? 3/7, Susie, AMPS 245, 242 @+3, Time for an Increase?

https://felinediabetes.com/FDMB/threads/3-5-susie-187-amps-224-2-215-4-5-198-6-75-252-8-25.244148/

I know protocol calls for a curve prior to an increase I think based on all of Susie's numbers since last Tuesday a .25 increase would be helpful for her. Can I increase her dose tomorrow morning at AMPS?

 

I was checking Susie's progress, what insulin did you switch to Lantus from? We changed from Caninsulin/Vetsulin which was really brutal for Chico.

You are doing a great job at testing, as well it looks like you are testing a lot for TR, why did you chose SLGS? With TR you could increase dose faster, maybe it is something to consider for at least until you get to a good dose for Susie?

Please consider this as my humble opinion just for your consideration of a 2 month old practice with FD.

Rooting for you too to get to a better dose as soon as possible

 

Thanks, Marina. Susie also just switched from Vetsulin to Lantus. Her numbers are a lot flatter now but I do want to get them lower. I went with SLGS because the switch made me nervous and I wanted Susie to be on the Lantus a while to see how she did with the original dose before I increased it. I do pretty good testing during the day - not at night. I appreciate everyone's suggestions, Marina. Good luck with your Chico, too!

 

Congratulations for the switch, looks like Susie will do very well on Lantus since she is already flattened

If i can ask, is there a specific reason why you can't test during the night? It is a lot of effort, don't get me wrong but during the night they tend to go lower and it is safer to have an upper hand on that. I saw from your spreadsheet that you are aware of this and lowering the dose for the night which is not very good for the way Lantus works, it needs consistency to show best results. On the bright side you "only" need to follow the active cycles so if you take a +2 you should know if it is worth following or not.

We started shooting schedule with Chico at 9AM and 9PM but during the first active night cycles we realized that it takes us up until 3-4AM to pass nadir so we quickly changed his shooting schedule (with half an hour per day increments) to 7AM and 7PM haha Now most active nights finish at 1AM which is still acceptable.

Thank you Summer for your kind words we wish you and Susie lots of patience and luck as well

PS Change the Thread title and add a question mark to bring some more attention to your post.

 

With SLGS you need to hold the dose for 7 days, so the earliest you can increase by 0.25u would be Tuesday morning. Your spot checks are helping to see how low the dose is taking Susie, and nadirs are above 150, but it is just a little early for that increase.

 

Just want to add to what Christie wrote. IF you don’t feed dry you test enough for TR.

 

I don't test much at night because I like to sleep and I haven't seen any numbers low enough to be really concerned with at this point. I know that when her numbers start coming down it will be a necessity. I get up early. Around 4:30 and was testing and feeding around 5:00, with the Vetsulin, then shooting around 5:30. Right now I am slowly trying to move the time back. With Lantus I can test, feed and shoot at the same time so would like to get to 5:30AM/5:30PM so I can sleep until 5:00 am. I am usually in bed around 7:00 pm. I have a couple of droolers that require immediate attention first thing in the morning so everything is hectic around 5:00 am. I haven't lowered the dose for the night with the Lantus. I did with the Vetsulin. I didn't want to draw any attention to my post as being urgent but think I will go back and add the question mark. I need to know what the moderators think about the increase. Thanks, Marina.

 

Thanks, Christie. I'll wait until Tuesday.

 

I never feed dry. Will wait until Tuesday.

 

Susie will probably need the increase, but like the others said with SLGS you wait 7 days unless a reduction is earned.

 

I will increase the dose .25 on Tuesday morning. Thanks, Carla.

 

Good luck on Tuesday if you increase

 

Thank you, Diane.

 

Good luck with the increase

 

Thanks! She got her first "pink" since February 26th. The increase has to help but might not be much. Start low, go slow.

 

I admire your patience you will find out soon already if 1.25 will be a better dose