11/10 Michael pmps 220 +2 103 +3 121

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Re: 11/10 Michael amps 222 Question

Remission would be if a kitty is in normal numbers (50 - 120) routinely. I don't know if there's a formal definition of regulated. For me, regulated would mean that the cat is below renal threshold the vast majority of the time. That would mean that numbers are below 200 (give or take).
 
Re: 11/10 Michael amps 222 Question

Morning! ~O) ~O) ~O)

I would have to agree with Sienne, that was always my interpretation: regulated would mean that the cat is below renal threshold the vast majority of the time. For me there was and is a big difference between remission, and regulated.
 
Re: 11/10 Michael amps 222 Question

Thanks for the quick replies. Appreciate it.
Paula :smile:
 
Re: 11/10 Michael amps 222 Question

Any chance of getting a +3 at night? I have a feeling Michael is going green at night.

To tag on to the regulation question, is renal threshold when they stop spilling glucose into the urine?
 
Re: 11/10 Michael amps 222 Question

Paula said:
At what point (BG Range) is a diabetic cat considered regulated :?:
Click to expand...
From the FDMB FAQs:

Q6.1. What is regulation?

A6.1. There are different definitions of regulation. As hometesting becomes more common, we've been getting a better understanding of what cats and their humans might be capable of. Janet & Fitzgerald propose the following "regulation continuum":

  • Not treated [blood glucose typically above 300 mg/dl (16.7 mmol/L), poor clinical signs]
  • Treated but not regulated [often above 300 (16.7) and rarely near 100 (5.6), poor clinical signs]
  • Regulated [generally below 300 (16.7) with glucose nadir near 100 (5.6), good clinical signs, no hypoglycemia]
  • Well regulated [generally below 200-250 (11.1-13.9) and often near 100 (5.6), no hypoglycemia]
  • Tightly regulated [generally below 150 (8.3) and usually in the 60-120 (3.3-6.7) range, no hypoglycemia, still receiving insulin]
  • Normalized [60-120 (3.3-6.7) except perhaps directly after meals -- usually not receiving insulin]

There may also be an extra category of "mostly above 300 (16.7) but with good clinical signs" which occurs with some cats who are getting insulin. We don't know why it happens, but such a cat probably should not be considered to be regulated. On the other end of the spectrum, it is possible for a cat who is not getting insulin to have blood glucose as low as 40 mg/dl (2.2 mmol/L) on a home glucometer. If you have a non-diabetic cat, try testing her with the same meter to get a safe comparison figure.


tiffmaxee said:
To tag on to the regulation question, is renal threshold when they stop spilling glucose into the urine?
Click to expand...
renal thresold is when they begin to spill glucose into their urine. most veterinary literature states renal threshold is around 200 - 250 mg/dl (11.1-13.9 mmol/L ). however, there was an interesting Think Tank thread on the "old" FDMB which mentioned renal threshold could be as low as 140 mg/dl. i believe Steve/Jock posted the source of information. So, ECID?

Steve's post prompted me to use diastix to get a good handle on when Alex began to spill glucose into her urine. as near as i can figure, Alex began spilling glucose into her urine in the 150 to 180 mg/dl range for the last several years of her life. her renal threshold convinced me to keep her tightly regulated as much as i possibly could even though i knew she would never go OTJ a third time.



hope this helps...
 
Re: 11/10 Michael amps 222 +9.75 191 pmps 220 +2 103

Paula that is a huge drop at +2, I hope you are getting a +3 and are prepared to intervene with food.
Maybe a PJ party heading your way.

You can't stop testing for the night with that big of a drop, and that low at +2
 
Darin,
Tested @ +3 121. I will leave food for him. Maybe he is clearing a bounce.

BTW, Target has Sheba on sale for 26 cents a can. The target on Tyler. I bought some today, there are a few cans left. Other targets may have some also.
 
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