8-20 TYLER AMPS-134/106@+3.5/PMPS-143/77@+4/97@+8

Diane Tyler's Mom GA

Diane Tyler's Mom GA

Member Since 2018
https://www.felinediabetes.com/FDMB...-no-shot-or-test-108-8-5.233816/#post-2615346

Noted on spreadsheet all along I thought I was shooting 0.10 units, but when I was looking at the syringe it was closer to 0.25 units. You will see 0.25 units in the cell now but this is
NOT AN INCREASE I HAVE BEEN SHOOTING THE SAME AMOUNT I HAVE BEEN SHOOTING ALL ALONG

I INCREASED TYLER'S DOSE TO 0.5 UNITS LAST NIGHT 6-15 -20 NIGHT CYCLE

I INCREASED TYLER'S DOSE TO 0.75 UNITS ON 7-3-20 AM CYCLE

I INCREASED TYLER'S DOSE TO 1 UNIT ON 7-16-20 AM CYCLE

I INCREASED TYLER'S DOSE TO 1.25 UNITS ON 7-23-20 AM CYCLE

I INCREASED TYLERS DOSE TO 1.5 UNITS ON 8-2-20 AM CYCLE

I INCREASED TYLERS DOSE TO 1.75 UNITS ON 8-13-20 AM CYCLE

Have a nice day everyone and that all our kitties surf safely :cat:
I finally put in Tyler's labs and his brother Perry's who has kidney disease, hope no one minds
 
@Marje and Gracie

@Wendy&Neko

@Chris & China (GA)

@Deb & Wink

I know I have asked this a million times, I probably should know by now

Do you all think it's time for another increase for Tyler

I copied this from the Lantus forum


Increasing the dose:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
  • 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.
Do I wait 6 cycles, do I wait 10 cycles? Why does everyone else know when to increase except me lol

I am seeing nadirs under 100 like it states above so do I hold it for 10 cycles like it says

I know I shouldn't be worried about when to decrease yet, just want to make sure I have it right
If Tyler drops under 40 ( long term diabetic ) I immediately decrease by 0.25 units, is this correct?

Then I was once told if he drops under 50 on three separate days ,that would include a pre shot also , ( if he drops under 50 in the AM and PM on the same day, that would only count as one drop under 50 )

So what would it be for reductions

I'm sorry I keep asking all of you the same question over and over again

What do you all think
Thanks ladies :bighug::cat:
 
Wendy&Neko said:
If you are seeing green nadirs, you hold the dose for 10 cycles total, unless you are at that dose where he's tightly regulated.

Here is a post on earning reductions.
Click to expand...
Hi Wendy thanks for the earning reductions link, I book marked it
I have held for more than 10 cycles already, would you suggest an increase, looking at his SS I guess you would say he's tightly regulated? So does that mean stay with the dose I am at? @Wendy&Neko
 
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I would increase to 2u. He’s been at more than ten cycles before the missed shot and he wasn’t really churning out the green. Yes, he’s got some green nadirs but you’ve got some room to increase.

Good luck!!
 
@Deb & Wink
Hi Deb would you please look at #6 for me, I would appreciate it, his SS is up to date
I was wondering if I should start another pen, started it on 5-7-20 but if it was loosing potency wouldn't I see no greens at all
 
Diane Tyler's Mom said:
@Deb & Wink
Hi Deb would you please look at #6 for me, I would appreciate it, his SS is up to date
I was wondering if I should start another pen, started it on 5-7-20 but if it was loosing potency wouldn't I see no greens at all
Click to expand...
Let's get your pen question answered first.

If the pen was "toast", not good any longer, I don't think you would be seeing those blues either Diane.
So I don't think it's the pen "pooping out" giving you those blues and greens.

Now on to your next question, when to increase Tyler.
When following TR, you want pretty solid greens mid-cycle. Not happening.
So there is room to increase the dose by another 0.25U, when you are ready.
Tomorrow maybe? It's your call.

The TR protocol doesn't really cover a situation like Tyler, that is hanging out in the middle to low blues and getting into the greens at mid-cycle. Or maybe it does, and someone else can point out that section to you.

But this quote, from the link "Earning Reductions" that Wendy posted covers his situation I think.
" reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat and stays under 100 mg/dl overall for at least one week and following TR.
In the TR protocol, the "normal range" of a healthy cat is defined as 50 - 80 mg/dL."

So the opposite of that quote would be a cat that needs an increase. For example, when a cat like Tyler is hanging out in the Blues and Greens, would seem to me to be BG numbers are staying above the "Normal range" most of the time. And that does describe what is going on with Tyler.

The missed shot can be chalked up to a "fur shot" type situation. We all need our sleep on occasion and will simply be run down and more prone to getting sick if we aren't getting the proper sleep.

So take care of yourself so you can take care of your loved ones, ok Diane?
 
Deb & Wink said:
Let's get your pen question answered first.

If the pen was "toast", not good any longer, I don't think you would be seeing those blues either Diane.
So I don't think it's the pen "pooping out" giving you those blues and greens.

Now on to your next question, when to increase Tyler.
When following TR, you want pretty solid greens mid-cycle. Not happening.
So there is room to increase the dose by another 0.25U, when you are ready.
Tomorrow maybe? It's your call.

The TR protocol doesn't really cover a situation like Tyler, that is hanging out in the middle to low blues and getting into the greens at mid-cycle. Or maybe it does, and someone else can point out that section to you.

But this quote, from the link "Earning Reductions" that Wendy posted covers his situation I think.
" reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat and stays under 100 mg/dl overall for at least one week and following TR.
In the TR protocol, the "normal range" of a healthy cat is defined as 50 - 80 mg/dL."

So the opposite of that quote would be a cat that needs an increase. For example, when a cat like Tyler is hanging out in the Blues and Greens, would seem to me to be BG numbers are staying above the "Normal range" most of the time. And that does describe what is going on with Tyler.

The missed shot can be chalked up to a "fur shot" type situation. We all need our sleep on occasion and will simply be run down and more prone to getting sick if we aren't getting the proper sleep.

So take care of yourself so you can take care of your loved ones, ok Diane?
Click to expand...
@Deb & Wink

Hi Deb I hope you aren't annoyed with me, I don't know why I just can't grasp this.
I'm about to cry
When you said. So the opposite of that quote would be a cat that needs an increase For Example, when a cat like Tyler is hanging out in the Blues and Greens, would seem to me to be BG numbers are staying above the "Normal Range" most of the time. And that does describe what is going on with Tyler

Does this mean he is not staying in the normal ranges
I'm very sorry I don't understand, please don't get annoyed with me ok
Would you explain this to me please
 
If you're doing TR, you could have increased on the 17th. You can increase the dose every 6 cycles if it's not getting him where you want him and his nadir's weren't "where you want them".

Edited....You had 10 cycles at 1.75 before the missed shot and he didn't get to "where you want him" so there's no reason you couldn't go to 2U

The part you're missing in the "rules" for increasing is "If your cat is NEW to blues and greens"

Tyler is not

Make sense?
 
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Chris & China (GA) said:
If you're doing TR, you could have increased on the 17th. You can increase the dose every 6 cycles if it's not getting him where you want him and his nadir's weren't "where you want them".

Edited....You had 10 cycles at 1.75 before the missed shot and he didn't get to "where you want him" so there's no reason you couldn't go to 2U

The part you're missing in the "rules" for increasing is "If your cat is NEW to blues and greens"

Tyler is not

Make sense?
Click to expand...
Hey Chris, yes I think I got it, what you're saying is because Tyler is use to blues and greens I could increase every 6 cycles if I want to , is that correct?
I'm sorry I keep asking the same questions over and over again, thanks for getting back to me, I think I will increase tomorrow AM
Thanks again Chris :bighug::cat:
 
Diane Tyler's Mom said:
Does this mean he is not staying in the normal ranges
I'm very sorry I don't understand, please don't get annoyed with me ok
Would you explain this to me please
Click to expand...
Normal is 50 - 80 mg/dL.
Tyler's numbers are outside of that normal range.
So no, Tyler is not staying in the normal range.

You want to get his BG levels back to the normal range, especially at nadir.
You want to increase the dose more frequently than every 10 cycles, when Tyler is not getting those "normal range" nadirs.

Make sense?

Never annoyed with you or at you Diane. I'm very tired and didn't give you a good enough explanation of what I meant. My fault. Sorry.
 
Deb & Wink said:
Normal is 50 - 80 mg/dL.
Tyler's numbers are outside of that normal range.
So no, Tyler is not staying in the normal range.

You want to get his BG levels back to the normal range, especially at nadir.
You want to increase the dose more frequently than every 10 cycles, when Tyler is not getting those "normal range" nadirs.

Make sense?

Never annoyed with you or at you Diane. I'm very tired and didn't give you a good enough explanation of what I meant. My fault. Sorry.
Click to expand...
Hey Deb thank you yes understand, thanks for explaining it.
It make sense. Nothing to be sorry about, I hear you about being tired.
I hope you get a good sleep.:cat:
 
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