? 12/19 Billo AMPS 194, +2 158, +6 81, +7 90, +9 135, PMPS 311

yesterday

First cycle using TR went well in my opinion! A recap of the night:

+2 241
+6 144
+10 169


I'll be keeping an eye on Billo today, because she'll either drop or bounce after having low numbers like that. Billo was a little restless last night so maybe she'll take multiple naps throughout the day.

Have a good day everyone!

 

I like this amps too!

 

Good luck with the increase! Surf safely, Billo

 

Thanks guys! To clarify with TR, a reduction is in order only if the nadir drops below 40 correct, since Billo is a long term diabetic? And are token doses still given in appropriate circumstances with TR?

 

First off, way to go. Billo's first two cycles on TR look amazing!

From the TR Sticky on earning reductions:

• If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit.
• Alternatively, attempt a reduction when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.

Billo is a long-term diabetic, being over a year since dx.

I think you'd have to look at the need for a token dose on a case-by-case basis. With TR, you want to shoot the full dose as long as the pre-shot number is 50 or above. Shoot low to stay low. Shooting a 50 is safe. Of course you need to monitor. We do not shoot a number below 50 though.

When you have time, read through this sticky:

https://www.felinediabetes.com/FDMB...y-to-shoot-handle-lower-pre-shot-numbers.147/

 

Thank youuu!! Started off on the right foot, hopefully we can keep the momentum going.

Thank you for the clarification! I read that same bit but I wanted to be sure, in case I was wrong. I was looking at other spreadsheets and saw that same reduction being implemented when appropriate, but I thought to ask still. And that makes sense. I'll keep an eye out for the low pre shots. Thanks once again for clarifying, Lyla!

 

Since Billo is a long term diabetic and following TR, reductions are earned when she either drops once below 40 or drops between 40 and 50 on three different days.

Long term diabetics - more than one year since diagnosis

• reduction *earned* after a single drop below 40 mg/dL for those following TR, or
• reduction *earned* after 3 drops between 40 - 50 mg/dL on three separate days for kitties who have shown they do not hold reductions well and following TR, or
• reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat (50 - 80 mg/dL) and stays under 100 mg/dl overall for at least one week and following TR.

https://www.felinediabetes.com/FDMB...ng-reductions-and-starting-otj-trials.150160/