? Mild help? 09/19 AMPS high again but now PM sharp drop!

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monty_dweezil (GA)

monty_dweezil (GA)

Member Since 2014
From 6pm to 9pm, there was a major freefall based on just over 1 unit.

I've been feeding MC fancy feast florentines, diabetic biscuits and greenies treats to keep him afloat.

He keeps fluctuating between 54 and 70. Whatever I give him, he eats well, then relaxes and goes back to sleep (none of his normal post-eating grooming, though he will still try to grab a phone charger cable if I tease it near him) but within 15 minutes, his BG has gone back down again.

I thought any kind of carb food was supposed to last longer...

A good thing (I think) is that he seems to be needing less insulin. Tonight was 1 unit and he plummeted. I just hope the nadir is finished early too.

I feel like this is a puzzle and I just need some little thing that will show me how better to figure out Dweezy's patterns and needs.
 
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Giving less insulin for this cycle, will help eventually tomorrow, unless you do a temporary much larger reduction. Due to the nature of the Lantus depot, what you shoot now can have more impact on later cycles. Tonight's cycle was impacted by the 1.5 and 1.3 unit depots. that you shot the previous 6 cycles. The larger depot can influence 4-6 cycles later.

As you continue to shoot 1.0 units, the depot of the larger doses should diminish and you'll be able to see what 1.0 units by itself can really do.
 
We will! lol

It's hard not to shoot 1.5 or 1.2 in the mornings when my partner sees his BG is all red numbers.

Last night at 5.30pm he was pink. Then suddenly 3 hours later on 1 unit he was bright green for 4 hours, only going up a tiny bit for 10-20 minutes each time with the frequent feedings.

At 1.30am finally he came up on his own to green / blue, but then zoomed straight up to the reds again by 5am.
 
monty_dweezil said:
It's hard not to shoot 1.5 or 1.2 in the mornings when my partner sees his BG is all red numbers.
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Lantus dosing decisions are based on nadir value.

Lantus is slow acting. So you are actually shooting a number some 2 or 3 hours after the PS shot, when onset occurs.

monty_dweezil said:
At 1.30am finally he came up on his own to green / blue, but then zoomed straight up to the reds again by 5am.
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this is the bounce we have mentioned in previous posts. If, you react to a red PS that followed a string of greens by raising the dose, you may encounter unexpected lows once the bounce clears.
 
I myself ignore the bounce. She is starting to too.

Last night at PM shot time he was hungry, pestering me for food, and was in the high pinks. I still only gave 1 unit. And he still went so quickly and deeply down and stayed there, despite me feeding him a heap. His numbers just wanted to be that low.

As I said, finally at 1.30am he was up to just above the greens on his own. And then went gradually up to the mid yellows by around 4am and then by 5.30am he was red.

Today, after an AM dose of just 1.1 units, he has barely moved from the reds to just into the pinks. Yesterday was much the same too.

Low numbers at night, high numbers all day. Does it mean reduction or increase? Because of all the high numbers (on the monitor it says in the data that he is above average 80% of the time, in target 7% of the time and too low 13% of the time. Blegh), a vet would say increase.

But because of all the low green numbers, I would say reduction.

In my uneducated opinion, ANY consistently low greens means the dose is too high.

But then, because Dweez has had 2 DKA events, we have to be mindful of consistently high numbers. Like the last 2 days his AM nadir has been pink / high yellow. And his PM nadir has been almost too low to be measured and carb food only boosts it for about 10 minutee before it drops again.

The days after these green nights, he seems quiet and a bit timid, and doesn't eat as well.
 
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Which meter are you using? If it's still the Freestyle Libre implant, how long has it been on?

I used it too, and found it doesn't work that well, especially the longer it's on. Remember to always check a low reading with a manual blood test as well - that's really important to do. What manual meter are you using? Is it the AlphaTRAK2 or a human meter?

You must have someone else helping you test so you can get a result every hour! It's great that you have someone else to help you.
 
monty_dweezil said:
But because of all the low green numbers, I would say reduction.
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Because the meter you are using is a pet meter, you would take a reduction for any number below 68 on TR. If you are doing SLGS, he earns a reduction under 90. Dweez hit 54 last night, so you would reduce to .75. If you are doing TR, he needs to drop below 50 to earn a reduction.
 
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Tricia Cinco(GA) & Harvey said:
Because the meter you are using is a pet meter, you would take a reduction for any number below 68 on TR. If you are doing SLGS, he earns a reduction under 90. Dweez hit 54 last night, so you would reduce to .75.
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I didn't realize they were using an AlphaTrak now - thanks, Tricia! Last I heard it was the Freestyle Libre implant, which is a human meter.
 
Tricia Cinco(GA) & Harvey said:
I was told it was a pet meter. Was I misinformed?
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Yes, the Freestyle Libre is a human meter that some vets in Australia will try on cats. I tried it with Girlie but I rank it a singular fail and wouldn't trust it with low numbers, especially. It's only supposed to be used once for two weeks, but I think the Dweez has had several put on in a row, if I'm not mistaken.

It's made to be implanted on a human arm, which is quite different from a cat's body. Girlie never tried to get hers off (and Dweez has, apparently, knocked his off before), but even so, it went wonky after just 10 days or so. My specialist vet told me she would only put it on once and that it might not last the two weeks and to be particularly careful with high or low numbers and to use a manual meter to check those.
 
Here it is on Girlie. The vet had to glue it on and also used tape on top of it to secure it. When the vet removed it, there was still glue stuck to Girlie's skin that just had to grow out. It annoyed her no end!
IMG_3044.JPG
 
Girlie's mom said:
Yes, the Freestyle Libre is a human meter that some vets in Australia will try on cats. I tried it with Girlie but I rank it a singular fail and wouldn't trust it with low numbers, especially. It's only supposed to be used once for two weeks, but I think the Dweez has had several put on in a row, if I'm not mistaken.

It's made to be implanted on a human arm, which is quite different from a cat's body. Girlie never tried to get hers off (and Dweez has, apparently, knocked his off before), but even so, it went wonky after just 10 days or so. My specialist vet told me she would only put it on once and that it might not last the two weeks and to be particularly careful with high or low numbers and to use a manual meter to check those.
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Thank you, Darrah. I corrected my comment.
 
This is why I left here for years. No data. Dweezy is beautiful and loving but...we have NEVER been able to home test him. He bolts as soon as the ear is pricked and won't let anyone near him to get the blood. Then he's cautious and timid for days after. He is not food or treat-motivated. He has a long memory and refuses to be held forcefully.

Even if I tested at pre-shot time, I would have to test again 1 and 2 hours later and then 3 hours later, 4, 5, 6 hours later. He does NOT tolerate this.

Anyway...today his numbers high all day and did not come down. So far, he's high still. This time last night he was low greens already.
 
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Another I think repeated question...

If he is pinks and reds for roughly 12 hours a day, yellows and blues for roughly 6 hours in total and low greens for 6 hours in that 24 hour period...

Reduction due to low greens or increase due to so many high numbers?
 
Keep testing for ketones. The higher blood sugar from bouncing is less worrying than high numbers from too little insulin. If ketones show up, you may end up having to give higher carb food so you can increase the insulin dose.
 
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