07/07 - Bandit - AMPS(322) +3(282) - Reason for higher numbers

Bandit's Mom

Bandit's Mom

Member Since 2019
Previous Post - https://www.felinediabetes.com/FDMB...346-5-101-8-68-pmps-204-dosing-advice.231731/

Bandit had a long green/low blue streak on 7/3 after which she has been stuck in higher numbers (200-300). I understand that bounces can take up to 6 cycles to clear, but I am wondering if there are other reasons for the high numbers.

(a) She developed a crusty bald patch at the base of one ear, which the vet said seemed fungal and we have started applying clotrimazole (1%) ointment on it from 7/1. Also added Neosporin to it for a couple of days. Could either elevate numbers? She did go low on 7/3 though.

(b) We also gave her a monthly application of Selamectin (Revolution in the US) spot-on 7/4

Could either of these be responsible for the higher numbers?

Lastly, we have begun to feed her Dr. Elsey's chicken variant which is ~5% carbs at shot time and around +2/+3 to see if we can prevent those dives at onset. Feed Young Again during the rest of the cycle. If one were to assume that Dr. E's is indeed 4% higher in carbs than YA, could that be a reason for the higher numbers?

How do I check if the higher numbers are due to the Dr. E's? Would a +1 test after a meal f Dr. E's vs a +1 test after a meal of YA tell me that? Or do we completely discontinue Dr. E's for a few days (how long) and see if that affects numbers?

@Wendy&Neko
@Sienne and Gabby (GA)
 
Tested her 1 hour after giving her some Dr. Elsey's today. She was flat. 286 at +4 vs 282 at +3.
Will do the same test with YA tomorrow to see if she is lower rather than flat.
 
I doubt the Dr. Elsey's is materially different in carb from the YA.

Infection/inflammation can also impact numbers.
 
Wendy&Neko said:
I doubt the Dr. Elsey's is materially different in carb from the YA.
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@Wendy&Neko I tried the same food bump testing in the PM cycle, *before onset*. She went from 229 at PMPS to 284 at +2 after eating some Dr. Elsey's.
Is a 55 point jump at the end of a cycle a lot or is that pretty much par for the course?

Will try this with YA tomorrow and see if there is a difference. Am I going about it the right way?
 
283 @ +4! :confused:
I have no idea what's happening here.

Going to discontinue Dr. Elsey's and application of the clotrimazole ointment from tomorrow and see if that makes a difference.
 
Wendy&Neko said:
Try changing one thing at a time, or you won't know what the solution is. Be patient. ;)
Click to expand...

Thanks :-) I thought of that too.
Will stop the clotrimazole ointment and see. I suspect Bandit is one of those cats who is allergic to Neomycin so putting Neosporin on the ear patch for a couple of days didn't help either.

Somehow, I don't think it is the Dr. Elsey's food. Is a 55 point jump at end of the cycle from food a lot?
 
We have been on 1.25 units for 6 days now. Should I take the increase to 1.5 at the end of the week? I realize that she looked like she wanted to go to 1 unit before this started and will probably fall hard on 1.5 units - if and when this resolves. But I am uncomfortable with keeping her on high numbers.

Though the insulin doesn't seem to be making much of a difference! Its like she is on a 6 day bounce!
 
Wendy&Neko said:
No, feeding after nadir can shorten duration and cause numbers to jump. I'd try to feed most of the food before or at nadir if you can.
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Does this apply to even really low carb food - like 1% or less? What does one do if kitty is hungry and wants a snack towards the end of the cycle?

Bandit's Mom said:
We have been on 1.25 units for 6 days now. Should I take the increase to 1.5 at the end of the week? I realize that she looked like she wanted to go to 1 unit before this started and will probably fall hard on 1.5 units - if and when this resolves. But I am uncomfortable with keeping her on high numbers.

Though the insulin doesn't seem to be making much of a difference! Its like she is on a 6 day bounce!
Click to expand...

Should I take that increase to 1.5U?
 
@Wendy&Neko please ignore the above question. Bandit is at 156 at +6 today :-)
We stopped the clotrimazole ointment. Continued Dr.Elsey's - in fact, she had it at +2 and +3.5 and still the dip in numbers.

Yay! Thank you! :bighug:
 
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