Tweety 2/15 AMPS HI +1 HI +2 391 +3 333 + 5 254+6 282 +9 357 PMPS HI +1 HI +2 374

[Teya and Tweety]

https://felinediabetes.com/FDMB/thr...369-11-352-pmps-331-1-304-2-347-3-292.286651/


Hello, I'm so bummed out. Tweety stayed pretty much in the 300s all day yesterday.

This morning is over 400. Libre only goes to 400 then just says "HI." I will check her later with meter but I'm guessing it's still very close.

The question: Does this happen after hypo events typically? You reduce the dose a touch and they get higher for a while? Do they end up going back down? How long should I wait?

January 26th hypo was fast and lasted a few hours. She stayed high for a week until we took her from 1u to 1.5 units. The 1.5 took her down way too fast so went to 1.25. Then boom a hypo 1 week later.

Reduced from 1.25u to 1u last Friday night. When she hit 60 last Friday I didn't respond well she overloaded carbs. I don't get "breaking a bounce" and reducing insulin. If she was trending down in a good way and had sudden drop... it isn't computing why we reduce the dose letting her get high again and then do this all over again, and again. I just don't get it. I'm hoping this weekend after my last week in (intense!!) job training tomorrow I'll be able to absorb more.

I'm rambling. Thx for bearing with me.

 

[Staci & Ivy]

https://felinediabetes.com/FDMB/thr...369-11-352-pmps-331-1-304-2-347-3-292.286651/


Hello, I'm so bummed out. Tweety stayed pretty much in the 300s all day yesterday.

This morning is over 400. Libre only goes to 400 then just says "HI." I will check her later with meter but I'm guessing it's still very close.

The question: Does this happen after hypo events typically? You reduce the dose a touch and they get higher for a while? Do they end up going back down? How long should I wait?

January 26th hypo was fast and lasted a few hours. She stayed high for a week until we took her from 1u to 1.5 units. The 1.5 took her down way too fast so went to 1.25. Then boom a hypo 1 week later.

Reduced from 1.25u to 1u last Friday night. When she hit 60 last Friday I didn't respond well she overloaded carbs. I don't get "breaking a bounce" and reducing insulin. If she was trending down in a good way and had sudden drop... it isn't computing why we reduce the dose letting her get high again and then do this all over again, and again. I just don't get it. I'm hoping this weekend after my last week in (intense!!) job training tomorrow I'll be able to absorb more.

I'm rambling. Thx for bearing with me.

The question: Does this happen after hypo events typically? You reduce the dose a touch and they get higher for a while? Do they end up going back down? How long should I wait?

Good morning Teya, yes this is normal. Once they have seen lower numbers, they bounce up to very high numbers. That is a bounce she will come down again. He just have to wait it out and be patient. They go up they go down. It’s all very normal especially for a newly diagnosed cat.
You have to follow the protocol when you’re supposed to decrease when you’re supposed to increase the dose.
It doesn’t happen overnight.. getting them into better numbers. They say around here “It’s a marathon, not a sprint” and that is the absolute truth.
We all need to learn a lot of patience.
You’re doing great with Tweety Pete. Keep following the protocol keep asking lots of questions that’s how you will learn and keep reading and looking at other spreadsheets so that you will learn to recognize and see how other cats go up and down up and down it’s all very normal

 

[Teya and Tweety]

Good morning Teya, yes this is normal. Once they have seen lower numbers, they bounce up to very high numbers. That is a bounce she will come down again. He just have to wait it out and be patient. They go up they go down. It’s all very normal especially for a newly diagnosed cat.
You have to follow the protocol when you’re supposed to decrease when you’re supposed to increase the dose.
It doesn’t happen overnight.. getting them into better numbers. They say around here “It’s a marathon, not a sprint” and that is the absolute truth.
We all need to learn a lot of patience.
You’re doing great with Tweety Pete. Keep following the protocol keep asking lots of questions that’s how you will learn and keep reading and looking at other spreadsheets so that you will learn to recognize and see how other cats go up and down up and down it’s all very normal

Thank you Staci. It is just hard feeling like we are going in circles. I am assuming that on Friday night or Saturday morning I need to go back up again to 1.25. I feel bad for her... I can see she is not feeling great and is drinking a lot due to such high numbers. I went back into my spreadsheet and sure enough she was hitting the 400s on day 5-7 then we went up again. We went to 1.5 though for just 2 cycles then down to 1.25 for the rest and 4-5 days later we had the hypo. So perhaps 1.25 is the better option and maybe she just stored some of the 1.5 days. Who knows. I need to let go. I can only do what I can do and let go of the rest I cannot control. Which is a lot! Thanks for listening and helping. Have a beautiful day. ~

 

[Bandit's Mom]

It looks like the reduction on 2/9 didn't hold and she needs more insulin. You want to take her back up to 1.25U tomorrow morning. In future, I would not take reductions based on the Libre - you want to verify any lows with a ear poke and base dosing decisions on that number.

Btw, I might have asked this before, but is there a reason you are following SLGS rather than TR? You can get her to a good dose faster with TR and you needn't hold a failed reduction for a week. You can always switch back to SLGS once she is in better numbers. You have enough test data for TR.

 

[Teya and Tweety]

It looks like the reduction on 2/9 didn't hold and she needs more insulin. You want to take her back up to 1.25U tomorrow morning. In future, I would not take reductions based on the Libre - you want to verify any lows with a ear poke and base dosing decisions on that number.

Btw, I might have asked this before, but is there a reason you are following SLGS rather than TR? You can get her to a good dose faster with TR and you needn't hold a failed reduction for a week. You can always switch back to SLGS once she is in better numbers. You have enough test data for TR.

Until this board I had never heard of SLGS or TR at all. Ijust picked the one that seemed best aligned with my vet and I've been doing whatever my vet said to do. When she had a super bad hypo on 1/26 in 2 units we went to 1.5. That dropped her WAY fast in just one dose so went to 1.25.

I did do an ear poke as well. By the time I thought to do that she was back up to 120 both on Libre and ear poke. I did what another member said to do and my vet said the same thing to drop her after any hypo event. My gut didn't want to but I'm no expert and very much still learning and am trying to follow advice of people who know.

So, I'm fine going back to 1.25. I wish I'd not dropped her down to begin with. But I'm following protocol.

As for TR. I'll reread that before I do any dose changes. I am so overwhelmed all over again. I feel incredibly defeated and very confused.

Yes I'm trying my best to be a good mom, but it feels like it's blowing up in my face.

I'll try to carve time tonight to read the post - it's again.

 

[Bandit's Mom]

Until this board I had never heard of SLGS or TR at all.

That's totally understandable! None of us had either.

As for TR. I'll reread that before I do any dose changes.

With SLGS, you hold a dose for 7 days (unless a reduction is earned). You decrease the dose when the BG falls below 90 mg/dl (on a human meter). This is more suited for caregivers who can't test as much as TR requires or those whose cats eat dry food.

TR is a more aggressive protocol with increases as often as every 3-5 days. Reductions are earned when the BG falls below 50 mg/dl (on a human meter). The aim is to keep the cat in the range of 50-100 (which is the normal BG range for cats). To follow TR, you would need to get at least one more test per cycle in addition to the pre-shot one i.e. 2 tests per cycle or 4 tests per day. You would also need to be feeding only LC canned food and no dry food.

If you decide to switch to TR, you would increase the dose every 3 days till you start seeing nadirs below 200.

I am so overwhelmed all over again. I feel incredibly defeated and very confused.

Yes I'm trying my best to be a good mom, but it feels like it's blowing up in my face.

Don't be so hard on yourself! You are a great mom. Feline diabetes IS overwhelming and confusing and it doesn't help that a cat's insulin requirements can change so quickly. Just keep at it and you will get the hang of it.

 

[Lara & Luciole (Lu)]

Don't feel defeated, Teya! You've only just started and at first there's a lot to take in, and in some ways working with insulin seems almost counter-intuitive at first.

Read more about Tight Regulation, and lean on the people here. Vets are sometimes pretty lacking in their knowledge, but this group is amazing, not only in the combined knowledge, but the amount of support and caring you'll get.

 

[tiffmaxee]

If you decide to try TR, you can always go back to SLGS if it’s not for you. It will most likely get her into better numbers sooner. We are all here to help you decide whether to increase or decrease and help you through lower numbers. Your choice.

 

[Teya and Tweety]

That's totally understandable! None of us had either.


With SLGS, you hold a dose for 7 days (unless a reduction is earned). You decrease the dose when the BG falls below 90 mg/dl (on a human meter). This is more suited for caregivers who can't test as much as TR requires or those whose cats eat dry food.

TR is a more aggressive protocol with increases as often as every 3-5 days. Reductions are earned when the BG falls below 50 mg/dl (on a human meter). The aim is to keep the cat in the range of 50-100 (which is the normal BG range for cats). To follow TR, you would need to get at least one more test per cycle in addition to the pre-shot one i.e. 2 tests per cycle or 4 tests per day. You would also need to be feeding only LC canned food and no dry food.

If you decide to switch to TR, you would increase the dose every 3 days till you start seeing nadirs below 200.



Don't be so hard on yourself! You are a great mom. Feline diabetes IS overwhelming and confusing and it doesn't help that a cat's insulin requirements can change so quickly. Just keep at it and you will get the hang of it.

Thank you so much. It makes more sense since I have the Libre and will not be working early morning anymore to do TR.

When you say nadirs below 200... this means basically how long? So if she stays below 200 all day between shots? *** UPDATE/EDIT I read about them. It is the number 6-8 hours after injection. So, I will be watching for that number. It will be RIGHT as I am heading out for work. Bummer.

Just read about TR. Kinda scary as I did not know I should be testing for Ketones. I will read more on it. Thank you again.

I do think she should go back up to 1.25 and I am guessing I should not have taken her down to begin with. So be it. Onward we go!

 

[Teya and Tweety]

Don't feel defeated, Teya! You've only just started and at first there's a lot to take in, and in some ways working with insulin seems almost counter-intuitive at first.

Read more about Tight Regulation, and lean on the people here. Vets are sometimes pretty lacking in their knowledge, but this group is amazing, not only in the combined knowledge, but the amount of support and caring you'll get.

Thanks so much - I am heading there shortly but it does seem to sound like a good fit given that I am using Libres. I am feeling a bit better than this morning. I was pretty upset and confused.

 

[Teya and Tweety]

If you decide to try TR, you can always go back to SLGS if it’s not for you. It will most likely get her into better numbers sooner. We are all here to help you decide whether to increase or decrease and help you through lower numbers. Your choice.

Thank you! I am going to check it out now... and I do think I will go to 1.25 tomorrow. I know the vet thinks it is "a bit tricky" to measure it out but I know it is possible. Thank you for your support. I have no idea how nutty I would be without this board.

 

[tiffmaxee]

With TR, your goal is to eventually see the bg between 50-100, like a non diabetic cat would have. That generally takes time. The last numbers to come down are the preshots for most cats. Some cats have two nadirs and some nadir late in the cycle. So you want your spreadsheet to have lots of blue and green. You only reduce if the bg drops under 50. Don’t worry. It’s scary at first to see bg between 50-80 but eventually becomes addictive. Having high carb food around and honey or karo will keep your cat safe.

 

[Teya and Tweety]

With TR, your goal is to eventually see the bg between 50-100, like a non diabetic cat would have. That generally takes time. The last numbers to come down are the preshots for most cats. Some cats have two nadirs and some nadir late in the cycle. So you want your spreadsheet to have lots of blue and green. You only reduce if the bg drops under 50. Don’t worry. It’s scary at first to see bg between 50-80 but eventually becomes addictive. Having high carb food around and honey or karo will keep your cat safe.

Ugh... I am reading about it now and had not ever even thought to "test ketones" and now I am worried about that. Do you test for ketones and if so what do you use?

Yes it is nerve wracking when I was seeing low numbers. But they never lasted long. Once we started getting to the 100s she did a big drop/hypo event and we have been wabbling since 1/26 from a hypo and another on 2/9. So, I am hoping it does not happen again. If it does I will not panic. I also see it CAN go as low as 50... she was only at 60 and I made a reduction anyway. Now i know better. So much to learn.

 

[tiffmaxee]

There’s a lot to learn. The first time I saw 60 was before I started testing at home and I was at my vet’s office. He was not at all concerned. the first time I had a low was at green at amps after an uneventful night.

You can get urine test strips to test for ketones at any pharmacy and even on Amazon. There’s also a meter you can get if you prefer to test the blood. Some cats are more prone to ketones. Fortunately Max was not one of those.

 

[Lara & Luciole (Lu)]

Don't let the hypos faze you. You'll learn how to prevent them. Just keep everything updated here because there's lots of helping hands and good advice.

 

[Teya and Tweety]

There’s a lot to learn. The first time I saw 60 was before I started testing at home and I was at my vet’s office. He was not at all concerned. the first time I had a low was at green at amps after an uneventful night.

You can get urine test strips to test for ketones at any pharmacy and even on Amazon. There’s also a meter you can get if you prefer to test the blood. Some cats are more prone to ketones. Fortunately Max was not one of those.

Thank you... I will order some!

 

[Teya and Tweety]

Don't let the hypos faze you. You'll learn how to prevent them. Just keep everything updated here because there's lots of helping hands and good advice.

Thank you - I will definitely do my best to update daily.