7/14 Philly AMPS 589, +3 457, +6 324, +10 206, +11.5 157, PMPS 146, +2 211, +4 290

Beck and Philly

Member Since 2018
Recent

We are at our wits' end. Reduced to 1u and still had an 80 PMPS. Skipped shot and now almost 600. No ketones, thank goodness.

Who knows if the 1u we just shot will be enough to bring him down. This just isn't working, and I don't know what to do.

If anyone has thoughts, we could use them.
 
These numbers are from the skipped shot. It's a good idea anytime you get an odd number like the 80 where previous ones were much higher, retest immediate to make sure it isn't a wonky strip. He also could have went much lower during the day and his body over compensated by dumping glycogen to keep him safe. The depot will need to readjust now.
 
I am pretty sure it is the 13th, at least in the America’s. ;)

Paula nailed it, you are seeing the result of a bounce plus skipped dose. Those ugly numbers would hapoennwith any 8nsulin and that situation. Not sure what your modification is to SLGS, but standard version would have you reduce to 0.75 units.

Next time you see a lower preshot, try withholding food and stalling for 1/2 hour, then retest to see if he comes up to where you feel comfy shooting.
 
I am pretty sure it is the 13th, at least in the America’s. ;)

Paula nailed it, you are seeing the result of a bounce plus skipped dose. Those ugly numbers would hapoennwith any 8nsulin and that situation. Not sure what your modification is to SLGS, but standard version would have you reduce to 0.75 units.

Next time you see a lower preshot, try withholding food and stalling for 1/2 hour, then retest to see if he comes up to where you feel comfy shooting.
The modification is that we reduce after a 60 at my vet's reqiest rather than a 90 in typical SLGS.

For the past few days we are seeing falling numbers right around shot time When we shot a 111 we ended up at 28. I'm pretty gun shy now.

Yes, it's the 13th. Thank goodness it isn't Friday or a full moon.
 
I am pretty sure it is the 13th, at least in the America’s. ;)

Paula nailed it, you are seeing the result of a bounce plus skipped dose. Those ugly numbers would hapoennwith any 8nsulin and that situation. Not sure what your modification is to SLGS, but standard version would have you reduce to 0.75 units.

Next time you see a lower preshot, try withholding food and stalling for 1/2 hour, then retest to see if he comes up to where you feel comfy shooting.
What has me confused is that he doesn't seem to hit a nadir and rise lately. He just keeps dropping even past his shot time. We are now at +10 and he's at 206 when he was in the mid 300s at +6. If he's still dropping in two hours as he has been lately, how do we know what to do? When we shot a dropping number a couple days ago, he hit 28.

Have you seen this before?
 
What has me confused is that he doesn't seem to hit a nadir and rise lately. He just keeps dropping even past his shot time. We are now at +10 and he's at 206 when he was in the mid 300s at +6. If he's still dropping in two hours as he has been lately, how do we know what to do? When we shot a dropping number a couple days ago, he hit 28.

Have you seen this before?
All the time. Bounce breaking cycles often have later nadirs. I spotted Neko nadiring as late as +13 when that happened. If you can monitor tonight, reduce the dose, and shoot. Feed a little bit higher carb for dinner snacks if you are worried. When you saw the 28, that was after a flat blue cycle, completely different.
 
All the time. Bounce breaking cycles often have later nadirs. I spotted Neko nadiring as late as +13 when that happened. If you can monitor tonight, reduce the dose, and shoot. Feed a little bit higher carb for dinner snacks if you are worried. When you saw the 28, that was after a flat blue cycle, completely different.
Thanks, Wendy. By the time I just read this we had already shot 1u. We went back and forth between 1 unit and .75 and decided to go for consistency since we've reduced and skipped recently. Fingers crossed.

He did eat some 9 Lives pate with the other kitties after his dry dinner.
 
What is your reduction point in your modified version of SLGS? The fact that he hit a green yesterday, in spite of the skip the day before makes me think he's getting tired of this dose.
 
What is your reduction point in your modified version of SLGS? The fact that he hit a green yesterday, in spite of the skip the day before makes me think he's getting tired of this dose.
60 is the reduction point my vet wants. When she looked at the SS, she asked why I reduced after an 84. I told her the guideline is to reduce after 90. She said she didn't understand that concept when 84 is a healthy, normal number. She asked that I not reduce unless he goes below 60.
 
OK, could you put "reductions below 60" on the signature after the "modified SLGS"? I'm sure I've asked this before and forgotten. :oops:

Good news on the 9Lives!
 
20200713_225340.jpg
OK, could you put "reductions below 60" on the signature after the "modified SLGS"? I'm sure I've asked this before and forgotten. :oops:

Good news on the 9Lives!
Sure. He is in the 200s at +2, so I'm kinda glad we did a full shot. He's super happy tonight, purring like crazy.
 

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