DOSING FOR BAXTER

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CindyJ

CindyJ

Member Since 2017
Baxter had his first low today. I think I treated it well and tested often. Please look at spreadsheet. All testing with pet meter (AlphaTrax2). Clearly 4 units too much last night?? I know his +11 this morning was low at 67, but I retested (without feeding) and it increased to 91 and then I lowered dose to 3 units this morning. But then crash. Sure wish I had a +6 last night. I certainly will get up middle of the night tonight. What did I do wrong???

He is due to shot at 6:30 pm now Central Time (25 minutes). I will re-check then, but need help!
Thank you!!
 
Has anything else changed, particularly food? I'm not enough of an expert to be much help on dosing, but I'm glad you were around to monitor today! I'm thinking that the 0.5U increases have been too much in general, and it finally caught up with him-- you didn't have a lot of midcycle data until he was already at a pretty high dose, so he might have been going low before now.

Will you be able to monitor tonight and get some mid-cycle tests tomorrow?
 
Nan & Amber said:
Has anything else changed, particularly food? I'm not enough of an expert to be much help on dosing, but I'm glad you were around to monitor today! I'm thinking that the 0.5U increases have been too much in general, and it finally caught up with him-- you didn't have a lot of midcycle data until he was already at a pretty high dose, so he might have been going low before now.

Will you be able to monitor tonight and get some mid-cycle tests tomorrow?
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Yes, I will monitor tonight. No change in his food, except today, of course, I gave him the higher carb gravy one after treating his low with Karo Syrup.
 
Nan & Amber said:
Has anything else changed, particularly food? I'm not enough of an expert to be much help on dosing, but I'm glad you were around to monitor today! I'm thinking that the 0.5U increases have been too much in general, and it finally caught up with him-- you didn't have a lot of midcycle data until he was already at a pretty high dose, so he might have been going low before now.

Will you be able to monitor tonight and get some mid-cycle tests tomorrow?
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Nan & Amber said:
Has anything else changed, particularly food? I'm not enough of an expert to be much help on dosing, but I'm glad you were around to monitor today! I'm thinking that the 0.5U increases have been too much in general, and it finally caught up with him-- you didn't have a lot of midcycle data until he was already at a pretty high dose, so he might have been going low before now.

Will you be able to monitor tonight and get some mid-cycle tests tomorrow?
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Tanya and Ducia said:
Hold on, please.Let me look at the ss
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Tanya and Ducia said:
Hold on, please.Let me look at the ss
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Tanya and Ducia said:
Hold on, please.Let me look at the ss
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I will hold dose.
 
On an AlphaTrak, the 43 is a definite reduction! I'm hoping some of the really experienced folks will stop by soon and offer an opinion: following TR, both increases and reductions should be done in units of 0.25U, but I'm worried that even 3.75U is too much insulin for him. Looking at the spreadsheet, I do think there's some evidence that he's been going low some times when you haven't caught it, and that some of the high numbers you are seeing are due to "bouncing". He seems to have a pattern (well, a couple of examples) of staying high for three cycles after a low, then dropping again on the fourth cycle.

That said, if you are able to monitor, you should be able to handle lows and step down the dosing ladder (if necessary) safely [edit to finish my thought] in 0.25U increments.
 
The +11 of 411 might be a bounce. Sometimes it is recommended to give them the same dose for one last time and then take reduction in the morning.
Please hold on the shot yet, I really would like to get someone else to weigh in.
Is anyone around @Nan & Amber
 
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CindyJ said:
Baxter had his first low today. I think I treated it well and tested often. Please look at spreadsheet. All testing with pet meter (AlphaTrax2). Clearly 4 units too much last night?? I know his +11 this morning was low at 67, but I retested (without feeding) and it increased to 91 and then I lowered dose to 3 units this morning. But then crash. Sure wish I had a +6 last night. I certainly will get up middle of the night tonight. What did I do wrong???

He is due to shot at 6:30 pm now Central Time (25 minutes). I will re-check then, but need help!
Thank you!!
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Just re-checked BS and it was 567 now at 6:30 pm his usual shot time.
 
Hey there. I agree with Tanya and Ducia above. Baxter earned a reduction so the next dose you give should be 2.75. I am not sure why you reduce this AM to 3 but so glad you did! It looks like he might have gone lower last night PM cycle. We do increases in .25 increments and the .50 increments were too much for him. How about if you reduce the next shot to 2.75 and get some night time test especially before you go to bed to make sure he is safe. You will want to hold that dose for 6 cycles or 3 days unless of course if he goes below 68 on the Alpha Track .
 
Tanya and Ducia said:
Do you follow TR?
Then it is 0.25.
I am not familiar with the brand he eats. It it LC?
How much does he eat?
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Yes, trying to follow TR. So BS was just 567. Do you recommend I give 3.25 units? And yes, I will test several times during the night. Now that I'm so worried, I'm sure I won't sleep. But I will set my alarm for every 3-4 hours and especially the +6 point.
 
It's ok to hold a little. I am not at all dose expert but the reduction is earned.
Question - is 3.75 too much?
Let's see who else in online who knows dosing.
 
Tanya and Ducia said:
It's ok to hold a little. I am not at all dose expert but the reduction is earned.
Question - is 3.75 too much?
Let's see who else in online who knows dosing.
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Thank you. Ugh.....can't believe how quick his BS can swing. And yes, because I haven't tested much during the night, he has probably been bouncing.
 
CindyJ said:
And yes, I will test several times during the night. Now that I'm so worried, I'm sure I won't sleep. But I will set my alarm for every 3-4 hours and especially the +6 point.
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Well, you may be able to get some rest-- if he's bouncing and stays high (very likely, though of course nothing is certain-- he's a cat!), you'll be able to get some sleep.

Great job catching the 43 today, by the way!
 
Bobbie And Bubba said:
I am reconsidering that. I see where there was a jump from 4 units after only 2 cycles then down to 3 and then the Baxter popped the 43. Let's try 3 tonight only IF you can monitor tonight.
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So 3 units now?? I know, I probably shouldn't have gone from 3.5 units to 4. I should have done 3.75, but his numbers were so high
 
Nan & Amber said:
Well, you may be able to get some rest-- if he's bouncing and stays high (very likely, though of course nothing is certain-- he's a cat!), you'll be able to get some sleep.

Great job catching the 43 today, by the way!
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Thank you! Yes, I wasn't sure that he would continue on the upswing, and I was right.
 
Since there was only 2 cycles on the 4 unit dose, the depot had not filled. And there was a FS two nights ago. That is why I reconsidered to do a 3 unit shot for the PMBG. Please get a +2 so you know how active the cycle is going to be. And monitor accordingly. If the +2 is the same number as the PMBG or lower it will be an active cycle and you will need to keep monitoring and steering as needed. Please post for help if you need it.
 
Bobbie And Bubba said:
Since there was only 2 cycles on the 4 unit dose, the depot had not filled. And there was a FS two nights ago. That is why I reconsidered to do a 3 unit shot for the PMBG. Please get a +2 so you know how active the cycle is going to be. And monitor accordingly. If the +2 is the same number as the PMBG or lower it will be an active cycle and you will need to keep monitoring and steering as needed. Please post for help if you need it.
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OK, that makes sense. Thank you so much!
 
Nan & Amber said:
As the thread-starter, you should have the ability to edit the subject line to reflect the current situation. You'll probably want to be doing that anyway, as well as removing the 911, as the evening progresses.
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Got it. Thanks so much for all your help!!!
 
Bobbie And Bubba said:
That is what I would do with monitoring.
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So when Baxter has a lower number than he has had in a while or a fast drop, there can be a bounce. Remember, a bounce can take up to 3 days or 6 cycles to clear. It is an instinct to try to raise the dose during a bounce but it is important to not do that as you saw today with that 43. Patience Pants. I will send you a pair of mine.

upload_2017-5-3_19-57-25.png
 
THANKS EVERYONE SOOOOOO MUCH FOR ALL YOUR HELP AND INPUT!! IT MEANS SO MUCH TO ME THAT YOU ARE ALL THERE TO HELP. WOW! SUCH AN AWESOME SITE. I WILL KEEP YOU POSTED WITH HIS BS NUMBERS DURING THE NIGHT. THIS WILL BE INTERESTING. I DID JUST GIVE HIM 3 UNITS OF LANTUS.
 
Bobbie And Bubba said:
So when Baxter has a lower number than he has had in a while or a fast drop, there can be a bounce. Remember, a bounce can take up to 3 days or 6 cycles to clear. It is an instinct to try to raise the dose during a bounce but it is important to not do that as you saw today with that 43. Patience Pants. I will send you a pair of mine.

View attachment 28054
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Ha....yes. Thanks! Love the pants.....but the shoes.....hmmmmm. LOL
 
CindyJ said:
THANKS EVERYONE SOOOOOO MUCH FOR ALL YOUR HELP AND INPUT!! IT MEANS SO MUCH TO ME THAT YOU ARE ALL THERE TO HELP. WOW! SUCH AN AWESOME SITE. I WILL KEEP YOU POSTED WITH HIS BS NUMBERS DURING THE NIGHT. THIS WILL BE INTERESTING. I DID JUST GIVE HIM 3 UNITS OF LANTUS.
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Get a +2 and Post, there are lots of us from all over the world to help you.
 
It might be an active cycle ahead.
I am not sure how often you may need to test tonight. The +2 is lower than PS but still too high for me to know how it works with high numbers.
My reply will bring your post forward on the message board and hopefully someone with experience can tell you when to put the needle down.
@Bobbie And Bubba
 
CindyJ said:
His +2 was 501
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Good, he is coming down and the +2 indicates an active cycle but, he is still quite high. Can you get another test in at +3 and one before you go to bed as they will be telling as to whether you should test some more? The +3 is when the insulin onset usually occurs so you could see some more drop. I need to sign off but please post as there are peeps on the west coast that are around. If you need help change your title thread and say something like Help !
 
Bobbie And Bubba said:
Good, he is coming down and the +2 indicates an active cycle but, he is still quite high. Can you get another test in at +3 and one before you go to bed as they will be telling as to whether you should test some more? The +3 is when the insulin onset usually occurs so you could see some more drop. I need to sign off but please post as there are peeps on the west coast that are around. If you need help change your title thread and say something like Help !
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Ok...will do a +3 and probably many more! Thank you so much for your help.
 
Tanya and Ducia said:
It might be an active cycle ahead.
I am not sure how often you may need to test tonight. The +2 is lower than PS but still too high for me to know how it works with high numbers.
My reply will bring your post forward on the message board and hopefully someone with experience can tell you when to put the needle down.
@Bobbie And Bubba
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Ok... thank you!
 
CindyJ said:
Ok...will do a +3 and probably many more!
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I'll check on you after +3.
I understand that you do have HC gravy and Karo? Not that I think you'll need it but better to know one's arsenal beforehand.
I am on the West Coast but new myself. My cat taught me some about low numbers check her SS and about big drops but I am no expert.
I tag someone who is also from around here and might be able to check on you later on if she is available
@Tricia Cinco(GA) & Harvey

See you after +3
 
Tanya and Ducia said:
I'll check on you after +3.
I understand that you do have HC gravy and Karo? Not that I think you'll need it but better to know one's arsenal beforehand.
I am on the West Coast but new myself. My cat taught me some about low numbers check her SS and about big drops but I am no expert.
I tag someone who is also from around here and might be able to check on you later on if she is available
@Tricia Cinco(GA) & Harvey

See you after +3
Click to expand...
Thank you! Yes... I do have those items on hand. This should be interesting
 
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