? Ori 1-29-20 AMPS 410: we are chasing an upward spiral - help :(

I don't have enough experience to advise you, but I'm sure someone more knowledgable will chime in shortly.
 
Hi Erica,

Looks like from your SS you are doing SLGS. You may want to take a look at the guidelines for Tight Regulation and see if that's a possibility. TR will allow you to safely increase the dose quicker to help find the 'magic' dose for Ori. Freckles and I are in a similar situation in that we are having a difficult time breaking through the yellows consistently.
 
Since you just increased, it's not uncommon to see higher numbers for a cycle or two. We don't know why it happens, but we call it New Dose Wonkiness (NDW)

What's your daily schedule like? (just asking because most days you seem to be able to test in between shots on the AM cycle but a few days you don't)
 
Chris & China (GA) said:
Since you just increased, it's not uncommon to see higher numbers for a cycle or two. We don't know why it happens, but we call it New Dose Wonkiness (NDW)

What's your daily schedule like? (just asking because most days you seem to be able to test in between shots on the AM cycle but a few days you don't)
Click to expand...
I have not increased for like 5-6 days - I only gave 3.25 today. I cannot test between shots during the work week anymore.
 
Judy and Freckles said:
Hi Erica,

Looks like from your SS you are doing SLGS. You may want to take a look at the guidelines for Tight Regulation and see if that's a possibility. TR will allow you to safely increase the dose quicker to help find the 'magic' dose for Ori. Freckles and I are in a similar situation in that we are having a difficult time breaking through the yellows consistently.
Click to expand...
 
Judy and Freckles said:
Hi Erica,

Looks like from your SS you are doing SLGS. You may want to take a look at the guidelines for Tight Regulation and see if that's a possibility. TR will allow you to safely increase the dose quicker to help find the 'magic' dose for Ori. Freckles and I are in a similar situation in that we are having a difficult time breaking through the yellows consistently.
Click to expand...
I basically follow TR protocol, except I hesitate to raise it - I am wondering if I need to raise now.
 
Ori (and Erica) said:
I am frustrated. I increase a dose - she goes down, and then goes up - this happens over and over. I have half a mind to put her back to 2.5 where she had the best numbers.

I do not think she is going low. Clinical signs are good, but this is not where I want her to be. I need help.
Click to expand...

Remember, this is a marathon, not a sprint.....some cats just need more than others and it can be totally normal for that cat. If you get above 6U twice a day, we'll probably suggest you get her tested for high dose conditions like acromegaly and IAA. Until then, just hang on, increase when you need to (depending on your dosing method) and enjoy the fact that she's feeling good!
 
Ori (and Erica) said:
I have not increased for like 5-6 days - I only gave 3.25 today. I cannot test between shots during the work week anymore.
Click to expand...

OK...but we need to decide on one dosing method...it's too confusing to "modify" either one. On SLGS, hold the dose for 7 days and then do a curve (test every 2 hours for 12 hours or every 3 for 18 hours)

It looks like you can do curves on weekend days? How about hold the 3.25 and do a curve on Sunday and let's see what's going on then? Would that work?
 
Chris & China (GA) said:
OK...but we need to decide on one dosing method...it's too confusing to "modify" either one. On SLGS, hold the dose for 7 days and then do a curve (test every 2 hours for 12 hours or every 3 for 18 hours)

It looks like you can do curves on weekend days? How about hold the 3.25 and do a curve on Sunday and let's see what's going on then? Would that work?
Click to expand...
Yes - I can do weekends - and her nadir seems like it's +6 in general.
 
Chris & China (GA) said:
OK...but we need to decide on one dosing method...it's too confusing to "modify" either one. On SLGS, hold the dose for 7 days and then do a curve (test every 2 hours for 12 hours or every 3 for 18 hours)

It looks like you can do curves on weekend days? How about hold the 3.25 and do a curve on Sunday and let's see what's going on then? Would that work?
Click to expand...
Yes, I can do that 3.25 until the weekend and then check.
 
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