SLGS Question 4/3 Joey PMPS=287, +2=142, +4=82, +5=58, +5.5=52, +6=68

Discussion in 'Lantus / Levemir / Biosimilars' started by Marty, Apr 3, 2018.

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  1. Marty

    Marty Member

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    Mar 6, 2018
    It's been a few days since Joey has been taken off of dry food so his numbers are dropping nicely. At +4 he's now at an 82 which is the lowest number we've gotten for him, therefore I'm curious if I should give him HC wet food to try to up his numbers a bit and break this cycle. Also, it would seem that since his numbers are below 90 I should lower his dose for tomorrow. Thoughts?
     
  2. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Dec 31, 2009
    Joey has earned a .25u dose reduction. New dose will be 1.75u. The SLGS guidelines use 90 as the signal to reduce.
    I would offer a teaspoon of LC and Check after 1/2 hr. It’s an opportunity to see if it brings him up or keeps him steady.

    A change from dry to all LC wet can have a dramatic effect on BG with reductions coming fast and furious. I recommend you expect the unexpected for the near future :cool:

     
  3. Marty

    Marty Member

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    Thanks. I just tested him again at +5 and he's a 58. I gave him a teaspoon of LC and will test again at +5.5 unless I should take more corrective action immediately
     
  4. Marty

    Marty Member

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    Guess this could be considered my first PJ party. And I was ready for bed right after his shot (yawn emoji)
     
  5. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    I’ll hang out with you. :cool:

    You have some HC with gravy? If he has not turned around at your next test, give him a tsp of HC gravy.

    I’ll be looking for the +5.5.
     
  6. Marty

    Marty Member

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    Mar 6, 2018
    +5.5 was 52 so I fed him HC with gravy. Will be doing another test in about 15 minutes for the +6

    Thanks, everyone else has been in bed for hours. But on the bright side it's giving me time to try to build some charts based off of his SS data
     
  7. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    It generally takes 20 mins for HC to hit the bloodstream.

    We had our fair share of pj parties back in the day. ;)
     
  8. Marty

    Marty Member

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    Mar 6, 2018
    Numbers went up to 68 so that's good. How soon is too soon to throw in the towel for the night? :D And how do people catch this when they're away for a while? Do cats most of the time make it out of the below 50 dips on their own?
     
  9. Marty

    Marty Member

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    And sorry about Black Kitty. He's a good looking cat. We have a black one named Inky, but he's not quite as stoic looking as Black Kitty. He's more of a rollie pollie
     
  10. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    its a good idea to get 2 tests where numbers are stable or rising without food. So, get another test in 30-40 mins and take it from there. Did you feed that 68?
    Define 'a while'.
    For safety, we like to see kitties stay above 50.

    coffee.jpg

    If you have not already done so, print a copy of the SLGS guidelines
    , specifically the section that speaks to what to do when faced with PS numbers lower than you have experienced. Something tells me you will need to keep it handy;)
     
  11. Marty

    Marty Member

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    Mar 6, 2018
    Yes. But I just took a +6.5 and it went up to 70
     
  12. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    68 and 70 are essentially the same. Being that Joey is in uncharted territory if he were mine I would get another test in 30 mins.

    Looks like it's bye-bye black for Joey :D
     
  13. Marty

    Marty Member

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    Mar 6, 2018
    Just got another one and it read 70 as well.
     
  14. Marty

    Marty Member

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    Mar 6, 2018
    Since the numbers held consistent I think I'm going to call it a night. Thanks for the advice and keeping me company!
     
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