12/8 Apple PMPS 309 - Dosage increase needed?

Hi Caren! I don't recall seeing any recent posts from you - but appreciate that you have included your last known post from 11/23.

It would be so helpful if you could update your title to include the date - as your posts appear to only have a question. Most of us here create our condos like this: 12/8 Apple AMPS 196 - then your question.

It will help us know which date the condo it's from (for the next time you post)...and the kitties name as well.

Hope you'll post more frequently if you can :)
 
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Sue and Luci said:
Hi Caren! I don't recall seeing any recent posts from you - but appreciate that you have included your last known post from 11/23.

It would be so helpful if you could update your title to include the date - as your posts appear to only have a question. Most of us here create our condos like this: 12/8 Apple AMPS 196 - then your question.

It will help us know which date the condo if from (for the next time you post)...and the kitties name as well.

Hope you'll post more frequently if you can :)
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Hi Sue, I can't change the title. Should I post again and correct it?

Edit: Nevermind, I figured it out.
 
I haven't posted because I've been waiting to get more numbers on the spreadsheet since the last dosage increase, which was .25 up from 1.
 
Caren & Apple said:
I haven't posted because I've been waiting to get more numbers on the spreadsheet since the last dosage increase, which was .25 up from 1.
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Oh...I see...but you can feel free to post every day - just to keep us in the loop on how little Apple is doing. Is he eating well? Sleeping, peeing, pooping, purring, playing? Cats are more than their numbers and we all love to hear from everyone as often as possible...if only to just check in and let us know that you're still there and things are status quo. :)
 
He acts like a normal, healthy cat for the most part beside his eating, where he's hungry every hour or so. He's spry, he uses the litterbox but his poo is runny and foul smelling. But what really concerns us is the inconsistency in his numbers.
 
Caren & Apple said:
He acts like a normal, healthy cat for the most part beside his eating, where he's hungry every hour or so. He's spry, he uses the litterbox but his poo is runny and foul smelling. But what really concerns us is the inconsistency in his numbers.
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His numbers aren't really all that bad - low 300's...at least he's not bouncing all the way up into the blacks...just try to roll with it a bit and don't focus on the numbers so much. Give him his insulin because it looks like he needs it. Keep testing as often as you can -looks like you're doing good with the testing.

I would have gotten one more test after that nice blue the other night - on 12/4 - it's hard I know, but sometimes as miserable as it is, I have to set an alarm to get up again in a couple of hours for one more test...

I can't tell from your signature which protocol you're following: SLGS or TR? He's gotten under 200 a few times in the last few days...so that's real progress!
 
We're using the TR method, it's on our spreadsheet but not in our signature. We thought that the inconsistency, as in him jumping up by 100 in 2 hours, was concerning. Especially here:
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Caren & Apple said:
We're using the TR method, it's on our spreadsheet but not in our signature. We thought that the inconsistency, as in him jumping up by 100 in 2 hours, was concerning. Especially here: View attachment 49671
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Looks like just another day on the job...

He's bouncing a bit from that 124 - it's a normal response - his sugar went a little lower than he's used to so his liver dumped a lot of sugar into his bloodstream to compensate. As time passes and he has more frequent visits to the lower numbers the bounces will lessen...my Luci still bounces...so it's normal. Don't freak out..

If you're doing TR you could probably consider an increase since you haven't seen a green number in a while.
 
Thank you. We thought increasing to 1.5 would be the best course of action, but we needed confirmation from someone with more experience.
 
Caren & Apple said:
Monitor for too much of a drop? We always monitor when my grandson is home from high school, but I can.
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I usually like to monitor a little more closely when I give Luci an increase - it just helps me to see if she's going to respond to the increase by dropping those numbers down. Sometimes when I increase, she gets in a bit of a hurry and drops a little bit too low, too fast for her safety - so I feed her a little medium carb food to slow that drop down. If you look at our SS you'll see the days when she kinda takes off on me - and I set a timer to monitor her at least hourly - sometimes more often than that - I don't want to have to reduce her dose any sooner than I have to ... so for us, it means a little more monitoring when she gets an increase.

Since this is the first time you've given Apple this much insulin, it would be good to monitor closely to see what effect it's going to have. Let's hope it's the effect we're looking for and he hits those nice green numbers without going below 50. It's a bit of a tightrope walk there...keeping them between 50 and 100...for hours...so you'll want to be around and paying attention :)
 
I know it has to be done but that sounds frightening. So the tipping point is 50 and below and is there a point where he'll stabilize?
 
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Caren -

With TR, you evaluate. your dose every 3 days. You've been at the 1.2u dose since Nov. 24th. That's far too long if you're going to stick with TR. In addition, you want to get at least one test per cycle in addition to your pre-shot tests. Lantus dosing is based on the lowest number in the cycle and not the pre-shot test numbers.

You might want to try a particular probiotic to help with the poo problems. S. boulardii is very effective for this sort of thing.
 
Sienne and Gabby (GA) said:
Caren -

With TR, you evaluate. your dose every 3 days. You've been at the 1.2u dose since Nov. 24th. That's far too long if you're going to stick with TR. In addition, you want to get at least one test per cycle in addition to your pre-shot tests. Lantus dosing is based on the lowest number in the cycle and not the pre-shot test numbers.

You might want to try a particular probiotic to help with the poo problems. S. boulardii is very effective for this sort of thing.
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Yikes I guess we blew the TR. Would that literally mean every 3 days you'd evaluate and increase or decrease? Seems like we're not doing any of this correctly. And by one test per cycle, I assume that a cycle is a 12 hour period? Looking at his numbers what do you agree that an increase is in order? We're trying to get this right. Is there a particular brand that you recommend with S. boulardii and what would be the dosage for a cat?
 
With TR, you reduce the dose if numbers drop below 50. If numbers are not in normal range, you increase the dose.

I linked the brand of S. boulardii that I use. I buy from Amazon and use the ReNew Life brand.
 
Sienne and Gabby (GA) said:
With TR, you reduce the dose if numbers drop below 50. If numbers are not in normal range, you increase the dose.

I linked the brand of S. boulardii that I use. I buy from Amazon and use the ReNew Life brand.
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Sorry I missed the hyper link..and what is the dosage you use? I'm going to assume you agree with the dosage increase and we'll just go from there. Thank you
 
Sienne and Gabby (GA) said:
This is more than you can possibly want to know about controlling diarrhea in cats. Please note, though, that the dosing of S. boulardii they mention is for very acute diarrhea. You likely don't need to be dosing every 2 hours.
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I'll take a look at that, but take heed on the noted "acute diarrhea". Start slowly and increase as needed. What I really need to hear from you is on the dosage increase. There is a divided consensus in the household which boils down to needing a stated second opinion from yourself, as a moderator. I'm sure Sue is well versed in the procedures, but one person's opinion is not holding up well here. Can you please advise?
 
Caren - I'm not sure I understand what you're referring to in the post above. Can you state the question a bit more directly? I don't want to misinterpret.

I do think you need to increase Apple's dose. If you reread the TR Protocol, you'll note that the dose needs to be evaluated every 3 - 5 days. You're well beyond that window.

(FYI - I'm at work and need to get back to what I'm supposed to be doing. I hope I answered your question. )
 
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Sienne and Gabby (GA) said:
Caren - I'm not sure I understand what you're referring to in the post above. Can you state the question a bit more directly? I don't want to misinterpret.

I do think you need to increase Apple's dose. If you reread the TR Protocol, you'll note that the dose needs to be evaluated every 3 - 5 days. You're well beyond that window.

(FYI - I'm at work and need to get back to what I'm supposed to be doing. I hope I answered your question. )
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Sorry to sound cryptic. It was the start of this thread where I asked for dosage advice. Sue was kind enough to answer and suggested a dose increase. The TR vs the other procedure, letters escape me, was just a guess as to how we are handling Apple's dosage. TR is probably too aggressive for us and I just needed to know if it was safe to increase and needed a second opinion. Sorry to take you away from work and do appreciate your reply. Have a good rest of the day :)
 
You weren't taking me away from work. I was concerned that I may have misunderstood and didn't have sufficient time to hang around.

The letters are SLGS -- start low go slow. You need to evaluate the dose every 7 days.
 
Sienne and Gabby (GA) said:
You weren't taking me away from work. I was concerned that I may have misunderstood and didn't have sufficient time to hang around.

The letters are SLGS -- start low go slow. You need to evaluate the dose every 7 days.
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Will increase dose on Saturday and check intermittently during the next couple of days and come back to see if i can get help on the evaluation after seven days. Thanks again
 
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