2/28 TILICA AMPS 247/+0,5 290/ PMPS 367

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Andreea&Tilica

Member Since 2017
For the last 2 weeks my program of work was modified, I have to work 8,5 hours per day that's why I can't monitor Tilica properly. Every day he stays alone about 9 hours.
I have to left him enough food untill I come back home, and to be sure that he eats I leave him dry food and sometimes I shoot less insulin especially in the morning( 6 am).
For the last 3 cycles I noticed that his BG was lower than usual even if he ate enough, even dry food.
It's very frustratig that I can't monitor him and that's why there isn't any significant progress.
 
For the last 2 weeks my program of work was modified, I have to work 8,5 hours per day that's why I can't monitor Tilica properly. Every day he stays alone about 9 hours.
I have to left him enough food untill I come back home, and to be sure that he eats I leave him dry food and sometimes I shoot less insulin especially in the morning( 6 am).
For the last 3 cycles I noticed that his BG was lower than usual even if he ate enough, even dry food.
It's very frustratig that I can't monitor him and that's why there isn't any significant progress.
You do the best you can, Andreea. The number one priority is keeping Tilica safe. :)
 
There are lots of people who work full time - have you taken a look at the sticky on following Tight Reg with a full time job? I haven't met you yet - welcome to the board! - so perhaps some of this is a repeat for you, but I'll throw out a few suggestions.

- If you can't test during the day cycle, try to get a test as late as possible before you go to bed. Some people will move their shot time earlier so that they can get a test as late as possible at night. We shot punkin at 7am/7pm and I always stay up til at least 11pm, so I could easily get a +4 after his pm shot.

- You may see some improvement if you follow one of the dosing guides we use. Right now it looks like you are changing doses based upon the preshot number, perhaps. Is that right? With depot insulins like Lantus and Lev, dose changes are based upon how low the dose can cause the blood sugar to go, with the preshot number being somewhat less important. Since Tilica's eating dry food, you would follow the Start Low Go Slow guidelines. It calls for doing a curve once a week and making dosing decisions based upon how low the cat's blood sugar is during that curve.

Giving a slightly smaller dose at preshot isn't very likely to change how that particular cycle plays out. You're working with a depot insulin, which means that some insulin is built up in the body which continues to give out. When one reduces a dose, it can take 4-6 cycles for that larger depot to reduce. In other words, if you really want to change how a cycle is going to happen because the preshot is low, you'd have to give a significant reduction, say a 10%-50% dose. Otherwise it's pretty likely that just a 0.25u reduction isn't going to have much of a change on what would've happened if you hadn't reduced the dose at all. I hope that makes sense - I'm having a hard time saying it clearly!! Ask if it's confusing - others can explain it as well.

I'm not sure what your notes on the spreadsheet for the past 2 mornings mean. Are you stalling in the morning and shooting late, perhaps? The spreadsheet only indicates the time in between shots - not the clock time. So whatever number you shoot always goes in the preshot column. If you shoot late, then the previous cycle just gets longer. If you shoot 2 hours late, you've shot at +14. That would be 14 hours after your previous shot.

You can show it in your preshot column like this:
+12 100
+14 250

then in the dose column it would say whatever amount you shot.

Maybe I don't have it right - but I think you're trying to show that you're shooting late. Just remember that it doesn't matter what time you usually shoot - you're always counting how many hours since the last shot. I hope that helps.

Hope things settle down at work for you!
 
- You may see some improvement if you follow one of the dosing guides we use. Right now it looks like you are changing doses based upon the preshot number, perhaps. Is that right? With depot insulins like Lantus and Lev, dose changes are based upon how low the dose can cause the blood sugar to go, with the preshot number being somewhat less important. Since Tilica's eating dry food, you would follow the Start Low Go Slow guidelines. It calls for doing a curve once a week and making dosing decisions based upon how low the cat's blood sugar is during that curve.

Giving a slightly smaller dose at preshot isn't very likely to change how that particular cycle plays out. You're working with a depot insulin, which means that some insulin is built up in the body which continues to give out. When one reduces a dose, it can take 4-6 cycles for that larger depot to reduce. In other words, if you really want to change how a cycle is going to happen because the preshot is low, you'd have to give a significant reduction, say a 10%-50% dose. Otherwise it's pretty likely that just a 0.25u reduction isn't going to have much of a change on what would've happened if you hadn't reduced the dose at all. I hope that makes sense - I'm having a hard time saying it clearly!! Ask if it's confusing - others can explain it as well.

I'm not sure what your notes on the spreadsheet for the past 2 mornings mean. Are you stalling in the morning and shooting late, perhaps?

Hope things settle down at work for you!


Hi Julie,nice to meet you and thank you for your advices.

I shot later because I noticed that his BG could drop very fast. For example on 15/02 AMPS his BG was 265 and I shot 2 ui. At +1,5 the BG was 101 and I had to go to work. I had to stop the drop and I gave him some syrup to be safe. The same drop happend on 06/02, 09/02/10/02 and I reduced the dose from 3 ui at 2.5-2.75 ui

On the other hand, I try to follow the SGLS procedures, but I 'm afraid to take the risk when his BG is lower than usually and I prefer to wait for 1 hour in order theBG to rise .
 
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