12/22 Willow *1st Dose Increase Tonight!* PMPS 144/+2 155/+4 133/+6 139

nslade001

nslade001

Member Since 2018
Day 5 Lantus!

Upped dose *very* slightly this morning to a "fat" 0.5 unit by touching the top of the plunger to the bottom of the line marking the 0.5 U.

AMPS 9.3 (178)
"fat" 0.5U Lantus
+3 9.4 (169)
+6 7.3 (132)
+9 7.9 (142)
PMPS 8.0 (144)
* 0.75U Lantus*
+2 8.6 (155)
+4 7.4 (133)
+6 7.7 (139)

*Increased PM Lantus Dose by 0.25 to 0.75U !
 
Last edited:
carfurby said:
Here is the link to yesterday's condo:
http://www.felinediabetes.com/FDMB/...-160-6-158-9-171-pmps-173-3-175-5-189.208261/

We try to always add the link so people can quickly go back and see what happened. Sorry no one answered you yesterday about the dose increase. I'd give the fattened dose 3 days (6 cycles) and then you may need to increase again if you don't see any green.
Click to expand...

Thanks again, and sorry about forgetting the link *again*. Definitely no need to apologize, I'm just so grateful the info is here and you all are so incredibly available! One more quick question: if I do need to increase again, should I try for another tiny increase (with a bit of light under the line) or just try to eyeball the 0.75U mark (not sure if that's too great a jump for her numbers).
Thank you, with love,
Nikki
 
If you are following TR, I would have gone straight to a 0.75 unit dose. The fat and skinny doses are only if you are tweaking a dose that is mostly good. And not something you need to try until you have given TR a good try as it is written. With no greens on 0.5 units, a full 0.25 increase is suggested. In addition, the protocol says to hold the first dose 5-7 days to build the depot, today is day 5.

I would go to 0.75 units tonight and just pretend this morning was a bit light.
 
Wendy&Neko said:
If you are following TR, I would have gone straight to a 0.75 unit dose. The fat and skinny doses are only if you are tweaking a dose that is mostly good. And not something you need to try until you have given TR a good try as it is written. With no greens on 0.5 units, a full 0.25 increase is suggested. In addition, the protocol says to hold the first dose 5-7 days to build the depot, today is day 5.

I would go to 0.75 units tonight and just pretend this morning was a bit light.
Click to expand...

Hi, thanks for responding,

The reason I didn't go the full 0.25U is because s a 50% increase seemed high since we're all new to Lantus. I thought maybe by the time most people hit 0.5U they would have a better idea how their kitty responded to dose changes, and maybe lower/slower was better in this particular case (I don't have any issues following TR as it is written, as long as I'm confident that I'm doing it the right way :)

I didn't understand that the initial 5-7 days were to build the depot; I don't remember reading that. I thought that either it might be to give us a better idea of how she'd respond to Lantus, or that it generally took that long for the response to stabilize.

I prefer to start any changes in the morning so I'm more alert and able to monitor her well, so I'll hold this dose tonight I guess and increase to 0.75U in the mornng...I'm a bit nervous about greens (since we haven't dealt with them yet) so I hope someone will be available for reassurance if necessary LOL!

Thanks again, with love,
Nikki
 
Wendy&Neko said:
If you are following TR, I would have gone straight to a 0.75 unit dose. The fat and skinny doses are only if you are tweaking a dose that is mostly good. And not something you need to try until you have given TR a good try as it is written. With no greens on 0.5 units, a full 0.25 increase is suggested. In addition, the protocol says to hold the first dose 5-7 days to build the depot, today is day 5.

I would go to 0.75 units tonight and just pretend this morning was a bit light.
Click to expand...

Hi @Wendy&Neko , decided to be bold and take your recommendation, went with 0.75U tonight. Fingers crossed all goes well!
with love,
Nikki
 
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