Yea. I’m gonna test now (20 min past shot time) and can monitor all day
Then you can shoot.
I was thinking a +1 today is a good idea. I may as well do the curve today, but this doesn’t seem like a typical cycle for him… . I’m really surprised how he’s handling this dose after not seeing much improvement at 7.5, and we will just be doing this dance again when the cabergoline gets here.
Thank you! Yea this whole blue green thing is a surprise to me, but is a CLEAR sign to me he’s still willing to work with me on all of it.
Your boy has really come a long way from all those blacks earlier in the year. I'm very happy for you.
Thank you! Yea this whole blue green thing is a surprise to me, but is a CLEAR sign to me he’s still willing to work with me on all of it.
Thank you! It’s made all the struggles, panic attacks, migraines, and sleepless nights worth it. I hope our experiences can help others who have been in this for the long haul.
Over time and with data, shooting green does become easier. Especially once you know he's on his way up and you know onset isn't for hours. By the way, there is something that goes with shooting your first green:
On a more serious side, you need to think some more about what you want your reduction point to be both now, and when cabergoline is on board. The goal with acrocats is not to force reductions, that'll happen on their own or not as it's not about a healing pancreas. TR was a good way to get you increasing quicker to a dose seeing good numbers. My goal was to try to keep Neko in numbers under renal threshold, as much as possible. That number can vary by cat, but was around 220 for Neko. When reductions were coming fast and furious after radiation therapy, I raised the reduction point to 70. It just gives a little bit of a safety margin for higher dose (and higher depot) cats making sudden changes. I have seen some cat on cabergoline also go down dose fast.
So the question for you is, where would you like the nadirs to be? It make take some experience to find out what works for Snuggie. After all, this is rather new to both of you!
Woo boy what has this cat gotten me into? HA! OK, so the safe nadir depends on the highest number in the cycle… got it. Well let’s see what he does in the next cycle or two. I’m gonna polish up on how dose reductions are earned - and some other TR basics - just to inform myself.So the tricky part about how low you want to see Snuggie go is what it does to the rest of the cycle. With Neko, if her nadirs were in the 70's, she's stay under renal threshold. Above that, and she wouldn't. It's hard to pick a band of numbers you'd like to kitty to stay between, and dose to meet that. It will take some experimentation on your part to see what works for Snuggie. But definitely ECID. If you look at Amethyst's SS, she can stay really flat and blue.
The other thing you can play with now is size of dose changes. Only we typically change by 0.5 units at a time over 5 units, some cats are sensitive to small changes. Again, Neko was. You could try doing a 0.25 unit reduction and see what it does to Snuggie's nadirs. The other thing to keep in mind, there is more than one reason an acros dose needs can go down. If he was seeing glucose toxicity from the higher numbers, he could break through and need to go down a bit. The tumour could wane a bit. And once you start Cabergoline, you will have to be very conservative. Higher reduction points if following TR, extra large reductions, skipping doses, BCS (partial doses) are all tools you'll need in the toolkit to keep him safe. Maybe - ECID.
Whoa!! Ok thanks! I’m making a reading list to tackle once he figures out what he’s doing - we are now bouncing - no surprise there!The visual on doing quarter doses is here, but definitely get calipers. You'll wonder how you ever dosed without them. It's real fiddley at the beginning, it took me a long time to get used to them, but I was amazed at how badly the lines on syringes are printed and how much variation there can be from syringe to syringe. Calipers help you throw all of those problems out the window to create beautiful, consistent doses.
If you look at my spreadsheet, I plan to hold this dose for a little while, maybe one more increase. I like Wendy's 70 cutoff for Mr Kitty, though I'm considering 2x below 70 because every so often he'll throw a lower number but not again, and I end up needing to increase.
Oh thanks! You really have a lot of PM data (and beautiful colors!) - do you mind if I ask what your shot times are? Also what do you mean by 2x below 70?
And I've also seen 10 days.
Ok I’ll wait til after the holiday - and YES! Me too! Let’s see how tomorrow goes…
Shot times are usually 8a/8p, but I also don't work. My husband and I split PM test duty, and I usually grab a test if I wake up in the +5 to +8 range.
