Mind Looking at Cali's Spreadsheet?

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beclt

beclt

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Hi There,

Would love to see if you catch anything on her spreadsheet. We are trying to test as much as we can so please be kind when asking us to test more!

We got a 150 reading during the day yesterday and I almost cried tears of happiness. But then she was higher in the evening and this morning. We felt discouraged. I know she's only been on this new doseage for a few days so I'm not looking to change, just want to see what you all thought. I feel like everyone else has had such rapid success and we keep failing!

Lastly, she gets really stressed easily, so I wonder if her readings in the AM and PM are higher from stress. The 150 she was half asleep on the couch, being super relaxed, so I don't want to be worried if it is stress more than anything. But at the same time, I don't know how I could NOT get a stressed out reading if that were the case!
 
When cats start getting lower numbers than their bodies are used to, the liver panicks and dumps extra sugar in the blood. It's called a bounce and it's normal. It may take a day or so for her nubers to come back down. The longer she can spend at lower numbers the less she'll be likely to bounce. Stick w/ your current dose and keep on eye on things. Congrats on the blue!

(my Cass is the king of bounce.)
 
I agree - the 405 was probably a bounce. (Whoa - what's this low number? Panic, liver, panic!) I would stick with the dose awhile.

If it is hard to test, the most valuable info is the nadir. We can't be sure what hers is yet. I would keep getting a test in that 4-6 window until one day when you and Cali are feeling brave and you can try a curve. Once you can see the numbers on either side of her lowest number, you can figure that is probably her nadir.
 
beclt said:
I feel like everyone else has had such rapid success and we keep failing!
Click to expand...


Don't feel like that, I've been here since April & my cat is all over the map. The only success I have had is that she is still alive. Hang in there!
 
Thanks so much! Always good to have a check in. We'll keep doing our thing and hope for the best!
 
I think that 405 was a bounce from the 158 (nice number by the way) and it looks like Cali is clearing the bounce nicely, if you look at your ss her bg's have been coming down with each test. Yeah!

Hang in there. Ask any questions you have so we can help you.
 
Becky,
This might sound crazy but.....
You mentioned that maybe the 150 was because she was all calm and sleepy and not stressed. Well that is most likely true. But "how stressed is stressed" is what I thought when I read that. Do you think it is the test process that is stressing her? If so, then here's an experiment to try. Next time she is all comfy and relaxed and you get a test.... right after that, try to stress her out. I don't know how, nothing radical. Make sure she wakes up, make her play a little. Something that will add stress to the picture. Then test immediately after. Sort of a "stress test" concept. See if it is higher, and by how much.
There are so many things that are variable in the time between the one test and the next if hours go by. Food, activity, her blood glucose climbing naturally. If you can get two tests minutes apart, one calm, one stressed, then you will see how much the actually "stress" of a lazy time test vs. a wide awake and a little irritated would be. That might make you reevaluate the level of stress caused by testing at AMPS and PMPS, or it might validate your thinking too. Either way, you'll know more.

Just an idea.
Carl
 
Thanks Carl. She was pretty relaxed last night when we tested her again but her number wasn't as low--so perhaps my theory goes out the window.

This morning, she was 414, which again frustrated us. At that point, should we slightly lower the dose given she is so high? This is where I get the most confused. I don't quite grasp the correlation between testing and dosage. I feel like right now we are arbitrarily testing and then just giving the same dose.
 
I know it is frustrating but you just don't want to raise or lower based on one reading.

She could be high because she is getting too little insulin. She could also be high because she dipped low overnight and this number is a bounce. That would mean too much insulin. Getting a mid cycle number will help you figure this out.
 
Okay, but getting a mid cycle at 1:30 in the afternoon is not an option. We work and are not near home. We got a few over the weekend and that is the best that we can do for right now.
 
I know it's hard, but without it, you are only seeing half of the picture. Some people who work set the alarm for +6 overnight, jump up and test and go back to sleep. Could you and DH alternate and get a few nadirs at night?

If she is anywhere close to the +6 right before you go to bed, you could get a number then. Anything will help fill out the picture.
 
I work most days too, and have been able to work out giving middle of the night tests. It's not as bad as it sounds....I've timed myself and I've gotten the whole process down to 6 minutes, from jumping out of bed when the alarm goes off to getting back in bed & going back to sleep!
 
I see that after the 158 at +6 you raised her to 2.0 units from 1.5
Maybe one reason for seeing the reds now is that she is going lower and her body is
not used to it
It would definately get a +6 on the 2 units soon to see where she is...
 
Sorry, that was a typo. On 12/4 we started with 2.0 units, so the 158 was +6 after that first dose.

I updated the sheet--she seems to get continuously higher. Although, I am fairly confident her shot did not go in completely last night, which is why there wasn't much of an improvement at +6 (yes, i set my alarm and go up and did it) and higher again this morning. Got a shot in successfully this AM and will aim to do so again tonight and I will try to get another +6 this evening to see.

I'm afraid that this dose might be too high and we should cut back a little. But then again, not sure what I should be looking for and we need to see that +6 evening number.
 
Generally (ECID) if the dose is too high, you could see an inverse curve. That is when the mid cycle numbers are higher than the preshots. Or you can see a drastic drop at nadir and a long surf in lower numbers.

If the cycle is pretty flat, it usually means an increase - probably we would suggest a .25 increase.

So you can see why we need those mid cycle numbers. If they show one thing, probably increase. If they show another, probably decrease. Good for you to get the night one. Darn on the fur shot!

Hang in there. We will try our best to help you figure it out.
 
So the +6 PM reading was 121 which is our new low! It was really exciting, but then again this morning she was up really high in the 440's. My assumption is that this is her rebounding again.

My questions here is how often does rebounding happen? And at what point does her body start to accept that new number? I'm sure ECID (I'm picking up on the lingo) but I feel like going that low then that high can't be good for her.

Thoughts?
 
Becky
I replied on your "rebounding" thread...
Carl
 
Thanks Carl--I'll read. Another update--she was in the 100's at +6 PM again, which is great. It got us a lower AM reading than we've had in a while, so hoping this trend continues...
 
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