More steady numbers for Nico— good? what’s next?

Emily Tuomey said:
+5 156, but I think I may have only shot 4.0u this morning.. I can’t be sure. I think I may have been on autopilot because it was so early and I didn’t get much sleep. Right after I shot I thought, “oh my god, did I just shoot 4.0u or 4.5u??!” “Now, I don’t know and there’s no way to check..” Has this ever happened to you guys? Should I just assume it was 4.0u? 4.5u?
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hahaha cut the difference. 4.25. LOL I'm so so happy you are seeing blues!
 
Emily Tuomey said:
Talk to me about this^^ What does that mean??
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sometimes when they are in glucose toxicity like your cat was (where a the insulin wasn't doing as much as you'd expect and they are stuck in high numbers), once you find the "breakthrough dose" it comes down. For my cat in the beginning it was 3 units. Before that she didn't have a number under 300... suddenly I started seeing fast progress. For you it was 4.5. Don't be surprised if we need to lower the dose soon. :)
 
JanetNJ said:
sometimes when they are in glucose toxicity like your cat was (where a the insulin wasn't doing as much as you'd expect and they are stuck in high numbers), once you find the "breakthrough dose" it comes down. For my cat in the beginning it was 3 units. Before that she didn't have a number under 300... suddenly I started seeing fast progress. For you it was 4.5. Don't be surprised if we need to lower the dose soon. :)
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+8 216.
 
Nico is doing SO MUCH better, since you found that "breakthrough" dose. You broke through the HI (black) BG numbers, and overcame (or broke through) some insulin resistance.

A BG of 66 last night?!?!? That probably caused the bounce up to the red BG range for the pre-shot this morning.
 
Emily Tuomey said:
PMPS 600+HI :( Sigh. I’ll test again in a few hours to make sure we are moving.. these bounces are discouraging.
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The average am preshot the past 7 days was 428.
The average for the 7 days prior was 546.

The average pmps the past 7 days is 503. Prior it was 560.

You can't let a single reading drive you crazy. Look at the big picture. He's making progress.
 
JanetNJ said:
The average am preshot the past 7 days was 428.
The average for the 7 days prior was 546.

The average pmps the past 7 days is 503. Prior it was 560.

You can't let a single reading drive you crazy. Look at the big picture. He's making progress.
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SashaV said:
It's a marathon, not a sprint.
That sentence helped me a lot, when it seemed like nothing was happening.
:bighug::bighug:
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Thank you both. Sometimes it’s hard, I’m sure you’ve both been there. I feel better this morning. AMPS 383. :rolleyes:
 
Emily contacted me privately so I'm updating here

I suggested she test again in 30 minutes (and NOT feed). If he's still too low, stall for another 30 for a total of 1 hour.

She also asked about the AM dose....I told her to test at the normal time and if he was high enough, she could go ahead and shoot at the normal time but if not, she'd need to stall and work her way back by 15 minutes per cycle or 30 minutes per day
 
Chris & China (GA) said:
Emily contacted me privately so I'm updating here

I suggested she test again in 30 minutes (and NOT feed). If he's still too low, stall for another 30 for a total of 1 hour.

She also asked about the AM dose....I told her to test at the normal time and if he was high enough, she could go ahead and shoot at the normal time but if not, she'd need to stall and work her way back by 15 minutes per cycle or 30 minutes per day
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Do you feel her regular dose needs to come down a bit in the am? I'm thinking of like to see what happens now at 4u or 4.25.
 
Chris & China (GA) said:
Emily contacted me privately so I'm updating here

I suggested she test again in 30 minutes (and NOT feed). If he's still too low, stall for another 30 for a total of 1 hour.

She also asked about the AM dose....I told her to test at the normal time and if he was high enough, she could go ahead and shoot at the normal time but if not, she'd need to stall and work her way back by 15 minutes per cycle or 30 minutes per day
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Thank you! Going to test momentarily.
 
Recap: Last night after three sets of testing he finally rose to 262 at approx. +13, and was given 3.0u. Retested at +3 and was 291, so left him alone for the rest of the night.

**Ran AMPS at 6:45a and he is 88, so we are holding until 7:15a then retesting. If above 250 then giving 4.25u— as discussed last night with Chris and Janet— if not, we hold again. I’ll be back after that. But, I believe the plan is on try 3 if he’s above 250 shoot 4.25u, if lower than 250 (but still rising) shoot 3.0u as we did last night. If still under 200 and not really rising, skip the shot entirely? Or give 1.0u? Or, 2.0u?
 
Emily Tuomey said:
Recap: Last night after three sets of testing he finally rose to 262 at approx. +13, and was given 3.0u. Retested at +3 and was 291, so left him alone for the rest of the night.

**Ran AMPS at 6:45a and he is 88, so we are holding until 7:15a then retesting. If above 250 then giving 4.25u— as discussed last night with Chris and Janet— if not, we hold again. I’ll be back after that. But, I believe the plan is on try 3 if he’s above 250 shoot 4.25u, if lower than 250 (but still rising) shoot 3.0u as we did last night. If still under 200 and not really rising, skip the shot entirely? Or give 1.0u? Or, 2.0u?
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ok we have to rethink this. Don't give 4.25. Clearly that pancreas had woken up. I think even 3 might have been too much last night. Let me think.
 
JanetNJ said:
ok we have to rethink this. Don't give 4.25. Clearly that pancreas had woken up. I think even 3 might have been too much last night. Let me think.
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Will retest and post here. (Will hold insulin until we come to a consensus on this morning’s dosing needs) Be right back.

UPDATE: retested at +12.5, 100. Will continue to wait 30mins more and retest.
 
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Emily Tuomey said:
I will let him eat a bit then shoot 0.5u. Will retest at +3 and let y’all know where we are at. Advisement for this evening, should it occur again?
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omg i have no idea. His numbers are so wacky and unpredictable right now. hahahaha Ill take this over 400+ though!!!! I think I'd go with 190-250 do 2, and over 250 do 2.5 over 300 do 3 @Chris & China (GA) What would you suggest.
 
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(Pm) +4 394. AMPS 257. 2.5u given. Question though. He’s had really stinky poops over the past two days, this morning it is looser than usual. Is this common? Does this have to do with reaching a breakthrough dose? Or his pancreas now being a little more alert? He hasn’t had any diet changes or issues eating or drinking. I’ll keep my eye on it. Poor guy, can’t catch a break!
 
Probably be a good idea to start a new thread at some point too. This one's getting pretty long. Just include the link to this thread in the message part of a new one.

How long until PMPS? Might want to get a +11 or +11.5 if you can so we know if he's going up or still dropping.
 
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