02/24 Diamond 330 amps Dosing question

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krazy4kritters

Member Since 2018
http://www.felinediabetes.com/FDMB/threads/02-22-diamond-334-amps.191562/#post-2137148
I apologize for being such a dough head about increasing Diamond's dose on TR. I'm a bit confused on info about dose increase stated on Tilly's web page:

Phase 2: Increasing the dose
Most cats need to have their dose increased. Do it in 0.25 IU or 0.5 IU steps (0.25 IU if the cat is getting a low dose and/or relatively low BGs, 0.5 IU if the cat is getting a higher dose and/or relatively high BGs). Hold each dose for 5-7 days. However, if the cat is producing continuously high BGs (nadir always >=300 mg/dl), only hold the dose for 2-3 days before increasing it by 0.5 IU. Alternatively, if the cat is continuously producing moderately elevated BGs (nadir always >=200 mg/dl), increase the dose every 2-3 days by 0.25 IU ( if the cat is getting a low dose) or 0.5 IU (if the cat is getting a higher dose). From this point onward test for ketones once per week, or more often if the nadirs are still >=200 mg/dl.

Can someone please look at Diamond's SS and make a suggestion? To me, his numbers are high and all over the place. It looks to me like I should increase dose by .5 IU at this pm shot.
 
From the TR protocol sticky:
INCREASING THE DOSE:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 200, but less than 300 increase the dose by 0.25 unit.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit.
(I found the quote from Tillie's unnecessarily confusing)
You did the right thing. Hope this will get rid of those stinky pinkies!
 
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