With IPHost Network Monitor you can run simple snmp requests against a Cisco device in your network.
natSessionDirection
nat Session Direction
1.3.6.1.2.1.123.1.9.1.6
The direction of this session with respect to the local network. 'inbound' indicates that this session was initiated from the public network into the private network. 'outbound' indicates that this session was initiated from the private network into the public network.
Back to NAT-MIB MIB page.
IPHost Network monitor allows you to monitor natSessionDirection on Cisco device via the SNMP protocol. Download IPHost Network Monitor (500 monitors for 30 days, 50 monitors free forever) to start monitoring Cisco switches right now.