Ducia PMPR 490 1U, AMPR 165 1U

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+4 BG 91, after 30 min BG 85 ?!
I need to run to Walmart for testing strips, just a few left. Is it safe to leave her for 20-30 min?
 
Tanya and Ducia said:
+4 BG 91, after 30 min BG 85 ?!
I need to run to Walmart for testing strips, just a few left. Is it safe to leave her for 20-30 min?
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Can you get back in no more than 30 minutes? Maybe give a teaspoon of HC if you think traffic, etc. might delay you. Do you have a neighbour who could go for you?
 
Tanya and Ducia said:
She is 85. Can I leave her half an hour? Need BG testing strips. Walmart in walking distance.
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Yes, have a nice walk!! She's what we call "Surfing" and that's good....all this time in normal numbers gives her pancreas a chance to heal!!

ETA....91 and 85 are basically the same number....You could leave a little of her regular low carb food down while you're gone
 
Tanya and Ducia said:
Than is what we do not understand. We just dont know what to think about.
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It's most likely that the bouncing that caused the high red/pink just before the AM drop stopped suddenly and Ducia responded strongly to the 1 u dose. It's often hard to know the effect of a dose when the high bounce numbers get in the way.
 
I have a question about her food.
She usually eats after +6, and normally behave hungry by now. That is not the case right now, 15 min before her +6. With all that extra carbs food in the morning should I do any changes?
Yesterday her PMPR 409, and PMPR +2 BG 464 and +3 439 were scary. The human medic here at home wants not to give anything at all, and skip until her next feeding time and fee only if the numbers are lowered. I feel it is wrong especially if she acts hungry. But that's how diabetes with high numbers was approached for humans in another country where he used to practice. So, why feed if the numbers are already sky high? The food will makes them greater.
 
Tanya and Ducia said:
I have a question about her food.
She usually eats after +6, and normally behave hungry by now. That is not the case right now, 15 min before her +6. With all that extra carbs food in the morning should I do any changes?
Yesterday her PMPR 409, and PMPR +2 BG 464 and +3 439 were scary. The human medic here at home wants not to give anything at all, and skip until her next feeding time and fee only if the numbers are lowered. I feel it is wrong especially if she acts hungry. But that's how diabetes with high numbers was approached for humans in another country where he used to practice. So, why feed if the numbers are already sky high? The food will makes them greater.
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They're hungry a lot when their diabetes isn't well controlled because they can't get glucose from the food into the cells very well. They're starving, lose weight and have high BG. They need regular feeding of small meals of LC food that doesn't raise BG (already high because of diabetes)and enough insulin to get glucose out of the blood into the cells, as it's supposed to do:
  • Not enough insulin - too much glucose from food stays in blood
  • Too much insulin - too much glucose is removed from blood causing BG to drop too low
  • Food too high in carbs - BG stays too high because there's too much glucose for the insulin dose to handle
  • Food low in carbs - insulin dose can do its proper work to keep BG at a good level.
 
I would offer her the usual meal. There are several things going on here, so I will make bullet-points.

1) Unregulated diabetics are "always hungry" because their bodies aren't using the food they are getting properly. While unregulated, cats will often need "extra" food-- it is OK to give it to them, they really do need it.

2) With a recent DKA, you always want to keep her eating well so that the insulin and food can work together to keep ketones down. Not feeding when numbers are high can send things in the absolute wrong direction, DKA-wise.

3) For today, there are still several more hours while this morning's shot will be active. I would not withhold food from her at +6, because it could accelerate any BG decrease that was already happening.

Between the extra food she's gotten today, and the fact that she's in "normal" BG numbers, she may not be as hungry as usual this afternoon, but I'd still offer her some food.
 
Tanya, I just saw that +6 was 73. If you haven't already fed the LC meal, maybe hold off while we consult-- we may want to give her another HC boost right now to make sure she keeps surfing.
 
Nan & Amber said:
Tanya, I just saw that +6 was 73. If you haven't already fed the LC meal, maybe hold off while we consult-- we may want to give her another HC boost right now to make sure she keeps surfing.
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I see that. Ducia is at +6 but might have a prolonged cycle if this dose is too high - which I think it might be, DKA notwithstanding. Maybe a teaspoon or so of HC?
 
Kris & Teasel said:
  • Not enough insulin - too much glucose from food stays in blood
  • Too much insulin - too much glucose is removed from blood causing BG to drop too low
  • Food too high in carbs - BG stays too high because there's too much glucose for the insulin dose to handle
  • Food low in carbs - insulin dose can do its proper work to keep BG at a good level.
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Thank you Kris,
I do struggle to understand, it may take me a while. I will re-read it.
But I look at the Ducia's SS from yesterday morning and I am thinking that on the same 1U dose she has enough insulin to do the job, but not enough in the PM hours. Food is spread over 4 doses. Main meals are the AM and the Pm shot time. Good appetite around mid day and midnight. All the same, not ideal yet of course but relatively the same and she went from yellow, blue and green in the morning to the pink and red in the afternoon. I am so confused.
 
Tanya and Ducia said:
Thank you Kris,
I do struggle to understand, it may take me a while. I will re-read it.
But I look at the Ducia's SS from yesterday morning and I am thinking that on the same 1U dose she has enough insulin to do the job, but not enough in the PM hours. Food is spread over 4 doses. Main meals are the AM and the Pm shot time. Good appetite around mid day and midnight. All the same, not ideal yet of course but relatively the same and she went from yellow, blue and green in the morning to the pink and red in the afternoon. I am so confused.
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Some kitties are erratic in their response to insulin ans some are worse than others. Unfortunately, it's rarely a case of find a good dose, give it and that's the end of it. Also, Ducia's recent illness might have made her even more unstable in her response to insulin. All you can do is what you're doing already.

Did you give her a little bit of HC as we suggested? The goal is to keep her BG aas stable as possible until she's near the end of the cycle.
 
Tanya and Ducia said:
Sorry, I already fed 1/4 LC with water.:nailbiting:
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That's fine-- again, she's in safe numbers right now, we're just trying to gently nudge her to keep her going in the right direction. The LC may be just fine for that purpose, but since it has been (I think) at least a half hour since the +6 test, can you get a test to see where she is now? If she's started to head upwards, we're good!
 
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