6/3 Jasmine. AMPS~185 • +2~135 • +4~355 what to do about bouncing!??

flyingduster

flyingduster

Member Since 2019
its been ages!

I held Jazz at 0.75u for ages. Probably too long really, but life was just making it easier right then to be stable even though she was high.

Finally upped her dose to 1U again, and now we have a yo-yo.

I have just been riding it out, sticking to the same dose as it DOES tend to bring her down to blues and greens, it’s just that she then bounces sky high again so fast. Am I doing the right thing??? This can’t feel great to her system! 220 points in two hours!!?? I am doubting it all and just don’t know if I should hold this dose or rise it and risk her going even lower and bouncing more or what.
 
Im sorry no one answered you sooner.
I would not reduce the dose.
Are you able to get any later tests in during the PM cycle? There is really no testing in after the +2 and many cats drop lower at night.
 
My Ravan was a BIG bouncer. It took me a long time till I was brave enough to let him go into lower Bg & stay there for as long as possible. ( look at his SS from 2018 to now)
The longer Kitty stays in lower BG the sooner the bouncing will get better.

Bron and Sheba said:
many cats drop lower at night.
Click to expand...

Try to get some tests in at +5 during the PM. Like Bron said, some cats go lowest at night.
Think of the SS like a puzzle. You want to fill in the boxes gradually.
The more information you have about how the insulin is reacting ,the better. We all refer to the SS frequently.( And set our alarm to get up at night to test.)

The people here that give dosing advice have been doing this for Years! They really do know more than most vets about Diabetes in cats. If you follow their advice your kitty will do fine.
Please do not feed dry food.You need to feed LOW carbs 4-5% (you can pick from the food Chart) The higher carbs are for when kitty starts dropping too low.

There's a lot for you to learn. Have you read the yellow sticky notes? The more you know the easier it will be to help Jasmine.

Try to be patient. It takes time for Kitties little body to adjust to the insulin.

Ask Lots of Questions! Everyone here wants to help you to help your cat.

Best of Luck :)
 
The concern I would have is that holding doses for as long as you have may cause glucose toxicity to occur. What this means is that your cat's body begins to treat the higher numbers as the new "normal." As a result, if numbers do come down, it causes even more bouncing. At this point, I would not reduce the dose. If anything, I would increase. Jasmine's numbers haven't dropped below 50 which would warrant a dose reduction.
 
Sienne and Gabby (GA) said:
higher numbers as the new "normal."
Click to expand...
This sounds exactly like what happened to Noah although he never got near 1 unit. My long term mistake was not knowing what a bounce was until I came here. I cut his dose in half from 6 to 3 and the bouncing stopped but I'm with Sienne on not going below 1 unit.
 
Well I already reduced it to a skinny 1U cos no one replied. The consensus on Facebook was to change *something* at least, because clearly this dose wasn’t working for her. So without having any night tests I was wary of increasing even a drop, and instead decreased it by a drop. But you are all saying I should increase it?

Nights are tricky. I can do it when I have to but they are hard for me to do. I will try to get some in though.

I know full well I have held her dose too long, I can give you the long list of excuses why but it doesn’t matter in the end, it is what it is and now I have to work with what I have.
 
JoyBee&Ravan said:
My Ravan was a BIG bouncer. It took me a long time till I was brave enough to let him go into lower Bg & stay there for as long as possible. ( look at his SS from 2018 to now)
The longer Kitty stays in lower BG the sooner the bouncing will get better.



Try to get some tests in at +5 during the PM. Like Bron said, some cats go lowest at night.
Think of the SS like a puzzle. You want to fill in the boxes gradually.
The more information you have about how the insulin is reacting ,the better. We all refer to the SS frequently.( And set our alarm to get up at night to test.)

The people here that give dosing advice have been doing this for Years! They really do know more than most vets about Diabetes in cats. If you follow their advice your kitty will do fine.
Please do not feed dry food.You need to feed LOW carbs 4-5% (you can pick from the food Chart) The higher carbs are for when kitty starts dropping too low.

There's a lot for you to learn. Have you read the yellow sticky notes? The more you know the easier it will be to help Jasmine.

Try to be patient. It takes time for Kitties little body to adjust to the insulin.

Ask Lots of Questions! Everyone here wants to help you to help your cat.

Best of Luck :)
Click to expand...
Don’t worry, I’m not ignorant of all of that. I have been on this forum since diagnosed and had a lot of support and info and read extensively. I haven’t posted much recently, but I am not new. :)
 
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Hi Amy, I know how hard it can be with a young family and a baby and juggling all that and work too. We do understand that it is sometimes easier to just leave things as they are.....we don't judge here.
I would go back to the 1 unit and try and get a test in each night to see how low the dose takes Jasmine. You will need to hold the dose for 6 cycles though because you decreased the dose. If there are no greens in any of the cycles I would then increase the dose to 1.25 units. That will mean you will need to continue getting a test in overnight. How does that sound?
I will tag @Sienne and Gabby (GA) to see what she thinks.

I hope you and your family are well. It's good to see you. I was only wondering the other day how you and Jasmine were.
 
Ok, back to 1U and hold for three days and get some night tests in.

I can see that some nights she’s gone low because of the crazy bounce by the AMPS! I don’t think she goes “too” low though, and I am confident in what to do if she did go low. I’m also fairly happy to shoot her even when she’s in the blues now.

So I am happy to increase her dose if that is the better idea, I just didn’t know if that was going to cause even wilder bounces!!!

Should I just go to a fat 1U rather than back to 1U? What will change about that 1U dose if I find she does drop to greens overnight on it? If it still sends her crazy bouncing it will still probably need changed??

Or should I just hold this skinny 1 level for a few days while I’m here and see if it doesn’t bring her down without the bouncing so bad??
 
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flyingduster said:
Ok, back to 1U and hold for three days and get some night tests in.

I can see that some nights she’s gone low because of the crazy bounce by the AMPS! I don’t think she goes “too” low though, and I am confident in what to do if she did go low. I’m also fairly happy to shoot her even when she’s in the blues now.

So I am happy to increase her dose if that is the better idea, I just didn’t know if that was going to cause even wilder bounces!!!

Should I just go to a fat 1U rather than back to 1U? What will change about that 1U dose if I find she does drop to greens overnight on it? If it still sends her crazy bouncing it will still probably need changed??

Or should I just hold this skinny 1 level for a few days while I’m here and see if it doesn’t bring her down without the bouncing so bad??
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I'd go back to the straight 1 unit to see what she does overnight with it.
She might still bounce if she goes lower but the longer she stays in the better numbers the less she is likely to bounce as her body will get used to the better numbers.....at the moment her body thinks the higher numbers are the better numbers. Does that make sense?
 
Bron and Sheba said:
I'd go back to the straight 1 unit to see what she does overnight with it.
She might still bounce if she goes lower but the longer she stays in the better numbers the less she is likely to bounce as her body will get used to the better numbers.....at the moment her body thinks the higher numbers are the better numbers. Does that make sense?
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Yeah I am sure I understand why she’s bouncing. That her body is used to the high numbers and that the more I can get her lower the better she will get used to it.

I’m just not sure that going back to a dose that was clearly NOT working is my best bet? It was when, yesterday, after 14 days straight on the 1U dose and she bounced straight from 135 up to 355 inside two short hours that I wasn’t convinced that holding that dose is actually going to help her. But you want me to go back to that??? I know I didn’t get any night time readings at the 1U dose, but I’m just not sure what exactly you’re expecting to see at night on that dose that will change anything except prove still that she still needs a different dose!? Are you expecting to see that she goes too low and needs a reduction or not low enough and she needs an increase? In which case why not hold my reduction for another couple of days first and see if she steadies?

Or maybe I’ve got it all wrong and she just needs plummeted down no matter what to convince her body to stay there?! Lol.
 
In the last 10 days you have got several blues and a 3.8 (green) during the day on 1 unit but we have no pm cycle numbers after +2 so we don’t know how low she could be dropping at night.
I think it would be a good idea to go back to that dose that gave you those numbers and see when happens during the pm cycle. If there are no greens then up the dose to 1.25 units.
Holding the lowered dose won’t solve the issue. Just my opinion.
 
Those blues and greens are why I was hesitant to jump on an increase. Especially with no night readings! But the 1U was causing such huuuge bounces even after holding it for two weeks that I’m hesitant to just go back to doing that to her! Do you think it will be different if I went right back to that again??
 
She needs to get used to being in better numbers. That will help with the bouncing. Some cats are bouncers. And many bounce much more than Jasmine and higher. I know it is frustrating but that is the way forward. By reducing the dose you will just have her in higher numbers.
 
Ok, so then it is just a case of riding out those crazy bounces still and still dosing based on the lows, ignoring if she bounces.

So, if I raise it back to 1U and she only sits at blues overnight, I increase. What if she is dropping down to greens overnight and I cannot really increase? Do I just hold that dose for even longer than the two weeks and ignore the bouncing?

You’re right, it is very frustrating. Lol.
 
Yes it is a case of riding out the bounces. Sometimes you can feed a drop if you can catch it and that will help stop a bounce. You will need to hold the dose for at least 6 cycles for the depotto fill and see how low the insulin takes her. If she only drops to blues, you would raise the dose to 1.25 units.......make sure to keep monitoring the drops to see how low that dose takes her.
If she is dropping to greens then hold the dose and see how she goes. She needs to get used to normal low numbers again.
 
So the fact she was dropping to greens on 1U I just had to ignore that bouncing basically. And hope she settles? Or just bounces her way through life!? Lol. But if she stopped dropping in to greens then to increase?

I hadn’t caught a green for a few days on that 1U dose, but she had those two high mornings where I suspect she had dropped overnight.

So frustrating with that bouncing! To just leave her bouncing so much is rough and I’m struggling to accept that’s ok long term! Sigh.

She has been steadier today; coming steadily down and we are at +10 now. She may yet bounce high by preshot though I guess.
 
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