I can try. It would be easier to get a later test during the day. I think he nadars later than most. What is the latest a cat typically nadars?
Ahhh the million dollar question.
He most usually nadired at around +5/+6, but nadired anything in between, it's not really until they are well regulated that you find them nadiring consistently at a particular time.
Ahhh the million dollar question.
George was on lantus and he nadired as early as +2 and as late as +13
Seriously their is no way of telling for a particular cat.
How are you fixed for getting data during the day?
If you are available all through the day time cycle I would start by routinely checking at +3/+4 and at +6/+7
If the numbers warrant it you can step up the testing, so if you tested at +3 and you saw a large drop you might follow up with a test at +4 or +5, same for the +6 if you found he was dropping with respect to +3 then follow up with a later test to see if he is continuing to drop or if in fact he is on the upward swing.
I would recommend that you always get at least a before bed test in the pm cycle, and follow that up if you feel you need to, ie if you saw a large drop.
Gathering a little more data consistently will allow you to make confident dosing decisions.
Based on the data you have at the moment, I would not take the dose up yet. Unlike prozinc with Lantus you need to determine how low this dose is getting him, and so far we do not have a clue, anything could be happening. We do know that he got a green on the 1u not so long ago though....
How you go about adjusting the dose will depend on which of the dosing strategies you want to follow or is a good fit for you. Have you read the sticky on the dosing methods? Which one are you hoping to follow?
George did once he was regulated, but in the early days he was all over the place.
So test more on the days you can, and on your working days grab spot checks if you are able to (just before you head out to work or as soon as you get in)
it sounds as if he is trace, that's OK, keep monitoring daily.
I'm sorry no one was round earlier.
He may well need more insulin, but at this stage of the game it's important to take things one step at a time.
I was up testing and having panic attacks. I entered more data. Please take a look. Amps is 547good job getthing the +9
it sounds as if he is trace, that's OK, keep monitoring daily.
I'm sorry no one was round earlier.
He may well need more insulin, but at this stage of the game it's important to take things one step at a time.
It can take upto 6 cycles for the dose to show it's true effect. That's because Lantus is a depot insulin, that means when you shoot, some of it goes to work and another portion of it get's stored for slow release, the size of the depot is directly related to the size of the dose. We know that it can take up to 6 cycles for the dose to really show what it can do. So on TR (we need to have the data to support this) we can take the dose up after 6 cycles
At the moment with the data so far we do not know how low this dose is taking yoshi, in part because of the difficulty with getting those midcycle tests, there is not enough data at the moment for us to follow the TR guidelines.
I see that you have chosen to follow SLGS (reasonable given your situation at present), with this method, because of limited data we would hold the dose for a full week (14 cycles) and run a curve before making a dosing decision.
One other thing to look at is that 75 you got a 5 days ago, that was on 1u of insulin. So before you take him up you really need to be sure that this dose isn't doing it for him, and unfortunately you don't have the data to support that. So you need to take the increases slowly following the guidelines on SLGS for the time being to increase in a safe manner and so you don't over shoot a good dose.
When they drop low midcycle they can bounce back up to red by the next PS, so just getting those reds and pinks at PS doesn't really tell us if the dose is too low, it could just as easily be too high.
Thank you for respondinggood job getthing the +9
it sounds as if he is trace, that's OK, keep monitoring daily.
I'm sorry no one was round earlier.
He may well need more insulin, but at this stage of the game it's important to take things one step at a time.
It can take upto 6 cycles for the dose to show it's true effect. That's because Lantus is a depot insulin, that means when you shoot, some of it goes to work and another portion of it get's stored for slow release, the size of the depot is directly related to the size of the dose. We know that it can take up to 6 cycles for the dose to really show what it can do. So on TR (we need to have the data to support this) we can take the dose up after 6 cycles
At the moment with the data so far we do not know how low this dose is taking yoshi, in part because of the difficulty with getting those midcycle tests, there is not enough data at the moment for us to follow the TR guidelines.
I see that you have chosen to follow SLGS (reasonable given your situation at present), with this method, because of limited data we would hold the dose for a full week (14 cycles) and run a curve before making a dosing decision.
One other thing to look at is that 75 you got a 5 days ago, that was on 1u of insulin. So before you take him up you really need to be sure that this dose isn't doing it for him, and unfortunately you don't have the data to support that. So you need to take the increases slowly following the guidelines on SLGS for the time being to increase in a safe manner and so you don't over shoot a good dose.
When they drop low midcycle they can bounce back up to red by the next PS, so just getting those reds and pinks at PS doesn't really tell us if the dose is too low, it could just as easily be too high.
It's entirely possible that the numbers we are seeing now are a result of a low we did not see.
+1 is 477I take it he didn't have access to food in the two hour window before amps?
Are you able to grab a test before you leave for work this morning?
It doesn't look like he got up to anything crazy yesterday.
But lets just say, for arguments sake, that he dropped into green on September 8, that would have likely triggered a bounce.
A bounce occurs when kitties BG drops either too fast, or lower than they are used to (or both), this stimulates a reaction that ultimately results in the liver dumping stored glucose into the system in an attempt to protect kitty from a perceived low, once a bounce is triggered it can last up to 6 cycles, but it may clear sooner.
I know how hard it is to see those numbers, take a look at Georges SS when we started back in nov 2015
View attachment 47751
It took a month before we saw a yellow. I was beside myself with so much red on his SS
Stick with the 1u for now and keep monitoring his ketones, as folk are fond of saying treating FD with Lantus, is a marathon not a sprint.
Today I should be able to get a +6 or 7 our school is having an event today and we get out early
That would be great.
Yes a spot check in that window is a good place to start. If you.can't get one at that time, checks at other times can help shed light on his patterns. Someone once likened the SS to a puzzle, if you get a spread of tests at different times on different days it can help you see the bigger picture.
