Should I have skipped this morning's shot?

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Mandy S

Member Since 2020
Sissy was 98 this morning for AMPS, 15 min later she was 89. I fed her and then reduced her shot by half a unit and gave it to her. But now I'm wondering if I should have skipped it. She was 78 at +2. I have given her some food, and she's eating. But now I'm second guessing what I did and if it was wrong I'd like to learn for next time. @tiffmaxee
 
I would keep testing. Just in case.
Reducing the dose will not effect this cycle in all probability. You could have shot the full dose with TR. Get a +1 and +2. With TR we shoot anything over 50. You should get a nice flat cycle or drop under 50 and earn a reduction.
 
Don’t bother. I just wanted to confirm that you did switch. The +2 will let you know how often to test next. If lower than the amps she might earn that reduction.

Her +2 was lower than AMPS were lower but she never got under 74 today. I'm glad I reduced today, I had to leave this afternoon. Then my daughter's car broke down and then had to take food to my grandmother...so I was so glad she was on her way back up when I had to go. My husband and youngest daughter were able to check on her later before I got home. That's one thing I do worry about is if I had shot her low...and was monitoring her...then having to leave because one of the kids are broken down on the highway...just seems scary. lol
Okay, so no matter how low she is above 50? I shoot her full dose. If she's 60..and I give her the full dose won't that immediately knock her down below 50? It seems like it would when her full dose will sometimes drop her a good 100 points by her +2. How does it work? It took a lot to shoot her a partial dose when under 100 today for the first time. lol I am ready to try though...I just hope I don't make a mistake and end up doing her big harm. I don't know if I could stand it if I did. :/
On a side note, haven't her numbers looked great this week! I am so happy with that.
 
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Agree. That was a shootable number this morning on Lantus, so she'll likely be just fine today, but you don't really have enough data yet to shoot that low, I think, so close monitoring would be a good idea.

You don't think I have enough data to shoot her low? Do you mean recently or the last few months? What kind of data do you look for deciding this? I've wondered that before.
 
Sorry, I was assuming you were on SLGS. I also missed the 124 you shot a couple weeks ago, and looking at the spreadsheet I was only seeing where you'd shot high blues, so shooting green, possibly a falling green, was a big jump. But of course it all worked out :).
 
Sorry, I was assuming you were on SLGS. I also missed the 124 you shot a couple weeks ago, and looking at the spreadsheet I was only seeing where you'd shot high blues, so shooting green, possibly a falling green, was a big jump. But of course it all worked out :).

I just recently decided to give TR another try. I have chickened out of it a few times.
I think the lowest I had shot before was 109.
I feel like Sissy's numbers aren't consistent. Sometimes she has a late nadir, other times an early...or she goes up, then back down then back up and back down. Sometimes she'll go up after her +2 and you think you can go to bed and then oh wait...we're going back down. I don't feel like I (with only a few months experience) can figure out what the heck she's doing. I see double dip, bounce and things described here and there, but I look at the spreadsheet and I just don't see patterns.
Plus like in my question above...I just don't understand how the body can drop insulin so much at one point...and you can shoot the same dose at a very low number and it doesn't do the same? It's confusing.
 
Good morning Mandy. I often miss posts on health unless I’m on the site and the same with tags. They work great if on the site but we don’t get emails from tags. All this to say I want to encourage you to start posting on the Lantus forum. The more experienced Lantus users are there so that if you tag me or someone else and we aren’t on the forum somebody else is likely to be around to catch it. Had you posted there, stalled without food, and gotten a reply you likely would have shot the full dose.
 
Good morning Mandy. I often miss posts on health unless I’m on the site and the same with tags. They work great if on the site but we don’t get emails from tags. All this to say I want to encourage you to start posting on the Lantus forum. The more experienced Lantus users are there so that if you tag me or someone else and we aren’t on the forum somebody else is likely to be around to catch it. Had you posted there, stalled without food, and gotten a reply you likely would have shot the full dose.

I have posted there but at times have gone days without a reply. I'm sure part of that might have been my fault, not being clear or something. Not mad, it's just busy over there and things just get lost. Here it's pretty quick most of the time. But...if I did have an urgent question related to Lantus, I would post it there. This time I had already done it, and it wasn't urgent. And I don't know if you saw my other post in this thread, but I'm really glad I didn't shoot the full dose in this case because I ended up having to leave at a time when I definitely would have had to be home if she had gone lower than she did. So it worked out for me. :/
 
Actually the likelihood that the cycle would have been the same had you shot the full dose is pretty good because of the depot. It’s busier here than on Lantus but the choice is yours.
 
Please don't be so tough on yourself. It can take a while to understand your own cat's SS let alone be able to figure someone else's cat's SS out. You've been using a SS for 3 months. That's not all that long to try to sort things out.

First, nadirs can and do change. My kitty had an early nadir -- usually around +3, except when it wasn't. Rather than think of the nadir as a fixed point, think of it in terms of the average of when you see the low points in the cycle. Lantus is "supposed" to nadir around +6. That's the ideal. Cats can have an early or late nadir but there are lots of factors than can cause the nadir to be at a different time.

Numbers will fluctuate. You have no idea how long your cat was diabetic prior to being diagnosed. Her pancreas is still adjusting to insulin. Also, insulin is a hormone. It doesn't act like an antibiotic. Things like exercise, food, stress, etc. influence the action of a hormone and as a result, numbers will vary. In addition, cats hate to be predictable. Sissy wants to keep you on your toes!

It helps to remember that Lantus is a depot insulin. It's the action of the depot that is likely adding to your feeling confused. Some of the ups and downs are due to bouncing. That's the hormone thing, as well. Basically, Lantus isn't as potent as the shorter acting insulins. So, if your cat is in high numbers, it doesn't do the greatest job of pulling the numbers down. However, if numbers are lower, it will be more efficient at flattening out the cycle so you see those lovely blue or green surfs. It also makes it counterintuitive that the same dose that works to lower a higher number won't cause a lower reshot number to plummet. It doesn't. It may help if. you look at some other people's spreadsheets whose cats are regulate. You'll find more of those Kitties on the Lantus board.
 
BTW, I’m still learning as when Max was diabetic I was concentrating on him. I know so much more now that might have helped him then. Look at all the vets that don’t t know half of what YOU have learned already.
I can see that. I imagine the learning would never end with this disease. It's mind boggling how much there is to know and how intricate it all is.
 
Please don't be so tough on yourself. It can take a while to understand your own cat's SS let alone be able to figure someone else's cat's SS out. You've been using a SS for 3 months. That's not all that long to try to sort things out.

First, nadirs can and do change. My kitty had an early nadir -- usually around +3, except when it wasn't. Rather than think of the nadir as a fixed point, think of it in terms of the average of when you see the low points in the cycle. Lantus is "supposed" to nadir around +6. That's the ideal. Cats can have an early or late nadir but there are lots of factors than can cause the nadir to be at a different time.

Numbers will fluctuate. You have no idea how long your cat was diabetic prior to being diagnosed. Her pancreas is still adjusting to insulin. Also, insulin is a hormone. It doesn't act like an antibiotic. Things like exercise, food, stress, etc. influence the action of a hormone and as a result, numbers will vary. In addition, cats hate to be predictable. Sissy wants to keep you on your toes!

It helps to remember that Lantus is a depot insulin. It's the action of the depot that is likely adding to your feeling confused. Some of the ups and downs are due to bouncing. That's the hormone thing, as well. Basically, Lantus isn't as potent as the shorter acting insulins. So, if your cat is in high numbers, it doesn't do the greatest job of pulling the numbers down. However, if numbers are lower, it will be more efficient at flattening out the cycle so you see those lovely blue or green surfs. It also makes it counterintuitive that the same dose that works to lower a higher number won't cause a lower reshot number to plummet. It doesn't. It may help if. you look at some other people's spreadsheets whose cats are regulate. You'll find more of those Kitties on the Lantus board.

That all makes so much sense, thanks for replying!

Sissy definitely keeps me on my toes. lol
I keep thinking that because her blood work was all normal up to May of this year...and then diagnosed end of July...so maybe she wasn't diabetic too long. At least I tell myself that to keep my hopes up for remission. lol I know they say odds are better the shorter the time they had it before diagnosis.
 
It sounds like you're switching to TR. The protocol will give Sissy a good chance at being well regulated if not getting into remission. You might want to give some thought to posting on the Lantus board. Especially if you're planning on using TR, there are far more people familiar with that dosing method on the Lantus board than on Health.
 
It sounds like you're switching to TR. The protocol will give Sissy a good chance at being well regulated if not getting into remission. You might want to give some thought to posting on the Lantus board. Especially if you're planning on using TR, there are far more people familiar with that dosing method on the Lantus board than on Health.

I have posted there the most, I think. I just thought I'd get more discussion over here and since it wasn't an urgent thing I just picked this one. I know on the Lantus board if you don't have a 911 or a ? mark, posts tend to just float to the bottom...which I understand. Urgent stuff needs to be at the top. But if you just want to converse, sometimes this side just feels better. :/ idk how to explain it.
 
Add the question mark prefix and change your topic every time you have a question. I feel Sissy is looking so good and want to give you the best chance for remission. You are doing a great job with her. I’m just hoping for that extra push to you know what. Anti-jinx.
 
Add the question mark prefix and change your topic every time you have a question. I feel Sissy is looking so good and want to give you the best chance for remission. You are doing a great job with her. I’m just hoping for that extra push to you know what. Anti-jinx.

Lol I'm good with that push. Thank you, she is looking good.

She dropped to 56 today, lowest she's ever gone. Kind of surprised me.
 
It’s amazing how once you know you can control cycles it’s easier to get the most out of Lantus. I still had a knot in my stomach when I saw 40’s or 30’s unexpectedly. But then you jump into gear and deal with it. Few are able to do that quickly. I couldn’t.
 
My biggest problem with Sissy is she is SOOOO stinking picky about her food. She'll be going along fine and then done. And trying to find food without certain ingredients AND that she will eat is a pain in the butt. Last week when she was not eating I gave up and got her low carb food that I knew she'd eat and just didn't worry about the ingredients because she had to eat something. And she did. She ate it just fine. But put her old food down and she looks like, excuse me?
So, I have a couple tiny cans of forbidden food to break out when she just will not eat at all...and I put a tiny bit on top of her regular food and that does it. She's such a drama queen.
 
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