? dose? 6/30 kit AMPS 229, +2.5 222, +5.5 205, +7.5 194, PMPS 234,+2.75 241,+4 177

Discussion in 'Lantus / Levemir / Biosimilars' started by JOJI and Kit, Jun 30, 2020.

  1. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    Si am cat mom likes this.
  2. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    It looks like she's teasing you about that blue. I hope you see more soon.
     
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  3. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    * looks at SS*

    Sooo close :cool:
     
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  4. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    barely blue today.
    considering a 0.25U increase to 5U for the AM cycle.

    tia, ^jw
     
    Last edited: Jun 30, 2020
  5. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    thoughts?
     
  6. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    Just for reference
    Increasing the dose:
    • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
      • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
      • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
    • Increase by 0.25 unit after 3 days (6 consecutive cycles) if nadirs are greater than 200, but less than 300.
    • Increase by 0.5 unit after 3 days (6 consecutive cycles) if nadirs are greater than 300.

    I would think you hold for at least another day to see if you get anymore greens. Kit isn't exactly new to blue numbers, but you are new to greens. So, I believe on TR you would possibly increase on 7/2, but I'm not 100%.
    I would post again in the AM and see what the best move is if no one gets back to you tonight.
     
  7. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    thanks for looking ari,
    i wasn't sure if kit really "made it" to the under 100 condition because it says nadirs
    and she just had that one 99.
    maybe @Wendy&Neko or @tiffmaxee
    will have inputs as well.
     
  8. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Tomorrow is the 6th cycle after the greens. I wouldn't increase tomorrow AM, in case it's a bounce breaking cycle. Bounce breaking cycles can have extra downward momentum - adding an increase making it even more so. Unless you see green tomorrow, I'd increase after that.
     
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  9. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    oh, ok! i didnt know the count started from the first green. i was looking at the overall dose count.
    so if we see green in the AM, could we wait until the following AM to increase or would it need to be the PM immediately following?
    since AM is easier to monitor.

    thanks, jw
     
  10. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    and down 60 in just over an hour... oh kit ...
     
  11. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    It’s amazing how often just thinking about a potential increase leads to better numbers. ;)Wendy answered you I see.
     
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  12. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Looks like the drop fizzed out,
    You do count the cycles from the start of a dose, but you try to avoid increasing on the same cycle as they break the bounce.
     
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  13. JOJI and Kit

    JOJI and Kit Well-Known Member

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    Dec 19, 2019
    ok. so then the bounce was in the pm cycle 6/28? and what’s the hint that it might be breaking in the am?
     
  14. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    I was looking back to the green on the 28th. Bounce started that night.
     
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