5/2 Tuxie AMPS 481 +2-365 +5.5-142 +7-211 +10-409 Numbers are really out of usual

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follow me, tuxie, I knows the way. Shadow
 
I don't think this is bouncing, it's just his normal cycle. He's down to blues in mid-cycle and then back up to pink/red numbers most cycles by the next shot time - He's just not to the right dose yet.

Taking a look at the protocol (page 3 for AT #s) I think Tuxie would fall in this part:
If nadir blood glucose concentration < 200mg/dL but peak is > 200mg/dL (11 mmol/L) Increase every 5-7 days by 0.25-0.5 IU depending on if cat on low or high dose of insulin
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He's having regular nadirs in the 100's, but his peak is over 200. She defines low/high dose as being under/over 3u, so this is saying to increase by 0.5u because Tuxie's dose is over 3u. We suggest that over 5u - but either way it would by an increase of 0.5u after 5-7 days looking like he is right now.
 
julie & punkin (ga) said:
I don't think this is bouncing, it's just his normal cycle. He's down to blues in mid-cycle and then back up to pink/red numbers most cycles by the next shot time - He's just not to the right dose yet.

Taking a look at the protocol (page 3 for AT #s) I think Tuxie would fall in this part:
If nadir blood glucose concentration < 200mg/dL but peak is > 200mg/dL (11 mmol/L) Increase every 5-7 days by 0.25-0.5 IU depending on if cat on low or high dose of insulin
​
He's having regular nadirs in the 100's, but his peak is over 200. She defines low/high dose as being under/over 3u, so this is saying to increase by 0.5u because Tuxie's dose is over 3u. We suggest that over 5u - but either way it would by an increase of 0.5u after 5-7 days looking like he is right now.
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Thanks for the clarification Julie. I will hold this dose another 3 cycles..that will make it 5 days of the new dose then increase by .25 units to start. That will take it to 6 units which is nice and easy to measure. If that doesn't work better then I will start increasing by 1/2 units.
 
Tuxie's later afternoon numbers are totally out of whack for his usual. He barely hit the blues then started going up. Usually if he hits blues he will surf there for 4-7 hours. This is not at all like his usual pattern. I am REALLY thinking this might be a bounce of some sort????
 
julie & punkin (ga) said:
I don't think this is bouncing, it's just his normal cycle. He's down to blues in mid-cycle and then back up to pink/red numbers most cycles by the next shot time - He's just not to the right dose yet.
Click to expand...
I agree with Julie. He's not getting enough insulin yet and he won't flatten out more until he does. Until then, expect the unexpected. I used to drive myself crazy trying to analyze the why of things, now I try to just observe. Cats, and especially FD cats, are not predictable.
 
Wendy&Neko said:
I agree with Julie. He's not getting enough insulin yet and he won't flatten out more until he does. Until then, expect the unexpected. I used to drive myself crazy trying to analyze the why of things, now I try to just observe. Cats, and especially FD cats, are not predictable.
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Thanks for your additional comment. I guess I try to figure out the "reasoning" for what is happening when there really is no explanation. I just hate seeing him going back into the higher numbers so quickly, but I will see what happens in the next day and then do the next increase :)


Also his urine output and urine glucose has risen the last 2 days.
 
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Tuxedo Mom said:
I guess I try to figure out the "reasoning" for what is happening when there really is no explanation.
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I think most of us do that - and it can definitely make you a bit crazy. It helped me when I finally got it that insulin is a hormone - it's not the same as taking other meds. 1 + 1 doesn't always = 2 with hormones. I thought if I controlled all of the variables, fed the same food, same quantity, same timing, same insulin dose that would lead to a controlled cat.

but even if you have everything else completely controlled, we also know that insulin absorption can vary by as much as 50% from one shot to the next. That blows the whole plan out of the water, y'know?! Sometimes they are just higher because they are higher.
 
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