30.08.18, Porto, AMPS 335, +3 330, +9 308, PMPS 244, +3 187, +6 134, +7 101, +8 85, +9 86

Discussion in 'Lantus / Levemir / Biosimilars' started by Manu & Porto, Aug 30, 2018.

  1. Manu & Porto

    Manu & Porto Member

    Joined:
    Apr 14, 2018
    yesterday



    Porto is high again, not sure for what reasons. The budesonide, could be? Maybe it is also time for an increase? Could someone advice? We havent seen green in a while now although we were quite content with the new blues.
    He had a small vomit today, acidic tummy, after he ate a bit of grass outside. After that he ate well and is relaxing by the window.
     
    Tracey&Jones (GA) likes this.
  2. Bellasmom

    Bellasmom Well-Known Member

    Joined:
    Feb 12, 2018
    Work that juice Porto, I’m gonna let someone else give advice on increase but wanted to send some encouragement :bighug:and a hug of course
     
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  3. Manu & Porto

    Manu & Porto Member

    Joined:
    Apr 14, 2018
    Thank you, Bellasmom! Sending the hug right back! :bighug:
     
  4. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

    Joined:
    Dec 12, 2016
    He did a lovely stretch of blue yesterday which may have caused him to bounce a bit.

    Looking at the SLGS sticky

    After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours:
    Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet. The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.​
      • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
      • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
      • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit

    You will hit cycle 14 (7 days) tonight on 2.0U. Porto did get a 108 3 days ago. He also took 2 reductions fairly quickly. So I am think we may have a failed reduction here. As an added bonus there is the budesonide.

    I would go back up to 2.25u. You can do it tonight or go up tomorrow morning if you like.
     
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  5. carfurby (GA)

    carfurby (GA) Well-Known Member

    Joined:
    Feb 19, 2012
    I agree with Tracey. I think you should increase back to 2.25 units. He may just need a little more juice to get him back to greens.
     
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  6. Manu & Porto

    Manu & Porto Member

    Joined:
    Apr 14, 2018
    Thank you, Tracey!! You are so right but all of a sudden, Porto decided to go a bit green and maybe win another reduction? Should I wait? I will see his AMPS but I expect a low number. What to do, what to do?
     
    Tracey&Jones (GA) likes this.
  7. Manu & Porto

    Manu & Porto Member

    Joined:
    Apr 14, 2018
    Thank you, carfurby, Porto has finally decided to go to the lagoon and take a swim, looking for Furball :)
     
  8. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

    Joined:
    Dec 12, 2016
    Well, just when you have a plan...hold at 2 units and see what he does...that green changes things! I wouldn't reduce just yet.

    Hope he starts coming up a bit for AMPS...would hate to have to skip and lose our momentum.
     
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  9. Manu & Porto

    Manu & Porto Member

    Joined:
    Apr 14, 2018
    His AMPS are 97, I will open a new thread. Do I reduce already, 1,75? Do I shoot less?
     

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