3/5 FRED AM=377(1);10=262;PM=260(1+)

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Kathleen and Fred

Kathleen and Fred

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I'm trying to see trends (curves) that make sense, but the swing are too big at the top for me to understand. This is near 400 - which is where we started months ago!
Fred is 13.5 years old. Is his age against him? He has a vet visit next week = 6 month checkup. Are there tests I should ask for. Could something else be going on? He looks so good for about two days, then either drops too low or goes too high. Even with the shot wearing off, isn't this too much of a swing? It's the PM cycle that seems to cause problems.

I shot 1.0+ = a tiny bit over. I won't be here today, but will leave popsicles.
 
Re: 3/5 FRED AM=377(1)

Just a note: the more you feed after the nadir, the more it is going to help propel the glucose up as the insulin is wearing off.

You may want to front load the cycle by feeding more earlier as you're heading into the nadir, and only offering smaller, spread out nibbles in the latter half of the cycle.

Look at 3/4/2014 before PMPS to see what I mean,
 
Re: 3/5 FRED AM=377(1)

Your amps could also be a bounce. He was at 140 at +4 last night so he could easily have gone further down by nadir and this am could be a slight bounce up.

Try not to worry about individual numbers, but instead look at his overall pattern. He is seeing fewer pinks, no reds. Most of his ss is yellows and blues. You could push a little and shoot 1.2 when you will be around to monitor. He may bounce from lows on that dose also, but he might be down into greens.

The bouncing is frustrating, but almost every cat does it and they do it until they don't. :mrgreen: this takes time. He was diabetic a long time before you started to test regularly and push for better regulation. i'd say you need to be patient. :mrgreen: He is in regulated numbers and below the renal threshold a lot of the time.
 
Re: 3/5 FRED AM=377(1)

It does look Fred tends to be a bit of a bouncy boy. :smile: There's really not much you can do to control it. I can tell you that Eddie used to bounce for a whole cycle (a full 12 hours sitting in the 300's) after a lower number than he was used to. He really doesn't do that anymore (anti-jinx), and he doesn't usually sit in high numbers for very long when he does bounce anymore. Eventually, their bodies just start to get used to the more healthy blood glucose numbers, and their pancreas/liver doesn't over-react causing a bounce. Some cats bounce a little and some bounce a lot. Take a look at Melissa and P's spreadsheet. P bounces (or used to), when he went from the 300's to the mid 200's.

If you get a chance Kathy, do a forum search on "bouncing." There are some very good explanations of what's happening physiologically when a cat "bounces." Almost every caretaker has to deal with the frustration of bounces, but they are a normal and healthy physical response.
 
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