1/23 Marley AMPS 337, +3 231, +6 208, PMPS 208, +3.5 66, +4.5 55, +5 60

Jdubs said:
I struggle with this HC between 40-50 as that is the big where his pancreas has most chance of healing so I just gave his normal food and was right by his side the whole time. Luckily he didn’t go below 40 so we can stay at the dose you suggest.
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You want to avoid a drop below 50 as well, since 3 drops between 40 and 50 will also earn a reduction. Not just that, a drop below 50 and staying there will cause him to bounce more. I know you want to feed him the way he would eat when you are not at home to see how he fares, but you also want to feed the curve and flatten it out to prevent bouncing and reductions. With the data you collect you can prepare for the cycles when you are not at home. You could load the feeder with higher carbs in cycles where there is a chance he might drop low.
 
But what about this idea that the pancreas heals between 40-50?

I understand the idea of feeding HC to prevent a bounce. And if it did I would be up for it. But it never has prevented a bounce before - he always bounces when he goes low no matter what . So I'd like to try gving him some time between 40-50 when I am there watching him super closely, to see if we can get his pancreas healing.

But a time like today when I am going out and cant watch him, I will definitely load his feeder with HC if the numbers require it......

Would you be on board with that for me to try for a bit?
 
Oh my god I am so sorry. I despair of myself. I totally intended to do a plus 2 and a plus 3. Thought I was on course. But just realised I simply didnt do a plus 2. I dont know what to say. The internet thing threw me into confusion this morning and I had to re prepare the yoga class as I gave up last night as I wanted to be by Marley's side while he was low. I know I prepared you that I would be doing a plus 2 as well. I am so sorry if you came on and found nothing. I hugely value you and know you are so kind with your time I would never want to waste it. I am so sorry.

+3 231

Am I safe to leave as normal til + 5.5 or more?
 
I did save it but I cant find it now. I can remember you telling me we always give injections on time and at the dose we are on, unless the BG is under ????? - what number at a preshot?

( I am writing instructions down for others)

Would that number be the same for a vacation dose?

Would that number be the same if I wasnt going to be home until +3 or +3.5?
 
Jdubs said:
I did save it but I cant find it now. I can remember you telling me we always give injections on time and at the dose we are on, unless the BG is under ????? - what number at a preshot?
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You can shoot any number over 50 (2.8) on a human meter when following TR

Jdubs said:
Would that number be the same if I wasnt going to be home until +3 or +3.5?
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Yes. You can always feed HC or MC with the shot and leave out HC or MC for him to keep him safe.

Jdubs said:
Would that number be the same for a vacation dose?
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With a history of DKA, you do not have the option to skip a shot. Hopefully the vacation dose will prevent him from dropping too low.
 
Bandit's Mom said:
You can shoot any number over 50 (2.8) on a human meter when following TR


Yes. You can always feed HC or MC with the shot and leave out HC or MC for him to keep him safe.


With a history of DKA, you do not have the option to skip a shot. Hopefully the vacation dose will prevent him from dropping too low.
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Thank you so so so much.
 
Bandit's Mom said:
Sorry! This was too late for me. Looks like he kept you busy last night. Were you able to step out?
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Of course, no worries!

I know I occasionally catch you but otherwise its nice to hear your thoughts anyway for learning purposes.

Yes, I put a bit of higher carb food in the feeder at +2 and +3.

So I came home at +3.5 and gave him some higher carb stuff where called for according to here.


The forum I was on before - they do TR too but sliding scales. They have slightly different feeding advice and it does tie in with my own personal feeling about food/nature/wellness and modern medicines approach to diet and health. For instance I used to be in terrible health, lots of chronic conditions which meant I was bed bound. I knew there something really wrong with my digestion, as if it began there so I went to a top gastroenterologist. He told me my digestion was fine (It really wasnt) and I should stop putting so much energy into that and start putting energy into thinking about accepting that I ws going to be bed bound for life and how I might want to cope with that . He told me food didnt make any difference., I could eat that I liked. I explained that I definitely couldnt eat what I liked and had identified some foods that made Mme very sick, I challenged him on this nd he said that they didnt learn anything about the diet in their training. . I could not believe it. I think it can be the same with vets and animals. They are trained to name diseases and give mendications for those diseases, often for life, but not to think about root cause and how to heal that.

(I decided to totally ignore him and I went on to study nutrition partly online, partly inn person when I was well enough and got myself better quite quickly.

The other forum basically say diabetic cats should only be fed wet food low carb. ( I take it further and only feed ingredients I recognise the name of - natural whole foods.). They take lows very seriously in terms of monitoring and feeding but they say when cats are only being fed LC wet food, it is incredibly rare for them to have a seizure. So they recommend testing and feeding every 30 mins mins when under 40, and every 15 mins when LO but to only feed with low carb unless symptomatic. They say the high carb will interrupt the livers healing process/thermostat and set the cats back tremendously. (Their advice does not apply to cats being fed any dry food at all which they say puts the animals in danger and that if they are being fed dry food, hypos are incredibly dangerous states for cats to be in so this advice only applies to cats on lc wet food diets that never get hc)

This was my first intro and its does tie in with my understanding of health as opposed to disease. Marley is doing so much better here with consistent dosing and I hugely appreciate your help. But this one aspect has stuck with me. So I am just sharing why I struggle with the advice for the lows here. I am open to all possibilities and mostly interested in observing, to learn. What I noticed is that the bounce he had today after the HC last night was worse than when I kept to his normal food during a low the day before. I also notice that normally - when I resort to higher carb in a low, he then bounces for a few days. When I didnt resort to higher carb for his low, he went really nicely low in the greens the next day as well. Marley is so precious to me I will always do all that is in my power to keep him safe. And I am going to keep an open mind.........

I dont think I have a choice when it comes to me going out though. I will have to put the higher carb in the feeder. But I might do more observations when I cn monitor closely myself
 
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I just want to caution you that cats are not small dogs and do not react to fd like humans either. They can be harder to regulate but only cats can go into remission and became food controlled. Lantus likes consistency and doesn’t do well when given on a sliding scale.
 
I don’t really understand your message. I don’t know anything about dog diebetes so I don’t really understand the comparison.

Humans can definitely go into remission from type 2 diebetes but not from type 1. Again I don’t really know why you are mentioning this to me.

I am here because I believe Marley does better on consisdant dosing. He’s so much better than he was when I arrived and I feel extreme gratitude for that. I am not wanting to do a sliding scale with Marley nor thinking about it so again I don’t really understand your message.
Sorry if I am completely missing the point. Can I ask what this message is related to?
 
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My point is that you need to figure out how carb sensitive your cat is. What is being considered hc for one cat might be mc for another. The top of your ss gives different bg values than we use and suggests a sliding scale. That is what I was referring to on my list above. If not going by that then fine. Just ignore my comments.
 
The top of my spreadsheet as in the colours?

I am so untechnical I don't really understand what you mean.

But for sure I am not using a sliding scale on Marley!
 
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