2/7 Maxi AMPS (436) +2(379)+5(358)+8(331) - Increase Dose

bambinaki

bambinaki

Member Since 2010
Hello-

Looking at Maxi's spreadsheet, I'm struck by how his glucose levels were lower the first couple of days he got insulin than they are now, when I thought the insulin would really be kicking in.

I'll give it one more day, and then I'm planning to give him an increased dose. Do you think I should increase only by 0.25 unit, or by 0.5 unit?
 
It takes 5 - 7 days for the depot to form. It's not unusual to not see much movement in the numbers until the depot is in place.

If you are following SLGS, please do not raise the dose that soon. With SLGS, you hold the current dose for a week unless numbers drop below 90. You do test enough to follow TR, which is a more aggressive approach to diabetes management and yu would be able to increase the dose after 3 days/6 cycles, providing you haven't been giving fur shots. (And if you have been giving fur shots, then the depot isn't forming at the the rate we'd expect.)

One think using a depot insulin such as Lantus will reinforce is patience. Please don't try to rush the process.
 
Hi Karen, I'd like to encourage you to post here daily so you can get more support, advice and encouragement from the group. There are a lot of very helpful people here who will readily answer your questions and help you find your way.

FD is a complex disease and getting started can be challenging!

Each day please start a new thread like this: 2/7 Maxi AMPS 308 - so each day you have one condo - you can add questions, comments, etc to your title as well.

Then copy/paste the url from the previous day into the top of your post for continuity/history.

It's very helpful because there are a lot of posters every day and we all want to try to help as much as we can.

Sienne has given you some great advice - hope to see your posts every day :)
 
Karen -

This is a "housekeeping" note. This is a big and a busy board. You have been asking good questions. If you can include your questions in your daily thread where you're providing Max's numbers, that would be helpful. You can include Max's numbers on the subject line and indicate you have a question. You can put a "?" in the subject line, if there's space, write something like "Why are #s so high?" or whatever works. The way the board works is that anytime there's a new response to a post, the threads with a new comment go to the top of the board. If everyone had their kitty's thread and asked a question or two, people that may need help would get pushed to the bottom. As a result, we try to limit threads to one thread per cat per day.
 
Sienne and Gabby (GA) said:
Karen -

This is a "housekeeping" note. This is a big and a busy board. You have been asking good questions. If you can include your questions in your daily thread where you're providing Max's numbers, that would be helpful. You can include Max's numbers on the subject line and indicate you have a question. You can put a "?" in the subject line, if there's space, write something like "Why are #s so high?" or whatever works. The way the board works is that anytime there's a new response to a post, the threads with a new comment go to the top of the board. If everyone had their kitty's thread and asked a question or two, people that may need help would get pushed to the bottom. As a result, we try to limit threads to one thread per cat per day.
Click to expand...

Hi Sienne-

Thank you for the housekeeping note. But I am lost/don't understand. I've been posting one thread per day (since I was told that or read that some days ago). I put a question mark in the subject line along with words that indicate my question. Maxi's numbers are all on his spreadsheet, so I haven't been providing his numbers in my posts (unless generally, like 'why are they always in the 300s?'), so I don't understand why I should also provide them in posts. (Aren't the spreadsheets intended for quick and easy viewing of the numbers?) Below are links to all my threads in chronological order. Should I include all links in every thread? (I don't see others doing that.) Clearly, I don't get it. Please clarify for me what I'm not getting. I want to do this right, and I want to help Maxi. His glucose this morning is 436, and I'm very worried, so I want to increase the medicine that can bring his glucose down. I'm told to be patient and not increase the insulin; meanwhile, his body is being ravaged by hyperglycemia. Please advise.

Thank you

http://www.felinediabetes.com/FDMB/threads/give-vetsulin-until-i-get-lantus-urgent.224895/

http://www.felinediabetes.com/FDMB/threads/lost-and-no-time-qs-re-meter-dosing.224944/

http://www.felinediabetes.com/FDMB/...fting-from-vetsulin-to-lantus-tonight.225009/

http://www.felinediabetes.com/FDMB/threads/u-100-syringe-markings.225017/

http://www.felinediabetes.com/FDMB/threads/relion-vs-alphatrak-my-vets-opinion.225042/

http://www.felinediabetes.com/FDMB/threads/more-syringe-confusion.225059/

http://www.felinediabetes.com/FDMB/threads/new-members-spreadsheet.225060/

http://www.felinediabetes.com/FDMB/threads/diabetic-cat-with-kidney-disease.225128/

http://www.felinediabetes.com/FDMB/threads/urgent-question.225137/

http://www.felinediabetes.com/FDMB/threads/2nd-day-in-the-300s-what-to-do.225175/

http://www.felinediabetes.com/FDMB/threads/questions-about-food-shot-binder.225218/

http://www.felinediabetes.com/FDMB/threads/food-advice-please.225263/

http://www.felinediabetes.com/FDMB/threads/your-thoughts-on-glucose-vs-protein.225307/
 
Sue and Luci said:
Hi Karen, I'd like to encourage you to post here daily so you can get more support, advice and encouragement from the group. There are a lot of very helpful people here who will readily answer your questions and help you find your way.

FD is a complex disease and getting started can be challenging!

Each day please start a new thread like this: 2/7 Maxi AMPS 308 - so each day you have one condo - you can add questions, comments, etc to your title as well.

Then copy/paste the url from the previous day into the top of your post for continuity/history.

It's very helpful because there are a lot of posters every day and we all want to try to help as much as we can.

Sienne has given you some great advice - hope to see your posts every day :)
Click to expand...

Thanks, Sue.

Please see my reply to Sienne.

Most posts/thread are not titled like that ("2/7 Maxi AMPS 308'). ??

What is a condo?

I don't understand what you mean by adding questions and comments to my title. Don't the questions and comment go inside the text box(es) of the post?

Sorry for my misunderstanding!

Thank you
 
Sienne and Gabby (GA) said:
It takes 5 - 7 days for the depot to form. It's not unusual to not see much movement in the numbers until the depot is in place.

If you are following SLGS, please do not raise the dose that soon. With SLGS, you hold the current dose for a week unless numbers drop below 90. You do test enough to follow TR, which is a more aggressive approach to diabetes management and yu would be able to increase the dose after 3 days/6 cycles, providing you haven't been giving fur shots. (And if you have been giving fur shots, then the depot isn't forming at the the rate we'd expect.)

One think using a depot insulin such as Lantus will reinforce is patience. Please don't try to rush the process.
Click to expand...

Thank you, Sienne, for your advice.

But what is happening to his organs with day after day of high/uncontrolled glucose? Please forgive my thickness. I have read and re-read the instructions for both protocols. To me, it seems that TR is the same as SLGS; it's just more testing. I would like to do what's best for Maxi. Could you please tell me exactly what to do for TR and to increase his insulin tomorrow morning, which will be after 3 full days of 1 unit? Or persuade me that it's fine for him to have such high numbers?

Thanks again
 
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Hi,

This is the structure/format to be followed:

Thread Title:
Prefix (dropdown) - select "?" icon if you have a question or "no prefix" if it is just an update
Title: Date - Kitty's name - BG Numbers (for e.g. "02/07 - Maxi - AMPS (316) +2 (265) +4(230)" or "? 02/07 - Maxi - AMPS (316) +2 (265) +4(230) - do i increase the dose?")

In the thread body:
Start with "Previous Post - <the URL of the last post on Maxi>
Then your update or question.

Your thread title is a preview of your post and will give other members and moderators an idea of what you are saying/asking.

Condo is FDMB slang for thread. Members can post not more than 1 thread in a day since this a busy board.
Here is the glossary:
http://www.felinediabetes.com/dictionary/cat-health-dictionary-fdmb.htm
http://www.felinediabetes.com/FDMB/threads/fdmb-glossary.194472/

Feline Diabetes is complex and our cats keep us on our toes. Don't worry. Deep breaths.
This forum is a great resource and a lot of members devote a lot of their time to helping others.
 
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bambinaki said:
...which means I can increase the dose tomorrow morning and test often all weekend. Right?

Thanks, BM
Click to expand...

What does the 1(?) mean on PMPS 2/4 ?

If you have given 1 u x 6 cycles then yes, if you want to switch to TR then tonight you could increase to 1.25. Many people don't like to increase at night since there's a possibility of seeing lower numbers - however with all this pink it's hard to say that it would magically push him into the low greens on the first cycle - but that's up to you - I suppose if it were me, I'd increase in the morning.

I'm glad that Bandit's mom helped you with clarification of what the title should look like on your condo/thread each day - putting in random comments causes confusion and it's just about impossible for us to keep up with what's being said or to look back on the previous day (history) of what was said the day before.

Please look at some other people's condos at the typical fomat; everyone typically puts the DATE/ CAT NAME / AMPS ### and sometimes comments or questions; then we always copy and paste the last thread/condo into the first line of the new one; we're allowed one each day.

I hope this is helpful; if so, you could start by editing your title for today and changing it to include this: 2/7 Maxi AMPS 308 as I suggested earlier; Let's start there how about it?
 
Thank you, Sue and Bandit's Mom.

As you can see, I've changed the title. I guess we have different organizational styles and ideas about efficiency. I don't see why we should include in the title info that's already automatically there (date, name) or a click away in a clearer format (glucose numbers on spreadsheet). I have always put the topic/question in the title so members can immediately determine if they want to read the post / if they feel able to provide an answer, and I've been posting a new thread only once a day. I see a lot of posts about things other than their diabetic cats (eg weather). I truly don't mean to be snarky; I'd just like to present my perspective. It's your board, I appreciate your information and advice, and I will try to follow your etiquette.

Sincere thanks
 
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Sue and Luci said:
What does the 1(?) mean on PMPS 2/4 ?

If you have given 1 u x 6 cycles then yes, if you want to switch to TR then tonight you could increase to 1.25. Many people don't like to increase at night since there's a possibility of seeing lower numbers - however with all this pink it's hard to say that it would magically push him into the low greens on the first cycle - but that's up to you - I suppose if it were me, I'd increase in the morning.

I'm glad that Bandit's mom helped you with clarification of what the title should look like on your condo/thread each day - putting in random comments causes confusion and it's just about impossible for us to keep up with what's being said or to look back on the previous day (history) of what was said the day before.

Please look at some other people's condos at the typical fomat; everyone typically puts the DATE/ CAT NAME / AMPS ### and sometimes comments or questions; then we always copy and paste the last thread/condo into the first line of the new one; we're allowed one each day.

I hope this is helpful; if so, you could start by editing your title for today and changing it to include this: 2/7 Maxi AMPS 308 as I suggested earlier; Let's start there how about it?
Click to expand...

Sue, there are more questions marks on Maxi's spreadsheet than just the one on 2/4. They mean that I'm not sure exactly how much insulin I gave because I couldn't clearly make out how much insulin was in the syringe due to its not being marked for 1/2 units and due to my novice status. I have since acquired better, clearly marked syringes.

I will increase to 1.25 in the morning though I'm not sure, even with my syringes with .5 markings, if I'll be able to measure 1.25 accurately.
 
bambinaki said:
Thank you, Sue and Bandit's Mom.

I don't see why we should include in the title info that's already automatically there (date, name) or a click away in a clearer format (glucose numbers on spreadsheet).
Click to expand...

The name/date and tests are actually quite important. Many of us scan the titles for people who need help, we can often see where a lower +2 for example, might indicate an active cycle, and that the caregiver may need help and/or guidance, particularly if they are new.
 
bambinaki said:
Sue, there are more questions marks on Maxi's spreadsheet than just the one on 2/4. They mean that I'm not sure exactly how much insulin I gave because I couldn't clearly make out how much insulin was in the syringe due to its not being marked for 1/2 units and due to my novice status. I have since acquired better, clearly marked syringes.

I will increase to 1.25 in the morning though I'm not sure, even with my syringes with .5 markings, if I'll be able to measure 1.25 accurately.
Click to expand...

A lot of people use callipers to measure accurate doses. initially you could probably get away with just eyeballing the 0.25 mark, but as Maxi heads lower and you will need to do fine dosing, that may not work.
 
Bandit's Mom said:
A lot of people use callipers to measure accurate doses. initially you could probably get away with just eyeballing the 0.25 mark, but as Maxi heads lower and you will need to do fine dosing, that may not work.
Click to expand...

Thank you, BM, but arrrghhh, I just looked at http://www.felinediabetes.com/FDMB/threads/dosing-with-calipers-updated-w-videos.79851/ about measuring doses with callipers, and I don't welcome a new worry, a new subject to study and practice, and new (not inexpensive) stuff to buy. I wasn't even aware of the term calliper even though I had seen the contraptions somewhere before. I assumed the markings on syringes were standard and trustworthy. Awful news that they aren't. I appreciate your optimism that Maxi will head lower. I guess I will have to figure out the best syringe brand to use and stick with it. ...Or do I have to if even the same type of syringes aren't consistently marked? If I understood what that post says, they aren't consistent -- even 2 syringes from the same package. I don't think I'll be adding learning about callipers, buying the stuff, etc. to my chores at the moment. Is that bad?
 
bambinaki said:
Thank you, BM, but arrrghhh, I just looked at http://www.felinediabetes.com/FDMB/threads/dosing-with-calipers-updated-w-videos.79851/ about measuring doses with callipers, and I don't welcome a new worry, a new subject to study and practice, and new (not inexpensive) stuff to buy. I wasn't even aware of the term calliper even though I had seen the contraptions somewhere before. I assumed the markings on syringes were standard and trustworthy. Awful news that they aren't. I appreciate your optimism that Maxi will head lower. I guess I will have to figure out the best syringe brand to use and stick with it. ...Or do I have to if even the same type of syringes aren't consistently marked? If I understood what that post says, they aren't consistent -- even 2 syringes from the same package. I don't think I'll be adding learning about callipers, buying the stuff, etc. to my chores at the moment. Is that bad?
Click to expand...

I think you have enough to deal with at the moment without worrying about calipers. I am still eye-balling 0.25 units too. So my dosing is definitely not accurate to the last decimal. But I'm hoping that at higher BG levels/doses I can let it slide! ;)
I'm sure you will graduate to callipers once Maxi settles down a bit and you are feeling less overwhelmed. For now just stick to dosing and testing as per TR and I'm sure Maxi will slide down. Good luck!
 
Hi Karen,

Sounds to me like you are doing a great job in tackling all of the information and the new tasks! :)
Christie & Maverick said:
Many of us scan the titles for people who need help
Click to expand...
Like Christie said, I'm one of the people who scan the titles in the Lantus/Levemir forum board. I try to help others out where I can, but I'm not experienced enough to help with dosing - so what I normally do is scan the titles and see if someone has a question that I can provide an answer to or offer support in another way. That way the experienced people providing dosing help may not be stretched so thin. I try and give back to this board by helping others, since so many people have offered their help to me since we started this diabetic journey. :cat:
 
Bandit's Mom said:
I think you have enough to deal with at the moment without worrying about calipers. I am still eye-balling 0.25 units too. So my dosing is definitely not accurate to the last decimal. But I'm hoping that at higher BG levels/doses I can let it slide! ;)
I'm sure you will graduate to callipers once Maxi settles down a bit and you are feeling less overwhelmed. For now just stick to dosing and testing as per TR and I'm sure Maxi will slide down. Good luck!
Click to expand...

Thank you, Bandit's Mom!
 
If you have given 1 u x 6 cycles then yes, if you want to switch to TR then tonight you could increase to 1.25. Many people don't like to increase at night since there's a possibility of seeing lower numbers - however with all this pink it's hard to say that it would magically push him into the low greens on the first cycle - but that's up to you - I suppose if it were me, I'd increase in the morning.


Sue, the instructions for TR on this site say: "After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit."
So, how about if I increase by 0.5 tomorrow morning instead of 0.25?
 
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Sienne and Gabby (GA) said:
It takes 5 - 7 days for the depot to form. It's not unusual to not see much movement in the numbers until the depot is in place.

If you are following SLGS, please do not raise the dose that soon. With SLGS, you hold the current dose for a week unless numbers drop below 90. You do test enough to follow TR, which is a more aggressive approach to diabetes management and yu would be able to increase the dose after 3 days/6 cycles, providing you haven't been giving fur shots. (And if you have been giving fur shots, then the depot isn't forming at the the rate we'd expect.)

One think using a depot insulin such as Lantus will reinforce is patience. Please don't try to rush the process.
Click to expand...


Sienne, it seems I'm following TR, and the instructions for TR on this site say: "After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit."
So, how about if I increase by 0.5 tomorrow morning?

Those instructions also say: "Feed small meals throughout the day. Although, some kitties will adapt well to free feeding."
Well, I've been feeding every 12 hours. I thought we were to watch our kitties' weight and feed very regularly. Over this weekend and most of Monday, I'll be able to feed small meals throughout the day, but not for the rest of the week or usually. What to do about feeding schedule?

Thank you
 
bambinaki said:
Well, I've been feeding every 12 hours. I thought we were to watch our kitties' weight and feed very regularly.
Click to expand...
I think the main idea is just to spread out their regular meal over the course of the day and not add in excess food. Eating smaller meals over the course of the day is easier on kitty's system. If food can be picked up at least 2 hours prior to shot time, then your preshot test won't be influenced by the carbs in the food.
bambinaki said:
What to do about feeding schedule?
Click to expand...
I had the same dilemma as I have 3 other cats in the house. I ended up getting a timed automatic feeder and Freckles became conditioned to the sound of the timer turning which meant 'snack' time. If Max is the only cat in the house, then food can be left out for him to graze throughout the day but pick up the food at least 2 hours prior to shot time.
 
bambinaki said:
Judy, apparently I still don't know how to use this message board. Thank you for tagging Sue. I don't know how to tag. I assumed that when I click 'Reply' in the particular message I want to reply to, the poster of that message would be notified. ?
Click to expand...
I think that is how it is suppose to work, but sometimes, for whatever reason, the notice gets lost.

To tag a person type in the @ symbol and the start of the persons name under the avatar. Several options may appear if there is more than one member with that name. When the person you want to tag appears, just hover the mouse over their name (the name turns a little bit darker blue) and hit enter. You can try it with your own name.

@bambinaki
 
Hi Karen, you are right, you can increase now by 0.5 units. Small housekeeping item, could you change the SLGS in your signature to TR? That’s make is easier for people who haven’t read today’s post to know you want to switch dosing methods.

As for “condo”, it’s a slang used here to designate where kitties hang out, their kitty condo. Same as a daily post.

For feeding, take the same amount of food you give now, and divide into multiple meals instead of one. So it’s no extra calories.

Instead of tagging people, it’s good, and even preferred, to do what you did and put the question in the title. That will get more eyes on you.
 
Wendy&Neko said:
Hi Karen, you are right, you can increase now by 0.5 units. Small housekeeping item, could you change the SLGS in your signature to TR? That’s make is easier for people who haven’t read today’s post to know you want to switch dosing methods.

As for “condo”, it’s a slang used here to designate where kitties hang out, their kitty condo. Same as a daily post.

For feeding, take the same amount of food you give now, and divide into multiple meals instead of one. So it’s no extra calories.

Instead of tagging people, it’s good, and even preferred, to do what you did and put the question in the title. That will get more eyes on you.
Click to expand...

Wendy, can I go back and forth between TR and SLGS? I mean: I can test very often until Monday afternoon, and then I won't be able to for a few days, during which time I wouldn't make a dose change, and then after those few days, I'd be able to test often again for a few days. My schedule is irregular.

I'm being thick again, sorry: ...do what I did and put the question in the title? Do you mean click on 'Reply" in the particular post I want to reply to? It would already have a title because it's a single post in a thread of posts under the original title. ?

Due to my irregular schedule, should I feed Maxi multiple meals on the days when I can and every 12 hours on the days when I can't? Or should I keep each day to every 12 hours?

Thank you
 
Judy and Freckles said:
I think the main idea is just to spread out their regular meal over the course of the day and not add in excess food. Eating smaller meals over the course of the day is easier on kitty's system. If food can be picked up at least 2 hours prior to shot time, then your preshot test won't be influenced by the carbs in the food.

I had the same dilemma as I have 3 other cats in the house. I ended up getting a timed automatic feeder and Freckles became conditioned to the sound of the timer turning which meant 'snack' time. If Max is the only cat in the house, then food can be left out for him to graze throughout the day but pick up the food at least 2 hours prior to shot time.
Click to expand...

Judy, I have other cats in the house too, and they would all go for the food in a timed feeder.
The other cats are also why Maxi doesn't graze.
They are all used to eating at meal time. They eat their entire meal at once.
 
Judy and Freckles said:
I think that is how it is suppose to work, but sometimes, for whatever reason, the notice gets lost.

To tag a person type in the @ symbol and the start of the persons name under the avatar. Several options may appear if there is more than one member with that name. When the person you want to tag appears, just hover the mouse over their name (the name turns a little bit darker blue) and hit enter. You can try it with your own name.

@bambinaki
Click to expand...

I'm trying to tag myself...

@bambinaki
 
Judy and Freckles said:
I think that is how it is suppose to work, but sometimes, for whatever reason, the notice gets lost.

To tag a person type in the @ symbol and the start of the persons name under the avatar. Several options may appear if there is more than one member with that name. When the person you want to tag appears, just hover the mouse over their name (the name turns a little bit darker blue) and hit enter. You can try it with your own name.

@bambinaki
Click to expand...

Judy, I experimented and seem to have succeeded in tagging myself, but I don't know what result it produced. I received no notification of having been tagged. ?
 
Top right corner of the screen, there should be a notification under alerts when someone tags you, provided you have set up your alert preferences to do so. The default settings should do that.

As for dosing methods, no you can’t go back and forth just a few days apart. For safety reasons, you pick one and stick to it for a while. TR is more aggressive, but that means more monitoring.

It’s best to feed the same each day. Even though I had two cats in the house, Neko owned the autofeeder. Or you can get one per cat or just leave food out for all to graze on.

Your title to this post has the ? prefix and the words “increase dose?” That is the preferred way to do it. Those of us who scan the forum can see there is a question about needing answering, without having to read the entire post first.
 
Wendy&Neko said:
Top right corner of the screen, there should be a notification under alerts when someone tags you, provided you have set up your alert preferences to do so. The default settings should do that.

As for dosing methods, no you can’t go back and forth just a few days apart. For safety reasons, you pick one and stick to it for a while. TR is more aggressive, but that means more monitoring.

It’s best to feed the same each day. Even though I had two cats in the house, Neko owned the autofeeder. Or you can get one per cat or just leave food out for all to graze on.

Your title to this post has the ? prefix and the words “increase dose?” That is the preferred way to do it. Those of us who scan the forum can see there is a question about needing answering, without having to read the entire post first.
Click to expand...

Thanks, Wendy.

Hmm, I didn't get an alert that I was tagged when I tagged myself, and that alert preference is on. Anyway, not important.

Well, I guess I will just have to do the best I can to follow TR.

With Maxi on a binder and the others not, neither 3 feeders nor free grazing will work, unfortunately. I have to watch them while they eat or they will push each other away from their respective bowls.

Maxi weighs 13.8 pounds, and he's a little overweight, but with the kidney disease I'm afraid for him to lose weight, so I'd like to keep him at this weight. Do you think that's right? If so, how many ounces of food would you say he should get per day? He gets about 5.5 to 6 ounces currently per day. But he's hungry and I'd like him to be always content.

It's 4:30am as I write this, and I/he finally got a glucose number less than 300 (barely) after 5 days in the 300s, and this morning's AMPS was 436. If his AMPS tomorrow is below 300, what do you think of my plan to increase his dose? Abort?

Thank you
 
bambinaki said:
Thanks, Wendy.

Hmm, I didn't get an alert that I was tagged when I tagged myself, and that alert preference is on. Anyway, not important.

Well, I guess I will just have to do the best I can to follow TR.

With Maxi on a binder and the others not, neither 3 feeders nor free grazing will work, unfortunately. I have to watch them while they eat or they will push each other away from their respective bowls.

Maxi weighs 13.8 pounds, and he's a little overweight, but with the kidney disease I'm afraid for him to lose weight, so I'd like to keep him at this weight. Do you think that's right? If so, how many ounces of food would you say he should get per day? He gets about 5.5 to 6 ounces currently per day. But he's hungry and I'd like him to be always content.

It's 4:30am as I write this, and I/he finally got a glucose number less than 300 (barely) after 5 days in the 300s, and this morning's AMPS was 436. If his AMPS tomorrow is below 300, what do you think of my plan to increase his dose? Abort?

Thank you
Click to expand...

I'm no expert on dosing, but I would suggest you go ahead with the dose increase. Even if its 1.25 that you are comfortable with rather than 1.5.
He was under 300 in the first few days of starting insulin, after all.
 
bambinaki said:
It's 4:30am as I write this, and I/he finally got a glucose number less than 300 (barely) after 5 days in the 300s, and this morning's AMPS was 436. If his AMPS tomorrow is below 300, what do you think of my plan to increase his dose? Abort?
Click to expand...

Below 300 is not the threshold for not increasing - please proceed with the planned increase.

@Wendy&Neko are on the west coast and may not see your post until later today - so it would be best to go ahead this morning and start a new thread/condo as per the suggestions in the format that is standard here (btw, I didn't write the rules - :rolleyes:)....

I'll be looking for your new condo :)
 
Sue and Luci said:
Below 300 is not the threshold for not increasing - please proceed with the planned increase.

@Wendy&Neko are on the west coast and may not see your post until later today - so it would be best to go ahead this morning and start a new thread/condo as per the suggestions in the format that is standard here (btw, I didn't write the rules - :rolleyes:)....

I'll be looking for your new condo :)
Click to expand...

The TR guidelines are:
  • "Increase by 0.25 unit after 3 days (6 consecutive cycles) if nadirs are greater than 200, but less than 300.
  • Increase by 0.5 unit after 3 days (6 consecutive cycles) if nadirs are greater than 300."
 
Sue and Luci said:
Below 300 is not the threshold for not increasing - please proceed with the planned increase.

@Wendy&Neko are on the west coast and may not see your post until later today - so it would be best to go ahead this morning and start a new thread/condo as per the suggestions in the format that is standard here (btw, I didn't write the rules - :rolleyes:)....

I'll be looking for your new condo :)
Click to expand...

Sue, I was not going to post a new thread unless I had a question so as not to contribute to the unnecessary overcrowding of the message board...
By the way, as can be seen on Maxi's spreadsheet, I increased his dose this morning to 1.5 (at least as far as the syringe markings can be trusted).
Thank you!
 
Good luck with the new dose. Hope Maxi slides down for you.

Since your question has been answered, the practice is to edit the thread title to remove the question mark (both the icon prefix and the ? in the title itself). This lets people know that the query has been resolved and they don't need to address it. Saves time for the experienced members.

I know this might seem like one more thing you shouldn't have to do... but hopefully you'll see the merit of it soon :)

To edit the title click on "Thread Tools' at the top left and chose "Edit Title"
 
Bandit's Mom said:
Good luck with the new dose. Hope Maxi slides down for you.

Since your question has been answered, the practice is to edit the thread title to remove the question mark (both the icon prefix and the ? in the title itself). This lets people know that the query has been resolved and they don't need to address it. Saves time for the experienced members.

I know this might seem like one more thing you shouldn't have to do... but hopefully you'll see the merit of it soon :)

To edit the title click on "Thread Tools' at the top left and chose "Edit Title"
Click to expand...

Thanks, BM. It has been done. :-)
 
bambinaki said:
Sue, I was not going to post a new thread unless I had a question so as not to contribute to the unnecessary overcrowding of the message board...
By the way, as can be seen on Maxi's spreadsheet, I increased his dose this morning to 1.5 (at least as far as the syringe markings can be trusted).
Thank you!
Click to expand...

Oh, I'm sorry to hear that...we encourage everyone to post daily! It's called a 'forum' for a reason - lots of folks on here to weigh in and give opinions, support and advice. Sometimes all we need is a bit of encouragement to keep going - I'm one of those people who might comment about the weather or just what's going on in my day with work or whatever - because Luci and I have been at this for over two years. Others have been here even longer - and still post daily. It's nice and we feel kinda like family toward one another...:bighug:

Luci isn't going to go into remission so I'm here to hopefully help others like the way so many before me helped me. FD is a complex disease and posting daily really helps us all get to know one another and bolster ourselves for yet another day of caring for a diabetic cat - sometimes it can be a long and lonely road - this journey - so we're just all in this boat together.:rolleyes:

Hope you'll join us and share how Maxi is doing every day :joyful: and add your questions and comments - it's how we all learn - and in the future you can help someone else who's new to all this. :D:D
 
Rather than clutter the forum by bumping up older, I'll wait until you create a new post for today to answer questions about food.
 
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