? Panic 02/03 - Dosing Advice?

Panic

Member Since 2019
Hey all, Panic seems to wobble back and forth between 1 and 1.25 units. We are using the SLGS method so she earns reductions when she drops under 90, but after the reductions she pulls back up into the 200-300s and we have to go back up again.

She's been on 1u for a while and I made the decision to up the dose after she consistently stayed in the 200s. I changed her back up to 1.25u last night, she did well, and today she's having a wonderful curve but again, she dropped under 90! Advice please?
 
Can you measure a fat 1.0 unit dose? The other possibility, if that doesn't work for you, is to think about changing the SLGS guidelines to have a bit lower reduction point for Panic. Although today's almost ideal cycle would still be low enough for a reduction.

You did hold the 1.0 unit dose too long. If you go a week without seeing anything below 150, I would increase. Otherwise you can get glucose toxicity setting in as her body gets used to higher numbers. After that 121 on the 19th, I wouldn't have held the dose as long. You want her nadirs (plural) falling in the 90 to 149 range, not just the odd spotting of a number in that range.
 
How would I go about doing a fat 1.0 dosage? Right now when I do 1.25 I just go a smidge under the 1u mark.

Agreed, her dosage was going to be changed last week but I had a dum-dum moment where I gave her her regular dose out of habit and that had been the only day I was available to monitor, this is the first day off I've had.
 
If you aren't using digital calipers to measure the dose, you can count drops. Get a used syringe, and fill with coloured liquid. First practice getting consistent sized drops by filling the syringe with liquid and twisting the plunger to squeeze out drops. When you can consistently get the same number of drops for 1.0 units, then fill to 1.25 units and squeeze out drops to get you to 1.0 units. Split the difference in number of drops. Then load the syringe to 1.25 units, and take out half the drops between it and 1.0 units to get you a fat 1 unit.
 
Ooh okay, that sounds like it'll take some practice. Is it smarter to just use digital calipers? I've seen them mentioned for micro-dosing but haven't looked into how they work.
 
Can you measure a fat 1.0 unit dose? The other possibility, if that doesn't work for you, is to think about changing the SLGS guidelines to have a bit lower reduction point for Panic. Although today's almost ideal cycle would still be low enough for a reduction.

You did hold the 1.0 unit dose too long. If you go a week without seeing anything below 150, I would increase. Otherwise you can get glucose toxicity setting in as her body gets used to higher numbers. After that 121 on the 19th, I wouldn't have held the dose as long. You want her nadirs (plural) falling in the 90 to 149 range, not just the odd spotting of a number in that range.

@Wendy&Neko What is the lowest reduction point one could consider for modified SLGS? I do not want to reduce the dose for fleeting drops below 90 either. I would like my Bandit to spend more time in the greens. Like in TR, can one reduce the dose after "x" no of drops below 90 or some such?

@Panic apologies for hijacking your thread, but I had the same question.
 
What is the lowest reduction point one could consider for modified SLGS?
Modifying the SLGS guidelines is something you can consider only once you have a good understanding of your cats response to insulin and carbs. In other words, knowing the onset, nadir and duration, and how he/she responds to low, medium and high carb food at different times of the cycle. Learn thy cat. It's not a one number fits all cats. There is also a consideration of how much you can and do monitor. If you only test preshots and do a periodic curve, then I wouldn't change the reduction point. The reduction point of 90 is to keep your cat safe. Provided you can monitor more frequently, you could slowly lower the reduction point and see what happens.
 
Modifying the SLGS guidelines is something you can consider only once you have a good understanding of your cats response to insulin and carbs. In other words, knowing the onset, nadir and duration, and how he/she responds to low, medium and high carb food at different times of the cycle. Learn thy cat. It's not a one number fits all cats. There is also a consideration of how much you can and do monitor. If you only test preshots and do a periodic curve, then I wouldn't change the reduction point. The reduction point of 90 is to keep your cat safe. Provided you can monitor more frequently, you could slowly lower the reduction point and see what happens.

thanks. i can monitor. i don't want to take reductions on account of sudden/random and single drops below 90 since bandit is still pretty much in yellows - not even blues consistently.
 
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