New Vetsulin Vial

Discussion in 'Caninsulin / Vetsulin and N / NPH' started by Cherish Gallagher, May 9, 2017.

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  1. Cherish Gallagher

    Cherish Gallagher Member

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    When starting a new vial do I need to decrease the dose the first few days? From what I've read of vetsulin is says it's good for 42 days. We are on day 44 and I want to continue using it until it's gone if possible. I don't think there's anything wrong with potency since Angels numbers seem pretty much the same if not better. But will a new vial be stronger than what I'm currently using?
     
  2. CassAndGordy

    CassAndGordy Well-Known Member

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    You SHOULD be fine to continue the dose as is.

    But if it continues to be a concern, you can reduce for a day to make sure.
     
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  3. Yong

    Yong Well-Known Member

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    I did a reduced dose on first shot of new vial because I kept reading to do a reduced dose on new vials. However, I do use a suspension insulin. Might not apply to Vetsulin. :) Just adding another voice here :p
     
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  4. JanetNJ

    JanetNJ Well-Known Member

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    I used my first vial for 3 months.... There were no difference in numbers when I switched to the new vial. If your worried then reduce slightly.
     
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  5. geenaroses

    geenaroses Member

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    Used my vial for over 2 months until numbers started to change and I could see insulin was not being as effective.
     
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  6. Cherish Gallagher

    Cherish Gallagher Member

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  7. Yong

    Yong Well-Known Member

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    Little excitement from Ms. Angel last night, luckily you're a pro now ;).
     
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  8. JanetNJ

    JanetNJ Well-Known Member

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    Yeah 4 is too much.... Stick with the 3.75.
     
  9. Cherish Gallagher

    Cherish Gallagher Member

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    Yes :)
     
  10. Cherish Gallagher

    Cherish Gallagher Member

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    Little bit! She never shows any signs of hypo. Zero. Which kinda makes it scarier. For some crazy reason I always sense she may get low so i check more often. Last night when she dropped so much at +2 I knew shed get low so I was ready for it. Tried to steer with extra food early on but didn't work well enough.
     
  11. Yong

    Yong Well-Known Member

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    Hey Cherish! How are you and Ms. Angel? :cat: Are you planning to get a curve, even mini curve done, on your next day off? Curious if her nadir has moved ;)
     
  12. Cherish Gallagher

    Cherish Gallagher Member

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    What makes you think that? We are good. Will be working next 5 days in a row but I'll have bf get a few through the day besides just the +6. :)
     
  13. Yong

    Yong Well-Known Member

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    Just a curiosity more so while looking over her SS :bookworm::)
     
  14. Cherish Gallagher

    Cherish Gallagher Member

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    Any other things u may have noticed? She's definitely not regulated but I think she's doing ok. And she's happy.
     
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  15. Yong

    Yong Well-Known Member

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    I didn't forget about you, Cherish! :bighug:
    Will be able to look closer at her SS on the weekend :bookworm:
     
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  16. Yong

    Yong Well-Known Member

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    Well, Angel what an interesting way to start off the morning :cool:. This is the second time she's had a low PS, by chance did you try stalling this morning, Cherish? Waiting 20 minutes without feeding and re-test? First time on 28 April, you skipped shot, perfectly fine since it was the first time but she did rise. Looks like she went up again at +3.

    Feel free to ignore what I'm going to say, I can be a little aggressive because I hate seeing that bounce :rolleyes:. If you or bf would be around to monitor, next time she gives you the 100-120 PS range, maybe try stalling first and if she stays around that range try giving 0.25U. Let me know what you think ;). Maybe someone else will chime in and tell you to ignore this crazy person (me:smuggrin:) lol
     
  17. Cherish Gallagher

    Cherish Gallagher Member

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    Part of me wanted to give her .25u but other part of me got super anxious so I decided not to. It's really hard to stall on work mornings. I wake up at 5am and need to be to work by 6am most days. So I have an hour to deal with kitty and then get myself ready. I don't want to give her the shot any sooner than 5 because I want to be able to give her the 5pm shot and sometimes I barely make it home. But always do! So it's tough. Also don't wanna wake any earlier than 5 on days off. ;) lol

    I know she will be high tonight but it's ok. I think she's doing pretty well overall :)
     
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  18. Yong

    Yong Well-Known Member

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    I understand :). And of course AFTER I posted I saw your thread on Main lol. I think she is doing well too :cat:
     
  19. Yong

    Yong Well-Known Member

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    Lovely blues and greens Ms. Angel, time to work on those PS's little girl ;)
     
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  20. Cherish Gallagher

    Cherish Gallagher Member

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    Last 5 days in a row her AMPS's haven't been too shabby! :)
     
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  21. JanetNJ

    JanetNJ Well-Known Member

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    last five days your amps average is down just over 18% from the preceding 5 days. nice!
     
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  22. Cherish Gallagher

    Cherish Gallagher Member

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    :) I'm very hesitant to triple dose and even more hesitant to switch insulins so we are just giving it more time. I think overall she's doing really well. :)
     
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  23. Yong

    Yong Well-Known Member

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    Hi Cherish! Look at all that green! Looks like your scale needs an edit ;)
     
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  24. JanetNJ

    JanetNJ Well-Known Member

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    whoa! Yeah! I'd cut those doses down by at least a third. And be careful shooting those greens.... That makes me nervous.
     
  25. Cherish Gallagher

    Cherish Gallagher Member

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    From looking At SS what would you recommend the new sliding scale to be? This is hard.
     
  26. Cherish Gallagher

    Cherish Gallagher Member

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    Ps. Thx for noticing. I was going to post tonight actually. I thought she was doing well but has been getting kinda low so I've been nervous.
     
  27. Cherish Gallagher

    Cherish Gallagher Member

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    Under 100 - .5
    100's - 1
    200's - 2
    300's - 3

    ???
     
  28. Yong

    Yong Well-Known Member

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    Looks like she's clearing bounces faster too :). I don't think you'll need to give 3.0U very much right now :smuggrin:. I'm no dosing expert but I'd be curious to try this:

    80 - 100: 0.25U (Given she's needed a little more at these numbers it's usually because the previous dose was too high and caused a bounce, so if we settle it to not be a bounce number, she may react differently and not go back up)
    100 - 150: 1.0U
    150 - 200: 1.5U
    200+: 2.0U

    @JanetNJ What do you think about trying this for a few days? With Cherish and Bf's usual monitoring :cat:
     
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  29. Cherish Gallagher

    Cherish Gallagher Member

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    Thanks for your input! @JanetNJ what do you think ? I think yongs scale might be slightly low but I'm no expert either!
     
  30. Yong

    Yong Well-Known Member

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    I like to play safe since I'm not an expert and you can always go back up if it is too low ;)
     
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  31. JanetNJ

    JanetNJ Well-Known Member

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    Yes... I can look at it closer later.... I'm at work right now
     
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  32. Cherish Gallagher

    Cherish Gallagher Member

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    Also to add, I know I should be more cautious but I worry about dropping the doses too much and having her get back up into the 400's and then have it take several weeks to get her regulated again. :(
     
  33. Cherish Gallagher

    Cherish Gallagher Member

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    If you look at the last 10 days... her morning doses that I've given her seem to be just enough. She never got below 55 or above 200.

    And even her nignt time doses the last 10 days she has only gotten below 50 once. Other than that I think her nadir numbers have been great. I guess I need someone to explain to me why I need to drop the doses down so much. :)
     
  34. JanetNJ

    JanetNJ Well-Known Member

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    The problem is he's going low in the evening which is causing a bounce in the morning.
     
  35. Yong

    Yong Well-Known Member

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    Right, when the dose is too much in her AM cycle, it makes her have a low PMPS and then she bounce a little by next AMPS. The suggested reductions are aimed to keep her in good numbers for a cycle but give you two closer PS numbers :).

    You're not doing anything wrong :bighug:. We're just trying to fine tune it now ;)
     
  36. Cherish Gallagher

    Cherish Gallagher Member

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    No no no I understand! Was not trying to be defensive so sorry if it came across that way! I welcome all and any help. I've been doing my best and am still learning. But what you said makes perfect sense. Going to see what Janet says about the sliding scale and then I'm going to put yours and hers together and hopefully see an improvement :) thanks so much!
     
  37. Yong

    Yong Well-Known Member

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    Nope! Not at all! :)
    Was just explaining because I experienced similar patterns with Maury :cat:
     
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  38. JanetNJ

    JanetNJ Well-Known Member

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    Ok had a chance to look at the ss a little more.

    I agree with yong's scale but would add another level at the top.


    100-150 1
    150-200 1.5
    200-250 2
    250-300 2.25
    300+ 2.5
     
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  39. Cherish Gallagher

    Cherish Gallagher Member

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    Thanks so much Janet & Yong. Officially switching to this scale right now. She was 307 PMPS. bounceeeeee
     
  40. Cherish Gallagher

    Cherish Gallagher Member

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    Anything under 100 should I shoot .5?
     
  41. JanetNJ

    JanetNJ Well-Known Member

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    Depends how under and if you can monitor. I personally never shot that low. I think the lowest I ever shot was 120....


    Then again that was on an Alphatrak... So I guess it was like a 100 on human meter.
     
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  42. Yong

    Yong Well-Known Member

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    If you shoot under 100, I suggested 0.25U for 80 - 100 in case the cause for it is not too high a previous dose. She may not bounce like usual with new scale :)
     
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  43. JanetNJ

    JanetNJ Well-Known Member

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    Only if you can monitor. Personally I would do 0.25 or skip.
     
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  44. Cherish Gallagher

    Cherish Gallagher Member

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    Thanks!!! Gave so much less than usual tonight at her preshot number and she still got down to 74. I feel terrible.
     
  45. JanetNJ

    JanetNJ Well-Known Member

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    Why do you feel terrible? It proves that the dose was too high before! That's a good Thing!
     
  46. JanetNJ

    JanetNJ Well-Known Member

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    New scale....

    100-150 0.5
    150-200 1
    200-250 1.5
    250-350 2
    350+ 2.25
     
  47. Cherish Gallagher

    Cherish Gallagher Member

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    Because I was pushing her too low.
     
  48. Cherish Gallagher

    Cherish Gallagher Member

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    Should I try the scale from last night for awhile or just switch to this one? Already gave her dose this morning. AMPS wasn't terrible.
     
  49. Cherish Gallagher

    Cherish Gallagher Member

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    I meant I feel terrible from the last few weeks of dosing her with no help thinking I've been doing it right. Not last nignt after you guys helped :)
     
  50. JanetNJ

    JanetNJ Well-Known Member

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    Oh nice preshot! Ok great! This will give us valuable information today to see if the 2.25 is good at that level or if 2 would be better. I'm glad you had a mid range number to find out!
     
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  51. JanetNJ

    JanetNJ Well-Known Member

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    I'm excited to see what her numbers are today! She's really heading in the right direction!
     
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  52. Cherish Gallagher

    Cherish Gallagher Member

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    :) :) :)
     
  53. Cherish Gallagher

    Cherish Gallagher Member

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    Doing good so far! We will see what her PM is. :)
     
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  54. Yong

    Yong Well-Known Member

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    :bighug::bighug::bighug:Don't feel terrible! It's always when we get into the groove, kitty throws a curve ball :p. Very nice last night and even better AMPS!
     
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  55. Cherish Gallagher

    Cherish Gallagher Member

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    201 PMPS! Stuck with the first scale for now. :)
     
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  56. JanetNJ

    JanetNJ Well-Known Member

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    Nice!!
     
  57. JanetNJ

    JanetNJ Well-Known Member

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    Sounds good. If you see a bounce or numbers inch Down then lower everything.
     
  58. Cherish Gallagher

    Cherish Gallagher Member

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    Bounce as in she shoots up? Lower then too?
     
  59. JanetNJ

    JanetNJ Well-Known Member

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    Well if it's quite a bit lower in a cycle... Then goes high. Like it goes down to 60 from 250, then shoots up to 350.... You know the first dose was too high.

    Of it goes from 250 to 90 back to 250 that's fine.
     
  60. Cherish Gallagher

    Cherish Gallagher Member

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    Still trying to understand this whole thing! Thanks so much for the help :)
     
  61. Yong

    Yong Well-Known Member

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    Very nice!
     
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  62. Cherish Gallagher

    Cherish Gallagher Member

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    What do u think of today's #s so far? Maybe switch to the 2nd scale?
     
  63. Yong

    Yong Well-Known Member

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    I'm still thinking 2.5U is a little too much for over 300. Her PMPS might shed more light on that tonight. If so, I'd say switch to Janet's 2nd scale.
    100-150 0.5
    150-200 1
    200-250 1.5
    250-350 2
    350+ 2.25
    Just making sure I'm following, that is this one right? :D
     
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  64. JanetNJ

    JanetNJ Well-Known Member

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    Yes. 2.5 is too much. Take it down a little. Overall looking good though
     
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  65. Cherish Gallagher

    Cherish Gallagher Member

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    Yayyyyy :) :) crazy to think how much I was overdosing her. I was giving 3.35 for over 300.
     
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  66. Yong

    Yong Well-Known Member

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    Not necessarily an overdose because it WAS working for her before :D, like the hope, her dose has come down :cat:
     
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  67. Cherish Gallagher

    Cherish Gallagher Member

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    Yesssss. :) really good PMPS. Switched to the 2nd scale you and Janet came up with for me. :)
     
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  68. Cherish Gallagher

    Cherish Gallagher Member

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    You guys are so smart! Super good PMPS!
     
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  69. Cherish Gallagher

    Cherish Gallagher Member

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    I feel we are so close to at least being somewhat regulated. :)
     
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  70. Cherish Gallagher

    Cherish Gallagher Member

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    By the way, 4 months today of being on insulin!
     
  71. JanetNJ

    JanetNJ Well-Known Member

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    Wow! Ok just test that at +2 or 3 since it's so much lower then usual, ok?
     
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  72. Cherish Gallagher

    Cherish Gallagher Member

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    370.
     
  73. Yong

    Yong Well-Known Member

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    May have a little bounce tonight but hopefully will lead to a nice AMPS :cat:
     
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  74. JanetNJ

    JanetNJ Well-Known Member

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    Holy cow did he eat a donut? Lol
     
  75. Cherish Gallagher

    Cherish Gallagher Member

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    No lol. She got down to 217 for her nadir. Not terrible but I hate seeing yellow at nadir. It's been awhile since that's happened.
     
  76. Yong

    Yong Well-Known Member

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    You have blue today :). She'll get down again, we're just doing it slower so she can be there more often ;)
     
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  77. Cherish Gallagher

    Cherish Gallagher Member

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    What causes kitties to dip lower at Preshots than their nadir? This seems to be a pattern with her at PMPS. never AMPS tho. Hmmmm
     
  78. Yong

    Yong Well-Known Member

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    Dose can be too high and cause a delayed bounce like last night and possibly tonight. If she keeps it up, we can adjust the scale again :bookworm:
     
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  79. JanetNJ

    JanetNJ Well-Known Member

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    Did she eat around then?
     
  80. Cherish Gallagher

    Cherish Gallagher Member

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    I take the food dishes away at least two hours before preshots. Usually longer at night depending when my bf goes to sleep.
     
  81. Cherish Gallagher

    Cherish Gallagher Member

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    Hmmmm. So preshot #s shouldn't be lower than nadirs?
     
  82. JanetNJ

    JanetNJ Well-Known Member

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    I mean food she eat a little while before her nadir number. That might explain why it was higher in the middle.
    Not typically but she could be bouncing up.
     
  83. JanetNJ

    JanetNJ Well-Known Member

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    2.5 is too high.... It's making her fall far then bounce. On those pink preshots drop the dose. Go with the second scale.
     
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  84. Yong

    Yong Well-Known Member

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    Yup, we want her numbs to kind of make a smile =). With too high of a dose she's making this face =\ :p
     
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  85. Cherish Gallagher

    Cherish Gallagher Member

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  86. Cherish Gallagher

    Cherish Gallagher Member

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    No more 2.5. :( 50 nadir.
     
  87. Yong

    Yong Well-Known Member

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    :bighug:That's good though for no more 2.5U, she is needing less insulin :cat:
     
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  88. JanetNJ

    JanetNJ Well-Known Member

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    Wow, ok might take that top number down to 2, not 2.25. Keep going, Angel!
     
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  89. JanetNJ

    JanetNJ Well-Known Member

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    What do we think about

    100-125. 0.25
    125-175 0.5
    175-225 1
    225-300 1.5
    300+ 2
     
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  90. Cherish Gallagher

    Cherish Gallagher Member

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    Some days she is fine with a larger amount of insulin so it's like a juggling act and so frustrating. But a few days ago at over 300 and 2 units she did really well. I think i went back to the higher scale because of her 200+ nadir a few nights ago. Just gotta be more patient.
     
  91. JanetNJ

    JanetNJ Well-Known Member

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    The thing is when she is 350 and goes down to say 100, while its a nice safe nadir, it is bound to trigger a bounce from dropping like 60%. The goal is to stabalize the numbers and try to get those preshots down so the bouncing stops.... Once the preshots are lower you can get into those lower nadir numbers without triggering bounces.
     
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  92. Cherish Gallagher

    Cherish Gallagher Member

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    That makes sense. :)
     
  93. Cherish Gallagher

    Cherish Gallagher Member

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    Switched to the newest scale tonight. Will try this for at least a week. :) thanks again for all the help!
     
  94. Yong

    Yong Well-Known Member

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    Let's see how she does :)
     
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  95. Cherish Gallagher

    Cherish Gallagher Member

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    Weird kitty. Hope her PM nadir gets a little better. Maybe dropping over 300 to 1.75u and anything under to 1.5. So doesn't seem to do well with super small doses like 1 unit or under. We will see! Giving it more time. :)
     
  96. Yong

    Yong Well-Known Member

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    Sounds good to me :). Remember PM nadir is probably a little higher due to bouncing from higher AM dose ;)
     
  97. Cherish Gallagher

    Cherish Gallagher Member

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    It was low! Lol
     
  98. JanetNJ

    JanetNJ Well-Known Member

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    Sounds good. She's really changing things up lately, eh? Haha
     
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  99. Yong

    Yong Well-Known Member

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    Whoops, looked at PM nadir last night :rolleyes:
     
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  100. Cherish Gallagher

    Cherish Gallagher Member

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    Good day today! We played for probably 20 minutes. Running around like a kitten. :) you can barely even notice the neuropathy anymore. Those Zobaline pills are really something!
     
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