? 03/11 Chippy, AMPS 143; reduce dose again?

https://felinediabetes.com/FDMB/posts/2757195/
Good morning!
Chippy was down to 84 (alphatrak) on his bedtime test last night. According to the SLGS protocol that means we should reduce his dose again. I feel like we're dropping his dose every couple of days and rarely making it to 6 full cycles. Are there any problems with this? We did give him a "skinny" 3/4 this morning.

 

He is earning and holding reductions so no reason to worry!

We don't skinny or fatten doses unless a full 0.25U increase or decrease does not work multiple times. Your SS says 0.75U for today's AM shot.

Have you thought about switching to TR? You can stay at a dose that allows Chippy to stay in normal numbers longer. Though, with the AT, 68 and 90 are not too far apart.

 

The 1/4 dose is always a bit of a guess for us anyway. DH and I both look at the dose carefully and try to determine how close we are, but it likely fluctuates a tiny bit each time despite our best efforts. I'll be glad to get back to a dose that's right on the line.

We've thought about it, but I'm still not sure I can handle those very low numbers. We're meeting a new vet next week who is (supposedly) familiar with and open to TR. Our current vet is not a proponent of TR and we've been getting a ton of pushback from her along with warnings that we're going to wind up in the ER in the middle of the night, so that's not helping my confidence.

 

He did earn a reduction to 0.5U last night!

 

What is "S1" on your spreadsheet?

 

S1 is skinny 1.0.

I hope your new vet encourages TR. Chippy is doing so well but with TR has a better shot at a strong remission if he continues this way.