? 12/30 OSCAR'S 1st CURVE - what next??

[Oscar & Mom Sheila]

12/29 OSCAR Yellow & Fuchsia

Oscar was very patient today in spite of the cafuffel yesterday of 2 of his civvies going to the vet. It was his FIRST CURVE - good boy Oscar!

PSAM 326/ +2 175/ +4 130/+6 156/ +8 274/+ 10 284/PSPM 225/ +2 178

I really want to be sure of what I'm doing tomorrow. From what I can see from reading the notes under SLGS, I'd say it needs to be increased from .25 to .50.

* I really need the input of others in order to do the right thing. @Marje and Gracie @Tuxedo Mom @Critter Mom

 

[Marje and Gracie]

Under SLGS, it states if nadirs are between 90 and 149, hold the dose. In the data that you do have, he has several nadirs in that range. Without evening data to show how low he's going, I'm not comfortable advising an increase especially in light of the pink AMPS.

The pink and yellow AMPS indicate to me he's bouncing so he's likely seeing lower numbers at night.

 

[Oscar & Mom Sheila]

Stayed up way past my bedtime to do this BG reading - 151 at +2 (as per SS). Does this change anything re tomorrow's dose?
@Marje and Gracie

 

[Wendy&Neko]

Does this change anything re tomorrow's dose?

No, I would stick with 0.25 units for now. Good job getting that later test tonight. When they do a big drop between their preshot and +2, it often signals an active cycle. But it looks like he's slowed down.

Good job on the first curve!

 

[Tuxedo Mom]

Sorry...just saw the tag. I agree with Marje and Wendy that you should hold the dose for now. You are still getting acceptable nadirs within the guidelines of the SLGS approach. Great job getting that curve. It is always so helpful to have a whole day's worth of readings to give a clearer picture.

 

[Sienne and Gabby (GA)]

I'm not one of the people you tagged but my tenure here is longer than Marje's. The reason we're urging you to get some PM tests is that many cats experience lower numbers during the PM cycle. If you're skipping getting tests, you may be missing those lower numbers or even miss numbers that indicate you need to reduce the dose. If you can get, at the minimum, a "before bed" test every night, you'll be sure Oscar's numbers are in a safe range and you'll have additional data to base your dosing decisions on.