? 6/14 TiTi AMPS 82, NS +14 162, +16 290, +18.5 312, +21 360, PMPS 365, +2 370, +4 258, +8 347

[Kathy and TiTi]

http://www.felinediabetes.com/FDMB/...t-11u-2-5-74-2-5-64-3-79.159441/#post-1701159


Since PMPS, TiTi seems to be bouncing from pink to yellow and back up to pink again. I will test again in 5 hours, before her 8:30am AMPS shot.Meanwhile I will feed her, and go to bed.






Only an idiot would shoot to 82. I am no longer that idiot.

 

[Kathy and TiTi]

http://www.felinediabetes.com/FDMB/...t-11u-2-5-74-2-5-64-3-79.159441/#post-1701159

Only an idiot would shoot to 82. I am no longer that idiot.

At PMPS today I hope it will be safe to shoot 9 unts.
What tests should I do today?

 

[Gill & George]

http://www.felinediabetes.com/FDMB/...t-11u-2-5-74-2-5-64-3-79.159441/#post-1701159

Only an idiot would shoot to 82. I am no longer that idiot.

At some point it will become safe for you to shoot 82, but I agree with you skipping this morning, you are dealing with a kitty whose insulin needs seem to be changing rather quickly.

If you check her at +18 and she is high enough you could do the two 18hour cycles back to back. You'll have to see what she does.

In the meantime I would give yourself a bit of a break.

Feed her her usual meal,
I would get a +14 or +15 (you are at +12 now, ie it is 12 hours since you last shot) and then take it from there.

No food after +16 if you want to see if she is safe to shoot at +18

 

[Doodles & Karen]

If it were me I'd probably just skip and shoot at PMPS. You're working with a large depot which can be tough to stay ahead of. Skipping today would give both you and Titi a break and get back to it at PMPS. Just my opinion.

 

[Kathy and TiTi]

If it were me I'd probably just skip and shoot at PMPS. You're working with a large depot which can be tough to stay ahead of. Skipping today would give both you and Titi a break and get back to it at PMPS. Just my opinion.

Should be safe, but the same routine wasn't safe last night sigh. She sailed downward.

At some point it will become safe for you to shoot 82, but I agree with you skipping this morning, you are dealing with a kitty whose insulin needs seem to be changing rather quickly.

If you check her at +18 and she is high enough you could do the two 18hour cycles back to back. You'll have to see what she does.

In the meantime I would give yourself a bit of a break.

Feed her her usual meal,
I would get a +14 or +15 (you are at +12 now, ie it is 12 hours since you last shot) and then take it from there.

No food after +16 if you want to see if she is safe to shoot at +18

I need to shop this morning. Almost out of lancets, the various cat foods, kitty litr, and food for me. Then I have to put in an 8 hr day working from home. This is not the sort of day that I can afford emergencies. I'm paid by the hour.

Considering the above factors, what are the advantages and disadvantages of two 18 hr cycles, vs shooting at PMPS?

 

[Gill & George]

If it makes more sense for you to shoot at pmps with everything else going on, that is a perfectly acceptable option, and would allow the depot to drain a little further, she has done well with skipped shots too. This might be preferable as it would give you time to get organised again after all the busy days you have had and more importantly get some work done. Titi, based on recent performance would more than likely get back on track before too long.

I mentioned the 18hr option because in the past you have been worried by skipping altogether. With the way she's been going she may not be that high by +18 anyways.

The advantage of doing the 18hr comes into play if Titi were to be very high by +18, it would mean that you would be getting some insulin into her a bit quicker and not having her go without any for a full 24 hours.

 

[Kathy and TiTi]

If it makes more sense for you to shoot at pmps with everything else going on, that is a perfectly acceptable option, and would allow the depot to drain a little further, she has done well with skipped shots too. This might be preferable as it would give you time to get organised again after all the busy days you have had and more importantly get some work done. Titi, based on recent performance would more than likely get back on track before too long.

I mentioned the 18hr option because in the past you have been worried by skipping altogether. With the way she's been going she may not be that high by +18 anyways.

The advantage of doing the 18hr comes into play if Titi were to be very high by +18, it would mean that you would be getting some insulin into her a bit quicker and not having her go without any for a full 24 hours.

Based on this information, it seems to me that I should make a decision, based on TiTI's numbers from now to +18.

\What is very high? Reds, blacks?
I don't want to see her go into those numbers again.

 

[Kathy and TiTi]

Based on this information, it seems to me that I should make a decision, based on TiTI's numbers from now to +18.

\What is very high? Reds, blacks?
I don't want to see her go into those numbers again.

Also, I don't remember how the 18 hour option works.

 

[Kathy and TiTi]

Also, I don't remember how the 18 hour option works.

Never mind. I looked it up. It's instead of a 12 hour cycle, right?

Seems that either option can lead to another all or half nighter.
Honestly I am running out of steam. And I need my brain rested to do my job. At present, I am in a pretty raw condition.

 

[Gill & George]

Based on this information, it seems to me that I should make a decision, based on TiTI's numbers from now to +18..

Exactly

\What is very high? Reds, blacks?
I don't want to see her go into those numbers again.

That's sort of your call.
But yes if she was in pink, red or heaven forbid black, I would encourage you to shoot at +18.

I would say if she was still in blue or low yellow at +18 then that would be encouraging and skipping would likely not result in seeing those reds and blacks.

If it were me I would be tempted to shoot at +18 if she was high yellow or higher. But I would be interested to see what the high dose kitty mums have to say about this. They should be up and about by then and I am sure they will visit and share their thoughts.

Also, I don't remember how the 18 hour option works.

18hr option

• 9am/9pm shooting schedule
• 9am today skip
• 3pm today shoot 9u
• 9pm today skip
• 9am tomorrow morning back on schedule and shoot the 9u (unless she does some crazy diving that warrants a further reduction)

 

[Doodles & Karen]

Honestly I am running out of steam. And I need my brain rested to do my job. At present, I am in a pretty raw condition

It's important you take care of yourself too. In this case skipping this shot and re-evaluating at PMPS is likely a wise decision. Just my opinion.

ETA: Again staying in front of a large depot can be tough. This will also help drain the depot and then resume with the 9 units.

 

[Gill & George]

Seems that either option can lead to another all or half nighter.

True, that's kind of in TiTi hands.
Skipping would drain the depot more and perhaps offer the greatest chance of sleep than doing the 18hr thing.
As Karen says, you have to look after yourself too.

That said, see what the +18 brings before you make a decision.

 

[Kathy and TiTi]

True, that's kind of in TiTi hands.
Skipping would drain the depot more and perhaps offer the greatest chance of sleep than doing the 18hr thing.
As Karen says, you have to look after yourself too.

That said, see what the +18 brings before you make a decision.

I'm going to test now - +14. then nap to 15 minutes before +16. No way I can shop or work in my present condition. I can work till 9pm today, so napping now makes sense, and shopping can be minimum - lances food right before I start work

 

[Kathy and TiTi]

It's important you take care of yourself too. In this case skipping this shot and re-evaluating at PMPS is likely a wise decision. Just my opinion.

ETA: Again staying in front of a large depot can be tough. This will also help drain the depot and then resume with the 9 units.

Both of you have excellent points. I'll be smarter after my nap.

 

[Kathy and TiTi]

Both of you have excellent points. I'll be smarter after my nap.

+14 162
Even considering that she ate, that's a pretty hefty jump

 

[Gill & George]

Don't jump to any decisions yet, get your nap, and see where she is at later.

 

[Kathy and TiTi]

Don't jump to any decisions yet, get your nap, and see where she is at later.

+16 290
pretty high. This is on no food.
So on 18 hr, her next shoo is now, and then 18 hrs later would be about 7am my next morning.

If I wait to shoot till 9"30pm today, 8 hours from now, at this rate TiTi could flatten out, go pink and flatten, or rise steadily to red or black.

But hard to know.

 

[Marje and Gracie]

Even though she’s at 290 at +16, I’d still wait and shoot tonight. Sometimes the best thing we can do for our kitties is to also give ourselves a longer break and with your new job and the fatigue, that just might make more sense than shooting at +18 today.

Several of us are also discussing a dosing strategy for the immediate future. With other high dose kitties as they are coming down the dosing scale, the caregiver (CG) has sometimes shot 50-66% of the dose for one shot and then gone to a bit higher, but still reduced dose for the new dose until another adjustment needs to be made.

Just as an example:
Continue to skip the a.m. dose and at PMPS, give a roughly 50% dose which would be 6u. Tomorrow, give a higher but still reduced dose from the 11u so, theoretically 8-9u.

We’d like to see how today pans out before we recommend the percentage reduction and the reduced dose, if you can be patient. I know it’s hard when her numbers are rising. Keep in mind the numbers rising are likely due to two skipped shots and an 18 hour cycle. We know you don’t want her back in pinks, reds, etc. but it might also be a good way for us to see what the depot might be doing without another 18 hour cycle in the mix.

If she were mine, I’d not give a shot at +18 and would give her and yourself a break until +22. Then test and post so we have time to go over the options.

What do you think?

BTW, I’ll fix her SS for the shot at +21.5 last night

 

[Kathy and TiTi]

Even though she’s at 290 at +16, I’d still wait and shoot tonight. Sometimes the best thing we can do for our kitties is to also give ourselves a longer break and with your new job and the fatigue, that just might make more sense than shooting at +18 today.

Several of us are also discussing a dosing strategy for the immediate future. With other high dose kitties as they are coming down the dosing scale, the caregiver (CG) has sometimes shot 50-66% of the dose for one shot and then gone to a bit higher, but still reduced dose for the new dose until another adjustment needs to be made.

Just as an example:
Continue to skip the a.m. dose and at PMPS, give a roughly 50% dose which would be 6u. Tomorrow, give a higher but still reduced dose from the 11u so, theoretically 8-9u.

We’d like to see how today pans out before we recommend the percentage reduction and the reduced dose, if you can be patient. I know it’s hard when her numbers are rising. Keep in mind the numbers rising are likely due to two skipped shots and an 18 hour cycle. We know you don’t want her back in pinks, reds, etc. but it might also be a good way for us to see what the depot might be doing without another 18 hour cycle in the mix.

If she were mine, I’d not give a shot at +18 and would give her and yourself a break until +22. Then test and post so we have time to go over the options. One of those options could even be shooting at +22 if you don’t have to be on a 9:30/9:30 schedule. If you do, then nix that option because with your new job, it would be a pain to get her back on the desired schedule.

What do you think?

I don't know. I wasn't aware that I did an 18 hour. I don't think I ever have.

BTW, I’ll fix her SS for the 18 hour cycle so it’s more clear that’s what you did

 

[Kathy and TiTi]

Again, I am really puzzled. I did not knowingly EVER do an 18 hr schedule. As the reduce this, and make higher the next dose, and so on? My head is swimming. This is like a macabre version of daylight savings time, which I never do get straight.

Even though she’s at 290 at +16, I’d still wait and shoot tonight. Sometimes the best thing we can do for our kitties is to also give ourselves a longer break and with your new job and the fatigue, that just might make more sense than shooting at +18 today.

Several of us are also discussing a dosing strategy for the immediate future. With other high dose kitties as they are coming down the dosing scale, the caregiver (CG) has sometimes shot 50-66% of the dose for one shot and then gone to a bit higher, but still reduced dose for the new dose until another adjustment needs to be made.

Just as an example:
Continue to skip the a.m. dose and at PMPS, give a roughly 50% dose which would be 6u. Tomorrow, give a higher but still reduced dose from the 11u so, theoretically 8-9u.

We’d like to see how today pans out before we recommend the percentage reduction and the reduced dose, if you can be patient. I know it’s hard when her numbers are rising. Keep in mind the numbers rising are likely due to two skipped shots and an 18 hour cycle. We know you don’t want her back in pinks, reds, etc. but it might also be a good way for us to see what the depot might be doing without another 18 hour cycle in the mix.




If she were mine, I’d not give a shot at +18 and would give her and yourself a break until +22. Then test and post so we have time to go over the options. One of those options could even be shooting at +22 if you don’t have to be on a 9:30/9:30 schedule. If you do, then nix that option because with your new job, it would be a pain to get her back on the desired schedule.

What do you think?

BTW, I’ll fix her SS for the 18 hour cycle so it’s more clear that’s what you did

Again, I am really puzzled. I did not knowingly EVER do an 18 hr schedule. As the reduce this, and make higher the next dose, and so on? My head is swimming. This is like a macabre version of daylight savings time, which I never do get straigh

 

[Kathy and TiTi]

Again, I am really puzzled. I did not knowingly EVER do an 18 hr schedule. As the reduce this, and make higher the next dose, and so on? My head is swimming. This is like a macabre version of daylight savings time, which I never do get straight.

Again, I am really puzzled. I did not knowingly EVER do an 18 hr schedule. As the reduce this, and make higher the next dose, and so on? My head is swimming. This is like a macabre version of daylight savings time, which I never do get straight

If any of these options entail flirting with red and black numbers, I am simply not willing to do so. The exertion at the kitty litter pans alone, obviates against it. Dragging about 50 lb bags of kitty litter, and hauling 3o+ pounds of wet litter out of TiTi's box 2 to 3 times a day is a nightmare, I've no wish to repeat. Nor, I expect does TiTi.

 

[Marje and Gracie]

Again, I am really puzzled. I did not knowingly EVER do an 18 hr schedule. As the reduce this, and make higher the next dose, and so on? My head is swimming. This is like a macabre version of daylight savings time, which I never do get straight.
Again, I am really puzzled. I did not knowingly EVER do an 18 hr schedule. As the reduce this, and make higher the next dose, and so on? My head is swimming. This is like a macabre version of daylight savings time, which I never do get straigh

My apologies. You are correct...you did not do an 18 hour shot. I was reading back a few days on her condos and said 18 hour shot but what I actually meant was correct to show the shot at +21.5 last night. So I fixed it above and also fixed the SS. I thought I got back here fast enough to correct it so you wouldn’t wonder if I was off my rocker but I didn’t. So sorry....all is good now.

Yes...we totally understand that it seems odd and it might be that there is no need to shoot a much reduced dose and then go back up since skipping has caused her to come up. It might be that just going with a new reduced dose, again, perhaps 8-9u, at regular shot time tonight is the best way to go. Thus we think we need to see what she does today before we offer some options for you.

The reason for the suggestions goes back to what we’ve mentioned before. TiTi had a huge depot built. Things have changed: (1) obviously there was a difference when the meter was coded correctly, (2) dry food is out of the picture, and (3) it is “possible” although we do not know for certain, that she had IAA and it was self limiting (in other words, her body has been able to overcome any potential antibodies it might have had towards the insulin). All of these “potential” factors can lead to a much lessened need for insulin.

When this occurs, we truly have to take it a cycle at a time and not get too far ahead on dosing suggestions until we see how the cycle pans out. We know it’s stressful for you, who would like to know what the next shot will be and when, but we are also taking into account your health, rest, work, etc. We are trying to avoid that depot getting too far ahead of you and you fighting prolonged low numbers. It happens....it happened to me with Gracie on a tiny dose. It is not a fun way to spend a night...it is scary even for an experienced CG.

If any of these options entail flirting with red and black numbers, I am simply not willing to do so. The exertion at the kitty litter pans alone, obviates against it. Dragging about 50 lb bags of kitty litter, and hauling 3o+ pounds of wet litter out of TiTi's box 2 to 3 times a day is a nightmare, I've no wish to repeat. Nor, I expect does TiTi.

We can’t possibly know whether it will or not. We are on uncharted territory with her. She did not zoom up yesterday; she is today. But will she stop at a certain point? We don’t know. That’s why we can lay out information for you but you hold the syringe. It’s your decision and then we continue to help you in any way we can.

 

[Kathy and TiTi]

ok. As far as I can understand this,

My apologies. You are correct...you did not do an 18 hour shot. I was reading back a few days on her condos and said 18 hour shot but what I actually meant was correct to show the shot at +21.5 last night. So I fixed it above and also fixed the SS. I thought I got back here fast enough to correct it so you wouldn’t wonder if I was off my rocker but I didn’t. So sorry....all is good now.

Yes...we totally understand that it seems odd and it might be that there is no need to shoot a much reduced dose and then go back up since skipping has caused her to come up. It might be that just going with a new reduced dose, again, perhaps 8-9u, at regular shot time tonight is the best way to go. Thus we think we need to see what she does today before we offer some options for you.

The reason for the suggestions goes back to what we’ve mentioned before. TiTi had a huge depot built. Things have changed: (1) obviously there was a difference when the meter was coded correctly, (2) dry food is out of the picture, and (3) it is “possible” although we do not know for certain, that she had IAA and it was self limiting (in other words, her body has been able to overcome any potential antibodies it might have had towards the insulin). All of these “potential” factors can lead to a much lessened need for insulin.

When this occurs, we truly have to take it a cycle at a time and not get too far ahead on dosing suggestions until we see how the cycle pans out. We know it’s stressful for you, who would like to know what the next shot will be and when, but we are also taking into account your health, rest, work, etc. We are trying to avoid that depot getting too far ahead of you and you fighting prolonged low numbers. It happens....it happened to me with Gracie on a tiny dose. It is not a fun way to spend a night...it is scary even for an experienced CG.

We can’t possibly know whether it will or not. We are on uncharted territory with her. She did not zoom up yesterday; she is today. But will she stop at a certain point? We don’t know. That’s why we can lay out information for you but you hold the syringe. It’s your decision and then we continue to help you in any way we can.

I had such a night. Not as bad as the one you had, but bad enough. It sounds like you and Gracie got caught by the runaway train? I barely managed to stay a jot ahead of it.

I think the numbers indicate that we are closing in on a correct dose for this particular time. Changing before giving it a chance doesn't seem careful enough to me. But without more numbers (evidence), we can't say.

I'm considering feeding TiTi, who is very hungry, and retesting hourly, until things quiet down, unless every 2 hours seems more reasonable to y'all?

 

[Kathy and TiTi]

ok. As far as I can understand this,


I had such a night. Not as bad as the one you had, but bad enough. It sounds like you and Gracie got caught by the runaway train? I barely managed to stay a jot ahead of it.

I think the numbers indicate that we are closing in on a correct dose for this particular time. Changing before giving it a chance doesn't seem careful enough to me. But without more numbers (evidence), we can't say.

I'm considering feeding TiTi, who is very hungry, and retesting hourly, until things quiet down, unless every 2 hours seems more reasonable to y'all?

Maybe retesting in 90 minutes is a good compromise?

 

[Marje and Gracie]

ok. As far as I can understand this,


I had such a night. Not as bad as the one you had, but bad enough. It sounds like you and Gracie got caught by the runaway train? I barely managed to stay a jot ahead of it.

Yes because she went from normal numbers to dropping to the 20s and HC/karo would only bring her up for a short time, and then she would head back down again.

Maybe retesting in 90 minutes is a good compromise?

Yes...it’s a good idea. Be careful how much you feed her before then, though. If she is starving, I’d just give her a tsp or two of LC food.

 

[Kathy and TiTi]

Yes because she went from normal numbers to dropping to the 20s and HC/karo would only bring her up for a short time, and then she would head back down again.


Yes...it’s a good idea. Be careful how much you feed her before then, though. If she is starving, I’d just give her a tsp or two of LC food.

That was a night in hell, Marje.

Well, she hasn't eaten at all, so time for a test.
+18.5
312

I am thinking, maybe go for the 18 hour?

But that's not for 4 hours, I do not like to wait so long, with what looks like a steady rise up. that would be at +22, 7. 30 pm, 3 1/2 hours from now.
Yet, the last rise was without food for 2 1/2 hours, and it was a really tiny rise.
I am beginning to suspect that 9units might be good, or that 11 units might also.

I need some help evaluating this.

 

[Gill & George]

Just hang on a minute Kathy, Marje or sandy will post shortly.

 

[Kathy and TiTi]

Just hang on a minute Kathy, Marje or sandy will post shortly.

Ok. I'm in no hurry. I just fed TiTi MC.

 

[Marje and Gracie]

We were discussing between 8u and 9u if you shoot at +18. Sandy suggested 9u since she’s going up. So if you want to shoot now, at +18.5, try 9u.

I think the dose suggestion would be the same if you want to wait. It’s up to you.

 

[Kathy and TiTi]

We were discussing between 8u and 9u if you shoot at +18. Sandy suggested 9u since she’s going up. So if you want to shoot now, at +18.5, try 9u.

I think the dose suggestion would be the same if you want to wait. It’s up to you.

Are we thinking a 12 hr or an 18 hr schedule?

On an 18 hr schedule, that has her next dose at 6am, then midnight the same day. Am I doing the timing correctly?

On 12 hour, her next dose is 4:30am tonight. Is this correct?

Both times are sort of difficult, because I can't see how I get back on schedule - that is 9:30am to 9:30pm.

 

[Gill & George]

what time is it there now?

 

[Gill & George]

this is how the two 18hour cycles would work.

• If you shot last night at 9.30pm
• then you skipped this morning
• then you would shoot at 3.30pm this afternoon (18hrs after your shot last night)
• then you would shoot again tomorrow morning at 9.30 am (18 hours after this afternoons shot)

you do two back to back cycles to keep you on track.
Does that make sense?

eta I cross posted with you Marje, I think Kathy reset her time yesterday to her preferred shot time of 9.30

 

[Marje and Gracie]

On an 18 hour dose, you would have already shot at +18 today or even at +18.5 when you posted and I posted. Then your next shot would have been 18 hours from that.

What time did you shoot last night and I'll do the math

 

[Marje and Gracie]

Gills example was correct so it is now 5 pm where you are Kathy which is +19.5. You still could shoot but that means, unless she is really high in the morning, the next shot would be at 11 a.m. Tomorrow.

Or..you can just wait until 8:30 tonight....that would leave you shooting at +23.

 

[Kathy and TiTi]

this is how the two 18hour cycles would work.

• If you shot last night at 9.30pm
• then you skipped this morning
• then you would shoot at 3.30pm this afternoon (18hrs after your shot last night)
• then you would shoot again tomorrow morning at 9.30 am (18 hours after this afternoons shot)

you do two back to back cycles to keep you on track.
Does that make sense?

eta I cross posted with you Marje, I think Kathy reset her time yesterday to her preferred shot time of 9.30

Yes, I did. It is almost 5:30 now, so too late to shoot at 3:30

On an 18 hour dose, you would have already shot at +18 today or even at +18.5 when you posted and I posted. Then your next shot would have been 18 hours from that.

What time did you shoot last night and I'll do the math

Yes, I did. It is almost 5:30 now, so too late to shoot at 3:30
I shot at 9:30pm last night

 

[Kathy and TiTi]

Yes, I did. It is almost 5:30 now, so too late to shoot at 3:30


Yes, I did. It is almost 5:30 now, so too late to shoot at 3:30
I shot at 9:30pm last night

That resulted in numbers dropping a lot. Well, not that much, but into green, and continuing down. That caused the re-evaluation this morning, leading to the skipped shot at AMPS

 

[Kathy and TiTi]

That resulted in numbers dropping a lot. Well, not that much, but into green, and continuing down. That caused the re-evaluation this morning, leading to the skipped shot at AMPS

Still waiting for an answer her. I am now pretty confused about how and when to shoot in terms of finding reasonable times to shoot. I should have shot a 3:30., I think

 

[Sandy and Black Kitty]

Grab a test and we can take it from there.

 

[Kathy and TiTi]

Still waiting for an answer her. I am now pretty confused about how and when to shoot in terms of finding reasonable times to shoot. I should have shot a 3:30., I think

Ok
+9 360
3 hours to go to shoot at normal time, 9:30pm
Seems reasonable . Odd these pink numbers with one high yellow - sort of flat from +3 onward ( er make that +16 0nward)

 

[Sandy and Black Kitty]

If you were to shoot at 8:30pm, would shooting at 8:30am tomorrow be problematic?

 

[Kathy and TiTi]

If you were to shoot at 8:30pm, would shooting at 8:30am tomorrow be problematic?[/QUOTE

A bit, yes. I get to sleep roun1-2am, and get up at 9-9:30. But it's doable. Are you thinking 8:30 instead of 9:30, because it's sooner, so less dangerous for higher numbers, and/or if things start going low, we have more time to fix it before the difficult early morning hours?

 

[Kathy and TiTi]

Actually. it's only a half hour difference. Not much of a prob.

 

[Kathy and TiTi]

Actually. it's only a half hour difference. Not much of a prob.
I know this may e a repeat, better safe than sorry.

 

[Kathy and TiTi]

Actually. it's only a half hour difference. Not much of a prob.
I know this may e a repeat, better safe than sorry.

I might be changing over to a relion prime , if the meter change doesn't put a quirk in the number results. Otherwise I can stay with present meter thru the evening - night - morning.

We are doing a 9 unit for the new dose, right?

 

[Sandy and Black Kitty]

She is not in any danger from a few hours of pink or even red. So it's up to you. However I would not shoot 11u.
As far as dose, you could try 8, 8.5 or 9u. What do you think?

 

[Kathy and TiTi]

I've only single marked syringes, so 9u seems good. We've done 11u, and it resulted in 2 skipped shots, so 11u seems tested thoroughly, and throwing it out seems a good solution.

Being of a conservative bent these days, I opt for 9u. Given her numbers today, I think it a pretty safe bet. We seem to be very close to finding her best dose, at least for the time being. And shooting at 8:30 gives me an hour more time to be awake while seeing what 9Units does. Hopefully, it will go flat.

 

[Kathy and TiTi]

I've only single marked syringes, so 9u seems good. We've done 11u, and it resulted in 2 skipped shots, so 11u seems tested thoroughly, and throwing it out seems a good solution.

Being of a conservative bent these days, I opt for 9u. Given her numbers today, I think it a pretty safe bet. We seem to be very close to finding her best dose, at least for the time being. And shooting at 8:30 gives me an hour more time to be awake while seeing what 9Units does. Hopefully, it will go flat.

+23 365
Shot 9 un its PMPS(8:30, 1 hour earlier in 12 hour cycle)

 

[Kathy and TiTi]

+23 365
Shot 9 un its PMPS(8:30, 1 hour earlier in 12 hour cycle)

Ok. I will test +1, but after that I am unsure.

Should I feed her now, or wait until we see +1.

By the way, why do we want a +1, since the insulin has not yet taken effect?

 

[Marje and Gracie]

I would feed her and I don't think you need to get a +1. I think a +3 is fine.

 

[Sandy and Black Kitty]

Definitely feed if you shot.
Since its been 23 hours from the previous shot you can skip the +1. A +2 may be valuable info.