I think you tested and then we talked about it, so the actual shot was delayed until 10pm.
Tomorrow morning you could probably shoot at 9:30am if she's still high, which is pretty likely. Usually you want 12 hours in between shots, but since she's probably going to bounce from these numbers today it would likely be ok to shoot a little early.
I wanted to answer your question above about clearing a bounce:
What is a bounce "clearing cycle? I don't understand the clearing cycle part of it.
When the body "bounces" it releases what are called counter-regulatory hormones and stored sugars. Those raise the blood sugar like they were designed to do when the body perceives a hypo. After a period of time - somewhere usually in less than 3 days, the body will clear out those hormones and sugars. Think of it like getting rid of something. I suppose it's the detox pathways that would do the job, but am not certain about that. In any case, when that happens, those hormones and sugars that have raised the cat's blood sugar go away and the blood sugar will come down. We call that "clearing" the bounce because the body has "cleared out" those unneeded hormones and sugars.
In some cats when they clear a bounce it's like the chair got pulled out from under someone and it comes crashing down fast. In some cats it's more like they meander down slowly. The end result for both is that the blood sugar (usually) gets back somewhat close to the range that set off the bounce in the first place.
The "normal" Lantus cycle is for the cat's blood sugar to be at its highest point at preshot, then for it to decrease as the insulin starts working, then as the insulin wanes the blood sugar rises again to the next preshot time. That normal cycle is somewhat obliterated by the bouncing hormones and sugars. They override the normal cycle.
As to the increase? Do you figure the 300s for a bounce swinging downward?
I mean how do y'all evaluate this? I need to understand. I sort of understood doing another test after the 300s, because that seemed like the values were swinging down and might swing up again, which they did. But why are they -why are they bouncing? And so we know from the 500s that the nubers will return to astronomical again?
Oh, and do we need a 2am test? I hope not,
Yes both Marje and I still think she needs more insulin. What today told us is that this dose is capable of getting her about to 300. That's still pretty high.
She's bouncing because her body isn't used to that range. It's very normal for this stage. I'd guess it's pretty likely that she's going to be back high again by morning. All you can do is keep plodding ahead on this. But she isn't the first high dose cat we've seen in high numbers. There is a dose that will move every cat - you keep on going and you'll get her into better numbers.
You don't need the 2am test. I'm back to work tomorrow and am headed for bed. I think you can call it a night now!
