Pita's Dosing Party: 2

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Yong said:
Possibly because Caitlin is still on the 13/11 schedule :)
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Djamila said:
Wait...why 1.2 for PM? I would say 1.4 for both doses....but maybe I'm missing something?

And as for shooting more/less...if you look at my spreadsheet, you'll see that I'm a bit of a hypocrite. I give in to adjusting doses too. The thing is, I've started realizing lately that I almost always regret the adjustment, and Sam seems to make better progress when I hold it steady for him, until he gives me a number that is low enough to force me to adjust (hitting my 'no shot' number, or hitting 50 at nadir)
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Yes, I'm doing the 13/11 schedule and when he started having lower #'s it was suggested to try slightly higher for day (1.2-1.4) and lower for night (1.0-1.2). So that's what I did and changed the dose .2 depending on how low he was. Which is why I have no clue where to go from here :bookworm: since he's back to higher and I'm not convinced it's a bounce anymore.
 
My approach is always to reduce the number of variables to the bare minimum in order to study the effect of a change in one of the factors. The factors here are: 1. dose and 2. 13/11 schedule.
  • Methodical me would have scanned past data on the SS to assess the overall effect of same AM/PM dose on a 12/12 schedule. Is BG consistently higher AM or PM?
  • Then I would scan for effect of sliding scale on 12/12 schedule. Am I getting better PSs with a sliding scale dose and do I need a bigger dose AM or PM most of the time?
  • Then I would try an OK set dose on 13/11 schedule for a couple of days. Does this reveal anything about how a set dose acts overnight versus during the day?
  • Finally I would try sliding scale on 13/11 for a couple of days. Can I manage two variables at the same time to get better PSs?
Wild card: we're dealing with a cat!
 
Kris & Teasel said:
My approach is always to reduce the number of variables to the bare minimum in order to study the effect of a change in one of the factors. The factors here are: 1. dose and 2. 13/11 schedule.
  • Methodical me would have scanned past data on the SS to assess the overall effect of same AM/PM dose on a 12/12 schedule. Is BG consistently higher AM or PM?
  • Then I would scan for effect of sliding scale on 12/12 schedule. Am I getting better PSs with a sliding scale dose and do I need a bigger dose AM or PM most of the time?
  • Then I would try an OK set dose on 13/11 schedule for a couple of days. Does this reveal anything about how a set dose acts overnight versus during the day?
  • Finally I would try sliding scale on 13/11 for a couple of days. Can I manage two variables at the same time to get better PSs?
Wild card: we're dealing with a cat!
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Overall I understand all of that, so forgive me if this sounds rude.....but what does that mean for right now?! :bookworm:
 
Caitlin M said:
Overall I understand all of that, so forgive me if this sounds rude.....but what does that mean for right now?! :bookworm:
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You don't sound rude. I wasn't clear about the intent of my post: I was just giving you my take on a situation like this, some things to try maybe. I vote for keeping the same dose AM and PM for a couple of days.
 
Kris & Teasel said:
You don't sound rude. I wasn't clear about the intent of my post: I was just giving you my take on a situation like this, some things to try maybe. I vote for keeping the same dose AM and PM for a couple of days.
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Haha ok phew! So you think the same dose for both am/pm or stick to say- 1.2 am, 1.4 pm for a few days regardless?
 
Caitlin M said:
Haha ok phew! So you think the same dose for both am/pm or stick to say- 1.2 am, 1.4 pm for a few days regardless?
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Am I correct that the 13/11 schedule is to accommodate your new job? That has to be followed then. Maybe try the same dose at both AM and PM for a couple of days to see what happens. Then move on to a different dose AM and PM and keep those two doses fixed for a couple of days. Now, if he throws you a crazy low number you'll have to pay attention to that but otherwise it's a data-gathering exercise. It's always a good idea to slow down and simplify things when you get to a time when you're confused and aren't sure how to proceed.
 
Kris & Teasel said:
Am I correct that the 13/11 schedule is to accommodate your new job? That has to be followed then. Maybe try the same dose at both AM and PM for a couple of days to see what happens. Then move on to a different dose AM and PM and keep those two doses fixed for a couple of days. Now, if he throws you a crazy low number you'll have to pay attention to that but otherwise it's a data-gathering exercise. It's always a good idea to slow down and simplify things when you get to a time when you're confused and aren't sure how to proceed.
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Yes it's because of my position. Ok, I'll stick to 1.4 for both until Sunday and then possibly go down to 1.2 until Wednesday. Thank you!
 
I like the 1.4 part...I'd would wait to decide on the 1.2 part of the plan until you see where the numbers go over the weekend.
 
What are you thinking for tomorrow? Are you home tomorrow? You've held the 1.4 for awhile...I'm wondering if you should try 1.6? A couple of weeks ago, that was too much, but with the higher numbers you're seeing....?

Pita, what are you up to?!?
 
Djamila said:
What are you thinking for tomorrow? Are you home tomorrow? You've held the 1.4 for awhile...I'm wondering if you should try 1.6? A couple of weeks ago, that was too much, but with the higher numbers you're seeing....?

Pita, what are you up to?!?
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Ugh, I have no clue about what to do for tomorrow! Yes, I'll be home (minus a couple errands). I just don't know....
 
I think you could give it a try and just see if it will help bump him into slightly better numbers. You'll be there to steer if needed...but it's definitely up to you and whether you feel comfortable with it!
 
Djamila said:
Are you still on your original bottle of prozinc? I wonder if it's starting to wear out.
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I am. I'd say there's about 1/3 left...
IMG_20170430_092804.jpg


It's a possibility but that bums me out if there's still that much left.
 
I used mine for exactly 3 months and there's still about, below the label left as a backup. I got worried about getting more air. Now that I looked, this bottle is doing better than the first (anti-jinx)
 
Yong said:
I used mine for exactly 3 months and there's still about, below the label left as a backup. I got worried about getting more air. Now that I looked, this bottle is doing better than the first (anti-jinx)
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I started using it on February 18, so it's just a bit over 2 months old.
 
Mine is about the same age as yours, and I still have a lot left too. It doesn't seem to be working as well these days, but it's entirely possible that's just where Sam's at right now, and not the fault of the insulin. Also, I hate to spend $170 (it's expensive here!) when he seems so close...(anti-jinx). @Yong, when you switched, did you notice any difference?
 
I think one of our stickies says they last about three months, so you probably have another month or so to go. Mine is actually a little older.
 
Djamila said:
Also, I hate to spend $170 (it's expensive here!) when he seems so close...(anti-jinx). @Yong, when you switched, did you notice any difference?
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The "end" of the first vial did better and I do roll it for 30s - 1 minute. Hard to say if the better progress is because of the vial or Maury lol

And wow $170
 
Yong said:
Sorry, yes, Pita bouncing :)
I think Sam is ready for 0.2U or a trial :joyful: (anti-jinx)
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He may be bouncing, because he's still getting lower numbers during the day, but his pre-shots are staying higher. Well, at this point maybe I keep the 1.6 units as planned for a few days and if the pre-shot numbers aren't getting any lower I can try to get a new vial this upcoming weekend? I'm slightly annoyed that there's a good amount left though, if it is wearing off.
 
If you're only at two months, I doubt it's the insulin. I think go with the 1.6 for a few cycles and see what happens. You did get a good drop yesterday, so hopefully the dose increase will start to bring him back down.
 
I agree...at 2 months it shouldn't be the insulin. I frequently used mine up. Try 1.6 as Djamila said and if that doesn't work, we'll all go from there! :)
 
Thank you all SO much! +7.25 was just at 210. I'm happy to hear that it shouldn't be the insulin :facepalm: I'll continue the 1.6 and see what happens! He's still getting 2.75oz of the Friskies pate (although he shares that amount) at about +6/+6.5 during each day/13 hour cycle. I'mwondering if he maybe doesn't need it anymore? For the many years I've had him, this is the first time he's had a snack during the day. He was usually only fed twice a day. Thoughts?
 
Hmmmm...could be. You could try not giving him the snack one day when you're home and test and see if that changes things?
 
Well he's certainly consistent! 337 PMPS, giving 1.6 and will test before bed. So he's getting lower from the dose, but it's rising back up to the high 200- 300's.
 
Caitlin M said:
So he's getting lower from the dose, but it's rising back up to the high 200- 300's.
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I had a run with that too and still don't know why :D. But I haven't seen any nice greens for a bit :(. Finding the dose between S2.0U and F2.0U is so fun! You'd think it would be easy and just be a simple 2.0U but CATS :cat::p:cat:
 
I'll continue the 1.6 for a couple more days and if I have to suck it up and buy a new vial I will.
 
Hmmmm...I mean, I would be surprised if the insulin was going bad, but it COULD be. If you do get another vial, I suggest hanging on to the old one in case anything ever happens to the current vial. Even if it isn't as strong, if you drop the new bottle, you'll be glad to have SOMETHING to give. :)
 
Rachel said:
Hmmmm...I mean, I would be surprised if the insulin was going bad, but it COULD be. If you do get another vial, I suggest hanging on to the old one in case anything ever happens to the current vial. Even if it isn't as strong, if you drop the new bottle, you'll be glad to have SOMETHING to give. :)
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Well, if I order a new one I can continue to use this one and just leave the other unopened..it'll stay good right? I may see how long it would take for a new one. Ugh, I just don't know what to do! I also haven't spoken to my vet since his diagnosis, since she wasn't supportive of home testing and I honestly just ignored any contact...I hate confrontation :nailbiting: I'm assuming she won't refuse a new vial as that would be very cruel. Yeah, I need to just see if she's willing to work with me or find a new vet.
 
Caitlin M said:
Well, if I order a new one I can continue to use this one and just leave the other unopened..it'll stay good right? I may see how long it would take for a new one. Ugh, I just don't know what to do! I also haven't spoken to my vet since his diagnosis, since she wasn't supportive of home testing and I honestly just ignored any contact...I hate confrontation :nailbiting: I'm assuming she won't refuse a new vial as that would be very cruel. Yeah, I need to just see if she's willing to work with me or find a new vet.
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So frustrating if a vet let's her ego get in the way. When Teasel was on ProZinc, I'd just call in for a new vial, tell them what dose he was on so they could print out the label "properly" and my vet just initialled the label. Now that he's on Lantus, I can buy it OTC here in Ontario, Canada. The vet isn't involved at all except when I give her a quick update on how he's doing.
 
Another thought: you're still dosing 13/11 right? You've done the same dose AM/PM for quite a while now and you have fewer blue PSs than when you used sliding scale. You could try going back to sliding scale on the 13/11 schedule - maybe giving a slightly larger dose AM and slightly smaller PM. What do you think? This is another experiment ...
 
Kris & Teasel said:
Another thought: you're still dosing 13/11 right? You've done the same dose AM/PM for quite a while now and you have fewer blue PSs than when you used sliding scale. You could try going back to sliding scale on the 13/11 schedule - maybe giving a slightly larger dose AM and slightly smaller PM. What do you think? This is another experiment ...
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Yes still 13/11. Lol I'm up for anything Kris! Any thoughts on which doses might be good?
 
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