Gabriele
Because Luna is still eating dry food, then you will need to follow the
Start Low Go Slow (SLGS) method of regulation. If you are able to slowly wean her off the dry food to just canned, you can then attempt tight regulation, if you wish.
Under SLGS, you will hold the 1u dose for a full week and then reassess and determine if the dose needs to be increased. If, any time during the week, the BG falls below 90, please reduce by 0.25u. Normally, members would do a 12-hour. curve, testing every two hours and then use that to determine the next dose but since you have a CGM on Luna, you have real-time data over the entire week to determine the best course of action regarding dose.
Whether the dose is increased or maintained is determined by the nadirs.
- If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
- If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
Yes, it does look like she’s bouncing and her patterns are not unusual.
Having been here for 16 years, I don’t see the advantage in having the “delta” columns on the spreadsheet. It’s data you don’t need and just clutters the SS. We don’t use “delta” to make any determinations on dosing. Having said that, it is your SS for her and if you want it there, it’s ok. But it’s not really useful data.
I’m assuming she’s on a renal diet because she has chronic kidney disease (CKD)? I also have a cat with CKD and, like diabetes, a dry diet is really the worst for them. Of course, there is the old saying about feeding the cat “what it will eat” and it can be hard to transition CKD cats as they are notoriously picky eaters. But, it would be better for Luna all around if you can find a low-phosphorus, low carb canned food she can slowly be switched to.
