Newman tested AMPS 460. Is this a bounce? Do I stay the new reduced dose 1.5 units and give it a couple of days to settle? I am trying out a tag @Suzanne & Darcy Previous thread https://felinediabetes.com/FDMB/thr...21-4-5-151-5-198-6-190-8.263812/#post-2956067
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.
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.
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.
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.
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! 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...
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!
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.
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 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.
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!
Only if you can grab one test, it can help us see how long he takes to start coming down during a bounce.
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
I found this carb calculator posted by one of our members , I know there are others but I can't find them, there may be better ones then this one that other members would suggest to use online cat food carb calculators. I have never used one myself,
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.
He has been grazing on the FF all evening until now. I just poked him one more time before bed. He is 346 @ +4.25
@Suzanne & Darcy I just got a surprise. I checked Newman 15 minutes ahead of +6 and he is 138. I am expecting company, how closely do I need to watch him?
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….
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?
That’s great to hear about them playing 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 don't know how you do it, keeping track of all of the problems and questions. It must be exhausting under normal routine. Lucky that you can nap. I'm not a good napper, although I have been known to fall asleep in my chair.
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.
My son is here now so he will be able to wrangle him. He ate the Friskies 15% about 2 tsp. at 3:15. He is back under the bed. I will test at 3:45. How's that?
He is up to 113 @ 3:40 PM. I have to figure out how to post that on the SS. Should I offer any more food at this time?
Round it to the .75 meaning 3/4 of the hour. I would offer some low carb food now and test in 30 minutes. Do you have anything that is 5 or 6 percent
No, the only other food I have is the Fancy Feast Chicken Pate which is 3%. Maybe I'll add a tad of the Friskies 15% to the Fancy Feast.
Have you started using the ReliOn meter yet or are you still using the Alpha Trak. Newman has earned another reduction to 1.25 units.
Hopefully, you have the other meter ready. When you switch, put a new row across your spreadsheet showing that you have switched to a human meter. And, of course, change it at the top of the spreadsheet.
He had some of his regular dinner and he is sleeping under the bed, but I can see him. He responds when I talk to him and I expect he will come out on his own. I'm thinking I don't need him until it's time to do the PMPS.
He has come out now and I suspect he will be looking for food. Is it better to allow him some nibbles, or better to get a 2 hour fasting number?
Since he was low before and then was yellow, would you please try to wait the two hours so we can get a really reliable PMPS.
Bad strips do happen, but it looks like he’s having a huge bounce! Wow. Just give him the new reduced dose of 1.25. Okay? Back to back reductions sometimes fail, but we will know in a few days.
I think I will still be up until about 11. Then if Newman is all good, I go to bed. really we may not need to wait that long. A +2 should give us a clue.
Wow. I don’t think we have to worry about a hypo tonight. Strange how he bounces so high from only an 81.
Well, we never want to see him in black, but it can’t be helped. I hope by morning things will be a little more reasonable. How does he act when this high?
I haven't seen any unusual behavior. He ate a good quantity, used the litter box, tussled with Ozzie and eventually made his way to one of his sleeping spots under the dining table. I started out here asking if maybe I should start over, mostly because I switched him over rather quickly to all low carb wet food. He was eating quite a bit of Iams or Hills Urinary Formula Dry. I think I may have passed the ideal dose even though I started low. Perhaps I increased too fast and I definitely did not test enough. And here we are, almost back to the start. Naturally for Newman I just want to get him under control. I have to say it again, I appreciate your guidance and patience with me.
Well, he is earning reductions so he is back down to 1.25, which is not a large dose. Let’s just see how it goes. Resets are usually not a good idea.
No, I wasn't suggesting we start over now and didn't know what I was talking about when I was asking if starting over may be a good idea. I just think that it is interesting that we are gradually resetting, so to speak. I hope we both get a good night's sleep. See you in the morning.
I'm looking for a new thread this morning. Just to let you know I am here. Hopefully, everything is uneventful.
