Dosing advice please :)

Previous condo http://www.felinediabetes.com/FDMB/...ty-greens-and-blues-gone.185282/#post-2057591

Should I stay with the 3 units or should I increase her just a drop to maybe a fat 3 or even 3.25? I know it states I'm following SLGS but it's more like TR but with longer periods between increases if that makes sense

Any help would be greatly appreciated as usual

 

She had greens 3 cycles ago so I would hold a little longer. If you don't see greens in the next 2-3 cycles, then increase to 3.25 units. I don't think it's time to think about fattening up your shots yet.

 

Thank you so much Mandy will do Congrats on Rex's OTJ

 

This is where being clear what approach to dosing you're using matters. If you are following SLGS, the several drops in numbers below 90 from 10/3 and thereafter signaled the need for a dose reduction. If you are following TR, you don't reduce the dose unless numbers drop below 50. For SLGS, with the exception of the one dose reduction on 10/11, you've held the dose for a very long time. With TR, you evaluate the dose every 3 to 5 days, depending on whether nadirs are over or under 200, respectively.

I'm a big fan of TR. In the last week or so, nadirs have been above 86. That leaves plenty of room to increase the dose.

 

So you're thinking it's fine for me to bump her up. I suppose in one sense I'm testing her enough for TR. So when do we stop increasing the dose on TR? And am I correct in thinking that I should base her dose on the lowest she goes in her cycle? I guess even after all this time I'm still a little bit scared lol

 

If you are testing enough for TR, I would go that way too.

They need what they need as far as insulin goes. And yes, you are correct that the increases are based on the nadirs with some consideration to the Pre Shot number. With her nadirs being mostly in 90's with this dose as of lately, I would increase the next cycle as long as you can monitor her and have plenty of supplies. If you'd rather wait until a AM cycle to increase, that's fine too.

 

Thanks so much I'll give it a shot. I will wait for the am cycle, but I'm awake most of the night anyways peeking at her.

 

It's best to choose and stick with 1 protocol. See post #37 in Myths Debunked which is in the Where Can I Find sticky.

"Trying to mix and match the two methods usually does not work very well, and most importantly, can be dangerous."

 

Good luck on the TR protocol! You're testing plenty often to follow it.

 

Karen said everything I would have said. TR can be a bit off-putting in the beginning. (It was probably less anxiety producing when all we were doing was TR -- everybody here was doing TR until relatively recently so it was what everyone did.) For a newly diagnosed cat, it's the only approach that has the research to back up it's effectiveness for getting a kitty into remission.

 

As long as you think I'm testing enough, I'm fine with it. Whatever it takes to make her healthy.

 

As much as you are testing, I would follow TR to help get her regulated faster . You are doing a great job testing her and being a diligent care giver!

 

Thank you so much. I do believe however Molly has other plans about the increase lol. She just tested 3.1 (55) Hopefuuly she's done dropping but I will keep watching and checking her. But I'm sure I'm correct in thinking to hold this dose for another little bit, yes?

 

Lovely to see those greens there, MissMolly! I can't give dosing advice, but MissMolly is dipping her paws into some nice numbers...

 

She sure is but sadly right back to yellow for amps. She had a poop prior to me testing her that was a little on the soft side for her, so not sure if that influenced her number.

 

If you are doing TR, then give 3u this morning. She hasn't earned a reduction yet.

When I looked at the SS, I noticed you are changing vials or cartridges of Lantus every month. May I ask why?

 

It was actually suggested I increase her .25. But after her numbers last night I'm not sure I should. The first couple cartridges half went down the sink and some even on the ceiling lol trying to get her dose just right. The last change looks quick because I finished of the cartridge I was using prior to the Levermir. But I'm getting better at my draws now but before I would rather waste it and be correct in her dose

 

With that 56, there is no room to increase. This is turning out to be a good dose, after all.

That makes sense about the insulin going quick.

 

Thank you, I didn't think I should increase her but wanted to make sure.

 

Cats are very, very resilient.
No dose advice from me - but I suggest you do everything you can to know your kitty, her reactions to insulin and her limits. I see you can do lots of testing on Molly, that helps for sure. Take advantage of it as every kitty is unique.
The ultimate target is to get the kitty into remission and regain the good life without pierced ears and tired kidneys (for the kitty) and sleepless nights (for the owners) - and for that, as far as we (wife and myself) know and follow, kitty has to be the majority of time between 2.8 and 7 (50 and 126 - greens with some blues) on human meters - that's where healthy cats sit.
Some kitties have to stay low in order to regulate the BG curve. At one moment every cat will have go low and stay low in order to have a chance for remission.
Make sure you have on hand some HC food (for emergencies only) - usually a LC food does all the tricks even if the BG is around to the danger zone (2.2 or 40).

Be patient...don't be afraid.....and Good Luck !

 

Thanks so much She's been seeing greens and blues more frequently lately, but she still likes to creep up to those yellows. So praying soon she will decide it's ok to be in the greens.

 

Some kitties just gotta bounce!!!


But really....she's looking better and better!! It's been several weeks since she was in the stinky pinkies!! (anti-jinx)

 

You're doing great!

 

Thanks Ladies and Chris that gif is awesome As long as I'm doing right by her I'm ok with it