Monitoring her "bounce" today

Wirtz Family

Wirtz Family

Member Since 2026
AMPS decreasing last 3 mornings - 320, 291, 234 this morning. Started feeding snacks yesterday so BG doesnt drop as fast in the morning. Symptoms improved, more alert during day yesterday.

This morning BG 234 preshot.

She just ate and puked.

We can wait and try to feed her again in 10 min. Its 7:21am, shot is usually at 7:10am....

She keeps trying to eat the flowers on the table. So i know she is hungry. We introduced Weruva last night at 7pm which she did find on. She ate throughout the night too. Took food away at 5:10am. This morning she puked up the Wellness/Weruva.

UPDATE: She ate about a tablespoon at 7:40. Shot 1.5 units at 7:45am and will monitor. She is acting manic about food. Will feed again at 8:10 am and get BG at 9am.

**I couldn't delete this thread. Anyone know how to delete a thread you started if help is no longer needed?**

Sugar sheet link in signature...
 
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Wirtz Family said:
AMPS decreasing last 3 mornings - 320, 291, 234 this morning. Started feeding snacks yesterday so BG doesnt drop as fast in the morning. Symptoms improved, more alert during day yesterday.

This morning BG 234 preshot.

She just ate and puked.

We can wait and try to feed her again in 10 min. Its 7:21am, shot is usually at 7:10am....

She keeps trying to eat the flowers on the table. So i know she is hungry. We introduced Weruva last night at 7pm which she did find on. She ate throughout the night too. Took food away at 5:10am. This morning she puked up the Wellness/Weruva.

UPDATE: She ate about a tablespoon at 7:40. Shot 1.5 units at 7:45am and will monitor. She is acting manic about food. Will feed again at 8:10 am and get BG at 9am.

**I couldn't delete this thread. Anyone know how to delete a thread you started if help is no longer needed?**

Sugar sheet link in signature...
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No need to delete. I would like to know how it’s going today. Let me look at the spreadsheet.
 
Wow she dropped a lot today by +3. When did she get the mini meals — or was she vomiting them back up. Did you try something with more carbs than the Weruva. It’s pretty low carb.
 
Suzanne & Darcy said:
Wow she dropped a lot today by +3. When did she get the mini meals — or was she vomiting them back up. Did you try something with more carbs than the Weruva. It’s pretty low carb.
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Yea, a huge drop, fast.

We mixed Weruva and Sheba. She ate a few bites about 15 min prior to this last BG (+4). I just tried to feed her again and she turned her nose up at it, though she is getting a teaspoon of Churu with each of her BG tests.

As for this morning, she kept food down after the initial vomit. Then we shot her about 30 min later than normal, but right after eating. Took BG at +2.75 and at +4 (a few minutes ago). Hasn't dropped - remains steady. We will do a BG at +5 if she remains alert (sooner if she becomes lethargic). (I worry depending on where she sleeps; right now she moved to a good spot near the window and seems alert to what is going on around her.)

We have the Hills MD dry we can give her, but its relatively high carb. Maybe too high - 15%. 🫤 i know you mentioned 7%.
Sheba perfect portion chicken pate: This food contains 9.0% Protein, 5.0% Fat, 1.5% Carbohydrates per 100kcal.
💡I can get the Hills kibble wet and mix it in with one of the wet foods.
 
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Suzanne & Darcy said:
Wow she dropped a lot today by +3. When did she get the mini meals — or was she vomiting them back up. Did you try something with more carbs than the Weruva. It’s pretty low carb.
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BG is going up. BG 92 at +5. She had about 10 of those kibbles (Hills MD) with a couple bites of wet food about 5-10 minutes before her last glucose test. She has been alert and walking around. She went to her "I am worried" chair but she is cleaning herself so she is good 👍 😊

What do you suggest going forward? If she's still in the mid-to-low 200s tonight, should we lower the dose by quarter unit? Cuz we're not going to be initiating feeding her overnight. She'll have food out but it doesn't mean she's going to eat.

And then just generally, should her food be in the 7-8% carb range? And since there are multiple ways to present carbs, I assume its on a per 100kcal basis or dry weight basis?
 
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She had a fantastic cycle in the “healing greens” today. What a nice surf in green.

She did drop too quickly early on and hopefully that can be managed with a few more carbs without resorting to the dry food which tends to affect BG differently even if it’s one of the lower carb dry foods. There’s a lot of trial and error at first with the various foods and timing. After today, I do think I would like to see her eating a breakfast that has maybe 8 or 9 percent carbs (if you can find it.) she did really great though and I only hope she won’t bounce.
 
405 PMPS. Ugh. Maybe it is because of the few kibble we gave her? That is literally the highest BG reading we got with the ReliOn since we started testing. :confused: I know it's not exact, and trends are more important, but what a bummer.

We just fed her and she puked. Ugh.

Ok, we will have to buy new food. For tomorrow morning I will figure out the highest carb food we have, which will be less than 8-9%. But we will get new food going on Thursday morning... or Wednesday night after the shot??? Should we feed that 8-9% carb wet food after BOTH shots? I would assume so, but I have to ask in case I am missing something.

We won't use the kibble at all from now on.

If you see this, for tonight, as soon as we can get her to keep her food down, should we still reduce the dose from 1.5 to 1.25, even though her BG is high?
 
I am going to post the foods we have already to keep track (for myself and my own notes):

Tiki After Dark
Duck & Chicken is 5.13% carb on DMB (1.16% Carbs on as-fed basis).*
Tiki After Dark Chicken, Chicken Liver, & Quail is 0.74% carb on DMB (0.17% Carbs on as-fed basis).*

Sheba Perfect Portions Pate
Savory Chicken Entree is 4.27% Carb on a dry matter basis (0.91% Carbohydrate content on an as fed basis; 7.88 grams per 1000 kilcalories).*
Roasted Turkey Entree is 3.71% Carb on a dry matter basis (0.71% Carbohydrate content on an as fed basis; 5.64 grams per 1000 kilocalories).*
Tender Beef Entree is 3.28% on a dry matter basis (0.76% Carbohydrate content on an as fed basis; 6.55 grams per 1000 kilocalories).*

Weruva
Press Your Dinner Chicken Breast Dinner is carbohydrate content of 6.10% on a dry matter basis (1.29% as fed).*
Press Your Lunch Chicken Pate is carbohydrate content is 7.90% on a dry matter basis (1.3% on an as fed basis ).*
Tic Tac Whoa Tuna & Salmon is 9.0% on a dry matter basis (1.25% Carbohydrate content on as fed basis).*
Jolly Good Fares Chicken & Salmon is carbohydrate content of 9.50% on a dry matter basis (1.62% as fed).*

*Per Chewy
**calculated from as-fed values
 
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Wirtz Family said:
If you see this, for tonight, as soon as we can get her to keep her food down, should we still reduce the dose from 1.5 to 1.25, even though her BG is high?
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If you are following the SLGS dosing method then you would reduce the dose by .25 units because she dropped below 90 today. If you are following the Modified ProZinc Method, you would continue to hold the dose since she didn’t drop below 50 on your ReliOn meter. If you are not feeding dry food, you can follow MPM as long as you can get at least one mid cycle test each cycle you can follow MPM.
 
Whenever you are transitioning from one food to another, you need to do it very slowly— gradually adding in a small amount of food to her existing food and increasing a little more each day. This helps prevent GI upset. Cats can be very sensitive to food changes.
 
How is everything going? I see you got a 90 yesterday which is good. Try to test at a few different hours to fill in the gaps on the checkerboard that is her spreadsheet. Also, we are only getting half the picture with no nighttime tests. At least a before bed test will clue you in as to how the cycle is going to go. Many cats do drop lower at night than during the day - not all, but many do.
 
Ok, thanks. Doing a curve today. (Can only do midday BG on days my hubby is home, so pretty much weekends.)

Today BG dropped btwn +5 to +7. 🤔 Gonna take BG in 40 min (+8).

(We will try to get a BG before bed, hopefully at +1 and/or +2, but since I am up at 4:30-5am to pull her food, I have to go to sleep an hour after her PM insulin. My hubby stays up to give her the PM snacks, and he can't take BG solo.)
 
Well she had a pretty good cycle today although not as good as previous cycles. Any clue why she started the day so high?

For now we should hold this dose to see if she returns to greens mid-cycle. Can you explain how you have been feeding her? She dropped a lot early on but then she stabilized very nicely today.

Have you considered using an automated feeder to dispense the p.m. snacks? Neither of you would have to stay up. As for pulling the food two hours prior to the morning shot, if the autofeeder closes up at a certain time (or of you are certain the snacks will be eaten) then don’t wake up early to take up all the food.
 
Suzanne & Darcy said:
Well she had a pretty good cycle today although not as good as previous cycles. Any clue why she started the day so high?

For now we should hold this dose to see if she returns to greens mid-cycle. Can you explain how you have been feeding her? She dropped a lot early on but then she stabilized very nicely today.

Have you considered using an automated feeder to dispense the p.m. snacks? Neither of you would have to stay up. As for pulling the food two hours prior to the morning shot, if the autofeeder closes up at a certain time (or of you are certain the snacks will be eaten) then don’t wake up early to take up all the food.
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No idea about the high AMBG reading. Everything has been on time. Same ol' same ol'. EXCEPT, when I went in to pull the food at 5am, she had just been walking away from it. Most other mornings she eats earlier I think. That's the only thing I can think of.

Generally, the last 3 days has been 7-8% carb snacks til noon (approx 0, +1, +2, maybe +3.5), then switch to <5% carb for the +6 to +12 time. We have had some hiccups cuz two of us are feeding her, mixing food, leftovers, getting confused what is what. But generally, that's the schedule. Specifics are in the Remarks column on the Sugar Sheet..

She doesnt eat unless we lock her in the mudroom with food or we bring her to the food. She just meows at us when she is hungry, it can be noon or 2am or whenever. If we aren't home, she basically doesn't eat. But one of us is usually home. We haven't been away from the house for more than a few hours since the diagnosis.

An autofeeder might work if we lock her in the mudroom all night, but we dont want to do that cuz it stresses her out every so often, we just dont know when she will flip out. It's still on the table but we are holding out, trying different schedules and sleep times.

So at this point BG is <200 so no shot. We will test again in 20 min. It was 153. (It was 125 at 1.75 hrs prior to the PMPS.)

Edit: It went from BG 153 to 237 in 40 min. We gave her the 1.25 units of PZ 30 min after her normal shot time. She ate again preshot. We will test again and enter it in the spreadsheet.

Btw, how does one enter BG values that are taken within the same hour? I deleted the 153 and entered the 237 for the PMPS. where do i record the BG of 153, taken 40 minutes prior to the PMPS reading?

PS Thanks for checking in.
 
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The don’t shoot under 200 rule is for new people. The thing to do is to post for help and guidance when you first start getting AMPS and PMPS under 200. Gradually we will lower the threshold for skipping the shot.

You are on Pacific time and I am on Eastern time, I believe. What is your shot time?
 
I need to look carefully at her spreadsheet and try to give some guidance to help you. Got to go out and feed some feral colonies now.
 
Wirtz Family said:
An autofeeder might work if we lock her in the mudroom all night, but we dont want to do that cuz it stresses her out
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No. I certainly don’t want poor Skippy locked away all night. 😢 I was just trying to think of something that would help you out and make it less onerous on all of you.


Wirtz Family said:
then switch to <5% carb for the +6 to +12 time.
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Does she need to eat anything between +6 and +10. Food should be gone by +10 anyway, but I really don’t recommend feeding after nadir because it will just raise BG when the action of the insulin is waning. The exception to this is a small lowest carb treat if you are testing her BG.
 
Suzanne & Darcy said:
No. I certainly don’t want poor Skippy locked away all night. 😢 I was just trying to think of something that would help you out and make it less onerous on all of you.



Does she need to eat anything between +6 and +10. Food should be gone by +10 anyway, but I really don’t recommend feeding after nadir because it will just raise BG when the action of the insulin is waning. The exception to this is a small lowest carb treat if you are testing her BG.
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She sometimes needs to eat after nadir... But this is based on the 2 weeks we have been testing. I feel with a more regulated BG, she is not as manic. Unfortunately she is used to 1T dry food at a time; we did this for years to prevent her from puking. In the past she would have 2-3 days where she could not keep anything down. Labs came back normal according to the vets. So we just dealt with it. We thought with the hyperthyroid diagnosis that would be the answer, but the methadazole (sp?) didn't fix the puking. Now with insulin, the random bouts of puking are gone. She still pukes, but it's when she is manic and prolly ate too fast.

So to answer your question, we will not feed after +6 and see how she deals with it. If we need to feed her (cuz manic cat = hard to get BG reading), it will be 1T of the Tiki 0.75% carb pate.
 
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Suzanne & Darcy said:
How is everything going?
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Ugh, i dunno. The numbers stay high during one cycle, then dip the next. She has been having more manic food episodes. My gut says that maybe the thyroid isnt being controlled. ??? The last lab had it as within normal range but higher than "they" would like for a medicated cat.

We tried to get readings thru out the night but when she is acting like a strung out meth addict, we can't get blood. She threw up last night between 12:30 and 1am, so i re-fed her at 1:30am and she kept it down, then relaxed and fell asleep til 5am.
 
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