4/5 Kosmo AMPS 491 | 10 / 2 iu cycle finished - Should I up the dose?

K

Kosmo

Member
Hello everyone,

Yesterday (April 4th, 2025), my cat had healthy blood glucose levels for several hours for the first time.

But suddenly, overnight and throughout today, his BG levels have been consistently at or above 20 mmol/L (360 mg/dL) for the past 20 hours.

He's currently on a 10 / 2 IU cycle.

Should I consider increasing the dose of this does not change before his PMPS shot?

Note: Today, the FreeStyle Libre 2 has been reading about 4 mmol/L (72 mg/dL) lower than the human meter. I check this daily, and yesterday the readings were consistent, so please take that into account.
 
It's fine you started a new post
If you are going to continue to post on the Lantus Board we have a certain way to post. In your title you would put the
Date Kosmo AMPS# and any additional tests after that, you can continue with the PMPS # and any additional tests after that.
Try and post everyday and link your profile days post to your new one :cat:

To add any additional tests tap on the word Threads Tools that's to the right then tap on Edit Title,card tests then tap save
 
In case you don't know how to link your previous post
To link your previous posts
Your previous days post will always be in the URL all the way up top ignore where it says insert or cancel I'm just trying to show you where your previous days post will be
Just ignore where it says insert and cancel
Just copy your previous days post and then paste it when you do your new post new thread





Like I said
your previous days post it will be the one all the way up top, above the pic of that cat and the picture of a bottle of insulin there, let me know if you understand it, only way I can explain it :cat:









austin-logo-240.jpg





If you ever want to find all your previous post just tap on the pic of Kosmo then tap on Profile Page and then tap on posts , you will see all your posts
 
Time for a little patience :). This dose got you greens yesterday, and Kosmo is just bouncing. Bouncing can happen when the cat drops too quickly, or hits numbers their body isn’t used to.

From the basics sticky:

Bouncing - is simply a reaction to what the cat's system perceives as a BG value that is "too low". "too low" is relative. If a cat is used to BG in the 200s, 300s or higher for a long time, then even a BG of 150 can trigger a "bounce". Bouncing can also be triggered if the BG drops too low and/or too fast. The pancreas, then the liver release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream. *Usually* bounces clear within 3days (6 cycles).
 
Christie & Maverick said:
Time for a little patience :). This dose got you greens yesterday, and Kosmo is just bouncing. Bouncing can happen when the cat drops too quickly, or hits numbers their body isn’t used to.

From the basics sticky:

Bouncing - is simply a reaction to what the cat's system perceives as a BG value that is "too low". "too low" is relative. If a cat is used to BG in the 200s, 300s or higher for a long time, then even a BG of 150 can trigger a "bounce". Bouncing can also be triggered if the BG drops too low and/or too fast. The pancreas, then the liver release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream. *Usually* bounces clear within 3days (6 cycles).
Click to expand...

Thank you for responding.

I will keep the same dose for 3 days (6 cycles) and see what happens.

Can I count the AMPS and PMPS shots for today to include in this cycle or is this from tomorrow on?
 
You’re welcome :). With TR when a cat new to greens starts to see them you hold the dose for a minimum of 10 cycles, so let’s just see how the next few days go. Seeing higher numbers and bounces especially in the beginning is often quite typical for most cats, so the idea is not to react to them by automatically thinking the dose isn’t working.
 
Christie & Maverick said:
You’re welcome :). With TR when a cat new to greens starts to see them you hold the dose for a minimum of 10 cycles, so let’s just see how the next few days go. Seeing higher numbers and bounces especially in the beginning is often quite typical for most cats, so the idea is not to react to them by automatically thinking the dose isn’t working.
Click to expand...

Okay thank you for taking your time to respond! :D
 
Hello everyone,

At the moment, I feed my cat Catz Finefood Purrrr No. 103 Chicken, which contains 8.6% carbohydrates on a dry matter basis, If I'm correct.

Here is the link of my current food:
https://www-zooplus-nl.translate.go...en&_x_tr_hl=nl&_x_tr_pto=wapp&_x_tr_hist=true

Now I came across a new cat food called Thrive Complete.

From what I can tell, it has around 2% carbohydrates on a dry matter basis, if I’m correct.

Could someone please double-check this?

Here is the link of the new food:
https://www-zooplus-nl.translate.go...en&_x_tr_hl=nl&_x_tr_pto=wapp&_x_tr_hist=true

My goal is to give my cat the best possible chance at remission, so I'm looking for wet foods with the absolute lowest carbohydrate content on a dry matter basis that are available in my country.

And if everything I mentioned above is correct, how much should I reduce the insulin dose (in IU) when starting this new diet?

Thank you!

Edit: The official site of thrive complete says this:

Nutritional Info
Analytical Constituents: Crude Protein (16.0%), Crude Oils and Fats (2.0%), Crude Ash (1.5%), Crude Fibres (0.1%), Moisture (80.0%), Carbohydrates (0.4%)

Vitamins per 100g: Vitamin A (2800IU), Vitamin D3 (29IU)

Minerals per 100g: Calcium (1.03g), Phosphorus (0.95g), Sodium (0.76g), Potassium (0.60g), Ca/P Ratio (1:1)

Trace Elements per 100g: Zinc (12mg), Iron (6mg), Manganese (1.4mg), Copper (0.6mg), Iodine (0.2mg), Taurine (0.5g)

Calories per 100g: 74
 
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Kosmo said:
@Marje and Gracie could you help me out? :D
Click to expand...
Sorry to just see that…I was out all day yesterday and am headed to the elephants early this morning. However, if you want to give it a go, the instructions on how to determine % calories from carbs are HERE or I. Happy to do it for you or double check it when I get home later this afternoon.

Normally with canned foods, you wouldn’t really need to reduce the insulin as the carbs from canned foods are out of the system in a couple of hours while dry foods take much, much longer.

Looks like Kosmo is trying to clear the bounce today. If he’s serious about it, it might be a busy night with lower numbers. I’ll check in later today which will be mid-evening your time.
 
@Marje and Gracie

Okay, have a great day today!

Just to clarify why I asked this, Lisa A. Pierson mentions the following on her website:

Introduction
Warning: Before reading even the first sentence of this webpage, you must commit to reading past the STOP sign below.

The first section of this paper discusses the detrimental impact of dietary carbohydrates on the blood glucose balance and insulin response of cats as a species, with pre-diabetic and diabetic patients being especially susceptible to the negative effects of high-carbohydrate diets.

However, if your cat is receiving insulin and you switch to a low carb diet – without lowering the insulin dosage – you will be putting your cat at significant risk for a hypoglycemic crisis. This is discussed under the STOP sign section below.

– End quote
Information source: https://catinfo.org/feline-diabetes/

My cat is currently eating Catz Finefood Purrrr Chicken No. 103, which (if I calculated correctly) contains 8.6% carbohydrates on a dry matter basis.

Food source: https://www-zooplus-nl.translate.go...en&_x_tr_hl=nl&_x_tr_pto=wapp&_x_tr_hist=true

In a few days I receive this new food:
Thrive Complete Cat Food - Chicken breast
https://www-zooplus-nl.translate.go...en&_x_tr_hl=nl&_x_tr_pto=wapp&_x_tr_hist=true
2% carbs on a dry matter basis.

Renske Wet Food for Cats – Salmon 70g (Pâté)
According to my calculations, this one is very close to 0% carbs on a dry matter basis.

Food source: https://www.renske.com/en/products/cats/renske-wet-food-for-cats/salmon-70g-pate

Which one should I choose?

So switching from 8.6% DSB carbs to almost 0%, without adjusting the insulin dose, could be dangerous, right?
 
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Kosmo said:
@Marje and Gracie

Okay, have a great day today!

Just to clarify why I asked this, Lisa A. Pierson mentions the following on her website:

Introduction
Warning: Before reading even the first sentence of this webpage, you must commit to reading past the STOP sign below.

The first section of this paper discusses the detrimental impact of dietary carbohydrates on the blood glucose balance and insulin response of cats as a species, with pre-diabetic and diabetic patients being especially susceptible to the negative effects of high-carbohydrate diets.

However, if your cat is receiving insulin and you switch to a low carb diet – without lowering the insulin dosage – you will be putting your cat at significant risk for a hypoglycemic crisis. This is discussed under the STOP sign section below.

– End quote
Information source: https://catinfo.org/feline-diabetes/

My cat is currently eating Catz Finefood Purrrr Chicken No. 103, which (if I calculated correctly) contains 8.6% carbohydrates on a dry matter basis.

Food source: https://www-zooplus-nl.translate.go...en&_x_tr_hl=nl&_x_tr_pto=wapp&_x_tr_hist=true

In a few days I receive this new food:
Thrive Complete Cat Food - Chicken breast
https://www-zooplus-nl.translate.go...en&_x_tr_hl=nl&_x_tr_pto=wapp&_x_tr_hist=true
2% carbs on a dry matter basis.

Renske Wet Food for Cats – Salmon 70g (Pâté)
According to my calculations, this one is very close to 0% carbs on a dry matter basis.

Food source: https://www.renske.com/en/products/cats/renske-wet-food-for-cats/salmon-70g-pate

Which one should I choose?

So switching from 8.6% DSB carbs to almost 0%, without adjusting the insulin dose, could be dangerous, right?
Click to expand...
You are missing a step which the post I linked for you walks you through. Once you calculate the % calories from carbs, it doesn’t matter if you did it from a DMB or as-feds.

Honestly, you do not need to change the insulin dose when switching from a food that is 9% calories from carbs vs one that is 0. However, you should know most diabetic cats do better on foods that are in the 6-10% calories from carbs range. Please read THIS.

Let me calculate the % calories from carbs for you.

Catzz Fine Food Chicken is 6% calories from carbs.
Thrive chicken breast is 2% calories from carbs.
Renske salmon is 6% calories from carbs.

No need to worry about changing insulin doses as those are all pretty close…even the 2%.

Can you please start a new thread which we call a “condo” in this insulin support group? HERE is information on how to post in this group. Thanks!
 
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