? OSCARS CURVE - High numbers in AM etc

OSCAR'S CURVE & SOME CHANGES

Today's curve reads AMPS 302/ +2 220/ +4 171/ +6 178/ +8 140/ +10 162/ PMPS 205/ +2 196

Yesterday was Oscar's 12th birthday - thus the BG was only done before eating & shooting. The boy was more relaxed with the reduction in poking and spent the day cuddling with his daughter & purring on my lap.

A few days ago he got into the sweet potato inspite of our efforts to cover them. His BGs were high for 2 days following his theft.

I notice that his Bfs are usually highest first thing in the morning.

Looking at today's curve, I feel the need to increase Oscar's dose to .10. Feedback from experts would be appreciated. I will dose him per advice in the morning.

 

He's sure on an itty bitty dose!

The SLGS guidelines would have you hold the dose, since the low was under 150. From the SLGS sticky:

After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours:
Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet.

• If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit

• If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose

• If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit

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However, I can see why you would want to increase his dose a bit. It looks like he's lost his green after those 2 evenings of skipped shots a few days ago. If he were mine, I'd probably want to go back to 0.1u as well. It's up to you.

 

By the way, cats typically have their highest blood sugar in the morning because of Dawn Phenomenon.

Here is the link to the Where Can I Find? thread if you don't have it. The link explaining Dawn Phenomenon is in the "Starting out with a Diabetic Cat" section - look for the hot pink heading.

 

Naughty Oscar! Sweet potato is not a good food for an FD kitty! Remember, you're a carnivore! Next time, celebrate your birthday with something healthier, like a piece of shrimp!