would continue to reduce the carbs regardless of the insulin dose as long as I can monitor.
Just my 2¢
Click to expand...
Funny about the litter box. Ivy does same as Cleo. Watched me clean then goes and pees or poops. “Look ma, watch me go!”

As far as carb sensitivity, when I say that what I’m referring to is that if she is dropping and I give her 6% LC, it does not bring her up at all.

And maybe you are right, the fact that I have changed some of her diet could be impacting some of her numbers coming down.

Plus, she is definitely feeling better since she’s out and about more in the house and not confined any longer.

When you refer to the glucose toxicity kicking in quickly, I’m not sure what you meant by that in regards to all of what we were talking about, can you explain?

I want to change the food as discussed but the consensus seems to be around here don’t change insulin doses and food at the same time. So kind of confused.

She seems to be headed down fast again this am now. Hoping she steadies soon.
We are at + 2 now. Looks like I may be poking her shortly.
 
Staci & Ivy said:
As far as carb sensitivity, when I say that what I’m referring to is that if she is dropping and I give her 6% LC, it does not bring her up at all.
Click to expand...
But did the 6% keep her surfing? I wouldn't want to 'bring up' the BG unless dangerously low.
Staci & Ivy said:
Plus, she is definitely feeling better since she’s out and about more in the house and not confined any longer.
Click to expand...
Yeah !!!!
Staci & Ivy said:
I want to change the food as discussed but the consensus seems to be around here don’t change insulin doses and food at the same time. So kind of confused.
Click to expand...
If you think about this advice, I interpret it as it applies to increasing the dose, not maintaining it or decreases.
Increasing the dose AND lowering carbs would give extra momentum.
 
Stacy, ask yourself.....
Staci & Ivy said:
No, she just kept falling, she did not surf on 6%
Click to expand...
How long was she 'falling'? When did the 'fall' start? How long did it last? Was she in safe numbers?
So was she Falling or showing an active cycle?

Staci & Ivy said:
Sounds logical. But wouldn’t making any change in carbs affect BGs?
Click to expand...
Of course. Now ask yourself ... How?
Look back at your SS and the correlation between feeding higher carbs and insulin dose.
 
Angela & Cleo said:
Stacy, ask yourself.....

How long was she 'falling'? When did the 'fall' start? How long did it last? Was she in safe numbers?
So was she Falling or showing an active cycle?


Of course. Now ask yourself ... How?
Look back at your SS and the correlation between feeding higher carbs and insulin dose.
Click to expand...
I’m actually not sure how to answer. I’ve looked at the SS and I see doses going up and down over the months.
I see carbs changing, but I can’t get a handle on how they are changing her picture (maybe you can tell me what you were seeing, I know you’re much better at reading a SS that I am).

I do see she has spent more time in blues and greens, at longer stretches, in the past week but she was on a higher dose at the beginning of that week and we have been taking reductions. So she has been going lower, for her, with the higher depot still in play.
Very confused here :banghead:
 
+5 123 on the Contour meter with ear prick (“Lo” on Libre)
Fed 1 tsp 12.5 % lamb to encourage her in this range.
 
Once at a nice level you don’t want to continue mc. That’s when you feed lc. If 12.5% is your lc fine but it’s actually mc as 10%+. I agree with Angela’s assesssment. My last thought fwiw is you have a Libre and feed mostly mc. I’d lower the carbs much faster since you monitor so closely. You won’t have a symptomatic hypo which is your fear. I’d be concerned about glucose toxicity. But I’ve told you this before so no need to respond.
 
I don't know how you can manage the stress of having 2 different meters. Does the Libre have a different value for "Low"? It seems very confusing.
 
cecile & bella said:
I don't know how you can manage the stress of having 2 different meters. Does the Libre have a different value for "Low"? It seems very confusing.
Click to expand...
It says Lo, so when she hits that range, that’s when I do an ear prick to confirm a value since it’s a range.
The Libre is really just a guide to what range she’s in and where she’s headed. Level, up or down.
If she were less combative, it would be easier to just use the handheld meter a few times a day.

I know it must seem awful, but it’s really not. Maybe I’m just used to it.
 
No, sometimes at first I wanted to try, just to have that range. But I think it would have stressed me too much. It is a lot easier now, to test Bella. The first few months were very difficult, but we have a routine now, testing is part of our days and she is calm about it. Most of the times, at least, sometimes at the end of the day she just wants food :D
 
At +8 Libre was “Lo” , Contour meter was 89.
Hoping for less drastic cycle this evening.
At pmps I will reduce to 2 units.
 
PMPS 82 on Libre.
Gave lowered dose of 2 units Lantus per reduction earlier today.
Hoping for a flat cycle tonight. She was very flat all day today.
 
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