05/26 Sly, AMPS 397, +5 291 PMPS 286

Discussion in 'Lantus / Levemir / Biosimilars' started by Deb and Sylvester, May 26, 2023.

  1. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023
    https://felinediabetes.com/FDMB/threads/05-25-sly-amps-403.277906/

    Not sure what he did after +4, but I think I'm safe to presume, nothing!

    Tonight I'm going to to push up to 5.25 units, and see if that makes any difference. I know it's supposed to be 0.5 unit increments after 5, but I see little difference between 4.75 and 5, as well as between 5 and 5.25...
     
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  2. Angela & Cleo

    Angela & Cleo Well-Known Member

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    Feb 8, 2022
    FWIW I think you have plenty of data and experience to make this adjustment :bighug:
     
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  3. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023

    I think so too, I just wanted to address it, if someone looks and says, what is she doing?

    Although, I didn't even put the right AMPS in the header!! lol more coffee please!!:coffee::coffee::coffee:
     
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  4. Mikanmama

    Mikanmama Well-Known Member

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    Jan 20, 2023
    One of those mornings :)
    Good luck with the increase - Sly, the threat is out! Time to behave!
     
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  5. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023
    :joyful::joyful::joyful::bighug:
     
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  6. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Morning Deb, good luck with the increase tonight, come on Sly make us happy .
    Hope you have a nice day Deb :bighug::bighug::cat:
     
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  7. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023
    Thanks Diane, hope you and Tyler are enjoying the sunshine!! So happy it's a 3 day weekend!
     
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  8. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023
    I spoke to my Vet and she thinks that I held the last 2 doses too long. She did say that while she can appreciate that there is a method for cats that will not eat an "only wet" diet, that we have enough data to make dose adjustments every 5 days to avoid glucose toxicity with Sly.

    She doesn't want me to use a sliding scale like we did with Luigi, but she definitely thinks Sly needs more juice, and would like me to continue with the restricted calorie diet. I agree with her points.

    Considering that we will increase every 5 days if required, should I change my SS to read SLGS/Custom, or just leave it be?

    @Bandit's Mom @tiffmaxee
     
  9. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    I see her point but I think Sly is bouncing from greens. I don’t think there’s a chance of toxicity with his bg nadirs under 100. If you decide to increase every 5 days yes you need to change the signature and ss to say SLGS Custom.

    @Wendy&Neko Thoughts?
     
  10. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    I agree with your vet. Especially given how much you test. Need to get rid of those reds and pinks.

    The idea of the larger increase is that the size of the increase becomes more significant (and attention getting) if it’s, say, 10% of total dose size.

    I have seen glucose toxicity with green nadirs. Power out at my place (electrical upgrade) or I would post links. Judy and Boomer and Diane and Tyler come to mind. Tyler’s you can see above. Check out 2020, and what happened leading until October.
     
  11. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023
    So do you think I should do the full half unit increase, and reduce if need be..?

    I'm asking because my Vet also thought that might be the way to go, she knows I'm a test fanatic, and his numbers overall were better the last time we were at this particular dose.
     
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  12. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    I do like your vet. :)
     
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  13. Deb and Sylvester

    Deb and Sylvester Well-Known Member

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    Feb 2, 2023
    So do I, she listens to me :joyful: She knows I do my research on everything, so she's very thorough :)
     
  14. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Def a keeper.
     
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