11/22 Chino|AMPS=147|+4=129|+5=82|+6=89|+7=98|+10=232|PMPS=275

Discussion in 'Lantus / Levemir / Biosimilars' started by Adrian and Chino, Nov 22, 2017.

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  1. Adrian and Chino

    Adrian and Chino Well-Known Member

    Joined:
    Dec 8, 2016
    Yesterday...

    Chino had so much fun yesterday that he decided to do it again this morning. I'm on call today, but the office closed at noon (+5) so I'll be able to monitor q30m as long as there are no high/critical priority issues to investigate.

    AMPS = 147 (1st meal LC 3%)
    [4th cycle since increase to 10 units Levemir]
    +4 = 129 (2nd meal LC 3% - gave 2 tsp HC 20% food/gravy with it)
    +5 = 82 (2 tsp HC gravy w/3 dry treats)

    Next check at +5.5. Since I didn't give any R last night and he still dropped below 200 by +4, I'm going to reduce the dose to 9.5 units tonight.
     
  2. Adrian and Chino

    Adrian and Chino Well-Known Member

    Joined:
    Dec 8, 2016
    AMPS = 147 (1st meal LC 3%)
    [4th cycle since increase to 10 units Levemir]
    +4 = 129 (2nd meal LC 3% - gave 2 tsp HC 20% food/gravy with it)
    +5 = 82 (2 tsp HC gravy w/3 dry treats)
    +5.5 = 82! (freeze-dried treat)

    Next check at +6. Hope this means I can check each hour, feed 2 tsp HC until he slows down, then 1 tsp HC if he's close to the reduction point and hasn't started coming back up yet.
     
  3. Adrian and Chino

    Adrian and Chino Well-Known Member

    Joined:
    Dec 8, 2016
    +6 = 89 (freeze-dried treat)

    Wrong way, cat! I hope he hasn't already started bouncing from the drop between +2 and +4...
     
  4. Adrian and Chino

    Adrian and Chino Well-Known Member

    Joined:
    Dec 8, 2016
    AMPS = 147 (1st meal LC 3%)
    [4th cycle since increase to 10 units Levemir]
    +4 = 129 (2nd meal LC 3% - gave 2 tsp HC 20% food/gravy with it)
    +5 = 82 (2 tsp HC gravy w/3 dry treats)
    +5.5 = 82! (freeze-dried treat)
    +6 = 89 (freeze-dried treat)
    +7 = 98 (fd treat)

    Not sure what he's doing today, but it's not the same thing he did yesterday and on 11/08. So I'm not going to reduce the dose just yet. Prepared to give R with the next check at +10.
     
  5. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Good call not to reduce the dose just yet. I like these numbers. :D And he got over the bounce really quickly and without R. Be cautious about using R if he's going to continue clearing bounces that fast.
     
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