? 4/18 Can someone check Pia's ss?

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GinnyBarr

GinnyBarr

Member Since 2017
Just would like some advice on how her numbers are and if my dosage is good. If I should stick with this for a week or two? Just some guidance would be greatly appreciated. Thanks in advance.
 
Pia is looking very, very good! With that gorgeous green streak yesterday (and assuming you are following TR and not SLGS), I would continue to hold her current dose.

Are you following TR?
 
Amy&TrixieCat said:
Pia is looking very, very good! With that gorgeous green streak yesterday (and assuming you are following TR and not SLGS), I would continue to hold her current dose.

Are you following TR?
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To be honest, I don't really know. I figured d it confusing. Sometimes I think it's SLGS, then I think it's TR. She's on a low dose, but she does get it every 12 hours. Can you better explain the difference? Please :)
 
The stickies at the top of the forum explain the two methods better than I can...here are the links:

(SLGS) Start Low Go Slow

TR (Tight Regulation)

One big difference between the two is that generally with SLGS, you're cut off for dose reductions is higher than with TR. So, if you are following SLGS, a BG reading below 90 (on a human meter) means you would reduce the dose. With that said, SLGS is more "customizable" than TR, so if you follow SLGS, once you learn your kitty's patterns and how she responds to insulin and food, you can make some adjustments to this method that would be specific to Pia's and your needs. But, it is important that you to get to know her response before going custom with it.

The cut off for a reduction with TR is lower - 50 on a human meter. Because this method is more aggressive, the guidelines are much more rigid - this is to ensure that kitty's following this method are always kept safe from hypo. You do test enough to be following TR.

Both are great methods to follow, so a lot of it does boil down to your comfort level with steering lower numbers.

If you have specific questions about each method, please feel free to ask - many folks here are very knowledgeable and we all love to help!
 
Amy&TrixieCat said:
The stickies at the top of the forum explain the two methods better than I can...here are the links:

(SLGS) Start Low Go Slow

TR (Tight Regulation)

One big difference between the two is that generally with SLGS, you're cut off for dose reductions is higher than with TR. So, if you are following SLGS, a BG reading below 90 (on a human meter) means you would reduce the dose. With that said, SLGS is more "customizable" than TR, so if you follow SLGS, once you learn your kitty's patterns and how she responds to insulin and food, you can make some adjustments to this method that would be specific to Pia's and your needs. But, it is important that you to get to know her response before going custom with it.

The cut off for a reduction with TR is lower - 50 on a human meter. Because this method is more aggressive, the guidelines are much more rigid - this is to ensure that kitty's following this method are always kept safe from hypo. You do test enough to be following TR.

Both are great methods to follow, so a lot of it does boil down to your comfort level with steering lower numbers.

If you have specific questions about each method, please feel free to ask - many folks here are very knowledgeable and we all love to help!
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Ok. I don't see a huge difference in the two. I normally can't monitor her this much. The only days that I can definitely monitor her are Tuesday, Thursday and Sunday. Her nadir was below 90. What would you do if you were in my position? I feel like I've kind of blended the 2. On days off I do TR, on days I'm working I do SLGS. Help, lol.
 
I have to admit, it's a tough call! Pia looks really good where she's at right now, but technically if you are following SLGS you would reduce her dose...it's a safety thing. Since Lantus is a depot-style insulin, meaning it builds up so that what you shoot today can actually have an effect tomorrow (rather than other types of insulin which are "in and out" with no residual effects), switching back and forth between the methods really doesn't work.

On the days you work, how often can you test? For TR, you really just need to get a pre-shot test plus one mid-cycle test per cycle...although we always do love having more data than that!
 
Amy&TrixieCat said:
I have to admit, it's a tough call! Pia looks really good where she's at right now, but technically if you are following SLGS you would reduce her dose...it's a safety thing. Since Lantus is a depot-style insulin, meaning it builds up so that what you shoot today can actually have an effect tomorrow (rather than other types of insulin which are "in and out" with no residual effects), switching back and forth between the methods really doesn't work.

On the days you work, how often can you test? For TR, you really just need to get a pre-shot test plus one mid-cycle test per cycle...although we always do love having more data than that!
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I can always do a preshot am and pm test. As far as midday, it depends. Mondays and Wednesdays would be the 2 tough days. I can still do the am and pm, but midday could be like, 12 or 7. And that's not even 100%.
 
I should have clarified...pre-shot plus one other test during the cycle - but that other test doesn't necessarily have to be right in the middle of the cycle. For some of us, we adjusted our schedules so we could get, for example, a +3 or +4 before leaving the house for work. That way we can see how things are going - if there is noteworthy downward movement, high carb food could be given to keep kitty safe. When Trix was on insulin, I did her shot at 5:45am (and, of course, pm) so that I could test her right before I left at 9:45am and have a good idea where things stood before I left the house for the day.

But, not everyone can do that....that's when you'd want to consider SLGS and reducing the dose at the higher cut off number of 90 on a human meter since that is safer for the kitty.

For evenings, we do always recommend at least a "right before bed" test, to make sure kitty is safe during the overnight hours.

So, the second test during each cycle doesn't necessarily have to be in the middle of the cycle - it can be earlier (or later - although generally speaking, earlier usually gives more beneficial data - usually.)

It can be tough trying to figure out which method works best for you, but at the same time it is easier for those trying to offer suggestions when you do choose just one method to follow.
 
Amy&TrixieCat said:
I should have clarified...pre-shot plus one other test during the cycle - but that other test doesn't necessarily have to be right in the middle of the cycle. For some of us, we adjusted our schedules so we could get, for example, a +3 or +4 before leaving the house for work. That way we can see how things are going - if there is noteworthy downward movement, high carb food could be given to keep kitty safe. When Trix was on insulin, I did her shot at 5:45am (and, of course, pm) so that I could test her right before I left at 9:45am and have a good idea where things stood before I left the house for the day.

But, not everyone can do that....that's when you'd want to consider SLGS and reducing the dose at the higher cut off number of 90 on a human meter since that is safer for the kitty.

For evenings, we do always recommend at least a "right before bed" test, to make sure kitty is safe during the overnight hours.

So, the second test during each cycle doesn't necessarily have to be in the middle of the cycle - it can be earlier (or later - although generally speaking, earlier usually gives more beneficial data - usually.)

It can be tough trying to figure out which method works best for you, but at the same time it is easier for those trying to offer suggestions when you do choose just one method to follow.
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So difficult to decide. With my schedule, I have to keep her the the I have her at. Sometimes I work 10 hours a day. On the 2 days that would be difficult, I could do a +2 and a +6 but that's it. So idk what to do. Her numbers were higher today. All above 90, so at least for now, I'm sticking with half a unit. I'm so lost. Ty for your opinion.
 
We are here to help....hopefully others will also weigh in with opinions to help guide you. I know it is so tough to figure out all of this stuff when you're new to it, so please do keep asking questions...we all have been where you are so we can relate to how it feels.
 
She is looking fabulous for only being on Lantus a short time! I would say hold this dose for now as well. Just curious, on the 14th and the 15th PM there were no shots. Was that because you couldn't monitor? And even with NS those two nights in a row a she was right back in great numbers. Here's hoping she will be getting rid of the juice soon.
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Pia's looking great on this dose. If you can do TR, it would probably benefit her. There is a Sticky Note on Doing TR with a Full Time Job that has some hints on how to do so. The hints might help if you ware following SLGS too. However, the decision on SLGS or TR depends on you and your situation. Whatever you choose, it'll help us help you if you put TR or SLGS in your signature. It's too hard for us to comment on dose without that.

ETA: I meant to mention that it's OK to pick one dosing method for now, and switch to the other should your circumstances change.
 
Bobbie And Bubba said:
She is looking fabulous for only being on Lantus a short time! I would say hold this dose for now as well. Just curious, on the 14th and the 15th PM there were no shots. Was that because you couldn't monitor? And even with NS those two nights in a row a she was right back in great numbers. Here's hoping she will be getting rid of the juice soon. View attachment 27651
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Yes. I couldn't monitor her those nights and the numbers were decent, so I skipped. I hated to do it, but was worried.
 
Wendy&Neko said:
Pia's looking great on this dose. If you can do TR, it would probably benefit her. There is a Sticky Note on Doing TR with a Full Time Job that has some hints on how to do so. The hints might help if you ware following SLGS too. However, the decision on SLGS or TR depends on you and your situation. Whatever you choose, it'll help us help you if you put TR or SLGS in your signature. It's too hard for us to comment on dose without that.

ETA: I meant to mention that it's OK to pick one dosing method for now, and switch to the other should your circumstances change.
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I think I'm gonna go with TR. It's only 2 days that are difficult and once June comes, my bf will be home.
 
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