11/15 Asia +3.5 106, +6 167, +7 212. +PMPS 395

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Mandy & Rex said:
You may want to add Asia to the title.

Would you be able to monitor this cycle? Asia may show some action. :cool::D
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Added it, thanks for the catch! Sorry, crazy house and little sleep! My daughter's former piano teacher from out of town is visiting. I will be able to pop home frequently, yes. We will see what Asia has plannned for the day.
 
You may want to think about an increase tomorrow if she doesn't get there tonight. She may only need it for a little while but you want her coming back down to green so she gets use to it.
 
Doodles & Karen said:
You may want to think about an increase tomorrow if she doesn't get there tonight. She may only need it for a little while but you want her coming back down to green so she gets use to it.
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Increases freak me out now more than they did when she was trying to be pink all the time. I asked a few days ago, because I don't totally understand how the fine tuning works once you start seeing a lot of blues and some greens. She threw a wee bit of green on the 12th, and probably had a green today that I missed at +4 or +5, likely in the high 80s or 90s, but obviously not enough to get her use to it. Here's what I wrote:

I'm not itching to increase or anything, but just wanted clarification, it says for nadirs under 100, hold the dose for at least 10 cycles before increasing. I don't think Asia needs an increase right at this point, but I was just curious if it means hold the dose for 10 cycles period (Asia has been on this dose of 2 units for 10 cycles) or hold the dose for 10 cycles after last green nadir? I'm guessing the minutiae isn't really spelled out? What I'm really getting at is, when do you decide to increase even if they are spending a majority of their time in blues and some occasional greens? This blue green stuff is so new and before it was obvious to increase because she was so far off the mark, but now it's a whole lot less obvious. o_O
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I understand and did see what you wrote the other day. Wendy answered so felt there was no need for me to chime in. Sure by now you realize there is the protocol but also ECID and some...hmmm, "do I or don't I" with FD. Sometimes our decisions work out and sometimes that cat says otherwise :rolleyes: Hope you appreciate my scientific statement there :p

When I look at a SS, I look at the past 5 days and then some history. When increasing ask yourself...where you want her nadirs to be and is there room for an increase. I actually threw out the dosecrease threat in hope she'd read it and respond. She's doing great but think if you keep pushing she can do better.

1- the last green was short lived and got her to 78 which was 6 cycles ago (61 a few days before that) and she didn't make it to green today. If she did it was short lived. It's the 6th cycle since then so with TR you can increase or wait 6-10 cycles from that green. It's a care taker's decision and knowing your cat. With Doodles I usually held the dose 8 cycles after the last green but knew him very well and he had other conditions.

2 - You are able to monitor her enough which also plays in my suggestion to increase. Again it's fine to hold 6-10 cycles. We say it's ok to increase once the bounce clears if they don't make it back to green. IMHO it did today and there's room for an increase.

See what she does tonight and even what she throws you tomorrow at AMPS...trust your gut. Also depends on what your goal is...remission or some regulation.

Does that make sense? It's also a good idea to put the "?" mark up and get others opinions as my 2 cents is only worth 1/2 a penny :)
 
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Doodles & Karen said:
I understand and did see what you wrote the other day. Wendy answered so felt there was no need for me to chime in. Sure by now you realize there is the protocol but also ECID and some...hmmm, "do I or don't I" with FD. Sometimes our decisions work out and sometimes that cat says otherwise :rolleyes: Hope you appreciate my scientific statement there :p

When I look at a SS, I look at the past 5 days and then some history. When increasing ask yourself...where you want her nadirs to be and is there room for an increase. I actually threw out the dosecrease threat in hope she'd read it and respond. She's doing great but think if you keep pushing she can do better.

1- the last green was short lived and got her to 78 which was 6 cycles ago (61 a few days before that) and she didn't make it to green today. If she did it was short lived. It's the 6th cycle since then so with TR you can increase or wait 6-10 cycles from that green. It's a care taker's decision and knowing your cat. With Doodles I usually held the dose 8 cycles after the last green but knew him very well and he had other conditions.

2 - You are able to monitor her enough which also plays in my suggestion to increase. Again it's fine to hold 6-10 cycles. We say it's ok to increase once the bounce clears if they don't make it back to green. IMHO it did today and there's room for an increase.

See what she does tonight and even what she throws you tomorrow at AMPS...trust your gut. Also depends on what your goal is...remission or some regulation.

Does that make sense? It's also a good idea to put the "?" mark up and get others opinions as my 2 cents is only worth 1/2 a penny :)
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The more opinions the better, as far as I'm concerned. Especially when the answer is not so clear cut. From Wendy's answer I took that the lowest nadir in a dose means it's a good dose, I just can't tell yet if she is petering out on a dose like I could tell before, because, well, greens are involved and that wasn't the case before. I have no idea if I kept her on this dose for a random amount of time, say 2 weeks, if she would decide to give me nadirs in the 70s or 80s here or there and is that good enough even if the rest of the time is blue and even high blue? That's where it gets murky to me. And it's always in the back of my mind that high blues could really be pink (on my AT). The next time she gets blood done, I'm definitely going to test her and see how both meters compare to the lab number so I can at least wrap my head around that. I'm fine with the human meter and looking at trends, but I don't want her to be in a renal damaging numbers and kid myself that she isn't because the human meter is skewing lower than actuality, if that makes sense.

One trend I've noticed is that she seems to do better working on momentum. If I hold the dose for too long, it seems like she gets back in her comfort zone of pinks and I'm essentially starting over with the increase. I don't know if that's a thing or if that's just her thing.

My goal is definitely to try for remission, but I'm also a realist...she's 21, I could concede that regulation might be all that's in the cards for her (if that is even in the cards for her); ultimately my goal is for her to feel better: remission or not. Since diabetes, she has been lesser version of herself. I know she's older than the internet, but she was still very much herself, only slower, until this diagnosis. I can't figure out how or why she got FD in the first place, it does not make sense and it's a mystery to me that I just need to accept.

Thanks for leading me through all this, Karen, I appreciate you and everybody here more than I can say. You all are a light in an otherwise dark place. :bighug:
 
Toebeans said:
I just can't tell yet if she is petering out on a dose like I could tell before
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That's whey we hold the dose 6-10 cycles after the last green. If no more green, it's time to increase. The only thing we have are the numbers so follow the numbers. If she continues to give you nadirs in the range you're looking for (green) then it's still a good dose.

Toebeans said:
I have no idea if I kept her on this dose for a random amount of time, say 2 weeks, if she would decide to give me nadirs in the 70s or 80s here or there and is that good enough even if the rest of the time is blue and even high blue?
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We say green time is healing time. Although think most of us would be happy with some green and mostly blue. It's easier said then done though.

You're doing a great job with her. Keep asking questions and we try to help. Most of the time our crystal balls are broken :( As far as comparing human to AT meters. Please read this post AT vs Human Meter_Post By Jill . I understand your concern about renal threshold which again is why the more green the better. :bighug::bighug::bighug:
 
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