1/27 Callie AMPS 600+

She was at 184 last night but she jumped up to "Hi" overnight. She had a snack of canned food around midnight last night (+3).

http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=87813&p=940093#p940093

You don't know how low she went last night.

The limited overnight data shows that she drops steadily throughout the night, right? She may have gone lower than she has been yet, and her body panicked, sending her into rebound, which is what I think the HI is this morning. We just don't know without data.

This big swings are not good. They make regulation harder and make the diabetic feel like crap (according to a human diabetic, who said he'd rather be higher and flat than swinging up and down)

I'm not sure why you went up to 2U when you did. She was doing very well on 1.75. Yes, you had that one setback due to your schedule, but it wasn't a good time to raise, in my opinion. Three days is a minimum settling period for a new dose, but that doesn't mean you automatically raise - if a dose is slowly bringing her down without wide swings, then you stay on it until
a) it isn't doing that anymore and it's time for another gentle bump up, or
b) she goes down in to the mid-green range, then it's time for a reduction.

While the decision is ultimately yours, it's a good idea to check in here on the board, there are lots of people going through the same thing. You guys are my friends, I'm happy to help, and I have experience, but I shouldn't be the only one with eyes on Callie right now.

For example, my own opinion is that 2U is too much, AT LEAST for the overnight cycle. So the idea I mentioned you y'all in an email - 2U in the morning and 1.75U in the evening might work. But I would love to know what others thought of that idea - do others use two different doses, or if you should decrease both doses or hold the course...

Meanwhile, continue to read and increase your own knowledge using the articles on this site - there is lots of good information saved as stickies at the top of this forum.

Maybe you could put dosing question in your subject line, and maybe a ? icon. Even if it's actually me with the questions! I would love to know what everyone else thinks. Also, as you get spot checks, add the numbers to your subject line as you get them, so everyone can see Callie's cycle as it unfolds.

Good luck!

I'm wondering if you got nervous when you saw the high PMPS on 1/24. I do think an increase was OK but the timing may not have been the best. One of the things we try to pay attention to is increasing during a bounce. Since you've not yet had to steer low numbers, there can be a risk involved in increasing the dose when Callie is bouncing. If the bounce breaks, there's momentum driving the numbers back down. If you increase the dose, there's some added momentum. It can be easy to get into a situation where it's tough to get the numbers back up. So, if Callie is seeing some good numbers and you then see a spike upward, there's a good chance it's a bounce.

I would stick with this dose until the bounce clears. It will give you a chance to evaluate what this dose is doing once it clears. That was a nice run of blue numbers and I think Cindy's right -- this morning you're seeing another bounce.