Angel dosing advice

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Cherish Gallagher

Cherish Gallagher

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what should Angels new dose be according to SLGS? She earned a reduction but This is all kinda confusing to me still. Should I do 1.25 or 1U?

She earned a reduction last night and then another one today. So would she be down to 1U?

Also, to add, all along we have been very confused about what we feed angel and have been using a carb calculator. Turns out we actually haven't been feeding her low carb food. Most of the ones she eats are in the teens. Tomorrow morning she will be starting an actual low carb diet. She hasn't had any dry food since starting Lantus.
 
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Mandy & Rex said:
If you are going to switch to LC, then I will take back my advice to do 1.25u and start with 1u. Switching to LC from MC can impact BG numbers. Better safe than sorry. Monitor her during the diet change.
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Thanks Mandy! We thought we were feeding LC but just found out how inaccurate the phone carb calculator is
 
Cherish Gallagher said:
Turns out we actually haven't been feeding her low carb food. Most of the ones she eats are in the teens. Tomorrow morning she will be starting an actual low carb diet.
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I would suggest a different approach.

We don't usually recommend back to back reductions as the depot from the higher dose is likely to still be influencing numbers. The food issue does pose a complication though.

But I would probably tackle it a different way

I'd take the reduction to 1.25u, but transition the food slowly. Instead of going cold turkey on the MC/HC food that you have been feeding I would introduce the LC slowly, mixing it in with the food he has been eating.
Maybe starting by giving 20%new LC and 80% of his usual for a few days (maybe 3).
Then 40% LC and 60% of his usual for another 3
then 60% LC and 40% of his usual
then 80% LC and 20% of his usual
and finally 100% of LC
Transitioning him slowly over a couple of weeks will allow you to adjust he dose effectively if he needs it and keep him safe, it will take the guess work of how much to reduce the dose by when you make the swap.
Overestimating how much insulin he needs could see him bottom out and underestimating how much he needs could see him unnecessarily spend time in high numbers, for some kitties it can prove a real setback.

You monitor him enough to be able to catch the lows and make adjustments accordingly to keep him safe.
 
Gill & George said:
I would suggest a different approach.

We don't usually recommend back to back reductions as the depot from the higher dose is likely to still be influencing numbers. The food issue does pose a complication though.

But I would probably tackle it a different way

I'd take the reduction to 1.25u, but transition the food slowly. Instead of going cold turkey on the MC/HC food that you have been feeding I would introduce the LC slowly, mixing it in with the food he has been eating.
Maybe starting by giving 20%new LC and 80% of his usual for a few days (maybe 3).
Then 40% LC and 60% of his usual for another 3
then 60% LC and 40% of his usual
then 80% LC and 20% of his usual
and finally 100% of LC
Transitioning him slowly over a couple of weeks will allow you to adjust he dose effectively if he needs it and keep him safe, it will take the guess work of how much to reduce the dose by when you make the swap.
Overestimating how much insulin he needs could see him bottom out and underestimating how much he needs could see him unnecessarily spend time in high numbers, for some kitties it can prove a real setback.

You monitor him enough to be able to catch the lows and make adjustments accordingly to keep him safe.
Click to expand...
Thanks for the input!
 
Gill & George said:
I would suggest a different approach.

We don't usually recommend back to back reductions as the depot from the higher dose is likely to still be influencing numbers. The food issue does pose a complication though.

But I would probably tackle it a different way

I'd take the reduction to 1.25u, but transition the food slowly. Instead of going cold turkey on the MC/HC food that you have been feeding I would introduce the LC slowly, mixing it in with the food he has been eating.
Maybe starting by giving 20%new LC and 80% of his usual for a few days (maybe 3).
Then 40% LC and 60% of his usual for another 3
then 60% LC and 40% of his usual
then 80% LC and 20% of his usual
and finally 100% of LC
Transitioning him slowly over a couple of weeks will allow you to adjust he dose effectively if he needs it and keep him safe, it will take the guess work of how much to reduce the dose by when you make the swap.
Overestimating how much insulin he needs could see him bottom out and underestimating how much he needs could see him unnecessarily spend time in high numbers, for some kitties it can prove a real setback.

You monitor him enough to be able to catch the lows and make adjustments accordingly to keep him safe.
Click to expand...
This sounds like a good plan and it should keep Angel more level. Good idea Gill!
 
So she just gave me a 64 at +6. Gave low carb food and testing again soon. Staying calm etc. trusting she will be ok. But does this mean she gets yet another reduction?
 
Hi Cherish,
I have no dose advise sorry - just saying hi and seeing if you need a company for the lows.
Technically - yes, a reduction earned but taking them back to back might not work well.
 
Cherish Gallagher said:
So she just gave me a 64 at +6. Gave low carb food and testing again soon. Staying calm etc. trusting she will be ok. But does this mean she gets yet another reduction?
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Did you stop the higher carb food that you have been using up until now altogether?? or are you mixing it in?
SS seems to suggest you've gone to the 6% with nothing else mixed in, if this is the case it may well be why you are seeing her drop to 64.
ETA she may well continue to drop, changing the food up like that can make quite an impact on BG, which is why I suggested a slow transition
Even though it's late in the cycle I would test her no later than +6.5
 
Cherish Gallagher said:
I was thinking the same thing. As long as we steer her through the lows we mignt just stay at 1U.
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Yes, Cherish, you're in an action-packed situation where her numbers tell you one thing (reduce) but they're coming close together under the influence of a depot that has to reset itself. Rules are good but sometimes you have to make a judgment based on what's happening. You're also in the middle of a food transition to lower carb and that can have an effect. Maybe hold the 1 u for tonight at least.
 
She's holding at 66. Will test again soon. Yes, we switched foods. The foods she was getting before were by no means high carb. More towards medium but I know she will do better with 10% or less. If she is low tonight for preshot we will give her a new one we got that is 10% and test often.
 
Cherish Gallagher said:
Yes, we switched foods. The foods she was getting before were by no means high carb
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Depending on how carb sensitive she is will determine to some extent how much of an impact the switch will have on her numbers.
I would urge you to be cautious, as a dose that has been OK for her up till now with the MC fuds may turn out to be too much now she's on the LC.
 
Gill & George said:
Depending on how carb sensitive she is will determine to some extent how much of an impact the switch will have on her numbers.
I would urge you to be cautious, as a dose that has been OK for her up till now with the MC fuds may turn out to be too much now she's on the LC.
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I will thanks so much! I'm off work the next 4 days which is why we chose today for the transition. :)
 
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