02-24 Small Kitty amps 486 pmps 394 +4 261 +6 252 - Levemir dose on standby

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Photorecon

Photorecon

Member Since 2016
Good morning everyone,

Finally we good something out of the entire change and ketone fighting process.
I was starting if Small Kitty would ever see blue again, and he did yesterday.
To have an idea of how low he was going I stalled him for 1h, he kept on going
down. I could not stall him forever, had to keep sync with next doses but I'm
pretty sure he would have gone lower, fast.

Do you think girls that I should reduce this dose ? Considering this morning disaster ?
Vet marked a point in telling me that pinks and reds will keep on ruling the SS with
a dose that is bringing him to low. Don't think next week-end cure will be represen-
tative, killing a bounce that heavy will be hard.

If some of you have an opinion on Levemir dose management I would greatly
appreciate knowing what you think, in a bounce avoiding point of view.

Wish you all a good day.

Sébastien

Yesterday
 
Sebastien,
what number did you shoot last night?
You say you stalled for an hour, but I only see one number in the pmps slot?
Did you shoot 133? If so that number needs to be in the pmps column as the number in that column needs to reflect the number you actually shoot.
You cold writes something like +12 160 +12.5 157+13/pmps 133

ETA I notice you put 1.5u@ +1, that doesn't make sense, you record how many hours since the last shot.
So it should read 1.5u@ +13, because you stalled for an hour, if you got a +12, stalled for 30 minutes got a +12.5 (157)and then stalled for an hour and got +13(133), those numbers should all go in the pmps column.

This all brings me to another point, the 221@+3 was that taken 3 hours after the shot? or 2 hrs after the shot.
Since you stalled for an hour, and the way you are notating things is a little confusing I'm just not sure:confused::confused::confused:
 
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ugh...a red...really Small Kitty?! There is absolutely no need to be all the way up there. Please be kind to your daddy bean.

:bighug::bighug::bighug::bighug:
 
Photorecon said:
Do you think girls that I should reduce this dose ?
Click to expand...
It doesn't seem, so far that this dose is taking him too low.

Remember a bounce does not always result from going too low, but rather from kitty getting into numbers that his body is not used to, or dropping to fast.
It took him 6/7 cycles to clear the bounce, if he does the same again that will see him clear it sunday. Of course being a cat he might decide to clear it sooner, I'd be looking for him to clear it from Saturday PM cycle.
I don't think that all is lost for the weekend.
 
I'm just afraid of getting back in the ketone business, with so little blue and no green
vet said it's just a question of time before it happens again. At 400$ a visit with supplies,
a time will come where it will have to end up, do not have unlimited funds :(

This thing seems to be impossible to manage...
.
 
That is not a fast drop. Those two numbers are essentially identical given the 20% variance due to the meter. Glancing at SK's SS, so far, it does not look like a reduction in dose is needed. Rather, an increase may be in order.
 
I would not increase. With the numbers your getting when not bouncing they are within the desired SLGS range and would hold the dose. Increasing without being able to test during the Levemir nadir times is not a good idea IMO.
 
Good morning Sebastien. Why don't you wait till this weekend and do a curve and see what is what before you decide to change anything.

Hope you have a great day.
 
Bobbie And Bubba said:
Good morning Sebastien. Why don't you wait till this weekend and do a curve and see what is what before you decide to change anything.

Hope you have a great day.
Click to expand...

Think what I got yesterday was on the way to nadir. I'll hope bounce clear to get real numbers
but I doubt it will be the case.
.
 
Sebastien, sorry to be a nag, I'm not sure if you have taken it what I was going on about on my first post above, when you get a chance could you please edit your ss so that it truly reflects what you did last night.

ie in the pmps slot/column, you need to have
+12 160
+12.5 156
+13 133

in the units column
1.5u @+13

At the moment it doesn't reflect what happened, I know it might seem like I am being pedantic, we all know now what really happened, but when folk look back at your ss they are going to get the wrong impression of how the evening panned out, and this is important info that might influence how we might read the ss and SK cycles, it's very important to be accurate with how we record data, as it is said data that influences our dosing choices.

Can you tell me how many hours after you shot did you get that 221? Was 2 hours after shot or was it 3 hours?
(if it was 2 hours after shot then it needs to go in the +2 column)

Was the 153 last night 2 hours after shot or 1 hour after shot??
(If it was 1 hr after shot then it needs to go in the +1 column)
 
Gill & George said:
Sebastien, sorry to be a nag, I'm not sure if you have taken it what I was going on about on my first post above, when you get a chance could you please edit your ss so that it truly reflects what you did last night.

ie in the pmps slot/column, you need to have
+12 160
+12.5 156
+13 133

in the units column
1.5u @+13

At the moment it doesn't reflect what happened, I know it might seem like I am being pedantic, we all know now what really happened, but when folk look back at your ss they are going to get the wrong impression of how the evening panned out, and this is important info that might influence how we might read the ss and SK cycles, it's very important to be accurate with how we record data, as it is said data that influences our dosing choices.

Can you tell me how many hours after you shot did you get that 221? Was 2 hours after shot or was it 3 hours?
(if it was 2 hours after shot then it needs to go in the +2 column)

Was the 153 last night 2 hours after shot or 1 hour after shot??
(If it was 1 hr after shot then it needs to go in the +1 column)
Click to expand...

Sorry I'm a bit confused, ont the +12, it would be the shot time.
I did my best in putting the time.
 
Photorecon said:
Sorry I'm a bit confused, ont the +12, it would be the shot time.
I did my best in putting the time.
Click to expand...
OK Sebastien,
You said above that you shot 133, which was one hour after usual shot time(ie +13 hrs after his am shot).
Maybe I am misunderstanding.
But if you shot 133 one hour late then that number has to go in the PMPS column, pmps is the actual preshot number.

Does that make sense?
 
Gill & George said:
OK Sebastien,
You said above that you shot 133, which was one hour after usual shot time(ie +13 hrs after his am shot).
Maybe I am misunderstanding.
But if you shot 133 one hour late then that number has to go in the PMPS column, pmps is the actual preshot number.

Does that make sense?
Click to expand...
That's what happened, shot was given at 133 1h after usual time.

Think I'll make the correction later on, I'm at the office with other things rolling.
 
I wasn't saying to increase now. If you are following SLGS, you need to do a curve. However, at the moment, your nadirs are not consistently in normal BG range. That being the case, then you typically increase the dose.
 
Doodles & Karen said:
I would not increase. With the numbers your getting when not bouncing they are within the desired SLGS range and would hold the dose. Increasing without being able to test during the Levemir nadir times is not a good idea IMO.
Click to expand...
I am going to agree and disagree with this. First, I totally agree that more data is needed. Sebastian, this weekend you will have only Levemir as the pilot. You need to try and nail down when SK's Lev onset is likely to be. You may wonder why that matters. For a couple of reasons. First, some Lev kitties come down hard at onset - it may be a good time for one of his small meals. Second, getting the test at onset and comparing it to the preshot can be a good indicator of how the cycle will go. On Lantus, people like getting a +2 or +3 to give them a heads up whether the cycle will be an active one that needs more monitoring. That's because the Lantus onset is +2/3. So now you need to figure out the equivalent timing is for Lev.

And to answer the question about whether you need to change the dose, the curve and any other data you can gather this weekend will tell you if he needs an increase, decrease, or the dose stays the same. The lower numbers you got when you first started Lev still had the Lantus depot as copilot. Now let's see what Lev can do by itself at the wheel.
 
Thanks to all of you for your replies, Lev behavior is new to me. I think Small Kitty is diving at
3/4th of the cycle then kicks back up progressively. More data is needed to confirm my ''feel''.
He's recovering quite well, would have expected high number tonight, could be worst.
With some luck he might be in yellow tomorrow, nothing is impossible. I'm just afraid that
the ultimate low number just escaped my grips last night.

Your thinking makes lots of sens, to catch the diving point, high or low, this question
will be answered this week-end. As the FD business is exhausting it's going to be one
day, hopefully one will be a bounce clear one.

You are very nice helping, will keep on hoping that new nadir will not be straight
at pmps all the time.

Now time to go out and enjoy some good time, week has been hard on all sides !

Good evening everyone !
.
 
Hi Sebastien,
Greetings and sending heaps of vines :bighug:that Small Kitty and the change to Levemir is "just the ticket" for him.

In trying to catch up (been out of the loop lately), I read some of your previous condos. Beautiful bird photos, brought much joy. Thank you. :bighug:

Hang in there!:bighug:
Sina
 
Good luck with the curve today sebastien, I see SK has dropped at +6, looks like the Lev is starting to work its magic, hope that with it's later nadir you see some nice numbers before long.
 
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