Loki - 2/12/19 - PMPS 500+

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by LokiL, Feb 12, 2019.

  1. LokiL

    LokiL Member

    Joined:
    Jan 28, 2019
    Previous thread here.

    Well, this one is a bit frustrating. We had a nice little honeymoon with no black and minimal red, then the boy just skyrocketed between my lunch break and the PM shot. Did his body maybe panic here? Just looking for thoughts. We have a followup visit scheduled for Friday, and we were asked to go ahead and scale back from 4.5u to 4u until then.

    The only difference in my care between yesterday and today was that I fed a small meal around AM+6.5 yesterday and today I did not intervene to see what would happen. Coming home mid-day to feed isn't terribly feasible long-term as it required an extended lunch break. Just curious if anyone else had any ideas on what may have got us.
     
  2. Bronx's dad

    Bronx's dad Well-Known Member

    Joined:
    Nov 30, 2016
    My deduction would be that Loki has probably been in high numbers for a pretty long time and his body is not used to anything close to blue, he is bouncing.
     
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  3. LokiL

    LokiL Member

    Joined:
    Jan 28, 2019
    That was sort of what I was thinking as well. Reading the sticky, I see it says a bounce will *usually* clear their system in around 6 cycles. So, during a bounce do you just continue to treat like normal? Are the bounce numbers always sky high, or do they still respond to regulation in some degree?

    I'm still new to this, so I'm trying to really get a grasp for how much this should feel like a setback to me and how to handle it, if that makes sense.
     
  4. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    You are correct --- you don't want to change the dose if there's a bounce in play. What you saw was definitely a bounce. Numbers started to come down at the end of the PM cycle on 2/11 into AMPS, there was a food spike, and numbers continued down into the blues. It's likely that your cat hasn't seen closer to normal numbers in a while and his body didn't know how to react. As a result, his liver and pancreas went into panic mode and dumped a stored form of glucose along with counterregulatory hormones into his system. This happens if numbers drop low, drop fast, or as in your case, numbers drop into a range that your kitty isn't used to. It can take roughly 6 cycles for the bounce to clear which generally tries y our patience.

    Being a confirmed testaholic, this is going to be a surprising suggestion coming from me... You don't need to test every hour. There are certainly times when you will need to monitor closely (e.g., numbers are low and you are looking to see if food is bringing numbers up -- you can be testing every 15 min). You need to get some sleep!!
     
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  5. LokiL

    LokiL Member

    Joined:
    Jan 28, 2019
    Thank you Sienne! I feel a bit less discouraged after that.

    As far as the every hour testing- no need to worry about me, these are all passive readings from a freestyle libre system. Loki still isnt accustomed to poking yet, so this is giving the vet and I some really detailed pattern info in the meantime without stressing him, or me, out. Of course a manual test will always be a bit more accurate, but this has been extremely helpful so far
     

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