24March2020/Maxi/AMPS417/ NEED HELP with Lantus Increase + R

bambinaki

bambinaki

Member Since 2010
Last thread: http://www.felinediabetes.com/FDMB/...cing-humulin-r-questions.227464/#post-2547857

Hello-

I have introduced R into Maxi's treatment. It doesn't seem to be doing the trick and I guess the dose should be increased.

With the introduction of R, I didn't increase his Lantus after 6 cycles, even though I should have this AM per the TR protocol.
He's in his 7th cycle of the 5 unit dose right now.

I should increase his Lantus dose this PM.

I need help, please.

Thank you

@Wendy&Neko @Sandy and Black Kitty
 
Go ahead and increase the Lantus to 5.5 units tonight. That will mean no R tonight. We try to avoid giving R on the same cycle as the L increase, in case there is a strong reaction to the increase.

Let me chat with Sandy and see what she thinks about the R dose for tomorrow, based on what you've seen to date. Since this is the first 0.5 R cycle during the day, get a test in the +6 to +8 range, so we can see if there is any impact on the Lantus cycle later on.
 
Wendy&Neko said:
Go ahead and increase the Lantus to 5.5 units tonight. That will mean no R tonight. We try to avoid giving R on the same cycle as the L increase, in case there is a strong reaction to the increase.

Let me chat with Sandy and see what she thinks about the R dose for tomorrow, based on what you've seen to date. Since this is the first 0.5 R cycle during the day, get a test in the +6 to +8 range, so we can see if there is any impact on the Lantus cycle later on.
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Understood.
Will do.
Maxi is on test overload. Please let me know the minimum test schedule that must be done this PM with the Lantus increase.
Thank you!
 
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Ugh, sorry about the bucketload of pink. :( Good luck with the L increase tonight. Since you aren't doing R tonight, you could probably get a +3 or +4 and decide from there if you need more tests.

Sandy and I were thinking trying 0.75 units R tomorrow morning, if over 300. And you can probably stop the +1 R tests, as he doesn't seem to be doing anything until +2.
 
Good luck with R Karen. It was the catalyst that got Bronx out of the reds & pinks and a great addition to your toolbox. You can see on Bronx's 2017 spreadsheet how R helped so much.
 
Wendy&Neko said:
Ugh, sorry about the bucketload of pink. :( Good luck with the L increase tonight. Since you aren't doing R tonight, you could probably get a +3 or +4 and decide from there if you need more tests.

Sandy and I were thinking trying 0.75 units R tomorrow morning, if over 300. And you can probably stop the +1 R tests, as he doesn't seem to be doing anything until +2.
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OK.

Thanks a lot!
 
Bronx's dad (GA) said:
Good luck with R Karen. It was the catalyst that got Bronx out of the reds & pinks and a great addition to your toolbox. You can see on Bronx's 2017 spreadsheet how R helped so much.
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Thank you, Bronx's dad.

I previously looked through some of your posts having seen Bronx had acromegaly. He was a very beautiful boy. I like his name. (My dad grew up in the Bronx.) I hope you're ok up there in NJ.
 
bambinaki said:
Thank you, Bronx's dad.

I previously looked through some of your posts having seen Bronx had acromegaly. He was a very beautiful boy. I like his name. (My dad grew up in the Bronx.) I hope you're ok up there in NJ.
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Thanks Karen. He got his name because that's where I found him as a kitten. He hitched a ride up on top of the spare tire underneath my work van. He was my bud :)
 
OK, when I *really* didn't need something else to worry about (or something more to bother you with), I have given my first (and hopefully last) flippin' fur shot. I can't say how much I got in him but I know quite a bit did not get in. I'll look around for what to do. I think I remember reading to do nothing but wait until the next dose time. But since I now have R, I was thinking maybe I should use that. @Wendy&Neko @Sandy and Black Kitty ?
 
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bambinaki said:
OK, when I *really* didn't need something else to worry about (or something more to bother you with), I have given my first (and hopefully last) flippin' fur shot. I can't say how much I got in him but I know quite a bit did not get in. I'll look around for what to do. I think I remember reading to do nothing but wait until the next dose time. But since I now have to R, I was thinking maybe I should use that. @Wendy&Neko @Sandy and Black Kitty ?
Click to expand...

EDIT: I have found that I should not re-shoot, so I won't, FYI. However I would like guidance on giving R now. Where are my gurus @Wendy&Neko and @Sandy and Black Kitty ?
 
Grab a +5 or +6 to see where he goes from here.

If AMPS is 350 or above you can give .75u R along with 5.5u L. If between 300 and 350 you can give .5u R
In either case get a +2.
 
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