11/26 Ivy Amps 370, +2.75 290, +5.75 91, +9.25 234, Pmps 400, +3 316, +3.75 185, +5 253 Libre

Staci & Ivy

Staci & Ivy

Member Since 2022
https://www.felinediabetes.com/FDMB...00-1-283-3-25-134-4-25-69-5-176-libre.283933/
Good morning
Amps 370
Well, we finally saw a nice slide down last night after a very yellow and pink day yesterday.
Curses to that darned huge jump on the trampoline after she sees better numbers.

Wish I could figure out how to temper the high jumps, so maybe she could be more flat in her cycles.
Safe surfing to all kitties. Enjoy your Sunday, everyone :cat:
 
It's so hard to figure out what might work - there's so many different things that can be going on. I hope you're able to figure it out soon! And that Ivy slows her bounce some. :bighug::bighug::bighug:
 
Pmps 400. really????
Back to red with a big nasty bounce again. WTH ?? What the heck am I doing wrong??
As soon as Ivy dips to a lower number for her, can be in the 100s (or lower) she will then bounce way high.

She’s having some nadirs in the mid 100s and under (on Contour meter) then bouncing.

If anyone has ideas of how I can tame these extreme bounces, would you please let me know?

She’s eating an all 6% homemade LC diet. Gets 2 tsp snacks at +1,2,3 both cycles to try to keep her from diving too hard.
(She gets snacks in pm +1 through +6 since she’s usually a big diver in the pm cycle around onset)
*Past few nights I’ve added a 1/2 tsp 9% to her snack at +2 & +3, to see if that would help flatten her pm cycle as an experiment.

I’m not sure what else to try. :banghead:
@tiffmaxee @Wendy&Neko @Gill & George @Angela & Cleo
Thanks everybody. Have a nice evening.
 
All I can relay is what worked for me. I found that if Neko's nadirs were in the 70's or lower (human meter) consistently, then her whole cycle tended to flatten out and she tended to stay in lower numbers over all. This was trial by experiment for what worked for my cat. However, I had to follow TR for this to happen as 70's means a reduction with SLGS. So the choices are to either follow TR, or you can modify SLGS for Ivy, so that she needs to see lower numbers to earn a reduction.

The key to reducing bounces is to get her to see close to normal BG numbers more often, and for longer stretches at a time. Right now, Ivy's only seeing green on the Libre (whatever than means in human BG numbers) every few days, and not for long.
 
Wendy&Neko said:
All I can relay is what worked for me. I found that if Neko's nadirs were in the 70's or lower (human meter) consistently, then her whole cycle tended to flatten out and she tended to stay in lower numbers over all. This was trial by experiment for what worked for my cat. However, I had to follow TR for this to happen as 70's means a reduction with SLGS. So the choices are to either follow TR, or you can modify SLGS for Ivy, so that she needs to see lower numbers to earn a reduction.

The key to reducing bounces is to get her to see close to normal BG numbers more often, and for longer stretches at a time. Right now, Ivy's only seeing green on the Libre (whatever than means in human BG numbers) every few days, and not for long.
Click to expand...
So it sounds like she would need an increase to get her to lower numbers and lower her reduction point to follow SLGS. Would that be your advice?

She tends to take her time adjusting to a dose and isn’t really responsive (carb sensitive to low carb or 6% food) if I need to pull her up. (Thus my hesitation with TR got Ivy).
 
When was it that she would not get higher with 6 %? From her SS it looks like you give her snacks with higher LC at 9% if she’s in blue or even yellow, and then she gets higher. You might want to let her in the green for longer and not try to bring her back up. From what I understand, you said that the mid or low greens on the Libre would actually correspond more to high blues on a human meter, right? Those numbers don’t present a risk, that’s where you want her to be, so she gets used to those and stops bouncing.
I know you did not ask for my advice, but I keep looking at her SS and remember Bella last year, she would bounce a lot, but then once she was more consistently in good numbers, the bounces got smaller and smaller.
I hope you get there eventually, it’s so depressing when nothing seems to be working :bighug:
 
cecile & bella said:
When was it that she would not get higher with 6 %? From her SS it looks like you give her snacks with higher LC at 9% if she’s in blue or even yellow, and then she gets higher. You might want to let her in the green for longer and not try to bring her back up. From what I understand, you said that the mid or low greens on the Libre would actually correspond more to high blues on a human meter, right? Those numbers don’t present a risk, that’s where you want her to be, so she gets used to those and stops bouncing.
I know you did not ask for my advice, but I keep looking at her SS and remember Bella last year, she would bounce a lot, but then once she was more consistently in good numbers, the bounces got smaller and smaller.
I hope you get there eventually, it’s so depressing when nothing seems to be working :bighug:
Click to expand...
Hi Cecile, I’m happy to have your thoughts and I appreciate your taking the time.
I normally feed her only 6% snacks.
(As an experiment the past few nights I added a 1/4 to 1/2 tsp of 9% with the 6% to see if she wouldn’t drop very fast).

Yes the Libre lows (50 and below, is around 80-150s on a handheld meter).

The 6% doesn’t bring her up if she’s very low, like she’s dropping very fast and I’m trying to keep her from going under 80 or 90 on a handheld meter (would be 40 or under on the Libre). That’s
when I would use a MC like 12 to 15%.
I really appreciate the help, Cecile and I hope to get her to overall lower numbers so the bouncing lessens. I understand that’s what makes her bounce so much, when she drops so far and then her body reacts and she shoots up so high.
:bighug::bighug:
 
Yes, but that did not happen for a long time, maybe she would not drop as low, now? And staying around 70-80 is perfect. Sorry if I keep repeating the same thing, I want her to get better :bighug:
Again, look at Bella's SS: at first (like January-February 2022), she would shoot into pink as soon as she had a blue or green number. But then she would just be in yellow, and then only blue. Now if she's in blue (like tonight), it's a big bounce for her. I use LC except if she is very close to or lower than 50, or if I know I'll be away for a few hours and she is low to start with. Anytime I use higher LCs, she goes high in the next cycle.
 
If I were you I would give TR a try. With a bouncy kitty I think it’s the best way to get them used together more normal bg. I agree with Wendy.
 
I guess I will need to increase her dose and see if I can bring her numbers down and let her go lower and see what happens. Hopefully she will get more used to those lower greens and bounce less. I know that’s the goal. I was holding her dose since she was seeing nadirs under 150, per the SLGS instructions.
But it seems she needs more of them even though she’s bouncing.
I still find this so confusing :(
 
tiffmaxee said:
If I were you I would give TR a try. With a bouncy kitty I think it’s the best way to get them used together more normal bg. I agree with Wendy.
Click to expand...
I tried TR months ago and found she takes more time to adjust to a dose increase. And she’s hard to keep from dropping very low since she seems to require more than LC to stabilize her.
But maybe a lower reduction point would help.
 
Staci & Ivy said:
I guess I will need to increase her dose and see if I can bring her numbers down and let her go lower and see what happens. Hopefully she will get more used to those lower greens and bounce less. I know that’s the goal. I was holding her dose since she was seeing nadirs under 150, per the SLGS instructions.
But it seems she needs more of them even though she’s bouncing.
I still find this so confusing :(
Click to expand...

Not increasing if nadirs are under 150 is for cats new to insulin. Once you have data you lower that number. Eventually people give insulin if over 90 at preshot.
 
From the sticky on SLGS:
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, generally speaking, your goal is to achieve flat numbers that are greater than 90 mg/dL. However, let experience, data collected, knowledge of your cat, and availability to monitor help in making the best decisions for your cat.
 
tiffmaxee said:
From the sticky on SLGS:
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, generally speaking, your goal is to achieve flat numbers that are greater than 90 mg/dL. However, let experience, data collected, knowledge of your cat, and availability to monitor help in making the best decisions for your cat.
Click to expand...
So to confirm, if I lower her reduction point to say 80 which is where I would let her drop to and not give a reduction.
However, if at pre-shot, she was under 90 I would not shoot, is that correct??
 
I personally would lower to 70 but if you choose 80 that’s fine. I would shoot if over 100 if the bg is rising without food. She’s not low at preshot so wait until that starts to happen to decide. Until she spends longer periods of time in blue and green I think she will continue to bounce. There have been cats following SLGS that reach remission or at least remain under renal threshold.
 
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