What does being regulated look like?

Discussion in 'Feline Health - (The Main Forum)' started by LuanneP, Nov 29, 2017.

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  1. LuanneP

    LuanneP Member

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    Jul 24, 2017
    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?
     
  2. Juliet

    Juliet Guest

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    Sep 8, 2017
    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.
     
    Last edited: Nov 30, 2017
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  3. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    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 :D

    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
     
  4. LuanneP

    LuanneP Member

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  5. DavesMom

    DavesMom Member

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

    ppp Member

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  7. ppp

    ppp Member

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    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.
     
  8. Juliet

    Juliet Guest

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    Agreed Chris. This would make a very good sticky.
     
  9. shelaghc

    shelaghc Well-Known Member

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    I agree. This is excellent information!
     
  10. Christie & Maverick

    Christie & Maverick Well-Known Member

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    shelaghc likes this.
  11. Juliet

    Juliet Guest

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    Much easier to read Chris’s post tho. More concise than wading through the big document.
     
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  12. Noah & me (GA)

    Noah & me (GA) Well-Known Member

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    Dec 3, 2016
    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.
     
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  13. ppp

    ppp Member

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    Nov 2, 2017
    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.
     
  14. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    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.
     
    Last edited: Dec 2, 2017
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