Mia & Monica - Continued (part 3)

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Bron and Sheba (GA) said:
Sorry I didn’t get your first tag so thanks for the second one.
The reason I am suggesting the +9 snack at night is because she is down to a 0.1 unit dose and sometimes when a cat gets down to that dose and the preshot is still higher, we find if we give a +9 snack before that preshot, the BG often comes down. This is because if the pancreas is beginning to splutter back into producing some insulin, if you give a snack of food, it should stimulate the pancreas to produce some insulin and that should bring down the BG about 3 hours later. Does that make sense?
It only works when the cat is on a tiny amount of insulin (which means the pancreas is possibly producing some insulin on its own). And this is how a healthy pancreas works. Food stimulates a healthy pancreas to produce insulin which in turn will bring down the blood glucose after eating.
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@Bron and Sheba (GA) no worries! I've missed tags before too so I guessed it can happen to others too :)

Oh ok that definitely makes sense the way you explain it! Will tell my hubby to do this the next couple of days and see if there is any changes. I am abroad for the first time since Mia was diagnosed, so getting updates from him as well as her latest BG numbers. I just updated the SS now with her numbers from the last couple of days. Could you have a look? She's been in yellow through her whole am cycle til now. Could she be bouncing? Another member answered me on the FB page and said that even with BG 3 could cause a bounce. Never seen Mia staying in yellow and the insulin only lowering her with a couple of numbers.

Any idea what might be going on?
 
MonicaT said:
been in yellow through her whole am cycle til now. Could she be bouncing? Another member answered me on the FB page and said that even with BG 3 could cause a bounce. Never seen Mia staying in yellow and the insulin only lowering her with a couple of numbers.
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I don’t think the yellows are caused by a bounce. There is nothing I can see in the SS that would explain a bounce.
Could she have got into any other food?
See how she goes over the next couple of days. She may need a dose increase if they continue.
 
Bron and Sheba (GA) said:
I don’t think the yellows are caused by a bounce. There is nothing I can see in the SS that would explain a bounce.
Could she have got into any other food?
See how she goes over the next couple of days. She may need a dose increase if they continue.
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@Bron and Sheba (GA) Yes according to what you guys have told me previously, lime greens are needed to cause a bounce. Just found it strange two members said that low 3s also can result in bounces.

There is no other food she can have gotten into. We have been experimenting with the flavors of her food though, but still the exact same brand that she had been on since going onto low carb wet food. She has had a little bit of a bad stomach sometimes, and I read that in case of IBD, proteins such as beef, chicken, lamb etc should cause less issues. So we have been sticking to the fish flavors along with veal and turkey.

Could there be other things than food causing this sudden increase in BG numbers? Also, her evening cycle is looking similar to the morning one where both the +2 and +4 were higher than preshot
 
MonicaT said:
Yes according to what you guys have told me previously, lime greens are needed to cause a bounce. Just found it strange two members said that low 3s also can result in bounces.
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A bounce can be caused by several things…if a cat has been used to very high numbers for a while, any numbers that are lower can cause a bounce. So a drop from the 400s to the 200s can cause a bounce in some cats.
And if the BG drops into low numbers (under 3 or 4 if the cats isn’t used to them) that can also trigger a bounce.
And if the BG drops quickly over a short space of time, that will trigger a bounce.
If you look at Mia’s numbers she is very used to green numbers and even when she drops into lime green numbers, as she did on 13/11 and 17/11, she had a yellow amps but quickly went back to her normal numbers. And I can’t see anything that could have caused a bounce in the last few days.
MonicaT said:
Could there be other things than food causing this sudden increase in BG numbers? Also, her evening cycle is looking similar to the morning one where both the +2 and +4 were higher than preshot
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Things to look out for if a cat suddenly goes into higher numbers for no apparent reason are: are they getting into other food, could they have a UTI, are there any bad teeth?
Could she he stressed because you are away?
 
Bron and Sheba (GA) said:
A bounce can be caused by several things…if a cat has been used to very high numbers for a while, any numbers that are lower can cause a bounce. So a drop from the 400s to the 200s can cause a bounce in some cats.
And if the BG drops into low numbers (under 3 or 4 if the cats isn’t used to them) that can also trigger a bounce.
And if the BG drops quickly over a short space of time, that will trigger a bounce.
If you look at Mia’s numbers she is very used to green numbers and even when she drops into lime green numbers, as she did on 13/11 and 17/11, she had a yellow amps but quickly went back to her normal numbers. And I can’t see anything that could have caused a bounce in the last few days.

Things to look out for if a cat suddenly goes into higher numbers for no apparent reason are: are they getting into other food, could they have a UTI, are there any bad teeth?
Could she he stressed because you are away?
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@Bron and Sheba (GA)

Hmmm ok, well the biggest recent drop was the 28th, from 10.1 at preshot down to 5.4 at +2. Not sure if that qualifies?

Is there anything my hubby can do at home to check for UTI and bad teeth? Or should he take her to the vet for a check? She could of course be stressed because I'm away, but I have been away since Tuesday now and this is happening now/yesterday. Also, she is used to us travelling regularly before her diagnosis. So its nothing completely new to her, especially seeing hubby is still home with her.
 
JL and Chip said:
Another possibility (other than contraband food that Bron mentioned) might be something that affected the 0.1u insulin measurement, such as an air bubble in the syringe. Those tiny doses do sometimes get muffed, even with calipers.
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@JL and Chip Oh ok, I will ask hubby to be extra careful. What I am finding strange, apart from the higher preshot numbers, is that her BG is increasing at +2 and now even at +4. Haven't seen that in her before
 
JL and Chip said:
How is she acting? How is her appetite?
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She is her usual self, playful, cuddly with both Hubby and our other cat, and is also eating her normal amount of food throughout the day. So there doesn't seem to be any change other than the higher numbers
 
I agree with Bron. If Mia seems to be feeling fine and acting normal, then I don’t think you need to take her to the vet just yet.

One “off” day doesn’t constitute a pattern. A number of things can cause a blip in a cycle. If her numbers continue to trend higher, it might be worth revisiting the idea of a vet visit (but it already looks like her BG is returning to a more expected pattern, so that’s reassuring).
 
Bron and Sheba (GA) said:
I don’t think a vet visit is warranted if she is as you say above.
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So she had a nice am cycle yesterday where she went back into green numbers at +4 and +6 and stayed in blue for her pmps. Her amps today has gone even higher though, now into pink numbers at 16.9. when should we consider increasing the dose?
 
JL and Chip said:
Dosing decisions are based on the lowest numbers, not the highs (so in this case you would ignore the pink when evaluating whether an increase is warranted). @Bron and Sheba (GA)
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Yes of course, not asking based on the high amps. Just in general, how long do we wait until increasing the dose seeing her numbers have been increasing lately? Again she has had a yellow am cycle, not going down into blues. Would no more blues or greens for a certain amount of days/cycles be the deciding factor?
 
Just another reminder --

Please keep your threads to under 50 posts. There are 169 messages in this thread. Most of us don't have the time to read that many posts in order to offer knowledgable help.
 
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