Tonka 7/3 AMPS 81, +1.5 81, +3 97, +5 124, +7 90, +9 92, +11.25 112

Status
Not open for further replies.
jmalasiuk

jmalasiuk

Member Since 2014
Yesterday: http://www.felinediabetes.com/FDMB/threads/tonka-6-3-amps-68-pmps-72-2-85-4-137.134155/#post-1384087

Okay, lets see what this cat does today, when I can monitor him through his cycle. Have to miss the +1 unfortunately, since Teeger's got a vet appointment in 40 minutes, but I doubt that he's dropping so low in the first hour that he's rebounding even slightly, since he leaves the rest of his food for several hours, looks like. I'm still not clear on what is happening with those inversions...
 
Thanks Angela. He's definitely been having good starts and ends to his cycles on his microdose - it's just the middle of the cycle that he tends to rise a touch out of the normal range that has me unsure of where to go from here...

This will be the first daytime cycle that I can check him at "nadir" this week, so I'm hoping I can get some more ideas after today. He's a grazing cat anyway, so spacing out mini meals throughout the day like you did to get Blackie stabilized without insulin shouldn't make much difference for him, sadly. Just need to get his pancreas functioning a bit faster, or resign us to being just a touch high in the early to middle part of each cycle. He's certainly not in a bad zone, really, as far as I can tell. But as long as he's not dropping too low, either, I guess he'll just keep trundling along with his teeny tiny dose until he decides that he doesn't need it
 
Yup - that's the plan. Just got back home and he's still at 81 for +1.5. Based on his evening readings, he probably won't start to rise for another hour or so, if it's a real pattern. He's more active right now than he usually is at this time in his evening cycle though (he tends to get pretty sleepy after his evening injections, it seems, even though his blood sugars are fine)
 
And here's what appears to be his now-usual early-mid cycle rise (97 at +3).
And getting higher at +5 (124)

Assuming that he drops again for PMPS, which seems to be his pattern, does anyone have any ideas what I should do with his dose? Raise it/lower it or keep the same? He's so close, but just rising a touch too high mid-cycle, from the looks of it.
 
Last edited:
I'm pretty happy with his numbers overall, and he seems pretty healthy right now. I just wish I had some idea of what he was doing. Just to mix it up, today he went back into the blues for +11 (I'll be injecting him at +11.5 tonight, so that'll effectively be his PMPS too).
 
Does anyone know what causes this? All I can think of is that the insulin dose is too small to actually impact him mid-cycle noticeably, and eating is inspiring his pancreas to generate some insulin, but it's still a little slow on the response right now, so once his pancreas-insulin starts to work on the half of his meals that he eats at shot-time a little late, then wears off and he starts to rise again. Would that make sense? In which case, maybe he does need a drop or so more to keep him down mid-cycle - or else if I just let it go for another week or so, he might start producing more insulin on his own faster. He's only been above the normal range a few times that I've caught, so probably best to just ride it out as Wendy suggested and see if anything changes.

Not understanding things makes me a little bit nuts :facepalm:
 
Some kitties do inverted curves when they are getting too much insulin. It's also a sign of too little. :rolleyes:

Are you spreading out Tonka's meals throughout the day? Often a small snack at +8 or +9 will help bring those blue preshots down into green.
 
He's a grazer, so he generally spreads out his eating throughout the day, most days. From time to time, he eats it all up in the first couple hours (this evening is looking like one of those), but most days that I've witnessed, he isn't finishing off his food until close to +10 or so. Which might be why he's often down in the greens again by his pre-shot time, if that's the case.

I'm hoping to get his pancreas healthy enough that it will function without having to be inspired into action with the mini-meals. With two cats, both of whom seem to eat at their own schedule, I'm not sure how I could make the more regimented feeding work here. He's almost there.... Maybe...
 
His curve today actually looks like the opposite of what it's been in the past few weeks: highest at the times that he was previously dipping the lowest (including a little mini spike at the time that he had been having his second nadir before). So weird.

When do you decide to increase or just stop insulin altogether, in these cases, if the inversion can mean either too much or too little insulin? Or since he's mostly within normal levels, do we just keep to the dose and see what happens as more time passes?
 
And just to mess with me even more, tonight he's having a more typical lower-at-nadir type curve. The Evo is about 1% lower in carbs than his usual food, so maybe that made the difference, or else he is just not wanting to be predictable in any way :rolleyes: Putting out some extra low carb food for him, since I really have to get to bed and while he's dropping, he's still at a good level and I'd like to keep him there (67 at +5).
 
I think he's almost ready, but a few days ago when I did a couple no-doses since I couldn't monitor those days, he still climbed out of the healthy range, so he's probably not Quite there yet.
 
Status
Not open for further replies.
Back
Top