? 10/11 Tiny Sole: AMPS: 198! 30 min post AMPS: 218, +2: 283, +4: 266, +10: 266, PMPS: 304, +2: 361

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Joanne&TinySole, Oct 11, 2018.

  1. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    CONDO: http://www.felinediabetes.com/FDMB/threads/10-10-tiny-sole-amps-299-4-342-6-317-10-285-pmps-299-3-311.204615

    Good morning, everyone!
    Hey, @Bobbie And Bubba! It's looking promising today! AMPS of 198 is pretty darned good from where we've been. The adjustments of food are working again.

    So, my question to my experienced beans is, do I give her a full dose of 3.25 U today, or drop it a bit since I'm gone all day, out of town at a conference?

    Of course she had to get lower today...
    The herd is being fed, I will test her again before shooting and after food.
    I've left instructions to Karen to test frequently and text me numbers. I can always report back here.
    The hypo notes are out (I don't think we'll need them, but...just in case).

    I'm leaving for the conference soon, so if anyone could respond within 30 min, that'd be great.
    XOXO, Joanne
     
  2. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Of course she would give you a blue start when you can't monitor.........cats and their timing!

    You did shoot a lower blue on 9/30 with 3 units but you were able to monitor. Can you get at least a +2 in before you leave to see how active the cycle will be ?
     
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  3. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    If you can't get a +2 in before you leave, I think I would not shoot the whole dose , but maybe give her a 1/2 dose. Since she is off the kibble now the lower carb food is going to impact her BG's to be lower and you will want to be around to monitor her when you shoot something lower than she has been in a while.

    With the dry kibble out of the equation now, it might be a good thing that you can't raise her dose just right yet as you might see her drop significantly on this dose with no more kibble.
     
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  4. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    Thank you @Bobbie And Bubba !

    Karen can get a +2, but I think I like the idea of giving the 1/2 dose and then getting the +2.
    I'm actually just about to test her again to see what her food bump did...be right back...
     
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  5. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    When you aren't sure whether to shoot or not, stall feeding and retest in 20 minutes. Sometime they will come up to a number that you are more comfortable with shooting on a day you can't monitor.
     
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  6. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    +30min post AMPS: 218 and post feeding.
     
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  7. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Ok; good to know for future!
     
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  8. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    I think you will be fine to shoot 1/2 dose and have Karen get a +2.

    Safe travels to you today.
     
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  9. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Will do. So, shoot just a spec over 1.50 U, like 1.66, if I can visually get that, or just stick to 1.50?
     
  10. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Here is what .75 looks like

    upload_2018-10-11_7-49-17.png


    ETA: So yes, a little less than that and a bit more than .5
     
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  11. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    Ok, I just gave her 1.50 and a spec, Units just before 8 AM.
    Karen will test at 10 AM. I have confidence that Tiny will be fine.
    I wouldn't have that confidence without your guidance.
    I am grateful, more than you will know.

    I'll report back after the 10 AM BG.
    XOXO, Joanne
     
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  12. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    Very nice AMPS today. Progress.
     
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  13. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    We are on a mission!
     
  14. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Did Karen get a + 2?
     
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  15. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    Yes...on the spreadsheet...
    +2: 283 and +4: 266
    Better than the 300s!!!
     
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  16. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Hot diggity! When there is a flat yellow cycle, it can indicate that there could be a drop in the next cycle or two. If this cycle continues to stay flat yellow, can Karen monitor closely tonight? I like what the absence of the dry food is doing to her numbers. :cat::)
     
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  17. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    Yes!!! I'll be home and will monitor closely.
    How will we determine her insulin dosage tonight? Go back to 3.25 U if her numbers warrant it, or adjust lower again?
     
  18. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Good question! Just looked at the SS. Are there any other tests today?

    Let's see where she lands at PMPS. What time do you shoot? I'll look for you.

    With the higher carb dry food out of the mix, and her now dropping into a blue and so far a flat yellow cycle, I am inclined to say hold this dose , but let's see where she is at PMPS time.
     
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  19. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Feb 28, 2012
    I would go back to the 3.25 units tonight, as long as someone can monitor. She'll probably be fairly high due to the BSC (reduced dose).
    With SLGS, you hold the dose if her nadirs are between 90 and 150. Not there yet, but maybe addressing any thyroid issues and getting rid of dry food will get you there. If her lowest numbers are below 150 in a couple of days, you will need that increase.

    Psst: that last bit has to be shown to Tiny Sole. It's well known here that the threat of an increase gets them to really work the juice. ;)
     
  20. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    I am glad that Wendy weighed in.
    Don't you mean ABOVE 150?
     
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  21. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Oops, I meant "aren't below 150".
     
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  22. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    We are heading to the new Vet at 6:30 pm (soon), home to test and feed, then shoot somewhere around 7:30 / 7:45 pm.

    So, keep her at 3.25 U tonight, or 3 U?
     
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  23. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Yes, if she should zoom up for the PMPS ,( pinks or red numbers) which Wendy thinks she will have because of the reduced dose.

    If she should still be hanging in yellows, I might be inclined to shoot the same reduced dose only if there not going to be any higher carb dry food in the mix.

    JMHO.

    ETA: Mid to low yellow numbers.
     
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  24. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Unless she goes below 90, she doesn't earn a reduction to 3.0 units.
     
  25. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    PMPS: 304! 3.25 U it is!!
     
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  26. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Good plan. She is no doubt bouncing. Monitor as you always do.
     
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  27. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    @Wendy&Neko , so you know, Tiny has diabetes. Cookie (other kid!) has the thyroid issues (vomiting and diarrhea).
    Bobbie and I were going back and forth on both cats in the threads on Tiny here. I hope that was ok?

    I can see that getting rid of the dry food is working for Tiny already, so we are on our way. I feel hopeful.

    I'll get a +2 at 9:50 PM BG and a +4 at 11:50 BG before bedtime on Tiny and do my best to get two more through the night - I'll set an alarm.
    These numbers are promising. I'm happy to have everyone's guidance. I promise to stay on track moving forward. Thank you for your patience with me.
    :bighug::bighug:
    I think that both Tiny and myself are leveling out!

    Side note: met with the new Vet today. Good gut feeling and feel confident that moving forward she will be a partner in all of the cat's care.
    She's open to my adjusting Tiny's Lantus as necessary and agrees that moist food is the way to go for the cats.

    She used to practice at the clinic we are leaving and understands our concerns and complaints.
    She left this particular clinic to practice elsewhere because of the same issues with the lead Vet clinician at this other Vet practice.
    She is young, technologically adept, willing to work with and listen to us. What's not to like?!

    Today was a good day!

    I'll update the spreadsheet and the thread title as the night goes on.
     
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  28. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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  29. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Wonderful about the new vet! That is all you can ask for! I think some vets and it sounds like she might be one of them, loves to have hands on fur parents. I hope she serves you and yours well. :bighug:

    There was a lot of good stuff that happened today! :)
     
    Last edited: Oct 11, 2018
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  30. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    So, PMPS +2 is 361.
    She may be bouncing?
    I'm going to get some sleep since she's on the rise and will check her in a few hours...maybe a +6 or a +7.
    Does that sound reasonable?
     
  31. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Awesome news you may have a good partnership with the new vet,

    She might be bouncing, but more likely reacting to the reduced dose. Personally I am a fan of maximizing sleep. I would get a +4 maybe, and if she's still the same or up, get sleep for the rest of the cycle.
     
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  32. Joanne&TinySole

    Joanne&TinySole Well-Known Member

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    Jun 19, 2018
    Yes, I have to get more confident about understanding the numbers and realizing when I can sleep...and not let numbers run around in my head all night, like they did last night! o_O:woot:

    Oy. :banghead: Here's to a great cup of :coffee: this morning!
     

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