12/29 Chronos PMPS 307

D

Dan and Marc

Member Since 2019
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Second day of new dose, PM numbers didn't reflect what we saw for AM numbers, still worried im somehow doing the injection wrong, no fur shots and I know the needle is in and not poking through. Is that it? How do you know if you're in the fat tissue. I am lifting up a flap of skin between his ribs and hips and generally do 30 to 40 degrees with the needle.
 
I may have asked this before, but does he get a little food after every test to slow down the drops and flatten the curve?
His body is used to higher numbers, so he will bounce when he sees low 200s and lower numbers.
 
We feed him 5 meals throughout the day: Feeding Schedule: AM Start, AM +5, AM +8.5, PM Start, PM between +5 and +6

But no we have not been giving him food after each test. Also to clarify, when you say his body is used to higher numbers he has only been in the 200 and 300s for a month at this point. I was checking every other day since May when he went into greens from the diet change. He started getting close to 200s at the beginning of December, and looking back at the meter records he was between 100-150 in November. When he did show a higher number I would check again later that day, usually at AM +5 and it would be below 110 again. It wasn't until this month that that second check also was rising. I compiled all the numbers and once I could see them on a spreadsheet it looks like it was a gradual increase but that he has only been in this higher range 200-300s for about a month. Would you still consider that to mean his body is used to higher numbers?
 
Dan and Marc said:
We feed him 5 meals throughout the day: Feeding Schedule: AM Start, AM +5, AM +8.5, PM Start, PM between +5 and +6
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You want to feed a bulk of the food before his nadir when the insulin action is strongest. Feeding after the nadir can reduce duration. Also, food early in the cycle can reduce diving and subsequent bouncing from those dives.

Dan and Marc said:
I compiled all the numbers and once I could see them on a spreadsheet it looks like it was a gradual increase but that he has only been in this higher range 200-300s for about a month. Would you still consider that to mean his body is used to higher numbers?
Click to expand...
It doesn't take very long for glucose toxicity to set in. A month is quite a bit of time in FD terms. There are cats who see glucose toxicity within a few days after a failed reduction.
 
His nadir seems to be some where between 5 and 8, though we feed him right after the 5 and 45 minutes after the 8 at least for the AM, so can't reliably check 6 or 7 during AM cycle. PM he eats at +5 to +5.5 roughly. So we haven't really been able to check +6 or +7 since its at least 2 hours after he ate.

So I think we are generally feeding him around his nadir, or at least the best we can.

Also good to know it can happen quickly, least explains more.
 
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