Higher numbers in the morning
- Thread starter josette
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Diane Tyler's Mom GA
Member Since 2018
I will tag a prozinc user for you but you don't have not taken any tests after the AMPS or the PMPS tests ? Any reason why ?
@FrostD
I see in the remarks section on your SS you said
Last day of amoxicillin for uti. On 7-28
josette
Member Since 2022
How often should I test? I will test tonight at +4
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Diane Tyler's Mom GA
Member Since 2018
@FrostD
Until Melissa responds I found this posted by a member
If you can vary the test times each day (and night here and there), it effectively gives us a pretty good picture of how the dose is working. So one day maybe a +2 and +5, the next day a +3 and +7, day after a +6, etc
Sometimes Prozinc has a late nadir
Part of that process is getting a feel for basic concepts:
- Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
- Peak/Nadir - the lowest point in the cycle
- Duration - the length of time insulin continues to lower blood glucose
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Chris & China (GA)
Member Since 2013
The AMPS is always the last number to come down (and may be the highest number in the day) due to something called "Dawn Phenomenon". It's the body's natural reaction to getting ready to wake up for the day. Hormones get released which causes glucose to go up and blood pressure to rise so you're more ready to wake up.
Diane Tyler's Mom GA
Member Since 2018
Hi Chris she has no tests at all after AMPS or PMPS she was advised to start getting some tests in. See post # 3, 4. 5 and 6
@Chris & China (GA)
What Chris noted about Dawn Phenomenon is correct. However, without any tests other than your AMPS and PMPS, we have no idea if your observation abut the higher AMPS numbers is correct. In fact, we have no way to know how low your current dose is taking Oscar's numbers.
Insulin dosing is based on how well a given dose is working. The nadir (the lowest point in the 12-hour cycle) gives you that information. Generally, the nadir falls around the middle of the cycle. However, it's helpful to get a curve (i.e., testing every 2 hours for a 12 hour period) so you can have some data that tells you if your cat is typical or if Oscar has an early or late nadir. Without knowing how well the dose is working, you would keep raising the dose since the pre-shot numbers are typically the higher numbers since the dose is wearing off.
Just as an example, early on my cat's diabetes adventure, Gabby started the day in the 400s. She dropped to the 40s and by PMPS, she was back in the 400s. If I hadn't been getting tests in during the cycle, I would have raised her dose. Instead, her numbers told me I needed to lower the dose.
Insulin dosing is based on how well a given dose is working. The nadir (the lowest point in the 12-hour cycle) gives you that information. Generally, the nadir falls around the middle of the cycle. However, it's helpful to get a curve (i.e., testing every 2 hours for a 12 hour period) so you can have some data that tells you if your cat is typical or if Oscar has an early or late nadir. Without knowing how well the dose is working, you would keep raising the dose since the pre-shot numbers are typically the higher numbers since the dose is wearing off.
Just as an example, early on my cat's diabetes adventure, Gabby started the day in the 400s. She dropped to the 40s and by PMPS, she was back in the 400s. If I hadn't been getting tests in during the cycle, I would have raised her dose. Instead, her numbers told me I needed to lower the dose.
josette
Member Since 2022
I am planning to test him again AMPS +4 this morning then again at +6 etc and will add to his SS
josette
Member Since 2022
I am testing today every two hours. Except I missed the first +2. Is that going to mess it up?
Teetee (UK)
Member Since 2019
No it's fine looking at his spreadsheet, just get the AM+10 and the +12 PMPS.
The AM+2 will probably have shown a food bump.
Teetee (UK)
Member Since 2019
Yes depending on how much you are feeding him it can affect the curve and keep his BG higher.
We usually suggest feeding a full meal at pre shot and a couple of small low carb snacks at +2 and +4 or +3 and +5.
josette
Member Since 2022
I plan to test at +3, +5, and +7 tomorrow to see where his numbers are starting to go up or down as right now his +6 is his lowest but perhaps his +5 was lower…..and the +6 was the beginning of the rise. Make sense?
Great job getting those tests in yesterday morning. Remember, though, to try to get at the very least, a test before you go to sleep (aka a "before bed" test). Some cats like to surprise you during the PM cycle. You don't want to miss a reduction if Oscar is one of those kitties.
josette
Member Since 2022
Okay I will test tonight before I go to bed. I looked again at my SS and did notice the PMPS +4 was his lowest number ever. (On 8/5)
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Hendrick Cuddleclaw
Member Since 2022
Oscar's spreadsheet is starting to fill in good job! I think you are making progress towards regulation, all that yellow is good to see. Next up, blues and greens!
as you increase the dose, those extra test points are even more important. I reached a point with Hendrick where I would do a test at bed time (about 10pm for me, which was about 3.5 hours after his insulin shot) and based on that test....well sometimes it was not bedtime for me at all lol. If that test showed he had dropped a lot from PMPS and possibly still going down, there was no going to sleep for this guy. I would stay up and test again in an hour, or 2 hours, midnight, 1 am....and then finally go to bed if he was on the rise again.
Those were some rough months but it was only temporary.
and I'd do it all over again in a heartbeat for my boy
as you increase the dose, those extra test points are even more important. I reached a point with Hendrick where I would do a test at bed time (about 10pm for me, which was about 3.5 hours after his insulin shot) and based on that test....well sometimes it was not bedtime for me at all lol. If that test showed he had dropped a lot from PMPS and possibly still going down, there was no going to sleep for this guy. I would stay up and test again in an hour, or 2 hours, midnight, 1 am....and then finally go to bed if he was on the rise again.
Those were some rough months but it was only temporary.
and I'd do it all over again in a heartbeat for my boy
josette
Member Since 2022
Went up to 2.25 this morning. Tested at +4 and will again at +7
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