SLGS question ?? and feeding times ??

Bellas_mom_2020

Bellas_mom_2020

Member Since 2024
Good evening everyone

I’m looking for some advice as well as an explanation because even after reading multiple times I don’t understand. I’m confused about the SLGS. How long do I keep Bella on 0.5? I mean it’s only been a week and the beginning we started out a little rough - she wasn’t really eating much and just not herself at all but after a few days she started eating all her food and now loves the Fancy Feast. She’s had two times where her BGs were in the 300s but other than that they’ve been in the 100s and 200s.

My other question is I could use some suggestions. We’ve been trying to establish a feeding schedule.
Some members suggested several small meals throughout the day. Yesterday we did breakfast, dinner and a snack mid day but felt like it was hard for her to wait till 6:30 to eat. Today we did 6:45 breakfast, 10:45 snack which was 1/2 can FF, 2:45 another 1/2 but she only ate 1/4 and then dinner at 6:45. So like every 4 hours, but her BG was 331 after the second snack so now we’re thinking is it to much. The snack we gave her is 0% carbs (according to Dr piersons list)

So hoping to get some advice and explanation of the SLGS. I’m still pretty new to this and trying my best to read and educate myself. Thanks in advance.


https://docs.google.com/spreadsheets/d/1yLIqy1uFfJh0cZztMuSJESzpDTH7oICgabommZsztqk/edit
 
When following SLGS, your goal is to get to a dose where the nadirs, or lowest points, are in the 90-149 range. Bella has already seen quite a few cycles with those numbers. So for now, stay with this dose. Until either she goes under 90, or the nadirs start going above 150 consistently.

Can you rephrase the times you've been feeding to + times? I don't know how 6:45 relates to when the shot was. I would also give her a snack before bed. As much as possible, it's good to do similar feeding day and night.
 
Wendy&Neko said:
When following SLGS, your goal is to get to a dose where the nadirs, or lowest points, are in the 90-149 range. Bella has already seen quite a few cycles with those numbers. So for now, stay with this dose. Until either she goes under 90, or the nadirs start going above 150 consistently.

Can you rephrase the times you've been feeding to + times? I don't know how 6:45 relates to when the shot was. I would also give her a snack before bed. As much as possible, it's good to do similar feeding day and night.
Click to expand...

okay so I’ll stick with the 0.5. Yes I can do that, I thought actual times would be easier to understand. So today we fed her +11 after her PMDS (hope I’m writing that correctly) and then a snack +4 after her AMDS, then +8 after her AMDS, then dinner +12 after her AMDS.

How much should a snack be? Is a half can (like 1.5 oz) an okay amount to feed her for her two snacks (+4, +8 after her AMDS)? Or should we do a little less? Don’t want to make her BG raise because we’re feeding her to much. Her snacks are always the lowest carbs FF food. And her two main meals (breakfast & dinner) are always the whole can (3 oz).

When you say unless she goes 150 or above consistently? Can you explain that a little more? Like what is considered to be consistent? Sorry but I just want to make sure I’m understanding and doing everything as best as I can.
 
Actual times don’t work because we have members all over the world so different time zones.
What is AMDS? Do you mean AMPS, the bg before giving insulin? +11 would be an hour before giving insulin and you don’t want to feed 2 hours before shot time until you know how much of a bump she gets from food. Unless low, I stopped feeding by nadir or +6. Feeding too much the second half of the cycle can shorten the duration of lantus. A snack is often just a couple of teaspoons.
How’s her weight? Is it where you want it to be or is it too high or too low?
 
tiffmaxee said:
Actual times don’t work because we have members all over the world so different time zones.
What is AMDS? Do you mean AMPS, the bg before giving insulin? +11 would be an hour before giving insulin and you don’t want to feed 2 hours before shot time until you know how much of a bump she gets from food. Unless low, I stopped feeding by nadir or +6. Feeding too much the second half of the cycle can shorten the duration of lantus. A snack is often just a couple of teaspoons.
How’s her weight? Is it where you want it to be or is it too high or too low?
Click to expand...

omg ‍♀️‍♀️‍♀️ I typed it out wrong, I’m a mess. Yes I meant AMPS. Sorry I guess I wrote it wrong. The +11 was for her first meal of the day (+11 after her PMPS) .

She’s 10.5 lbs so I feel like that’s a good weight for her.
 
No apologies needed. I’m just trying to understand. You dint want to feed at +11 because then the pmps or amps will be food influenced. You know you can test, feed, and shoot all within 5-15 minutes right? Are you feeding at +11 and waiting an hour to shoot?
 
tiffmaxee said:
No apologies needed. I’m just trying to understand. You dint want to feed at +11 because then the pmps or amps will be food influenced. You know you can test, feed, and shoot all within 5-15 minutes right? Are you feeding at +11 and waiting an hour to shoot?
Click to expand...

no we wake up around 6:45 (eastern time) we test, feed and make she at least eats 1/2 which she usually does pretty much without 10-15 mins then shoot. Trying to shoot 7 am & 7 pm give or take 10-15 mins some days because that’s work best with my work schedule. So I guess I should I wrote I feed her +12 after her PMPS the night before.
 
10-15 minutes give or take is fine for shot time.

So sounds like you feed at AMPS shot time, then AMPS+4 and AMPS+8 and PMPS time then nothing after that? Ideally you try to limit any food after nadir or the low point. After that, the insulin effect is starting to fade and food/carbs will shorten the duration and make her higher at PMPS. Giving zero carbs after nadir should be fine. I would also look at giving her a snack before you go to bed. Ideally something close to +4. Or leave food out if she's a grazer.
 
:banghead:
Wendy&Neko said:
10-15 minutes give or take is fine for shot time.

So sounds like you feed at AMPS shot time, then AMPS+4 and AMPS+8 and PMPS time then nothing after that? Ideally you try to limit any food after nadir or the low point. After that, the insulin effect is starting to fade and food/carbs will shorten the duration and make her higher at PMPS. Giving zero carbs after nadir should be fine. I would also look at giving her a snack before you go to bed. Ideally something close to +4. Or leave food out if she's a grazer.
Click to expand...

sorry I fell asleep and didn’t see this response.
All these terms confuse me even after reading them multiple times :banghead: What is the nadir again and how do figure that out?

And yes we realize we need to give her something before we go to bed because little miss Bella decided to start her shenanigans around 3:30 am eastern standard time o_O so around 5:00 am (+2 before her AMPS) gave her a few freeze dried chicken pieces and idk if that would raise her BG because she woke up and it was 283 :(
 
Lantus Land slang dictionary: https://www.felinediabetes.com/FDMB/threads/lantus-levemir-biosimilars-isg-slang-dictionary.1903/

Nadir is the lowest point the bg level drops to within a cycle. It's generally at +6 but can vary among cats. To figure out the nadir you will have to do a curve on your cat, that is, testing approximately every 2 hours from AMPS until PMPS.

Kona has a graphed out curve on her SS, https://docs.google.com/spreadsheet...AhtYrUrF9k3qry50CGKVYBnOrR9dGAP44TK9/pubhtml# Click on the Daily Curve tab at the top. For that curve, Kona's nadir was at +6.
 
I read the Lantus slang but some of it still confuses me a little. I should be able to do a curve tomorrow because I’m off from work and don’t plan on going anywhere. So I have to test every +2 in between her AMPS and PMPS, right? While I’m doing the curve I should still feed her like I normally would right?
 
A lot of the slang originated years and several web servers ago. Many of the words have a backstory but the members who were around when the word was coined are no longer on FDMB. Some of the words aren't commonly used these days unless you're an ancient old timer like me and know what insulin shoes are :p

Testing every 2 hours is ideal but get as many tests as you can. Sometimes cats just don't want to cooperate on curve day:rolleyes: Don't do anything differently during a curve with food or anything.
 
Okay thank you. I will do that tomorrow since I’ll be home to do it. She’s pretty good with me testing + I always give a treat. I feel bad for her ears especially when they bleed to much.
 
If you haven't already, I strongly recommend reading the yellow starred Sticky Notes at the top of the forum. There is a lot of information there and you'll find yourself going back to them. Some of the definitions are here:
The Basics: New to the Group? Start here! such as:
  • Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
  • Peak/Nadir - the lowest point in the cycle
  • Duration - the length of time insulin continues to lower blood glucose
  • How to do a Curve - a simple explanation
I would say the vast majority of kitties don't have their blood sugar react to freeze dried chicken snacks. She could also be bouncing.
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).
 
Wendy&Neko said:
If you haven't already, I strongly recommend reading the yellow starred Sticky Notes at the top of the forum. There is a lot of information there and you'll find yourself going back to them. Some of the definitions are here:
The Basics: New to the Group? Start here! such as:
  • Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
  • Peak/Nadir - the lowest point in the cycle
  • Duration - the length of time insulin continues to lower blood glucose
  • How to do a Curve - a simple explanation
I would say the vast majority of kitties don't have their blood sugar react to freeze dried chicken snacks. She could also be bouncing.
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).
Click to expand...

I did read that forum but some parts I get confused. I’ll read it again.

I really appreciate all your help as I navigate this journey.
 
Bellas_mom_2020 said:
I did read that forum but some parts I get confused. I’ll read it again.
Click to expand...
If it helps any, my Cleo was diagnosed on Jan. 3, 2022 and I still read the stickies every morning after test, feed, shoot and when I'm drinking my coffee :)
Now I talk to my friends and family using FDMB terms and slang and they all look at me like a deer in headlights :joyful:
 
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