? 10/11 - Djoko - amps 482 pmps 598 - dosing question

https://www.felinediabetes.com/FDMB...-358-pmps-281-2-5-58-at2.239704/#post-2695241

Hello, it is no surprise to me that Djoko is not doing so great on this dose. He may have bounced at the beginning but normally, after 3-4 cycles, he is back to normal.

When would be a good time to get back to 1.5U? I think the solution may be to test him systematically at +2 every shot to prevent future quick drops and therefore hypos.

Any thoughts?

Merci!
Marj

 

I don't give dosing advice but do think the +2/+3 to be a very helpful test. What's Djoko's feeding schedule? That's the other thing that can help with the drops.

 

Djoko is fed obviously before his shot and then at +1, +2, +3 - I normally test him around +3 (sometimes 3.5) and based on the result of his test, I feed him again or wait at +4. He is used to eating throughout the day. He has chronic pancreatitis so this is to give his pancreas a break. Normally, the last meal at night is at +5 or +6 (depending on his bg last reading). I leave a bit of food during the night with an ice pack if he is hungry and normally, when I wake up at 5.20am to give him his shot, the food is gone. He can eat 90% of his food between +1 and +3 and that would not prevent him from dropping. I may start to give him maple syrup drops to slow him down when he drops too fast. He is on a home made diet which consists of quinoa, horse, a bit of veggies, and two types of oil and supplement. It was made by a vet-nutritionist and seems to help his ibd, pancreatitis and stabilize his renal disease!
I think the +2 - If I go back to the 1.5U - would be a must considering that his biggest drops normally happen between +12 and +2.

 

That's a good idea. I was going to say maybe feed higher carb earlier in the cycle but since he's on a homemade diet adding a drop of syrup to make "medium carb" would be a good idea. I'm sure others may be on soon to help with dosing.

 

That’s what I’ve been trying to tell you. Big drops cause a bounce just like going low. I’d start setting an alarm. Blue started to do better when we started testing getting a +1 and every 30 minutes for the first 3-4 hours.

 

Yes. I test him earlier than before but it needs to be earlier than a +3 - I agree. I know most of time it will not give anything but the times he drops fast, it will certainly help. Djoko reacts a lot to testing this is why I am trying to do it when needed.
What about dosing Elise? Should I wait another day at 1.25 or go back to 1.5 in the morning?

 

I’d go back in the morning.

 

his +2.5 is 30

 

I will change the time of his shot at well because the 5h20 is brutal. Maybe to 6am. I hope it will get better. He was so hungry last night he was running for food because he has been so high in the last 2-3 days. Thank you both for your input.

 

I guess he read your condo and doesn’t want more juice. I know he used to onset late but it’s changed. I would get a +1, +1,5, and +2. F any are dropping he needs higher carbs. How do you adjust for that given his special diet? If he starts to drop early under normal circumstances I would give mc.

 

For those of our friends in the US, that's 540.

 

@Christie & Maverick Thank you. I saw 30 and nearly had a heart attack.
Increase as we planned.

 

MY BAD - 30 in world normal so 530 in american value....

 

I am very tired and forgot to convert - I am so used to reading world value :S. Sorry Elise.
No somehow, he never does well on 1.25U. Maybe one day..!

 

So sorry! That would have been crazy from 598 to 30 in 2.5 hours on 1.25U!

 

I’ve seen that happen!