8/26/20 Sissy AMPS 325, +1 252, +2 177, +4 97, +6 102, +9 167 PMPS 181, +2 215, +3 193

We will know more at +2 or +3 to make that decision at that time. For now... Breathe, kiss the kitty and put your feet up for a bit to wait for +2 :bighug:

You are doing great!
 
thebigfuzz said:
Glad to help!
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I appreciate it so, so much. Sissy just came back to finish off her dinner. I usually leave food out for her in timers through the night. She also seems to run higher at night than during the day, I think...I'm still figuring out the sheet.
 
thebigfuzz said:
We will know more at +2 or +3 to make that decision at that time. For now... Breathe, kiss the kitty and put your feet up for a bit to wait for +2 :bighug:

You are doing great!
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Thank you!


( I don't know how but I deleted that part about the food, I just wanted to edit. .)
 
tiffmaxee said:
BTW, if you feel TR won’t work for you , go back to SLGS. Do what feels right for you. SLGS was created for a reason.
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If I did go back to the SLGS, would I go back to the 1.25 dose and just start as day 1?
I don't know that I will...I just need to think about it and see what I can learn from all this tonight.
 
Ok, still rising. The +2 is always recommended on the PM cycle as it can give you some hints if it is going to be an active cycle. Ie. If +2 test is lower than PMPS, you probably want to set some alarms for mid to later in the cycle.

I would still get a +3 to make you feel more comfortable about the rest of the cycle.
 
Mandy S said:
If I did go back to the SLGS, would I go back to the 1.25 dose and just start as day 1?
I don't know that I will...I just need to think about it and see what I can learn from all this tonight.
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The guidelines for SLGS asks that a dose (1.25) be held for 7 days and a curve done. Then, if Nadirs are more than 150 - increase the dose by 0.25 units
If nadirs are between 90-150 maintain the same dose.

Under 90 is an immediate reduction by 0.25.

As your cats BG falls mostly in the desired range (300 at its highest to 100 at its lowest), you can increase the time between dose increases.

Of course, every cat is different and you want to learn how your cat responds.

I don't think you start back at day 1 necessarily. But don't forget that because you shot late tonight, what @Butters & Lyla said about your shot time tomorrow am.
 
thebigfuzz said:
Ok, still rising. The +2 is always recommended on the PM cycle as it can give you some hints if it is going to be an active cycle. Ie. If +2 test is lower than PMPS, you probably want to set some alarms for mid to later in the cycle.

I would still get a +3 to make you feel more comfortable about the rest of the cycle.
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I just realized I didn't put the tests I did between the amps and the shot as I was trying to decide what to do. Those were 221 at about 20 after the pmps. I'll try to add those to the spreadsheet. Where do I add that...with the pmps?

I'll definitely get the +3
 
But also, regarding SLGS VS. TR, you would want to decide if you wanted to keep the dose at 1.5 (which would make tomorrow day 2 at 1.5), or if you want to go back to 1.25.
 
thebigfuzz said:
The guidelines for SLGS asks that a dose (1.25) be held for 7 days and a curve done. Then, if Nadirs are more than 150 - increase the dose by 0.25 units
If nadirs are between 90-150 maintain the same dose.

Under 90 is an immediate reduction by 0.25.

As your cats BG falls mostly in the desired range (300 at its highest to 100 at its lowest), you can increase the time between dose increases.

Of course, every cat is different and you want to learn how your cat responds.

I don't think you start back at day 1 necessarily. But don't forget that because you shot late tonight, what @Butters & Lyla said about your shot time tomorrow am.
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Okay, so Sissy was on the 1.25 for 7 days and we did a curve that 7th day because I was home all day. Her Nadir that day was 103...so So I would stay at 1.25 for another 7 days? By going back to day one I meant starting the week of holding a dose over again, and then doing another curve.
 
You can get back on track with the timing. You can shift back by 30 minutes per day if you need to.
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For tomorrow's shot timing if you want to get back to your original shot time. This would take you 2 days, in this case.
 
tiffmaxee said:
@Wendy&Neko Would you weigh in here please
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Sorry - was making dinner, just finished.
Mandy S said:
Last week I think it was she had a 100 drop then another hour later another about a hundred drop...and that was on a dose I was familiar with...

edit...just looked it was on the 14th and it was a couple hours apart, but still would be scary now.
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Lantus doesn't work that way. It's great at keeping low numbers low and flat. We call it "shoot low to stay low". I much preferred shooting lower numbers, cause I had a better idea of what the cycle would look like. They don't do those big drops from low numbers. It really does become easier to shoot lower numbers, once you've done it a few times and seen what happens.

It's also not a guarantee, but since she saw her first green today (you go girl!:D), a bounce may follow.

As for deciding TR or SLGS, the decision is yours. You have to decide what fits your goals for Missy and your lifestyle.
 
I had set timers for 10:25am for morning shot, then tomorrow night 10:10 pm...then I could be back to my 10 am the next morning. That works?
 
Mandy S said:
Okay, so Sissy was on the 1.25 for 7 days and we did a curve that 7th day because I was home all day. Her Nadir that day was 103...so So I would stay at 1.25 for another 7 days? By going back to day one I meant starting the week of holding a dose over again, and then doing another curve.
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According to the protocol, yes.

Thank you @Wendy&Neko for adding that:
You can do 1/2 hour once per day, or 15 minute per shot.
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Wendy&Neko said:
Sorry - was making dinner, just finished.

Lantus doesn't work that way. It's great at keeping low numbers low and flat. We call it "shoot low to stay low". I much preferred shooting lower numbers, cause I had a better idea of what the cycle would look like. They don't do those big drops from low numbers. It really does become easier to shoot lower numbers, once you've done it a few times and seen what happens.

It's also not a guarantee, but since she saw her first green today (you go girl!:D), a bounce may follow.

As for deciding TR or SLGS, the decision is yours. You have to decide what fits your goals for Missy and your lifestyle.
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So what should have happened today on her spreadsheet was the numbers would go down from the amps and stay somewhat flat...and then rise again before pmps? And she dipped and then climbed and that's a bounce?

I just want her to feel good and be as healthy as she can...remission would be nice but it's not the end goal..I know it might not happen.
 
Mandy S said:
So what should have happened today on her spreadsheet was the numbers would go down from the amps and stay somewhat flat...and then rise again before pmps? And she dipped and then climbed and that's a bounce?
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As much as cats follow the rule book, that's a "typical" Lantus cycle. A better description of the Lantus cycle is in the New to the Group Sticky Note. If you see her numbers climb tonight, then she's bouncing from that green as it's a number lower than she's used to - though perfectly safe.
 
I think what I'm going to do is print off the info in the stickies...I've read most everything on there...but it was a lot to take in and the first few weeks are kind of a blur. I do better with paper and I can write on it and high light it...makes things stick better.

I love looking at all of your beautiful kitties as I scroll down the page. Precious all of them!
 
Printing them off is a good idea - especially the ones on handling low numbers. You never know when the power might go out!
 
I have some of them printed :bighug:

Mandy, I am going to be heading to bed in 15 mins after Cosmo's +2. Are you OK from here?
 
thebigfuzz said:
I have some of them printed :bighug:

Mandy, I am going to be heading to bed in 15 mins after Cosmo's +2. Are you OK from here?
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I'm getting ready to put Sissy's regular food down, first timer usually would open around now or shortly after. Hopefully she won't go too low tonight. How often would you say I should check tonight? I should be okay.

Thank you so much for staying up with me. I feel a lot calmer than I was!!
 
Her +3 is still higher than her preshot, so chances are it'll be a fairly quiet cycle. You up for a +5 test? As long as she stays relatively flat, you can call it a night after that.
 
Wendy&Neko said:
Her +3 is still higher than her preshot, so chances are it'll be a fairly quiet cycle. You up for a +5 test? As long as she stays relatively flat, you can call it a night after that.
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I can do a +5. I'll just stay on the couch with her until the alarm then if all is well I will go to bed then.

Thank you all so very much! :bighug:
 
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