For Ruta-- Cupcake 10/30

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MommaOfMuse

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Hi Ruta and you too Precious Cupcake

Since we are on different sides of the world and your days are ending as mine is beginning I thought I would keep an eye on Cupcake's spreadsheet.

That said I want to explain why you are seeing red last night and this a.m.

This is what we call a bounce, it happened because he went down to green so fast yesterday. His liver panicked and sent out all kinds of stored sugars to try to save itself. Now you and I know a 79 isn't dangerous but his body didn't so not only did it slam on the brakes it threw it in reverse.

Remember right now it thinks 300s are normal so even low 200s sets of all kinds of warning bells. This is where insulin being a hormone rather than a drug comes into play. See with a drug like a pain killer its not native to the body so the body hasn't any checks and balances built into it, so nothing stops it from doing its job. The greater the pain the stronger the pain killer you use.

Now insulin is a hormone it is native to the body, we all produce it via the pancreas just in a diabetic something has gone wrong and either the pancreas has stopped working altogether or at a much reduced level. However, because insulin is suppose to be in the body, the body has a built in monitoring system to tell it when it is getting too much and a way to not let that happen. Again in a diabetic that monitoring system is not working right because it has now reset to read high BDs as normal.

So when we slam it into normal numbers it fights back to protect itself, and shoots the BGs back up. A bounce takes about 72 hours to clear and all those protective hormones and stored sugars to leave the system. So the clock doesn't start ticking on how long you have held a dose until AFTER those three days that the bounce is clearing.

Now there are two schools of thought on how to handle that kind of backlash from the body itself. Either you maintain the dose and let the cat dive and bounce until the body's monitoring system resets to normal numbers again. Which according to human diabetics makes you feel like ****.

Or you back down the dose and let the body stop swinging wildly and the curve becomes fairly flat then slowly up the dose so that the overall curve lowers. With this method you will see higher numbers in the beginning because you are first resetting their body to 200s then 100s then double digits. This is the method I use with my own cats as I find they seem to just plain feel better and are happier kitties.

Especially Autumn, because when I first adopted her she was at risk of going into DKA. So I had to slam her down to save her life. But she was a rare case as her previous owner chose not to treat her at all for almost a year. She was one sick little girl but with that diving and bouncing she was so mean to everyone I would break down in tears and almost rehomed her again. Once she was out of danger and I could slow down on the dosing and bring her down slow and steady she became a joy. And I'm so glad every night when she snuggles under the covers with me that I didn't give up on her.

Mel, Maxwell, Autumn and The Fur Gang
 
Hey, our Angel! :* Mel, it's such a good feeling to log in to the Board and see a message especially for you. You can't even imagine how grateful I am for your special attention, thank you so very much!!! You've brightened my evening a lot. I had a horrible day today... But when you feel that a person from a different side of the world is so close :oops: You feel much more better. Once more - thank you, Dear!

Ok, I'm theoretically familiar with a bounce. I understand, dear Mel, what you are saying. How far should I gow with backing down the dose? I feel I'll need to come back to 3,5U again. I am not sure which is better: to feel like **** for a shorter time and then feel good or to feel so-so for a long period of time... To be and HOW to be - that is the question I ask myself everyday of my life.

Sooo tired today and Cupcake's numbers are blue before PMPS... I can shoot him 3,5U and hope that a bounce has cleared up or is clearing. I can hope that I'll not see a red number tomorrow morning... I'll see his PMPS and decide then.
 
Go ahead and hold the 3.50 for now and let him settle on that dose.

I just wanted to make sure you understood why you are seeing the numbers you are and didn't up the dose in response. Also today and for the next two days don't count when counting how many days a dose has been held.

Now since he is still pretty new to getting insulin he may bounce several times on this dose before he truly settles. Just depends on how smart his liver is on catching on that normal numbers are just that normal.

If he keeps swinging wildly by this time next week we'll just back him up to 3u and see if he smooths out. If he doesn't then we'll back up again until he does then take him back up by .25u until we find his right dose.

The other reason I like the slower approach is that some cats become hard to shoot if they are constantly diving and bouncing because they start associating the shots with feeling bad instead of good. We want him to like the shots and testing not fear it.

Autumn actually comes to find me if I'm running late because she has learned that ear pokes means treats and shots make her feel better. That is what I want for you and Cupcake :-)

Mel, Maxwell, Autumn and The Fur Gang
 
187 scared me and I shot 3U... Was it my mistake? :( How low can he be at the time of his safe 3,5U shot at the moment?
Cupcake doesn't mind testing and shots, can you believe it? He got used to it and takes these procedures purrrrrring :oops:
 
Nope you did good by shooting a reduced dose! But now that you have hold the 3 unless he goes super low again and at this point anything under 100 I would reduce him a .5 because he is getting over an infection so his BDs may drop fast.

We can always go up if not enough but we want him safe as well. I'd rather have him too high for a few days than too low for a minute.

Mel, Maxwell, Autumn and The Fur Gang
 
Ruta

I see you changed meters to the Freestyle Lite by Abbott. If you are using the butterfly strips please go back to your other meter. The Freestyle Lite doesn't read correctly for cats. We've had several kitties get in seriously ill because that meter reads to low for cats so they were not given enough insulin and got sick.

Mel, Maxwell, Autumn and The Fur Gang
 
Hi, Mel, thank you for watching us :*
OMG... I'm going to go bankrupt :) Have just bought these butterfly strips :( There are two meters: Freestyle Lite and Freestyle Freedom Lite. I use the first one. However, as far as I understand, the problem is with the strips?
I am in a flap! I bought this meter because it uses only 0,3 µL of blood. And I was soooo happy! My Accu-Chek Active needs 1 µL! I always needed a big blood drop using the latter.

Lost again...
 
Can I buy Accu-Chek Performa or Accu-Chek Performa Nano instead of Accu-Chek Active? The first and the second uses 0.6 µL.
Or maybe I should write in the main Health theme?
 
Yes it is the strips that are the problem the butterfly ones don't read correctly for cats.

I would ask on Health as the meters I use are probably not available to you there. I have a Contour by Bayer and a Relion Micro. But I'm sure the wise folks on Health will know what's good that you can get your hands on.

Mel, Maxwell, Autumn and The Fur Gang
 
Thank you, my dear Mel,

I will ask on the Health theme. Anyway, will be using the butterfly strips for a couple of days :(
Hugs for you and your happy Autumn :*
 
Woohoo!!! Cupcake earned his first dose reduction!! That 46 means he gets to go down to 2
75u

But you did the right thing to shoot through the bounce.

Anytime you get a reading below 50 he earns a dose decrease. Although most of us will do what we call "shooting through" or in other words we will hold the dose that earned the reduction for a day or two then give the reduction unless they repeatedly drop low. So if he went down to green yesterday or does today you will want to give the reduction either tonight or tomorrow.

What makes this dance so hard in the beginning is that too much insulin and not enough can look alike. Once you've been at it a couple months you will know his patterns and it will be easier to tell the difference.

Oh while I thinking about it, something else you'll see me ask for is a Whole Cat Report or how are his. 5Ps. The 5 Ps are: playing, pooping, peeing, purring and preening. A whole cat report is a short way of asking how does he look in general...Is his coat soft and shiney, is his skin not flakey, are his eyes bright and sparkling and is he gaining weight or maintaining his weight if he's back to a healthy weight.

We usually see the whole cat report and the 5Ps improve before the numbers. Plus we want you to remember he is still your fluffy and not just a bunch of numbers on a spreadsheet. It is real easy when they are still so sick to get focused on the numbers and not on the cat as a whole.

Mel, Maxwell, Autumn &The Fur Gang
 
My Dear Mel,

we were using those inaccurate butterfly strips, so I could not rely on the numbers.
Back to my Accu-Chek again :)

Thank you for your valuable advice. I'll keep everything in mind :*

Five ps made me smile! What a creativity! :) Well, here are Cupcake's 5ps:
Playing: He was born to be a lazybones :-D He's a British Shorthair after all :) We bought another British Shorthair before a month, so now Cupcake is forced to play more! :-D
Pooping: As usual. Haven't noticed any changes.
Peeing: Well, I think he pees less now.
Purring: Oh, he is a purring machine!!! This is the thing he does best! cat_pet_icon
Preening: What does preeing mean? :shock:

His eyes are not as bright as they were. Sometimes they look bleary, especially when his BG is high. Besides, I think he could be a little bit dehydrated, because his skin is not as elastic as it used to be. The good news is that Cupcake has gained a little bit of weight during the last two weeks! :)
 
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