? 7/26 Boris, AMPS 127 Need input on small dosing

learjetta

Member Since 2019
Previous post here.

We are well into the throes of getting rid of most of our worldly possessions (extreme downsizing to move into our RV), so it has been unbelievably busy around here! Because of that, I haven't been online much.

I'm not sure what dosage is better for Boris right now. If you look at his SS, he was staying in the greens nicely at 0.25u, but per protocol, we dropped his dose again when he fell below 90. I'm starting to wonder if we were too aggressive, and if we should've ridden it out at 0.25u for longer than 3 days.

We dropped him down to a drop dose (push the plunger all the way in, insert syringe into bottle, release plunger), but his BG numbers came up, sometimes into the high 100's. I was away, and it was easier for my husband to do that while I was gone, so when I came home, we upped him to what I'm calling a "fat drop". We are lining the plunger up so that it juuuust kisses the bottom side of the 0u line. I'm not sure, maybe that'd be considered 0.1u? That seems to keep him in the blues most of the time.

Should we be increasing his dose up to where he's more in the greens (0.25u) and let it ride for a week or two? Or do we accept the blues with the occasional dip into the greens as a good dose, and run with that for a while? I'm just not sure which is the better choice, as I feel like he really wants to go into remission, and might have a better chance if he's in the greens more often.

Thanks for any input!

Melanie
 
There is actually a dose in between 0.25 units and the drop dose. It is 0.1 units, which it sounds like you may be doing with the fat drop. With SLGS you would have reduced the dose when he went below 90, but you're right the drop dose wasn't working. Before going into remission it is better to see more green to ensure a strong remission. You could continue to do what you are doing and count it as a modified SLGS to keep him in healing numbers longer. Are you able to get any mid-cycle night time tests in to see what he is doing?

Scroll down here for pictures of dosing.
http://www.felinediabetes.com/FDMB/...info-proper-handling-drawing-fine-dosing.151/
 
Happy to hear that Boris is getting so little insulin and still getting admirable numbers like 127! That’s just so great Melanie :joyful:

I like the idea of the 0.1u too. @carfurby I have seen mention of following a method of SLGS where you wait to decrease dose for 3 occurrences where kitty drops below 90. (Always within safety of course) Have you heard of this? Or is it more of a TR thing and I’m not remembering it correctly?
 
I have seen mention of following a method of SLGS where you wait to decrease dose for 3 occurrences where kitty drops below 90. (Always within safety of course) Have you heard of this? Or is it more of a TR thing and I’m not remembering it correctly?
I've never heard of that. I've seen people mention waiting for 3 drops under 50 with TR for a cat that doesn't hold reductions.
 
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