04/18 Bambi AMPS 183, +1 216, +3 147, +4 143, +7 125 PMPS 229, +2 150

Caglar and Bambi

Caglar and Bambi

Member Since 2023
Previous post

Good evening. It's day 2 of 100% low-carb wet food and I think it's going well, all blues and yellows since the transition. I believe I can transition to TR now?

According to TR, after 3 days are complete (After tomorrow), if nadirs continue below 200 I will increase by 0.25u right? Or should I wait 5 days?
 
You can switch to TR now. If you see lots of blue tonight or a green nadir I would give it one more day before you increase. You already have a blue +2 so see what you get at a before bed test.
 
tiffmaxee said:
You can switch to TR now. If you see lots of blue tonight or a green nadir I would give it one more day before you increase. You already have a blue +2 so see what you get at a before bed test.
Click to expand...

Morning, I unfortunately was asleep before your message so I couldn't get that last reading. I'm in no rush so I think I will give it a day or two then for the increase, since it's only been 6 cycles since the transition to wet food and her numbers have changed compared to her previous diet.

Thanks, will try to post new numbers tonight.
 
tiffmaxee said:
I think you can give an increase a chance unless you see green tonight.
Click to expand...

She had a green yesterday afternoon (Just before your post) so I delayed the increase. Thinking of waiting for 2 more cycles.

I'm a bit confused after transitioning to TR. So what I gathered is that reduction only happens if a nadir under 50 is seen or if the majority of BG is between 50-100, and an increase happens even with below 100 nadirs, just waiting time becomes longer? So I take it that the dose amount changes more frequently in TR?

After seeing nadirs in the 30s a few weeks back this sounds a bit scary. My understanding is that when on a low-carb diet and low doses, the bounces become less volatile and the drops and jumps become more manageable? (As why Bambi's range has changed to primarily yellows and blues throughout)

Sorry for the confusion but I'm trying to wrap my head around this - The confusing part is that for e.g right now if I was following SLGS I would have reduced the dose by 0.25u because of the 79 nadir yesterday while now in TR I should increase today (or tomorrow the latest)
 
Caglar and Bambi said:
I'm a bit confused after transitioning to TR. So what I gathered is that reduction only happens if a nadir under 50 is seen or if the majority of BG is between 50-100, and an increase happens even with below 100 nadirs, just waiting time becomes longer? So I take it that the dose amount changes more frequently in TR?
Click to expand...
The goal of TR is that she spends as much time in normal numbers as possible (50-100 mg/dl on a human meter) with nadirs in the 50-80 range. That's when her pancreas get a chance to heal. Since she is less than a year since diagnosis, with TR you would reduce if she drops below 50 or she spends a week in normal numbers.

Caglar and Bambi said:
After seeing nadirs in the 30s a few weeks back this sounds a bit scary. My understanding is that when on a low-carb diet and low doses, the bounces become less volatile and the drops and jumps become more manageable? (As why Bambi's range has changed to primarily yellows and blues throughout)
Click to expand...
At a good dose you would see better numbers, longer time spent in them, less bouncing and bounces clearing faster. What helps reduce bouncing is getting a cat's body used to lower numbers. Sharp dives also cause bouncing, so sometimes you have to use food to manipulate the curve. A cat's insulin needs can and do change - sometimes in a few days. What was a good dose can become stale or could become too high a dose. Our job is to follow the numbers.

Caglar and Bambi said:
Sorry for the confusion but I'm trying to wrap my head around this - The confusing part is that for e.g right now if I was following SLGS I would have reduced the dose by 0.25u because of the 79 nadir yesterday while now in TR I should increase today (or tomorrow the latest)
Click to expand...
TR is a more aggressive protocol and that's why it requires more testing than SLGS. Because of the food change in the picture, you could hold this dose the full 10 cycles and then take a call.
 
Last edited:
Btw, the normal BG level considered here is 50-100, whilst I see other sources citing for e.g. 80-120, and 55-160 to name two. Also I'm aware ECID but what should I aim for Bambi? Is it the range that's important, for e.g. 50-80 in one cat while 90-120 in another cat? (Total change of 30 throughout the day)
 
An occasional bg in low blue is fine especially right after eating but the goals are what Bhooma wrote in #6 above. A working pancreas will bring down bg 3-4 hours after eating.
 
Caglar and Bambi said:
Btw, the normal BG level considered here is 50-100, whilst I see other sources citing for e.g. 80-120, and 55-160 to name two.
Click to expand...
50-100 is with a human meter. The higher ranges are probably for a pet meter.

Caglar and Bambi said:
Also I'm aware ECID but what should I aim for Bambi? Is it the range that's important, for e.g. 50-80 in one cat while 90-120 in another cat? (Total change of 30 throughout the day)
Click to expand...
Not sure I understand your question. If you are using a human meter, you would aim for her to spend as much time in the 50-100 range as possible. With meter variance you might even see some numbers up to 120 every now and then.
 
Caglar and Bambi said:
Ah ok, I understand. That clears it then, if it's a meter difference then that answers my question, thanks.
Click to expand...
Yes, pet meters read higher than human meters. When following TR, the reduction point for a pet meter is 68 vs 50 with a human meter.

Caglar and Bambi said:
I'm wondering about a possible remission but I guess it's too early for that.
Click to expand...
Newly diagnosed cats stand a better chance for regulation/remission if they are treated soon. Let's keep our paws crossed.

Btw, your signature still says "Diet: Dry food (Proplan Diabetes)"
 
You must log in or register to reply here.
Back
Top