? 8/27 - Wally - SLGS - AMPS 436, +4 54, +4.5 88, +5 97 +6.5 198 +9 498 PMPS 433 +2 613

Ginger Cat

Ginger Cat

Member Since 2017
Here we go again. The last time I increased his dosage to 1.5 units, he crashed so we lowered to 1.25 but it wasn't enough. He had a great nadir yesterday at 298, then bounced up to 598 PMPS.

I fed him a tiny bit of karo syrup but mostly low carb FF and he responded well so I'm wondering do I just shoot 1.5 if his PMPS is high enough???

Reading through the SLGS vs. TR, I'm wondering if I should follow TR for this boy. Any thoughts/inputs welcome.

Prior post: https://www.felinediabetes.com/FDMB/threads/need-dosing-advice.233759/#post-2613834
 
It’s a personal choice. Yes read the TR protocol again. You use an AT. One thing that has never been clear to me with a long term diabetic is when to decrease even with TR. With a human meter it’s 3 times in the 40’s. Would it be three times 60-68? Would it be 3 between 58-68? That’s why I prefer a human meter. I’d love clarification on this. Tgat 54 would earn a decrease I think even with TR. One thing I did with Max was to start increasing and decreasing in 1/8 increments. Used digital calipers. Any lurkers that decision was on,y for Max and possibly for Ginger given the history. Nobody else should consider this.
@Sienne and Gabby (GA) @Wendy&Neko @Marje and Gracie Thoughts?
 
Ginger Cat said:
I'm wondering if I should follow TR for this boy.
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You test more than enough so I don't know why not

Ginger Cat said:
I fed him a tiny bit of karo syrup but mostly low carb FF and he responded well so I'm wondering do I just shoot 1.5 if his PMPS is high enough???
Click to expand...

I think I'd try it if he's high enough (which I'm betting he will be) My 2 reasons for recommending the 1.5 again is because he's probably going to be pretty high by PMPS and we occasionally recommend what we call "shooting through the bounce"....that's giving the same dose ONE more time to help give some added support. Also he is a long term diabetic so a lot of us wait until they drop 3 times instead of once

He'd been on the 1.25 for 13 cycles and never dropped into green so I think he needs more than 1.25

tiffmaxee said:
With a human meter it’s 3 times in the 40’s. Would it be three times 60-68? Would it be 3 between 58-68? That’s why I prefer a human meter. I’d love clarification on this.
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I'd love to hear what others think about this too!
 
tiffmaxee said:
Hoping one of the mods will reply before PMPS
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The mods are not the only ones who can help with dosing. The role of the moderator is to help ensure smooth running of the board, not just in LBL land. Just had to put that out there because I've been seeing a few people tag only mods or ask for mod help on dosing. Anyone who has experience and confident on dosing can chime in. The beauty of a peer reviewed board is that multiply people can help and others can help if the suggestions need tweaking. Off the soap box now.

On the dose, today's 54 on the AT means he does not want an increase and might need a decrease. It would have been really helpful to get an earlier test in the day, so you could hace seen he was dropping and given him some food to slow the plunge. And ideally have prevented him going low and instead spending more time in healing green numbers. Since Wally seems to be fond of diving, you might want to start getting a +2 to see if he's letting you know when he's going to dive. If the +2 is a lot lower than the preshot, it'll be quite an active cycle that will need intervention in terms or more monitoring and/or manipulation with food. You might want to check out this post on manipulating the curve with food.

On the question of decreases, we go back to the basics on Earning Reductions. Unfortunately, TR and SLGS were written with human meters in mind, so we can't really give you exact guidance on the reduction values for an AT. We do know that 68 was chosen as the cutoff for AT vs 50 for the human meter, but we don't know for sure that it's equivalent. We also don't know what 40 on a human meter means on the AT. Plus, you really do need to decide if you want to follow SLGS or TR to be able figure out if today's numbers mean a decrease. With SLGS, we've been using 90 as the same cutoff for both AT and human meter. If you are following SLGS, reduction is earned.
 
Wendy&Neko said:
The mods are not the only ones who can help with dosing. The role of the moderator is to help ensure smooth running of the board, not just in LBL land. Just had to put that out there because I've been seeing a few people tag only mods or ask for mod help on dosing. Anyone who has experience and confident on dosing can chime in. The beauty of a peer reviewed board is that multiply people can help and others can help if the suggestions need tweaking. Off the soap box now.

On the dose, today's 54 on the AT means he does not want an increase and might need a decrease. It would have been really helpful to get an earlier test in the day, so you could hace seen he was dropping and given him some food to slow the plunge. And ideally have prevented him going low and instead spending more time in healing green numbers. Since Wally seems to be fond of diving, you might want to start getting a +2 to see if he's letting you know when he's going to dive. If the +2 is a lot lower than the preshot, it'll be quite an active cycle that will need intervention in terms or more monitoring and/or manipulation with food. You might want to check out this post on manipulating the curve with food.

On the question of decreases, we go back to the basics on Earning Reductions. Unfortunately, TR and SLGS were written with human meters in mind, so we can't really give you exact guidance on the reduction values for an AT. We do know that 68 was chosen as the cutoff for AT vs 50 for the human meter, but we don't know for sure that it's equivalent. We also don't know what 40 on a human meter means on the AT. Plus, you really do need to decide if you want to follow SLGS or TR to be able figure out if today's numbers mean a decrease. With SLGS, we've been using 90 as the same cutoff for both AT and human meter. If you are following SLGS, reduction is earned.
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He actually did eat more food around 10:30 am as he only ate 2/3 of his breakfast this morning, so he finished the final 1/3 at that time. So that was about 3 hours before I took his 1:30 pm reading. Since I'd been testing him so much and his ears were raw I wanted to give him a little break... I can only image how low his +2 actually was.
 
Chris & China (GA) said:
You test more than enough so I don't know why not



I think I'd try it if he's high enough (which I'm betting he will be) My 2 reasons for recommending the 1.5 again is because he's probably going to be pretty high by PMPS and we occasionally recommend what we call "shooting through the bounce"....that's giving the same dose ONE more time to help give some added support. Also he is a long term diabetic so a lot of us wait until they drop 3 times instead of once

He'd been on the 1.25 for 13 cycles and never dropped into green so I think he needs more than 1.25



I'd love to hear what others think about this too!
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I agree that the 1.25 didn't seem to be enough. He's definitely come full circle today, starting at 436 and now PMPS at 433. Will check after +2 to see if he's again going down....
 
Ginger Cat said:
He's up to 613! +2 PMPS. I don't think he's ever been this high.
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That's a big bounce!! Dropping so low today freaked out his liver and lots of stored sugars and hormones were released to bring him back up fast.

This too shall pass.

Yo Wally!! No bouncing in the house!!
cat1.gif
 
Chris & China (GA) said:
That's a big bounce!! Dropping so low today freaked out his liver and lots of stored sugars and hormones were released to bring him back up fast.

This too shall pass.

Yo Wally!! No bouncing in the house!!
cat1.gif
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I wish he'd listen to you, Chris. check out his numbers from this a.m. Down to 237
 
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