11/27 Buddy AMPS 168 +3.5 39 +4.25 42 +6 48 +7 69 PMPS 416 bounce!

Hope you have a good day Sandra.

This year has been difficult for so many. I've been away for much of it too, variety of reasons.
I'm glad you have a good vet that you trust. :)

Buddy is looking good this morning. Hope he has a gentle surf later.:):bighug:
 
Ugh! Buddy!

Though it may well be the 3.75u depot, and we don't usually like to take back to back reductions, a drop into the 30's earns him a reduction to 3.25

Next time he pulls a drop like that at +2 I would test him at +2,5;)
 
Gill & George said:
Ugh! Buddy!

Though it may well be the 3.75u depot, and we don't usually like to take back to back reductions, a drop into the 30's earns him a reduction to 3.25

Next time he pulls a drop like that at +2 I would test him at +2,5;)
Click to expand...

Since I just gave him that reduction to 3.5 and he really didn't earn it I was going to go ahead and hold for now, What do you think? The 3.75 dose is still in play at this point?

also @tiffmaxee
 
The guidelines are clear a drop into the 30's earns an immediate reduction, with few exceptions
Reducing the dose:

The TR Protocol is an aggressive method in itself. The modified version of the protocol is slightly more aggressive. Let's keep all our kitties in the Lantus, Basaglar, & Levemir ISG safe by taking reductions when appropriate.
  • If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit.
  • Alternatively, attempt a reduction when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.
  • Please do not let yourself become complacent or blasé about drops into the 20s or 30s. Please ask for advice immediately.
  • If your cat drops into the 30s, a full reduction of 0.25u is recommended. There are few exceptions given to caregivers who have collected years of data and KNOW their cat's response to the combination of insulin and food backwards, forwards, and inside out.
  • Caregivers whose kitties have "High Dose" conditions may find the need to reduce in whole units or more.
  • If an attempted reduction fails, go right back up to the last good dose as soon as you see kitty's numbers trending upwards. You don't have to hold the reduced dose for a certain number of cycles before taking the dose right back up. The guidelines listed under the topic "Increasing the dose" do not apply to a failed reduction. Please use common sense in this situation. The "last good dose" is not the dose that just dropped kitty into the 20s or 30s. You want to resume momentum by finding an in-between the dose.
  • We've found many kitties benefit from reducing the dose from 0.25u to 0.1u before stopping insulin completely. During a two week OTJ trial, you want to see mostly green numbers (under 100) with only a few random blue numbers between 100 - 120 to help ensure a strong remission. Most kitties will be in the range of a healthy cat (50 - 80 mg/dL) overall.
With Buddy and his drops I would take the reduction, watch for a failed reduction and bring him up if necessary. Something seems to have clicked with him since the 24 nov. I think he may well hold onto the reduction.
 
He's making a point:rolleyes:

Hope he comes up with the HC now, and stays there.

Sandra And Buddy said:
Ok, he came up to 55, I am unsure if I should feed him anything or hold and see which way he is going to go.
Click to expand...
Sorry I went offline, feeding time here. With it being early in the cycle I might have given him some food to bump him up a bit more, perhaps a little LC at that point might have sustained him.
 
Gill & George said:
He's making a point:rolleyes:

Hope he comes up with the HC now, and stays there.


Sorry I went offline, feeding time here. With it being early in the cycle I might have given him some food to bump him up a bit more, perhaps a little LC at that point might have sustained him.
Click to expand...

Ahh, never apologize for doing what you need to do. I only held off for 15 mins, then gave him some HC when he tested lower. :)
 
Sleep sounds so good. :) I know you did a no shot on 11/22, but it looks like the high numbers on that same day could've been a bounce. The depot would still have been pretty full at that point. It can take a little while for the effects of a no shot to be seen. In my opinion, he might have less than 24 hours in this bounce before he gets back to work. We shall see!:D
 
You must log in or register to reply here.
Back
Top