Dose Advice 2/2 Summers Amps=69,55+2,50+3.75,41+4.5,68+5,82+6,62+6.5,64+7,52+8,46+8.5,36+8.75,66+9,

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Summers Mom, Feb 27, 2018.

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  1. Summers Mom

    Summers Mom Member

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    Summer was green all night except two blues starting out. She has been green all morning. No sleep again. :banghead:;):coffee:
     
  2. Tracey&Jones

    Tracey&Jones Well-Known Member

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    Wow, another lime green to just show she means business!
     
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  3. Nan & Amber

    Nan & Amber Well-Known Member

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    Wow, Summer seems like she's on the move!
     
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  4. Summers Mom

    Summers Mom Member

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    Summer is going low and the fancy feast gravy lovers seems to not be holding her for very long and i am adding honey too. Is the gravy lovers a Mc? What is a Hc food i can try when she goes this low? I use the prime relion meter and i just checked her and it read 36 and i checked her on my confirm that is my backup just out of curiousity and she read 22!!! I just gave her more gravy lovers and honey. Help!!
     
  5. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Gravy lover's is HC. Hopefully the honey will help. Check her again in about 20 minutes, tops. Are you close to your vet's office? If you can't get her to come up, you may need to think about taking her in for a glucose drip.
     
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  6. Summers Mom

    Summers Mom Member

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    How much do i need to be giving her of HC? I have been giving her anywhere from 1-2 teaspoons with a couple drops of honey. It just seems last night and today the gravy and honey is not holding her for very long. She has me worried!
     
  7. Summers Mom

    Summers Mom Member

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    Summer has come up to 66 for now. I live 30 mins. away from vet and they soon will close but we do have a emergency vet i can take her too if needed. So is this the highest in carb food? The ff gravy lovers because it is just not holding her very long
     
  8. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Phew on that 66! I would retest her in about 30 minutes - but don't feed her again just yet.

    What you're giving her is perfect. You don't want to overfeed her because - for one - you need her to stay a little hungry so she'll eat later in the cycle if she needs to; and - for another - you don't want her "scarfing and barfing."

    I've reached out to some of the high dose folks and hopefully they'll be along to give you guidance on dosing thoughts. Obviously Summer earned a reduction, but since I'm not familiar with high dose reductions, I'm not sure what her next dose should be.
     
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  9. Mandy & Rex

    Mandy & Rex Well-Known Member

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    If I were you, I would skip tonight.. Summer is telling you 'too much insulin, Mama!' But let's see what other high dose people say.
     
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  10. Stacy & Asia

    Stacy & Asia Well-Known Member

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    She probably needs more than a couple drops of honey. The standard amount I use for Asia is .6mL and I guess that is closer to 6 drops? Having such a large depot and high dose condition, I can only assume you might need bigger guns. I would try more honey next time. Glad Summer has come up a bit for you.
     
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  11. Summers Mom

    Summers Mom Member

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    Thank you so much! This is so scary! My head is spinning from this and NO sleep.
     
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  12. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    It definitely can rattle the nerves, but you are doing great!
     
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  13. Summers Mom

    Summers Mom Member

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    Yeah thats what i thought too so this last hc i gave i put around 5-6 drops of honey. When exactly should i start giving her hc so she doesn't go so low? I have been waiting until she is under 50. Is that correct?
     
  14. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Also, I use Karo syrup instead of honey, for Asia, I didn't have much luck with honey giving her much of a boost. ECID.

    You're doing great, sorry she's been keeping you so busy, I hope you can get some sleep soon. :bighug:
     
  15. Summers Mom

    Summers Mom Member

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    So my question here is do i shoot tonight or
    I have karo so i will try that. Am i right on waiting until she is under 50 to give the HC or do i need to give sooner so she wont drop so low?
     
  16. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Under 50 is when action is required, however, if you know her patterns and when in the cycle she is likely to continue dropping further, you can certainly try to head off the lime green by acting before the below 50. I've given Karo in the 80s before, but it was a big drop or early in the cycle and I knew Asia could go down fast. It really depends on the cat, the numbers, and where in the cycle. I've had 50s late in the cycle and just let her be and she's come up on her own.
     
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  17. Summers Mom

    Summers Mom Member

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    My question now is do i shoot tonight? Her shot time is 7pm. Has she earned a reduction again?
     
  18. Summers Mom

    Summers Mom Member

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    Ugh! This is so nerve racking!! Thank you for your help! Can someone tag Wendy & Neko? I am needing advice on PMPS. I dont know what to do.
     
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  19. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    She definitely earned a reduction, but I'm not familiar with high dose situations, so I've asked some high dose folks (including @Wendy&Neko )to check in and suggest how your proceed. Hopefully they'll be along shortly.

    If everyone is tied up, though, my initial inclination is to agree with @Mandy & Rex and skip tonight. But let's see if some high does folks are able to stop by.
     
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  20. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I will tag some other high dose people who may be able to contribute to what to do with back to back reductions. Hopefully Wendy will be around soon too. @Wendy&Neko @MJW @Phoebes
     
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  21. Summers Mom

    Summers Mom Member

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    Thank you!!
     
  22. Summers Mom

    Summers Mom Member

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    Thank you!
     
  23. Summers Mom

    Summers Mom Member

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    I can't update Summers numbers because i have so many numbers down already, but summer has come up some. Summer is 80+9.75
     
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  24. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    You can delete some of the earlier numbers so folks can see the later numbers. You can also take the 911 off for now, too.

    I do have to go get dinner going soon here, but I'll keep checking back, and hopefully the high dose folks will be along shortly to help out with ideas for tonight.
     
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  25. Stacy & Asia

    Stacy & Asia Well-Known Member

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    That's great, how long ago did you last give HC or honey? It can wear off and they go back down, but you are at the point in your cycle where Summer typically starts to rise anyway, so hopefully you will be good. Last thing to note is Summer sometimes comes down again at PMPS, could be a double dip thing with Lantus, but just something to look out for.
     
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  26. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    I think Summer has been angling for a reduction. To me, the big question is whether you want to do what you did on 2/23 and cut the dose in order to drain the depot a bit. Given that you mentioned that you are operating on no sleep, you can always skip the shot tonight.

    I'll be curious what some of the acro moms have to say. If it were me, I'd be inclined to skip and shoot 8u (certainly not more than 9u) tomorrow.
     
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  27. Summers Mom

    Summers Mom Member

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    It was like 4oclock when i last gave honey and hc.
     
  28. Summers Mom

    Summers Mom Member

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    How often can you cut shot in half to drain the depot?? If i skip the shot, what happens? And she is on 10 units right now. I can go down 8 units? OMG, this is so confusing.
     
  29. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I don't know what time zone you are in, what + number in your SS is that?

    I think you drain the depot when it needs to be done. If you skip because you need rest, you will see what happens if you get a before bed test and your AMPS tomorrow. I don't think it will be the end of the world. The depot should keep her from going too high if she goes very high at all. How long until your PMPS? Hope others chime in.
     
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  30. Summers Mom

    Summers Mom Member

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    Summer is already going back down @ +10.25 which was at 5:15 eastern time. I last gave her HC and honey @ +8.75 which was almost 4pm eastern time. She is not holding with the honey so i will try karo next time. Thank God i have some! I have molasses opened. Has anyone ever used Molasses?
     
    Last edited: Feb 27, 2018
  31. Summers Mom

    Summers Mom Member

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    I am eastern time zone It is 5:30 here right now. I just dont know what to do about her PMPS and it is soon. At 7pm. It is 5:30 now.
     
  32. Phoebes

    Phoebes Well-Known Member

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    I don't feel comfortable giving dosing advise yet, but when Phoebe did that I would give her about a 1/3 of the dose so we could sleep and feel safe. But of course kept testing thru the night mostly. I'm a testaholic. At least until her normal nadir. But ECID. Take some deep breaths. @Wendy&Neko always gave me sound advise. "Shoot low to stay low". I have learned giving her some was better than none at all, if I had supplies and could monitor. Big hugs and head bumps
     
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  33. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    Wendy tends to show up much later , she's on the West Coast up in British Columbia.... so unless she just happens to pop on, she won't see the tag for a few more hours....

    Summer is definitely showing she's ready for a reduction.....
    imho, I would drain that depot and shoot the 5 units.... and get back on track tomorrow .... Wendy can tell you what to dose tomorrow morning.

    You need to take care of yourself too.
     
  34. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I'm sure molasses works just fine, if not a bit messy. How much did you give her? 68 isn't very low and it's towards the end of the cycle so I don't think you need to be heavy handed about it.
     
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  35. Summers Mom

    Summers Mom Member

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    So at Pmps which is coming up at 7 pm eastern time, your saying to shoot 5 units at shot time?? Then would i give a reduction at AMPS like down 1 whole unit?
     
  36. Wendy&Neko

    Wendy&Neko Well-Known Member

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    For tonight, I recommend skipping. Time to drain the depot and get you some sleep. :bighug: Regroup tomorrow with 9 units.
     
  37. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    I'm going to let Wendy tell you your AMPS dose.
    Let's see how Summer is doing during the pm cycle.....
     
  38. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    FWIW, just throwing in my 2 cents... take it or leave it.

    Nothing will happen if you skip a shot. She'll get back on track in no time.
    I saw Summer's spreadsheet. YOU need a break and she could use a pokey break... skip, drain the depot, and try to get a good night's sleep tonight. I'm sure @Wendy&Neko will weigh in yet tonight about dosing for tomorrow.

    Take it from one who did this for years and skipped shots on occasion due to physical, mental, and emotional exhaustion.
    Alex did fine!

    Edited to add:
    GMTA!
     
  39. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    nevermind, Wendy has arrived. :cool:
     
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  40. Summers Mom

    Summers Mom Member

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    I havn't given her any molasses or karo yet. I haven't given honey or hc since about 4oclock eastern time. It is 5:45 pm here now.
     
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  41. Summers Mom

    Summers Mom Member

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    Thank you!
     
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  42. Summers Mom

    Summers Mom Member

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    So no shot at all? Just curious, what would happen if i cut dose in half? Would it not drain the depot enough? I just cut her dose on 2/23. How often can this be done? Just when it needs it like in this situation?
     
  43. Wendy&Neko

    Wendy&Neko Well-Known Member

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    You've been at this for several nights now. Get some sleep is my recommendation. You need to take care of you to take care of Summer (and the others). The reductions seem to be coming closer together right now, which is why I suggested really making sure the larger depot is gone by skipping. It is possible a half dose would still result in an active cycle too. Or not. I just didn't want to take the chance.
     
  44. Summers Mom

    Summers Mom Member

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    Thank you Wendy! I really appreciate it. I am on pins and needles right now with Summer! Yes hopefully i can get some sleep. I guess we will see. Thanks again!!! :bighug:
     
  45. Summers Mom

    Summers Mom Member

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    Summer was 39 at PMPS. NO SHOT TONIGHT. I gave her small amount of raw with couple of teaspoons of FF gravy along with 5-6 drops of karo.
     
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  46. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Sheesh! Looks like she still needs some testing for a bit yet. :eek:
     
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  47. Mandy & Rex

    Mandy & Rex Well-Known Member

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    :eek::eek:

    Summer definitely doesn't want insulin tonight!
     
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  48. Summers Mom

    Summers Mom Member

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    Yes for sure! I will still be testing through the night at times. Hopefully she will settle down. She was just 86 45 mins after the 39. Hoping she stays up a bit. Thanks Wendy for checking on Summer.
     
  49. MJW

    MJW Well-Known Member

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    Sorry I didn't see these until now. Look at all those bright greens! That's great. Good you skipped a shot.
     
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  50. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Paws crossed she keeps trending up. If she does keep on going up, and you haven't fed HC, you should be able to get more sleep because of the skip.
     
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  51. Summers Mom

    Summers Mom Member

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    Thanks Wendy. I just did a +2 and she is 114! Never thought i would be so glad to see the color blue! :eek:
     
  52. Stacy & Asia

    Stacy & Asia Well-Known Member

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    What an exhausting 48 hours, Debra, I hope you can get some good sleep tonight! You did fantastic! :bighug::bighug::bighug:
     
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  53. Summers Mom

    Summers Mom Member

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    Thank you for the kind words. Going to get one more test and i'm headed to bed. She is looking good. She is in the blues! :cool: Thank you and everyone today for helping me help Summer!! :bighug:
     
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