Tweety 2/10 AMPS 399 +1 450 +2 386 +5 242 +8 288 PMPS 326 +2 333 +3 290

Some of it might be the Libre wonkiness. Where it affects dosing decisions (whether a reduction is earned), it might be good to use a meter to verify Libre lows and go by that number rather than the Libre.

A cat's insulin needs can change from week to week (or sooner!). A dose that was not enough last week can become too much this week. Just follow the numbers. You're doing great. I know lower numbers can be pretty stressful at first, but once you get used to them, it will be higher numbers that alarm you :-)
 
Bandit's Mom said:
Some of it might be the Libre wonkiness. Where it affects dosing decisions (whether a reduction is earned), it might be good to use a meter to verify Libre lows and go by that number rather than the Libre.

A cat's insulin needs can change from week to week (or sooner!). A dose that was not enough last week can become too much this week. Just follow the numbers. You're doing great. I know lower numbers can be pretty stressful at first, but once you get used to them, it will be higher numbers that alarm you :)
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Thank you for the link!! I'm applying her new one tomorrow and all info helps.

My vet told me hypo is much more urgent than hyper. So I don't know how long a kitty can be going down or stay down without help. Tweety was plummeting so fast yesterday. I panicked as I had to leave and have her toi much food. Lesson learned.

I know the goal is 70-150. For us though I'd be happy seeing a steady 100-300 max. Tweety so go to 100 then at night halls up to 300 or even 400. Makes no sense. Then days later she'll go hypo... when 72 hours ago was in the 300s.

Anyway, I'm going to pray. I'm going to hope and pray I can absorb all of this and get calm so I can be of best service to my Tweety. A panicked and fearful momma isn't helpful to anyone.

Thx for listening and the links. :bighug:
 
Teya and Tweety said:
My vet told me hypo is much more urgent than hyper. So I don't know how long a kitty can be going down or stay down without help. Tweety was plummeting so fast yesterday. I panicked as I had to leave and have her toi much food. Lesson learned.
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Yes, lower numbers can be dangerous but when you are monitoring and she is at a good dose, it is unlikely. You have the means to keep her safe from a symptomatic hypoglycemic episode. And kitties have this nasty habit of dropping low just when you have to go out or go to bed! :rolleyes:

Teya and Tweety said:
I know the goal is 70-150. For us though I'd be happy seeing a steady 100-300 max. Tweety so go to 100 then at night halls up to 300 or even 400. Makes no sense. Then days later she'll go hypo... when 72 hours ago was in the 300s.
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Yes, with a pet meter the goal is 70-150 but lower with a human meter (50-100). The higher numbers are her bouncing from the lows. Once her body gets used to lower numbers the bouncing will reduce and she will also clear bounces faster.

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).
 
Bandit's Mom said:
Yes, lower numbers can be dangerous but when you are monitoring and she is at a good dose, it is unlikely. You have the means to keep her safe from a symptomatic hypoglycemic episode. And kitties have this nasty habit of dropping low just when you have to go out or go to bed! :rolleyes:


Yes, with a pet meter the goal is 70-150 but lower with a human meter (50-100). The higher numbers are her bouncing from the lows. Once her body gets used to lower numbers the bouncing will reduce and she will also clear bounces faster.

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).
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So much to learn. It's very confusing. The vet told me they don't want me changing doses like a human does. She said staying consistent is better for cats once we know a good dose to stick with it. She also said I can remove the Libre and just spot check her.

Yet everything here contradicts that. So I'm confused. If it were not for this board, she wouldn't have ever switched to a syringe and been given. 25 dose increases. I never knew what a nadir was or bouncing. I think our vet does a good job overall, and I do like and trust them. I just feel like there's so much more to this than they can cover in a visit or 3. Plus sometimes people just disagree.

Tweety is still on Prednisolone as well. I wonder if that is messing with things.

I think a call to the vet is in order and a conversation.
 
Teya and Tweety said:
She also said I can remove the Libre and just spot check her.
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Yes, that is an option. A lot of our members just use a meter to test BG. You would get a pre-shot test and spot tests in the cycle to determine how low a dose is taking her. You don't need 24X7 data.

Teya and Tweety said:
Tweety is still on Prednisolone as well. I wonder if that is messing with things.
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I don't have any experience with Pred, but I think I've read that when you give it in the cycle matters. And of course, Pred does elevate blood sugar.
@Wendy&Neko
 
Teya and Tweety said:
The vet told me they don't want me changing doses like a human does. She said staying consistent is better for cats once we know a good dose to stick with it.
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The difference between humans and cats is that a cat's pancreas has the ability to heal, meaning that the insulin dose that is needed can change over time. This is a good thing - it means some cats will go into remission. It also means testing is good to make sure your cat tells you (with lower numbers) when the dose has become too much. Or too little.

As far as the prednisolone goes, I think people have found that it does depend somewhat on their cat. But it will raise the blood sugar numbers for a period of time and you can use that too advantage. One members always gave pred in the AM, cause it meant her kitty would be higher and safe while she was at work. Others do the opposite to get more sleep. Do you give pred at the same time every day? You might want to do that, and see what the corresponding change is in the blood sugars. It may be a delayed reaction too.

1 mg is a very small amount of prednisolone, the impact shouldn't be that much. I did some testing on a non diabetic cat taking pred. When he was on 10mg, he hung around the 90's, but that went down to the 70's when it was reduced to 5 mg. His baseline before pred was the 50's.
 
Wendy&Neko said:
The difference between humans and cats is that a cat's pancreas has the ability to heal, meaning that the insulin dose that is needed can change over time. This is a good thing - it means some cats will go into remission. It also means testing is good to make sure your cat tells you (with lower numbers) when the dose has become too much. Or too little.

As far as the prednisolone goes, I think people have found that it does depend somewhat on their cat. But it will raise the blood sugar numbers for a period of time and you can use that too advantage. One members always gave pred in the AM, cause it meant her kitty would be higher and safe while she was at work. Others do the opposite to get more sleep. Do you give pred at the same time every day? You might want to do that, and see what the corresponding change is in the blood sugars. It may be a delayed reaction too.

1 mg is a very small amount of prednisolone, the impact shouldn't be that much. I did some testing on a non diabetic cat taking pred. When he was on 10mg, he hung around the 90's, but that went down to the 70's when it was reduced to 5 mg. His baseline before pred was the 50's.
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Wow... yes I guess that is a really low dose. She takes it at night as she tends to dip lower overnight. But if that changes I could move out the morning. Great idea!

The vet called me today and spent a good amount of time. I finally "get" a few things I wasn't before.

Overall I understand all of this is pretty unpredictable. But we can just do our best. They think 1u will be her number moving forward and big picture/ long term though.

They don't think she's a remission kitty. But "you never know."

I think I'll just always do Libres. I'm placing the 3 on her tomorrow duce I'll be working 12-5 away from home. I like that time window though! I'll have plenty of time as I give her shot at 5:45/6 am daily.

Well I'm rambling again but not reeling anymore. I'm really doing the best I can and know how to.

The vet said I really overdid the carbs. :( Said next time just half a can of higher carb wet food would've sufficed since Tweety was awake, hungry and alert. I panicked as I thought if I didn't act fast she go unconscious or worse.

Thank you again so much.
Teya and Tweety
 
Diane Tyler's Mom said:
I don't know why your vet would say this, it took me 2 years and 4 months to get Tyler into remission, it's 3 years now that he's been in remission.
I know that taking the advice from the members here helped me get Tyler in remission.
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I'm not sure. But her holistic/natural vet believes she certainly can and we're hoping to get there.

I'm considering changing food entirely once she gets more level.

They don't want to talk prednisalone yet either. They think it could contribute but are not concerned right now.

Step at a time and day at a time.

In good news Tweety was very perky today! Playful, happy and begging for dinner. 180 from yesterday night at dinner time. Plus? Got the Freestyle area shaved and my old phone is charging as we speak. I'm so thankful for this board and members!

I'd never have known about the Freestyle 3, using an old phone to boot?! syringes, nadir meaning, bouncing, .25 doses, later remission, the list goes on and on. Thank you!!! :bighug::bighug::bighug:
 
Teya and Tweety said:
I'm not sure. But her holistic/natural vet believes she certainly can and we're hoping to get there.

I'm considering changing food entirely once she gets more level.

They don't want to talk prednisalone yet either. They think it could contribute but are not concerned right now.

Step at a time and day at a time.

In good news Tweety was very perky today! Playful, happy and begging for dinner. 180 from yesterday night at dinner time. Plus? Got the Freestyle area shaved and my old phone is charging as we speak. I'm so thankful for this board and members!

I'd never have known about the Freestyle 3, using an old phone to boot?! syringes, nadir meaning, bouncing, .25 doses, later remission, the list goes on and on. Thank you!!! :bighug::bighug::bighug:
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You’re doing great Teya! Tweety is lucky to have you caring for her :bighug::bighug::bighug:
 
Staci & Ivy said:
You’re doing great Teya! Tweety is lucky to have you caring for her :bighug::bighug::bighug:
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Thank you... I am really trying my best and having to let go. Very hard to do when you feel so responsible for the outcome. Even though in my heart all I can do is take the best actions I know to. Which is what I am doing. HUGS:bighug:
 
Teya and Tweety said:
Thank you... I am really trying my best and having to let go. Very hard to do when you feel so responsible for the outcome. Even though in my heart all I can do is take the best actions I know to. Which is what I am doing. HUGS:bighug:
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I totally understand!! Keep reading and asking lots of questions!! You’re doing great! :bighug::bighug::bighug:
 
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