8-10 TYLER AMPS- 102/96@+4/PMPS-109/67@+2.5/81@+4.25

Diane Tyler's Mom GA

Diane Tyler's Mom GA

Member Since 2018
https://www.felinediabetes.com/FDMB...5-pmps-115-85-3-5-97-7-5.233388/#post-2608479

Noted on spreadsheet all along I thought I was shooting 0.10 units, but when I was looking at the syringe it was closer to 0.25 units. You will see 0.25 units in the cell now but this is
NOT AN INCREASE I HAVE BEEN SHOOTING THE SAME AMOUNT I HAVE BEEN SHOOTING ALL ALONG

I INCREASED TYLER'S DOSE TO 0.5 UNITS LAST NIGHT 6-15 -20 NIGHT CYCLE

I INCREASED TYLER'S DOSE TO 0.75 UNITS ON 7-3-20 AM CYCLE

I INCREASED TYLER'S DOSE TO 1 UNIT ON 7-16-20 AM CYCLE

I INCREASED TYLER'S DOSE TO 1.25 UNITS ON 7-23-20 AM CYCLE

I INCREASED TYLERS DOSE TO 1.5 UNITS ON 8-2-20 AM CYCLE

Have a nice day everyone and that all our kitties surf safely :cat:
I finally put in Tyler's labs and his brother Perry's who has kidney disease, hope no one minds
 
I was looking at Tyler’s SS in response to your question on dose. I read yesterday’s condo.

First, we do not usually do a +9 meal unless the kitty is very close to going OTJ and just has blue “bookends” that are typically 120 and below. It’s not a method I would recommend for Tyler, IMHO.

Second, he’s generally getting good nadirs and it’s just the PSs that are a concern for you. In this case, you have to decide what nadirs you are comfortable with and not worry about those blue PSs. For example, if most nadirs in the 70s-80s are your goal (and that’s a very good goal), leave the dose a few more cycles and see what happens. If you don’t mind dealing with nadirs on the 50s-60s, then increase to 1.75u but keep up the monitoring. Sometimes it doesn’t take many cycles to get things moving.

The other thing to keep in mind is Tyler’s body doesn’t know the difference between nadirs in the 50s and nadirs in the 80s. In this instance, I’d go with whatever you can handle to keep him safe. Sometimes doses stay the same for a very long time and that’s fine as long as his nadirs are in the normal range and the preshots are mid to lower blue. The PSs will eventually fall in line.

Does that help?
 
Last edited:
Marje and Gracie said:
I was looking at Tyler’s SS in response to your question on dose. I read yesterday’s condo.

First, we do not usually do a +9 meal unless the kitty is very close to going OTJ and just has blue “bookends” that are typically 120 and below. It’s not a method I would recommend for Tyler, IMHO.

Second, he’s generally getting good nadirs and it’s just the PSs that are a concern for you. In this case, you have to decide what nadirs you are comfortable with and not worry about those blue PSs. For example, if most nadirs in the 70s-80s are your goal (and that’s a very good goal), leave the dose a few more cycles and see what happens. If you don’t mind dealing with nadirs on the 50s-60s, then increase to 1.75u but keep up the monitoring. Sometimes it doesn’t take many cycles to get things moving.

The other thing to keep in mind is Tyler’s body doesn’t know the difference between nadirs in the 50s and nadirs in the 80s. In this instance, I’d go with whatever you can handle to keep him safe. Sometimes doses stay the same for a very long time and that’s fine as long as his nadirs are in the normal range. The PSs will eventually fall in line.

Does that help?
Click to expand...
Yes it helps very much @Marje and Gracie
I understand what you are talking about.
So when you say bookends 120 and below I assume you are referring to thevAM and PM pre shots is that correct? Which Tyler's are not

I was under the assumption that it wasn't good to stay with the same dose for more than 6-10 cycles as some have told me

Is it bad if I stay with the same dose for now if I wanted to as long as he is showing me nadirs between 70 and 80?

When I look at his SS it looks like to me when he gives me a green they are the lowest at + 3 and at +4 starting as of 8-1
Then everything after that they are either high 80's or middle 90's
When would you say that Tyler's nadirs happen because the numbers aren't consistent.
About his blue pre shots that I am concerned about, so as long as he is getting decent pre shots, not too high then that's OK?
He did give me 4 green pre shots since 8-1 but that's about it.

I think I will give it a few more cycles at 1.5 units and see what he does .
Thank you Marje ♥:bighug::cat:
 
Last edited:
Diane Tyler's Mom said:
So when you say bookends 120 and below I assume you are referring to thevAM and PM pre shots
Click to expand...
Yes, exactly.

Diane Tyler's Mom said:
I was under the assumption that it wasn't good to stay with the same dose for more than 6-10 cycles as some have told me
Click to expand...
It’s not good to stay with a dose that isn’t working for more than six cycles. But that isn’t the case with Tyler.

I don’t usually like to cut and paste info and quotes but if you haven’t ever read Tilly’s on diabetes (which was the first iteration of TR and was written by Kirsten Roomp of the TR authors Roomp and Rand):

Try to keep the cat at a dose where the BGs are in the 50 to 200 mg/dl range for as much of the day as possible. The majority of cats are actually able to achieve consistent BGs in the 50 to <100 mg/dl range with consistent dosing. A well regulated cat looks like this.

Don't let the cat go below 50 mg/dl (N.B. there are some cats that do well with BGs >=40 mg/dl and are difficult to regulate unless the dose is held at BGs in this range, but a cautious approach should be used until you are sure your cat reacts this way). 200 to 220 mg/dl is approximately the renal threshold for glucose and important for renal health and general recovery. This phase may last a long time (many months). Periodic slight adjustments are necessary in many cases.
Click to expand...

Please note I added the bold to draw your attention.

Diane Tyler's Mom said:
Is it bad if I stay with the same dose for now if I wanted to as long as he is showing me nadirs between 70 and 80?
Click to expand...
It is absolutely not bad. One of the former moderators and amazingly knowledgeable members here, Libby, told me that nadirs of 70-80 was a very good and realistic goal. Obviously, if the nadirs are there but the bounces or PSs are up into high blue and above all the time, I’d increase the dose. But, if Tyler were mine, I’d give him some more cycles at this dose. He’s getting into some good, healing BGs. Libby also said, “don’t chase the numbers; be patient and let them come to you”. Again....she was talking about cats that look like Tyler, not bouncy cats that dip their toes in green and go back up.

Diane Tyler's Mom said:
About his blue pre shots that I am concerned about, so as long as he is getting decent pre shots, not too high then that's OK?
Click to expand...
The PSs, especially AMPS, are often the last to come down in a lot of cats about to go into remission. But if you start seeing any trends of increased PSs above 150 and nadirs climbing consistently towards 90, I’d increase.

You’re welcome!
 
Marje and Gracie said:
Yes, exactly.


It’s not good to stay with a dose that isn’t working for more than six cycles. But that isn’t the case with Tyler.

I don’t usually like to cut and paste info and quotes but if you haven’t ever read Tilly’s on diabetes (which was the first iteration of TR and was written by Kirsten Roomp of the TR authors Roomp and Rand):



Please note I added the bold to draw your attention.


It is absolutely not bad. One of the former moderators and amazingly knowledgeable members here, Libby, told me that nadirs of 70-80 was a very good and realistic goal. Obviously, if the nadirs are there but the bounces or PSs are up into high blue and above all the time, I’d increase the dose. But, if Tyler were mine, I’d give him some more cycles at this dose. He’s getting into some good, healing BGs. Libby also said, “don’t chase the numbers; be patient and let them come to you”. Again....she was talking about cats that look like Tyler, not bouncy cats that dip their toes in green and go back up.


The PSs, especially AMPS, are often the last to come down in a lot of cats about to go into remission. But if you start seeing any trends of increased PSs above 150 and nadirs climbing consistently towards 90, I’d increase.

You’re welcome!
Click to expand...
Thank you so very much for all this info.
I did read everything.
I'll try not to concentrate on his pre shots
I can't thank you enough, one last question , I had to post it below ♥:bighug::cat:
 
When I look at his SS it looks like to me when he gives me a green they are the lowest at + 3 and at +4 starting as of 8-1
Then everything after that they are either high 80's or middle 90's
When would you say that Tyler's nadirs happen because the numbers aren't consistent.
@Marje and Gracie
 
Diane Tyler's Mom said:
When I look at his SS it looks like to me when he gives me a green they are the lowest at + 3 and at +4 starting as of 8-1
Then everything after that they are either high 80's or middle 90's
When would you say that Tyler's nadirs happen because the numbers aren't consistent.
@Marje and Gracie
Click to expand...
I did see that you asked that but I don’t see a pattern of that so it doesn’t bother me. For example, last night at +3.5, he was 85 and when you checked at +7 (after typical nadir), he was 97. That’s pretty flat. In fact, I only see one instance on 8/5 where he was down at +2.5 and up at +6. Again, I wouldn’t let it bother me.
 
Marje and Gracie said:
I did see that you asked that but I don’t see a pattern of that so it doesn’t bother me. For example, last night at +3.5, he was 85 and when you checked at +7 (after typical nadir), he was 97. That’s pretty flat. In fact, I only see one instance on 8/5 where he was down at +2.5 and up at +6. Again, I wouldn’t let it bother me.
Click to expand...
@Marje and Gracie
I'm not going to let it bother me at all. I just have to stop over thinking things lol
I can't thank you enough for setting my mind at ease.
Have a nice night Marje and kisses for those soft adorable kitties ♥:bighug::cat:
 
You must log in or register to reply here.
Back
Top