Weee're Baaaack...

Status
Not open for further replies.
Bruce & Simon

Bruce & Simon

Member Since 2011
Hi Everyone

After 19 months or so Simon's back on the juice :-x.
At our quarterly testing for his HT, his T4 had strayed out of range and his dose of Tapazole
was doubled, but I think it was too late, FD triggered again (my inexpert opinion) Anyway, a brief question;
I had Lantus left from before in fridge which doesn't expire until 12/2013, however 3 days in and I'm
not seeing anywhere near the effect I expected (see SS).

Could the Lantus be degraded? I still have 3 unused vials plus the one I just started. I don't want to
be too impatient (Me?? :lol: ) but I also don't want to waste our time.
 
Hi guys I feel ya! Scrabble was otj for 2 and a half years and we just came back 3 weeks ago. The lantus that you are using was it opened? If so I would use a new vial if it were me. Sorry you had to come back.
 
Hi Michelle

When Simon went OTJ, I threw out the vial we were using, so this one's brand new, (with three more in stock)
What I might do is start one of the other 3, although they were all together in the same fridge. No power failures that
I recall, so they should be good.....

Sorry about Scrabble
 
Good Morning :-D
I don't see any night time tests.. You'll start to get those, right?

I think you said you're using a fresh vial, and if the insulin isn't expired, it should be okay.

You want to be more agressive when coming back from a remission.
I would stick with this dose another cycle, and see what others have to say about when to increase.

He's eating wet low carb only, I'm sure.
 
Thanks Dyana

I will get some PM tests, and yes, Simon's on wet lowcarb diet, and the vial is new.

I wasn't aware of having to be more aggressive, so started low. I'll stick with this dose today,
if AMPS not improved, I'll up it... .75u or a full unit ?
 
Wait and see what others say about the dose increase. I'm sure it will only be by 0.25, so up to a sk0.75.
I'm not sure about whether you should wait for the full 3 days or 6 cycles before increasing, as we normally do.
I would wait for more advice on that.
 
Sorry to see that you're back!

I agree with Dyana. It's likely that your Lantus is fine.

I think you may not be recalling that Lantus needs several days for the insulin depot to form and for numbers to start coming down. It usually takes 5 - 7 days for the depot to form. At the minimum, you want to hold the dose for 4 cycles (2 days). I also suspect you started Simon on a bit low of a dose. For now, I would not fatten doses. I'd suggest that when you increase, you increase by 0.25u.
 
Hi Bruce

Also sorry to see you back. Hopefully you can get him back into remission ASAP.

I'd like to see you be more aggressive since he is coming back from remission. I would give him tonight at the current dose and then take him up to .75u in the morning if he stays flat.....but you must have some nighttime tests.

I'd like to reference a post I made in Scrabble's condo:

If he doesn't come down tonight,I'd increase to .5u in the morning and monitor closely. Remember Jill and I both suggested you take him up after four cycles if he wasn't doing anything.

Here is a post Jill made to another member whose kitty came back from remission...and then returned to the falls because Celi was aggressive:

when an OTJ kitty returns from the Falls, their bodies have been through this once before. cells have been compromised. in a way, you could say a returning kitty faces a tougher battle getting back to the Falls. the best way to get them back there is to get them back into green as soon as you can without putting them in danger.

you know binks and you know your schedule (availability to monitor). use what you know to be as aggressive as you can be (that level is different for everybody). an experienced caregiver who knows what they're doing and makes themselves available to monitor can push in a way no newbie ever could.

please study the first few weeks alex was back on insulin in 2009. i'm using her 2009 spreadsheet as an example because that's when she returned from the Falls the first time. when she started back on insulin the third time in 2010 she was near death's door and getting her back to the Falls became a secondary concern. notice how 2009 increases were made. when you know the protocol inside and out you know what guidelines can be set aside. remember, there are no hard and fast rules here... only suggested guidelines. find what works best for the two of you and run with it. if you're not seeing green real soon, take the dose up as long as your schedule permits.
Click to expand...
Click to expand...

Also...take a look at how aggressively Michelle dosed Scrabble when first coming back because we suspected he was started too low. But in order to dose that aggressively, you have to get a few tests at night.....at least a +2 and mid cycle.
 
Status
Not open for further replies.
Back
Top