5/28 Newman after hypo bounce

You never want to do an increase on a Bounce because then you have the double impetus of clearing a bounce and an increase of insulin at the same time. This is just something I thought I would mention- not that he was ready for an increase this morning because he just earned the reduction. It just popped into my mind that I would mention it for future information.
 
It would really be beneficial for your information if you would either write in when you feed him and how much and what ... either into the remarks column or right into the cell itself.

A lot of people will enter into the cell ..... e.g., 1 t. LC @2.5.... or karo or whatever. You then have to color code the cell. It's good to be able to look back and see what you have done in the past and how he responded to the carbs... to see what worked or didn't work. But the remarks column will also work.

Since he started out low yesterday morning, feeding at +1 and +2 would be the way to go. Of course, Newman is not always "up" for this, I know.
 
Suzanne & Darcy said:
Going back to yesterday, may I ask if you first fed him when you got the 94? That would have been the way to go -- but maybe you did this already.
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I mentioned that in yesterday's thread, but maybe it was one that you did not get notification. I copied and paste it here in answer to your question regarding yesterday. "It's getting a little scary with the 94 @ +3. He had a few more Dr. Elsey's with the most recent test and I headed him over to his Fancy Feast and he ate about a tablespoon of that."
An hour after that I tested and got the 63 at which time I got out the Friskies turkey with gravy and added a small amount of Karo.
One half hour later, he was coming up and tests at 121. I continued to test every 30 minutes for 2 hours.

Additionally, I keep a paper note tablet with some notes as a reminder for me and to help me keep things straight. Your suggestion is well taken and I can see where it would help as others access the situation to offer advice if I added more notes to the spreadsheet. I'll try to do better with those notes.
 
Linda and Newman said:
I mentioned that in yesterday's thread, but maybe it was one that you did not get notification. I copied and paste it here in answer to your question regarding yesterday. "It's getting a little scary with the 94 @ +3. He had a few more Dr. Elsey's with the most recent test and I headed him over to his Fancy Feast and he ate about a tablespoon of that."
An hour after that I tested and got the 63 at which time I got out the Friskies turkey with gravy and added a small amount of Karo.
One half hour later, he was coming up and tests at 121. I continued to test every 30 minutes for 2 hours.

Additionally, I keep a paper note tablet with some notes as a reminder for me and to help me keep things straight. Your suggestion is well taken and I can see where it would help as others access the situation to offer advice if I added more notes to the spreadsheet. I'll try to do better with those notes.
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Yes. You’re all over it, but when other members are trying to figure it out, it will help them. No criticism of your record keeping! :cat: And I was just going over yesterday in my mind and seeing how everything transpired. You did very well! What kind of medium carb food do you have? You should have some different percentages available- like a 15 and 20 or 25 and even some go as high as 30 percent. For feeding during these type of events.
 
A tablespoon of something with higher carbs than that regular Fancy Feast would have been the way to go yesterday at 94. Again, most definitely not a criticism, I am thinking of how to keep him out of lime green in the future.
 
Looking at Newman's spreadsheet. It's definitely not his normal pattern to drop so early in the cycle - and you do have quite a few tests at +3 on other days. I only see one other day (May 11) and that was a 100 point drop from a 500. A lot of the time he seems to rise at +3 or to be flat. Maybe when he has blue preshots, this may be a sign that he will have an earlier nadir? I'm just thinking...
 
Suzanne & Darcy said:
A tablespoon of something with higher carbs than that regular Fancy Feast would have been the way to go yesterday at 94. Again, most definitely not a criticism, I am thinking of how to keep him out of lime green in the future.
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I see what you are saying that had I given him the high carb food at 94, perhaps I could have avoided the 63. Would it be fair then to remember that if he goes below, say 100, I should feed something with higher carbs?

I have to go back to the Cat Food - Nutritional Composition listing I have and select high, med and low carb standby foods. I'll bet there have been updates to that list since I used it for my first diabetic cat! At that time it was go immediately to high carb food and maybe add Karo. I assume there is a link to that chart on the general information section of the FDMB for Feline Diabetes.

And I want to add that I take no offense from your guidance, suggestions or nudging me. I would rather you tell me something I already know than miss out on learning something new!
 
Suzanne & Darcy said:
Looking at Newman's spreadsheet. It's definitely not his normal pattern to drop so early in the cycle - and you do have quite a few tests at +3 on other days. I only see one other day (May 11) and that was a 100 point drop from a 500. A lot of the time he seems to rise at +3 or to be flat. Maybe when he has blue preshots, this may be a sign that he will have an earlier nadir? I'm just thinking...
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I was planning to do little to no testing today to give him a break. Poor guy only has one good ear to poke and I don't want to wear it out. LOL I'm thinking there won't be a lot to learn today from tests since it is more like a day to recover and resettle. I don't think it matters too much how that pans out.
 
Linda and Newman said:
Would it be fair then to remember that if he goes below, say 100, I should feed something with higher carbs?
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Yes. I would feed a medium carb food (maybe 15% or so) at a 94, about a tablespoon. It he's lower than that an approaching 68 on your AT meter (50 on the human meter), I'd go for a much higher carb food. Karo is great in a pinch, but won't last as long as higher carb food. That's why sometimes we mix it in with food, which you did yesterday :cat:

I have to remember that you are using the AT meter still, when giving advice, because a 94 on an AT is lower than on the human meter. It still throws me.
 
Linda and Newman said:
I was planning to do little to no testing today to give him a break. Poor guy only has one good ear to poke and I don't want to wear it out. LOL I'm thinking there won't be a lot to learn today from tests since it is more like a day to recover and resettle. I don't think it matters too much how that pans out.
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Poor Newman. I remember you said that about his other ear! If he shows up looking for food, can you try to do one test? I wish he'd show up at +6... Newman... are you listening?

Look at May 23 when he was bouncing, he started coming down toward the end of that morning cycle.

I have just watched, this morning, a cat who can clear a bounce in record time. Then he did a big dive. Fortunately, Newman seems to like to do things in a more relaxed fashion.
 
Hello @Diane Tyler's Mom can you help us out here with a link to the food chart (which I also think is outdated) and/or a list of medium and high carb foods? Also a carb calculator would be helpful. You have all the links handy for this, I know!
 
Suzanne & Darcy said:
Hello @Diane Tyler's Mom can you help us out here with a link to the food chart (which I also think is outdated) and/or a list of medium and high carb foods? Also a carb calculator would be helpful. You have all the links handy for this, I know!
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Here is the food chart below



Med and High Carb food and some honey



Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs

Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Turkey Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Chicken and Beef in Gravy 15% Med Carbs

Good idea to mark the cans with magic marker how many carbs or you can look for other med and high carb foods on the food chart

Here is the link:http://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf
 
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Suzanne & Darcy said:
All good, Linda?
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I would say a pretty normal day except he is somewhat off his feed. He is slow to come for food and then eats just a few bites at a time. He did fine with the treats at test time, so I'm not going to worry. I will continue to offer him his Fancy Feast. I know he is not going to starve and with the reduced dose he is probably getting enough food to cover that.
 
Linda and Newman said:
I would say a pretty normal day except he is somewhat off his feed. He is slow to come for food and then eats just a few bites at a time. He did fine with the treats at test time, so I'm not going to worry. I will continue to offer him his Fancy Feast. I know he is not going to starve and with the reduced dose he is probably getting enough food to cover that.
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I agree. I am sure this is temporary.
 
This is around his usual nadir time and he tends to flatten out much of the time. He has cleared the bounce now. In a perfect world I would like to see if he’s holding steady at +7 (in view of what happened two days ago.) I do think this cycle will be more typical, but….
 
Suzanne & Darcy said:
This is around his usual nadir time and he tends to flatten out much of the time. He has cleared the bounce now. In a perfect world I would like to see if he’s holding steady at +7 (in view of what happened two days ago.) I do think this cycle will be more typical, but….
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Our comments crossed over each other. I'll try in an hour.
 
Linda and Newman said:
Yes, I think so, at least a pretty good chance. What time should I aim for?

Also, he and Ozzie did a lot of playing this morning and I had to wake him just now to poke him. Does level of activity have any effect?
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That’s great to hear about them playing :cat: In this case, I think he’s just stopped bouncing. I’m glad he decided to do it gracefully. If you can get a test in an hour or so, that would be very good.
 
I can't find him and he is not coming when I shake the treats. There is a thunder storm in the distance so maybe he is hiding from that, although not his usual thing. I'll keep looking and test as soon as I can.
 
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