6/5/2018 Thomas AMPS 93, +30 72, +45 63, +1 108, +2 103, +4 99, +8 117, PMPS 142, +4 128, +7 67

Previous June 3, 2018

Thomas has been doing wonderful lately but he's causing me a lot of anxiety at shot time. This morning his sugar is 93, I'm stressing about shooting his regular dose. I guess what I'm looking for is reassurance

 

@Judy and Boomer, are the guidelines the same if using alpha tracker meters vs human meter? I wasn’t sure, don’t want to give wrong info about shooting to @Sara & Cats, please advise thanks

 

@Bellasmom +45mins 63
68 is a take action number, I guess I should feed him

 

Looks

yes, sorry wasn’t sure, I was looking all over the place for the info

 

@Bellasmom should I give any insulin this morning?

 

Are you gonna be home to monitor? I would cause your not shooting the amps number

 

I'll be home, shoot the regular dose?

 

from the looks,of your spreadsheet on 6/1 u shot normal dose at a low numbers so I would say yes
Read it wrong you gave lower dose, sorry the Alphatrak is throwing me off, I’m looking for info on that meter on here, hold on a sec, sorry

 

Did you feed him

 

I have fed and given him his shot

 

Just monitor close

 

Sorry, I don't know anything about the alphatrack!

 

Hi. Sorry no experts were around to help. If you get a number below 68, do not shoot. It looks like Thomas has earned a reduction to 11 units. Please monitor closely to make sure his numbers rise.

 

Nice blues going on there Thomas!!, good job monitoring him Sara

 

I’m asking so I will learn, why not a reduction to 11.25, I thought lantus was reduce or increase by .25 increments

 

Once it is over 5 units, you increase or decrease by 0.5u.

 

Thank you

 

@Mandy & Rex Should I do a +3 as well? Or can I wait till +4?

 

The rules are a bit different for higher dose cats. Think of the changes as a percentage of the total dose. A 0.25 unit change is significant still 1-2 units dose, but just a small perecent over 5 units. In fact, over 10 units, you usually make changes by one unit at a time. The 0.5 unit decrease is tweaking the dose at Thomas's size of dose. It seems to be working for Thomas, keeping him in nice numbers for longer.

Great cycle today! Perfect example of shoot low to stay low.

You may be breaking through some glucose toxicity Sara, hence the need to come down in dose a bit.

 

I'm impressed with how well he's doing, I keep expecting his reading to be 250-350. He's still very hungry but basically spends the whole day sleeping.

 

It does take them a while to get used to good numbers again. Neko hid under the bed at her first greens. At that time, low pink was her happy zone. Thankfully that changed over time.

 

I'm sorry I wasn't able to check in on you until now. You did great! It was good you did shoot this morning!

 

Thomas earned a reduction during the AM cycle. PMPS +7 and he's at 67. Does this mean that he's earned another reduction?

I understand the depot would still be affecting this cycle. Just curious about what to do in the morning.

 

We don't encourage back-to-back reductions because they are likely to fail. Give 11u again.