Free Feeding and BGs...How best to monitor?

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Teresa and Poopy

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Poopy has been eating throughout the day, more like snacking, so his BGs are higher than if he doesn't eat throughout the day. (I'm assuming his BGs are food related.) What's the best way to monitor his BGs then to know when a dose is good?

I figure this question applies regardless of the type of insulin so thought I'd ask in Health. :smile:
 
Hi Teresa
Actually, the type of insulin does come into play but still a good idea to post this here.

The "L" insulins do work a bit differently, and the ideal curves with lantus and levemir don't look like what you would see with Prozinc. The goal with the L's is to keep the BG consistent, and you wouldn't see a big smiley shaped curve like you would with Prozinc/PZI. Not to say that kitties on the L's don't get those curves, especially at the beginning, but L curves tend to be flatter once they settle in.

There are times during a prozinc cycle that you would not want food to be interfering with the BG numbers. That would be the two hours or so prior to the AMPS and PMPS tests. That way you know that those two numbers are not influenced by food. As far as the rest of the cycle goes, if Poopy is eating, you just have to try to monitor "when". If he eats at +5 for example, then you have to take that into consideration when you check BG at +6, and expect a number that would be boosted by food. It might make your life harder, but as long as you can account for why a number might be a bit higher, you can manage it.

Is he free fed? Do you use a timed feeder? Is he a grazer or a hoover? Spreading the food out over the cycle is actually a good thing. It makes his BG more consistent and makes it easier for his body to regulate the rises and drops due to food and insulin, especially if his pancreas is helping out like you want it to. The prozinc is going to have the most influence on his BG in about a 4-5 hour window from +2 to +6 or +7. After that it starts wearing off until it is used up, just in time for his next shot.

Carl
 
Simba free feeds during day and nights

Here is his schedule

In the morning, if I have some civvie and he gets ½ can of m/d wet each, then I measure up a cup of dry m/d and that is what he (and civvie) will have for the day.
In the evening, he and civvie gets a ½ can of m/d wet, then I measure up a cup of dry m/d and that is what they will have for the night.

I don't check Simbas bloodsugar at this point down the years (5 years), because we did some very intense and extensive testing the first years when I tried out different food, so I know what he needs in insulin on this m/d feeding schedule.

When he was having w/d food he needed 6 U twice a day
When he was having k/d food he needed 4 U twice a day
When he has m/d food he needs 2 U twice a day

I also let him run a few digits higher since he has had 3 hypos already, the first one so bad it left him with brain damages.
 
Also, when we did the intense testing my testing schedule was this

It takes about 1 ½ hour for the food to reach the upper intestines and get into the digestive system

So I first fed Simba, then tested + 1½ or + 2 hours after eating

then again + 3, +4, +5, +6 and so on until +12

we did this several days in a row
 
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