Yoshi increase tomo?

Discussion in 'Lantus / Levemir / Biosimilars' started by Stressedcatmom, Dec 4, 2019.

  1. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    Hi all,

    Hope everyone is well. It’s hard for me to post daily because I am in the last couple of weeks of the semester and family illness/additional responsibilities and etc... it’s also hard for me to test as much as I’d like.

    I’m not sure if Yoshi is constantly bouncing and/or if I’m not catching lows during the day or evening because of work and trying to get some needed rest... He seems to be having movement on this does more than others.

    Should I increase .25 tomo? I’m at work all day thurs and Friday.

    Can someone look at his history and tell when he likely clears a bounce? It seems like it takes him a long time? Or that he is eternally bouncing?

    I do think the dose is starting to sting a bit. Today he moved and bent the needle.

    :bighug:
     
  2. Christie & Maverick

    Christie & Maverick Well-Known Member

    Joined:
    Aug 1, 2017
    Here is your last post for continuity and history http://www.felinediabetes.com/FDMB/threads/yoshi-amps-279-full-5-5-u-stalling.222403/#post-2486647

    I seem to recall glucose toxicity was mentioned to you previously, it really does seem that Yoshi is getting too comfortable in these higher numbers. You haven't really had a nadir lower than the high 200s, it does seem that he need more insulin. Anything else going on? How are the 5Ps....preening, purring, peeing, pooping and playing?

    I don't see bouncing, I see higher numbers.
     
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  3. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    Aren’t bounces higher numbers after numbers they aren’t used to? He had a stretch of yellow a few days ago and I have a feeling he’s hit yellow a few times when I wasn’t looking.

    All ps in place. He hasn’t pooed today. I have to give miralax. Otherwise everything in place. He’s attacking the belt of my robe currently. He will be screaming for food in 2.8 minutes and counting
     
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  4. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    He just snuck some licks of salad dressing from my lunch fork from my lunch bag. His head was in the bag and I was like WTF (pardon). I’m sure he will skyrocket to a BG of 294940. Unreal.
     
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  5. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Love how accurate those kitty clocks are!! :p

    Time to increase, but by 0.5 units. TR says to hold for 6 cycles then evaluate. With no blue, much less green, you increase every 6 cycles. If you hold doses too long, as you have been, you get glucose toxicity. Once they get over 5 units total dose, we increase by 0.5 units unless you are just tweaking a dose that already has some green in it. Think of the increase as percentage of the total dose. A 0.5 unit increase now is just 10%.

    I think you'll be safe increasing tomorrow, as all you have seen is yellows.
     
  6. Christie & Maverick

    Christie & Maverick Well-Known Member

    Joined:
    Aug 1, 2017
    Yes, that is very true, but those higher yellows were nothing to write home about ;)...this dose isn't doing much...and I am mid type as see Wendy has also responded :)
     
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  7. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    Okay. Up to 6u tomorrow unless he does something amazing tonight.
     
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  8. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    Okay, I will do it on on the PM cycle. I don’t want to increase when I’m gone all day, Thank you @Wendy&Neko
     
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  9. AmandaE

    AmandaE Well-Known Member

    Joined:
    Mar 18, 2019
    Good luck with the increase! I hope Yoshi will see some better numbers soon :)

    Hopefully life will settle for you soon :bighug:
     
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  10. Sonia & Leo

    Sonia & Leo Well-Known Member

    Joined:
    May 24, 2018
    Good luck with the dosecrease tonight! :bighug::bighug:
     
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  11. Penelope and Mačka

    Penelope and Mačka Well-Known Member

    Joined:
    Jun 13, 2019
    Good luck tonight!! I am increasing tonight as well, to 5u :bighug: we have to see improvement at some point
     
  12. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    :bighug::bighug::bighug::bighug::bighug:
     
  13. Tina Marie (GA) and Jan

    Tina Marie (GA) and Jan Well-Known Member

    Joined:
    Jul 24, 2019
    Still rooting for you Yoshi. Jennifer - he just wants to grab some extra, extra attention with his dosage. Try not to be afraid of more insulin - try to see it as just what he needs. We love Yoshi, like all these babies, and want to see him in a better range.
    You are doing good for him by increasing to 6 units.
    Take care of yourself too!!
     
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  14. Stressedcatmom

    Stressedcatmom Well-Known Member

    Joined:
    Mar 16, 2017
    Thank you Jan! That means a lot. I’ll be updating everyone with how it goes. :kiss:
     

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