? 3/8/21 Marmy’s #’s not responding well to 2 dosage

https://felinediabetes.com/FDMB/forums/lantus-basaglar-glargine-and-levemir-detemir.9/create-thread
so I gave her a few extra cycles thinking that she was clearing the bounce from the earlier horrifically low numbers. However I am inclined to increase her dose once again to 2.25 but I would like to have some feedback from anyone out there who is willing to take a look at the numbers for me and let me know your thoughts.

 

Toni, I'd suggest getting a couple of nights where you are getting at least one before bed test, I'd look around +5 or +6, before considering going back up to 2.25u, it may that she is going lower at night, then bouncing during the day. Plus, with TR is it recommended to test at least once during each cycle in addition to the preshots.

2.25u dropped her pretty low, I'd definitely want to be sure the reduction failed by getting those extra tests in at night first. This may be a situation where, if you've gotten additional night time tests over the next few days, and it seems she needs an increase, I might think about just fattening the dose. Maybe see what others say after a few more days of evening tests.

 

Thank you. I actually go to bed around 9:30 which would only be a +11/2 . She has me up often during the night so I will try to test her is I am functioning enough. Sleep is hard to come by with my caregiver duties for my sister and Marmy but what you say seems logical to,pursue. Thank you

 

If things are getting a bit hectic, and you are finding you are just burned out, with needing to sleep and just life in general, there is nothing wrong with going back to SLGS for a while. It might give you a little breathing room, and will help keep Marmy safe too, since TR is considered an aggressive method, and does need more testing especially when wanting to increase the dose. Just something to think about. You can always go back to TR when you feel you are up to it

 

I need to familiarize myself with SLGS and thank you again for your suggestions.