07/26 Juggie PMPS 175 +4 86

DenaRox

DenaRox

Member Since 2021
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Just wondering now if we should have skipped or stalled? Just read a post on here that anything under 200 you should stall Will test again in a few and see how he’s doing # wise.
 
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DenaRox said:
Ya we did and then afterwards questioned if we should have or not
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It's good you did. He is doing very well for a newly diagnosed cat. As his numbers improve, so will his neuropathy.

Just out of curiosity, how does he let you test in the PM but not at AMPS? :-)
 
Bandit's Mom said:
It's good you did. He is doing very well for a newly diagnosed cat. As his numbers improve, so will his neuropathy.

Just out of curiosity, how does he let you test in the PM but not at AMPS? :)
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It’s not him it’s totally me. I’m the only one who is willing and able to test and I work early/don’t have time. Sadly I also suffer from lack of sleep so if I’m lucky I get 4 hrs a night of sleep and then rush like a zombie to get to work on time. I am expecting a shift change fairly soon which would give me extra time in am to fit it in

question, you said his numbers are well for a fairly new diagnosis, what range is considered good? What are we aiming for? I’ve looked about the forum and see such different opinions. Under 200 is bad=stall, aiming for green? Which if that means spreadsheet that’s well below 200. It’s all so confusing and I feel like every time I test his numbers are either way too low or way too high
 
DenaRox said:
It’s not him it’s totally me. I’m the only one who is willing and able to test and I work early/don’t have time. Sadly I also suffer from lack of sleep so if I’m lucky I get 4 hrs a night of sleep and then rush like a zombie to get to work on time. I am expecting a shift change fairly soon which would give me extra time in am to fit it in
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You're doing the best you can! :bighug:
 
DenaRox said:
question, you said his numbers are well for a fairly new diagnosis, what range is considered good? What are we aiming for? I’ve looked about the forum and see such different opinions. Under 200 is bad=stall, aiming for green? Which if that means spreadsheet that’s well below 200. It’s all so confusing and I feel like every time I test his numbers are either way too low or way too high
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The normal range for a cat on a human meter is 50-100. Ultimately, that's where you want to get.

When you are new and don't have enough data on how your cat behaves on insulin, we ask you not to shoot below 150 or 200. This is usually in the first month of diagnosis. Once you get data and are comfortable with lower numbers, we encourage you to start shooting lower and lower numbers. Experienced members will shoot any number over 50 without stalling.

As for the variance in numbers, the higher numbers you see are his body's protective reaction to low numbers that he is not used to. We call it bouncing. As cats get used to lower numbers, the bouncing reduces and the numbers flatten into a narrow range. For now, you just ignore the higher numbers and focus on how low the dose is taking Juggie. Lantus is dosed on nadirs and not based on pre-shots like some other insulins.

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"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)."
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Bandit's Mom said:
The normal range for a cat on a human meter is 50-100. Ultimately, that's where you want to get.

When you are new and don't have enough data on how your cat behaves on insulin, we ask you not to shoot below 150 or 200. This is usually in the first month of diagnosis. Once you get data and are comfortable with lower numbers, we encourage you to start shooting lower and lower numbers. Experienced members will shoot any number over 50 without stalling.

As for the variance in numbers, the higher numbers you see are his body's protective reaction to low numbers that he is not used to. We call it bouncing. As cats get used to lower numbers, the bouncing reduces and the numbers flatten into a narrow range. For now, you just ignore the higher numbers and focus on how low the dose is taking Juggie. Lantus is dosed on nadirs and not based on pre-shots like some other insulins.

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
"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)."
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Thank you. That made so much sense. I feel that this forum is such a wealth of knowledge that sometimes I overwhelm myself and second guess ever single decision. I am sure with time I will feel more at ease with it all. Patience isn’t my strong suit lol I truly appreciate you and everyone here. Such a wonderful group
 
DenaRox said:
Thank you. That made so much sense. I feel that this forum is such a wealth of knowledge that sometimes I overwhelm myself and second guess ever single decision. I am sure with time I will feel more at ease with it all. Patience isn’t my strong suit lol I truly appreciate you and everyone here. Such a wonderful group
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It is very overwhelming in the beginning. And it doesn't help that your vet tells you differently from what you read here. Plus, feline FD is a crazy rollercoaster and a real test of anyone's patience!
Hang in there! It gets better!
 
Bandit's Mom said:
It is very overwhelming in the beginning. And it doesn't help that your vet tells you differently from what you read here. Plus, feline FD is a crazy rollercoaster and a real test of anyone's patience!
Hang in there! It gets better!
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thanks for the encouragement
We just did his +4 and it’s 86. Should we test again in an hour? I’m super tired but can stay up if you think I should
 
I think you can feed and call it a night.

Congrats. He has earned another reduction tonight. Please go down to 0.5U from tomorrow morning. Even if he is high in the morning.
 
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