Sweet Tango AMPS 268

Sweet Tango

Sweet Tango

Member Since 2019
Hi. Today I tested midcycle as instructed. My kitty's numbers are looking flat. Throughout the day, the have been in the mid/upper 200 range. Would like to see them lower, but glad to see that there was no bouncing. At nadir he was 224. I am using the SLGS method and only shooting .5 (1/2 unit). My Vet really wanted to me to start him at 1 unit, originally, (but she also didn't advise me to test regularly). Is it ok to increase him to .75 or should I stay at .5 since he was nice and flat throughout the day?
 
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First a little housekeeping please - would you set up your title like this:

11/17 Sweet Tango AMPS 268

If you're following SLGS you'll want to hold this dose for 14 cycles / 7 days - please do not increase after only 3 cycles on this dose. You want to give him time to respond to this dose. If you increase too quickly you may go past what might be an effective dose. You also want to add SLGS to your signature so we don't have to ask you the same question every time you post.

What amount did you give Sweet Tango on the PM of 11/15 and 11/16 ? I don't see anything in the SS - there are several times where it's just blank - could you please fill in the blanks?
 
I have held this dose for 3 weeks now. On the 15th and 16th, I accidentally did not record those numbers. I do not have access to them anymore. Any areas that are blank, I did not record. Apologies if that makes it difficult, but I am making sure to record every number immediately now, so that my spreadsheet is accurate. He his been on .5 since he started insulin. I did review the sticky that was sent to me and trying to follow those guidelines, so I was just asking if it's ok to increase to .75.
 
Sweet Tango said:
I have held this dose for 3 weeks now. On the 15th and 16th, I accidentally did not record those numbers. I do not have access to them anymore. Any areas that are blank, I did not record. Apologies if that makes it difficult, but I am making sure to record every number immediately now, so that my spreadsheet is accurate. He his been on .5 since he started insulin. I did review the sticky that was sent to me and trying to follow those guidelines, so I was just asking if it's ok to increase to .75.
Click to expand...

Did you check to see if the numbers are still in the meter? Did you know that you can toggle back to dates/times in most meters? The data is all there - you just have to use the little arrows to see all previous recordings. If you can find them, please put them in your SS.

I only see 12 days worth of data on your SS - not three weeks??? I also see that you shot .25 on two days...why did you reduce to .25 on those dates and then go back to .5 ?? I'm sorry, I'm confused about what's going on here...perhaps you explained it all on another post that I missed?

You may want to put something in the comments about those various dose amounts - otherwise people will continue to ask and like me - may forget what you said...thanks!
 
I am very sorry Sue, but I simply do not have the data for those two days. I understand if you are not comfortable giving dosing advice since I am missing two days, but I don’t have it as I purchased a new Relion meter and threw away the other one. I am just trying to figure out if I should go up to .75
 
Here is the link to your post from Nov. 16.

I hate to go through this with you again, but there is no dose in the "U" column from 11/15 through this evening for your PM shot. There's no indication of how much insulin you gave Tango. I believe you said last night and in your first post tonight that you were dosing 0.5u. You need to fill in the amount on your spreadsheet or the assumption is that you did not give a shot. Please update Tango's spreadsheet.

I thought you were going to do a curve. A curve is not just a mid-cycle test. A curve is testing every 2 hours for a 12 hour period or testing every 3 hours for an 18 hour period. Per the instructions for SLGS:

After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours. Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet. The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
  • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
As your cat's blood glucose begins to fall mostly in the desired range [lowest point of the curve approaching 100 mg/dl (5.5 mmol/L) and pre-shot value around or below 300 mg/dl (16.6 mmol/L)], do lengthen the waiting time between dose increases. If you decide to change another factor (e.g., diet or other medications), don't increase the insulin dose until the other change is complete (but decrease the dose if your cat's glucose numbers consistently fall below 90 mg/dl (5.0 mmol/L) as a result of the change).

Before you can safely raise Tango's dose, you need to do a curve.

 
There are some major issues with Tango’s Spreadsheet. We can’t see it for one.

I’m going to send you a private message so please check your inbox. It’s really important that the SS is working correctly and we can see it. The link in your signature is incorrect so that’s causing some of the issue.
 
I am responding here to a PM from Tango’s mom about a dose increase.

@Sweet Tango
I understand he’s been at 0.5u for three weeks but we have to look at the data before us. He was just in blue on 0.25u. That blue was likely due to the 0.5u depot. Bounces can be in yellow and can take up to six cycles to clear. He should be clearing this bounce soon so we can see how low the dose is taking him if you can catch it. He could clear it today if he hasn’t already.

With any method, we have to know how low the dose is taking him before we increase.

To answer your question about increasing the dose to 0.75u, none of us will advise you to do that until you have run a curve. It is really imperative that you are getting a preshot test before every single shot, and you are getting at least a +2 test or an out the door test each a.m. cycle and a +2 test or before bed test each p.m. cycle and that you do a curve every 7 days unless you switch to TR. With TR, you need a minimum of four tests a day.

We are here to help and I understand his ears are sore but you have to keep him safe from low numbers. We are very good a seeing patterns but we won’t guess when there is so little data.
 
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