? SLGS curve on Monday for Coco, but high numbers now...should I change dose now?

Discussion in 'Lantus / Levemir / Biosimilars' started by Anna123, Jun 25, 2016.

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  1. Anna123

    Anna123 Member

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    May 22, 2016
    I've been very consistent doing Coco's glucose tests this past week..and she's really been consistently high..AMPS 455. In the red most mornings and in the pink PMPT's (please look at her SS). I was going to do her first intensive curve on Monday to determine dose change, but it's pretty darn clear she needs more Lantus! Do I wait it out until the curve?? I can't do a curve every 2 hrs today or Sunday.
     
  2. babyBoo

    babyBoo Member

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    May 15, 2016
    I'm just a rookie at this myself. But I would say those blue numbers indicate the lantus is sufficient and the high numbers are from a bounce effect. I wouldn't be raising myself. I might even think of reducing a bit. But I'm just a rookie as well.
     
  3. Anna123

    Anna123 Member

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    May 22, 2016
    she's pretty consistently high across the board, with only a couple of actual bounces. She had been dosed by the vet at 4 units prior, so it seems to be from that...she's been at 2 units a week now.
     
  4. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Feb 14, 2011
    Are you able to get more tests in today - maybe even do the curve today rather than Monday?

    I wouldn't reduce Coco given what you have recorded so far. It does appear that she probably needs a bit more juice, but I'm hesitant to commit to that idea - personally I would like to see a few early tests to fill in the data gaps before saying "increase" for sure.

    Others may have different ideas, though!
     
  5. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Oops...now I see that you can't do the curve today! Ok, no curve today....but can you grab a few random tests a little earlier in the cycle? Even that would help answer what's what!
     
  6. Anna123

    Anna123 Member

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    May 22, 2016
    you mean after PMPS? I try to get +2 every night (last night I couldn't)..but later than that can be hard. I just hate to see her so sleepy..yesterday she vomited & pee'd ALOT (although I can't prove it wasn't her sister Daisy) Logically, I know I should wait, but it's hard when I feel she does need an increase.
     
  7. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Or during the day - +2, 3, or 4.....just something a little earlier than you've been getting so far. Sometimes there can be action early in the cycle and it would nice to see if that might be happening with Coco.
     
  8. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    I don't know about increasing either. Here's my thinking. Coco's nadir during the AM cycle on 6/22 was lower than where she's typically spending most of her time. This likely triggered a bounce. Bounces are the result of a kitty's liver and pancreas "panicking" due to either low numbers, lower than usual numbers, or a fast drop. The liver and pancreas release a stored form of glucose along with counterregulatory hormones to spike glucose levels back up. It's a great protective mechanism but truly annoying when you're trying to manage FD especially since it can take roughly 6 cycles/3 days for a bounce to clear.

    What's also helpful to keep in mind is that we pay less attention to pre-shot numbers than the nadirs (low point in the cycle). Where the nadir falls is what dictates dose changes when you follow TR.

     
  9. Anna123

    Anna123 Member

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    May 22, 2016
    ok, I actually thought I got quite a good amount of results during the day (poor girl has lil bumps on her ears from poking so much) I actually thought there was a bigger hole in the info after PMPS..that's just very hard to get, as we all know.lol
     
  10. Anna123

    Anna123 Member

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    May 22, 2016
    I could do +2 or +3 during the day, but I thought that was a little too early & choose to go closer to the Nadir point.
     
  11. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    You are definitely on the right track, but it's a good idea to have early tests in there, too. In fact, a lot of times (but not always), the earlier tests give more info than the tests after +6.

    Have you tried using Neosporin Pain Relief on her ears? And gently compressing for a few seconds after the poke helps, too. When Trix gets a bump on one ear, I switch ears and location along the edge for a bit.
     
  12. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    The thing about this is that the nadir is not always (and often isn't) at +6. And, to make matters even more interesting, the nadir can move. For Trix, she usually nadired at +2! That's why random testing is actually very beneficial.
     
  13. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    It's not an issue of how much data you have. If it were me, the only time I might have tried to get another test in was the PM cycle on 6/24. Coco dropped 100 points in 3 hours. She may have dropped even lower. With some cats, even a drop of 100 points from pink to yellow can trigger a bounce. The trick is learning how to read the data you're collecting. Sometimes more data helps you to see the patterns more clearly. I've been looking at people's SS's for over 7 years. Some things just leap out!!

     
  14. Anna123

    Anna123 Member

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    May 22, 2016
    I do use Neosporin for her & she doesn't seem to mind the poking. In fact the last few times she actually began PURRING during the test!! I just think it's "roughing up" her ears a bit!
     
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  15. Anna123

    Anna123 Member

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    May 22, 2016
    yeah that lept out to me too, but I just thought there were key times to test. Ugg.. This is honestly THE most confusing thing!!
     
  16. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    It is confusing, but believe it or not, it does become second nature pretty quickly. Just keep asking questions - everyone is here to help!
     
  17. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    Hi and welcome to LL. I agree with the others that she is likely bouncing. My Max used to be a very bouncy kitty. It is confusing and frustrating but as they say it's a marathon and we are just along for the ride. For Max big drops did lead to a bounce as did normal numbers. I'd wait another couple of cycles and see what the curve says before making any changes but that's just my opinion.
     
  18. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    It is not only confusing but completely overwhelming in the beginning. I compare it to taking an aerobics class -- until you know where your feet are supposed to go, you trip all over yourself and look like a klutz. Then with some practice, it's second nature. You'll get there.
     
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  19. smilelari

    smilelari Member

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    Feb 18, 2016
    I'm new to SLGS, but looking at your spreadsheet and seeing some blues mixed in there, I would wait until I had a full curve to base a decision off of. It looks like there's often a high PS number and then a low nadir, so I'd want to know what the nadir is.
     
  20. Anna123

    Anna123 Member

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    May 22, 2016
    there were only a couple of notably low nadirs during the week, everything else has remained relatively high. I will do a more comprehensive curve on Monday & hopefully things will be more evident then...?
     
  21. Anna123

    Anna123 Member

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    May 22, 2016
    She is 199 at +6
     
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