2/18 Jonesy AMPS 299 - 1.0u ;PMPS - 72 ; shot.5u 2 hrs late; +1 -194; +2-173; +6-333; +9 -385

Discussion in 'Lantus / Levemir / Biosimilars' started by Darcy and Jonesy, Feb 18, 2020.

  1. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

    Joined:
    Sep 18, 2015
    Morning all!

    I'm going to reread all the TR instructions again, but thoughts on bumping him back up to 1.25 again?? The last time I increased his numbers went absolutely haywire :nailbiting: so although I KNOW his numbers need to come down to "Keep the Ketones Away" even that .25 makes me a wee bit nervous . . . but in my gut I know he needs it.

    On the plus side . . . today I'm signing the papers on my wee little dollhouse!! *clapping hands with glee* It is within my budget, it is an old house with character, and it has TWO small exterior porches for the cats (and a clawfoot tub for me!) Ironically, it is the house owned by the people who have bought MY house!! What are the odds?!?! It is literally half the square footage, so I'll have a lot of adapting to do on my end, but it's the right house for me. After seeing a whack of homes, in sketchy areas of the city, with crumbling foundations, I'm over the moon on getting this one :woot:

    Please give me your thoughts on the .25 increase! I've already shot 1.0 u for this morning.

    (*Edit = Okay, according to the TR information, and because Jonesy HAS had ketones in his sordid past ;) my plan IS to increase his dose to 1.25 for tonight's dose)

    Thanks all!

    Darcy

    Yesterday http://www.felinediabetes.com/FDMB/...2-306-4-293-6-319-8-279-pmps-266-1-0u.225790/
     
    Last edited: Feb 18, 2020
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  2. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    Congrats on the house! How exciting! I hope Jonesy slides down and surfs today. It does look like Jonesy can use an increase.
     
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  3. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    I thinks raising tonight is fine.

    Congrats on the house, so you get the keys today? Must post photos. How wee of a doll house is it?
     
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  4. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    @Olive & Paula
    @carfurby

    Well . . . no increases tonight. PMPS? 72 . . . . stalling for 20 minutes or so. Will stick with 1u :(
     
  5. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    I'm poking my nose in again, and saying don't forget about those before bed tests :). I wouldn't have considered an increase without those tests, just to be sure I wasn't missing something. And with TR, it would be wise, or else you may end up increasing without knowing all of the data to tell you an increase is warranted. Just my 2 Canadian cents ;).

    And don't forget we dose primarily based on nadirs, not preshots.
     
  6. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    You have shot the 60’s before..... Of course, that means some monitoring tonight.
     
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  7. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    @Wendy&Neko
    he's at 52 right now. HC wet? Going to the kitchen to get it . . .

    Edit: giving him two teaspoons of HC wet right now
     
  8. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    Do I stick with 1 u?

    He was on the road to an increase :(
     
  9. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    He's had two teaspoons of HC and two more of LC wet. I'm unsure as to what to shoot :(

    Halp!!
     
  10. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    That 52 is close to the no shoot number of 50. Since you feed any more tests will be food influenced. You may need to skip tonight.
     
  11. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    He's at 65 right now, has eaten, will test again in 30 minutes as that's about the last time I can shoot without totally screwing up the cycle.
     
  12. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    I fed because I was worried how he'd dropped from 72 to 52 in 20 minutes :( I don't know what to do . . . I don't want to NOT shoot altogether as he's had ketones in the past
    I'm going to give him 30 minutes, go feed myself (as I'm getting a headache from not eating) Will check back
     
  13. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    I understand why you shot. If you shoot tonight you'll need to monitor since the numbers are food influenced. He could come back down after the food wears off.
     
  14. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    Maybe a half dose of 0.5U? As long as you can monitor tonight (and as long as he doesn't decide to dip further down on that next test!!!).

    Have to say, I'm uncomfortable recommending a dose when he was dropping before the HC-- it's not something you want to do without having a lot of data in that situation. Hopefully some other folks can weigh in on this too before it's time.
     
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  15. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    Darcy, I just saw you fed HC. That 52 was okay on its own, and we would have hopefully seen it stay flat or increase a bit. Hard to say, since the numbers have been trending down, but unfortunately, feeding the HC will influence the numbers you get and artificially inflate them. I don't know...I'm not comfortable with the HC in the mix, numbers can turn quickly when it wears off. I know he needs some insulin with past ketones, some kind of token dose I think is warranted, with continuing to monitor this evening, since you'll have some depot in play. And test for ketones this evening.
     
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  16. Sonia & Leo

    Sonia & Leo Well-Known Member

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    May 24, 2018
    Darcy, don't forget, regardless of what or if you shoot tonight, he'll still be under the influence of the 1 unit depot that took him down to 52.
    Huge congratulations on finding your dollhouse with kitty porches and a claw foot!!
     
  17. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
  18. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Keep testing frequently - don't feed anymore! Can you stall a while tonight and still be on schedule? If he starts to zoom up you can shoot then.
     
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  19. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    No :( I was on the phone with my real estate agent, now I'm waaaaaaaaaay behind. I could kick myself.
     
  20. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    He's at 148 right now
     
  21. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    What is that relative to when you first got the 72 please?
     
  22. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    I could shoot 1 u right now, but can't do a pyjama party. Should I shoot. .5??
    @Wendy&Neko
     
  23. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    Not sure if I'll answer you properly but here goes:

    PMPS was 72 (no shot, stalled food)
    After 20 minutes he dropped to 52, I panicked as he'd dropped so much in 20 minutes, fed him 2t of hc and then 2t of low carb. That's it.
    After 50 minutes he was up to 65
    One hour after that test, he's at 148
     
  24. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    Just gave him .5 of a unit.
     
  25. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    Good luck tonight! Once the HC wears off, you can collect a little data to get an idea of where he was planning on going tonight, and then use that knowledge the next time you are faced with this situation. Not that our kitties ever do the same thing the same way twice, lol, but sometimes there are patterns...
     
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  26. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Paws crossed for a quiet cycle tonight. Tomorrow's shot will be delayed by however much tonight's was.
     
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  27. Darcy and Jonesy

    Darcy and Jonesy Well-Known Member

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    Sep 18, 2015
    Thanks everyone. I'm always so unsure . . .

    I've a diabetic coworker and although I love her, she's always asking "So how were Jonesy's numbers?" I'll tell her and then she'll give me the human version of what *should* be happening . . . I want to scream "but he's a CAT!! He'll do whatever the hell he WANTS!" LOL

    But I restrain myself ;)

    Thanks again, I really really appreciate all the support :bighug: I'm going to lock my adorable idiot Vinnie in another room and take Jonesy into the bedroom where we'll lounge on the electric blanket.

    It's our time :cat::p
     
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