What does being regulated look like?

Hi guys,

I'm just wondering what a cat's numbers look like when they are considered as regulated? Would it be all blues with a couple greens at nadir? If I can't get Merry into remission I'm curious as to what to look for to say he's at least regulated. I know we're not even near being regulated yet with Merry but I'm curious. And when a cat is regulated do we still need to test as often or can we just test pre/post shot with a spot check now & then?

 

Oh I’m looking for the answer to this question because I want to know it too. I would imagine even when regulated you’d still want to do regular testing tho as many things can influence a spike or drop. My kitty was OTJ for 3 years and I’m struggling to get him regulated again.

 

It kind of depends on your goals

There are different definitions of regulation. As hometesting becomes more common, we've been getting a better understanding of what cats and their humans might be capable of

Not treated [blood glucose typically above 300 mg/dl (16.7 mmol/L), poor clinical signs]

• Treated but not regulated [often above 300 (16.7) and rarely near 100 (5.6), poor clinical signs]

• Regulated [generally below 300 (16.7) with glucose nadir near 100 (5.6), good clinical signs, no hypoglycemia]

• Well regulated [generally below 200-250 (11.1-13.9) and often near 100 (5.6), no hypoglycemia]

• Tightly regulated [generally below 150 (8.3) and usually in the 60-120 (3.3-6.7) range, no hypoglycemia, still receiving insulin]

• Normalized [60-120 (3.3-6.7) except perhaps directly after meals -- usually not receiving insulin]

Then there's China....who's Very Tightly Regulated

Again, it kind of depends on your goals and how well you know thy cat.

I don't test China as much as I used to, but that's mostly because I know her so well at this point.

Generally speaking, as long as they're on insulin, you always get Pre-shot tests and you should still get mid-cycle and before bed tests....because you never know when they're going to change things

 

Thanks so much @Chris & China ! That's great info!

 

Thank you @Chris & China !! I was wondering the same thing, great things to know. Thanks, and good luck to you and China

 

Newbie who doesn't know how this works; but wish you would consider trying to get this into Intro Info.

Especially for cats like mine with serious health problems that will probably prevent a normal life span (so, weighing the costs vs. advantages of remission seem different), this seems Really helpful.

Thank you, in any case, for sharing here.

 

Agreed Chris. This would make a very good sticky.

 

I agree. This is excellent information!

 

It is a sticky..see attached http://www.felinediabetes.com/FDMB/threads/feline-diabetes-faq-newcomers-start-here.2502/

There is a lot of other great info there as well , happy reading! I've reread some of the stickies dozens of times, and am still learning something new each day

 

Much easier to read Chris’s post tho. More concise than wading through the big document.

 

Just bumped Noah's AM dose of Caninsulin to 7 units! I'm not very happy right now.
@Chris & China You forgot the "High dose bouncer" classification.

 

Thank you. I thought I'd read through everything. There is so much info, and I do find myself focusing on the issues currently on my mind, so the reminder to go back regularly is a good one.

 

Well, I suppose it depends on which diabetes question you may have. That newcomers-post answers a lot of questions. It is easy (in windows) to do a ctlr-f to do a find on "regulation".

Some cats are hard to regulate. Like Leo. In his case I try to get his nadir below his renal threshold of 180. The renal threshold occurs when the kidneys are filtering sugar out of the blood. Below that blood glucose level (of 180) the kidneys are not working overtime to filter out the excess sugar. In cases like Leo, his preshot values are often high, and his nadirs are 100-180.