2/20 GrayGray pmps @ 200

Discussion in 'Lantus / Levemir / Biosimilars' started by Becky and Gray-Gray, Feb 20, 2020.

  1. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
  2. Si am cat mom

    Si am cat mom Well-Known Member

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  3. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
    Yes! Last night was pretty low..... also I continued to shoot 0.5 this morning am and now on she is still lower than normal. I know TR says to shoot, BUT I don’t feel comfortable shooting 0.5u and think it’ll cause her to drop below 50... gonna shoot 0.25 tonight. I’m so nervous!
     
  4. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    Aren't you following SLGS for now ?
    We can go back to figuring out it and when TR would work for you.
    The AM dose should have been reduced to 0.25 per the SLGS dosing recommendations, so I would reduce now and remember that the previous dose might still affect Gray - Gray tonight. I would plan on getting a +1/+2 to see which way those BGs are heading so that if you need to intervene with food- you can
    You handled last night well ...you've got this !

    I will check in on you in an hour for the +1 test :cool:
     
  5. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
    Ok! Thank you so much! I shot 0.25u. TY :bighug:
     
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  6. Si am cat mom

    Si am cat mom Well-Known Member

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    how are we doing ? ;)
     
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  7. Si am cat mom

    Si am cat mom Well-Known Member

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    we def should grab another test if you can just so we have some data before his +3 for sure
     
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  8. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
    Good so far! She went up to 231.... just waiting for +3:smuggrin:
    we are at 246
     
  9. Si am cat mom

    Si am cat mom Well-Known Member

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    looking good ! she will likely level out a bit when the insulin kicks in
     
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  10. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
    Ok, I’m glad you think it’s looking good... bc I’m just a bit confused with the numbers... at least she’s not dipping close to 50.... I trust your judgement as this is still a bit confusing for me to figure out the depot. ECID, but these BG # are from ~3-4 cycles ago right?
     
  11. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    The tricky thing is , you gave a different dose in the AM on the 19th... then we reduced this evening. So these numbers should be influenced from the 0.5 units that was previously given, but some of that depot was still a little upset (and drained) by the 0.25 you gave yesterday....make some sense...?
    Some of the weirdness in the current numbers should round out tomorrow evening and then by the next Pm cycle, you should start seeing what this new dose of 0.25 is actually doing...
    My guy takes 3-4 cycles before I see what a new dose is doing most days and I usually get some NDW ( new dose wonkiness) whenever I mess with a dose.
     
  12. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
    So if I understand SLGS, moving forward I need to stay at 0.25u for 3-4 days right
     
  13. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    Hold for a week- 14 cycles total- tonight is cycle 1 at the 0.25 units. Then ideally you would do a BG curve ( taking BG test every 2 hours for 12 hours total or every 3 hours for 18 hours total...as close to as possible) and see how low the 0.25 is taking Gray- Gray. Then you would increase if needed, but reductions are always taken as earned for numbers under 90 at any point in the cycle.

    Side note- if you are seeing numbers in the ideal range at some point- less than 100- you would hold the dose longer but you can always post for specifics and make sure that is what is advised based on the numbers.

    FROM STICKY:
    Hold the dose for at least a week:
    • Unless your cat won’t eat or you suspect hypoglycemia
    • Unless your kitty falls below 90 mg/dL (5 mmol/L). If kitty falls below 90 mg/dL (5 mmol/L) decrease the dose by 0.25 unit immediately.
     
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  14. Becky and Gray-Gray

    Becky and Gray-Gray Member

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    Jan 2, 2020
    Thank you got everything Ari! You have definitely given me peace of mind that I’m not messing this up and your guidance is slowly building my confidence more than I was 24 hrs ago! Thank you :bighug:
     
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  15. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    I see that (186) ...still looks good. Looks a bit like that PM cycle on the 17th were the +5 was a little bit lower than the +4. If you want to grab a +5/+6 you can :)
    I'd feed a snack and you can likely relax-l, catch some Zzzzz. Sometimes they can have a little dip towards the end of the cycle but you shouldn't have a repeat of the other night which is great . Hopefully, she holds into these level blues for a bit, then you can adjust this dose on Wednesday and see how things go.
    If you get any surprises in the AM- just stall, don't feed and ask for help...
    Happy surfing
     
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  16. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Basaglar dosing is much different than you are used to. We change doses based primarily on the nadirs, or how low the dose takes the cat, not the preshots. We don't change the dose if we see a pink vs. a blue preshot. Try to stay with 0.25 units for a week now. The depot insulins are also great at giving you nice flat numbers when you shoot lower numbers. Shooting blue numbers does not mean they will necessarily go below 50.
     

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