? 3/2/2020 Blackie PMPS 88

[Sherry and Blackie]

http://www.felinediabetes.com/FDMB/threads/2-22-2020-blackie-curve.226056/#post-2531929
Ive increased to 4 units and I guess I am seeing some bounce and just a flat curve. Any thoughts on what to do now. I've all but given up on remission, but when do you just pick a dose and ride it out? Or are you constantly changing / increasing. I'm already at 4 units . He's much better than he was before.

 

[SnowKat]

Maybe give it another day or two at the current dose, to see how clears what looks to me like a bounce from that 50 on 2/28? Caveat: I'm a newbie - I'm sure more experienced members will have better advice.

Be a good boy, Blackie, and come back down to the lagoon!

 

[Sienne and Gabby (GA)]

Sherry -

According to TR, if the majority of the nadirs are are in the 100s, you hold the dose for 5 days/10 cycles and evaluate the dose. I think you're holding the dose too long. As a result, I suspect glucose toxicity is building up which only serves to encourage bouncing. Blackie is getting used to the higher numbers. If you're wanting to stick with TR, you do need to be attentive to when to increase. I suspect I would be cautious as well, given that the 3.75u dose brought Blacke to 50. It's one of those situations where you'll need to decide whether to hold the dose a bit longer or increase.

 

[Sherry and Blackie]

Sherry -

According to TR, if the majority of the nadirs are are in the 100s, you hold the dose for 5 days/10 cycles and evaluate the dose. I think you're holding the dose too long. As a result, I suspect glucose toxicity is building up which only serves to encourage bouncing. Blackie is getting used to the higher numbers. If you're wanting to stick with TR, you do need to be attentive to when to increase. I suspect I would be cautious as well, given that the 3.75u dose brought Blacke to 50. It's one of those situations where you'll need to decide whether to hold the dose a bit longer or increase.

I'll guess I'll increase tonight. I just got a 68 at lunch. He must have heard me. So frustrating.

 

[Sherry and Blackie]

So Blackie must have heard me. He hit 68 at lunch and 88 PMPS. Held the dose at 4. Tested plus one and he's 134. We will see where he goes.

 

[Mimis mom]

Could it have taken that long to clear a bounce?

 

[Sherry and Blackie]

Could it have taken that long to clear a bounce?

Idk I'm still learning . He did hit 50 back on the 28th .

 

[Tina and Salem]

Any stress ? Or changes ? Hope he comes down !

 

[Sherry and Blackie]

Any stress ? Or changes ? Hope he comes down !

No. Things are pretty stable. I went ahead and increased to 4.25. We will see.