? 07/22 - Jaxon - AMPS 166 +6 94 +9 85 PMPS 122 +3 59 (low BG)

I was just re-reading the info on increases for TR ....
  • Increase by 0.25 unit after 3 days (6 consecutive cycles) if nadirs are greater than 200, but less than 300. (His nadirs since his increase to 1 unit have fit this I think)
  • Increase by 0.5 unit after 3 days (6 consecutive cycles) if nadirs are greater than 300.
 
"Increasing the dose:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing."
 
Since Jaxon is "new to green", you'd want to hold the dose for at least 8-10 cycles.

You've given the same dose for 9 cycles so if no better numbers in tonight's PMPS, you could increase by .25 tomorrow morning
 
Yes, but he's still what we consider "new" to green. He's just now getting them more often on the 1U dose so you want to hold it at least 1 more cycle. Also, it's usually easier to do increases on the AM cycle. Since he did hit a green in today's AM cycle, he may drop lower on tonight's PM cycle.
 
I wouldn't have considered a change before tomorrow morning anyway (I only started him on an evening dose just cause I wanted to get started ASAP), but thanks
 
I may try an increase tomorrow ... I know under TR I can (0.25 unit increase) ... should I be worried that he vomited a little clear fluid earlier this afternoon (gave him a little food after the 2nd time in case it was empty stomach)
 
From what I could tell ya, he did it both times when I was not in the house .... but ya, was my thought
 
tiffmaxee said:
You saw green on 7/17 so you need to hold the dose for at least 10 cycles after that. When new to lantus it can take longer to show what a new dose will do.
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He showed some green before then .... 07/13 but that was before the increase to 1 unit. 07/17 is when he was increased to 1 unit .... just looked and saw it :)
 
Yes, try a teaspoon or two but you don't want him eating so much that IF he needs to eat again later, he's not hungry.

Test again in 20-30 minutes (it doesn't help to test too much sooner because it takes time for the food to break down and get into the bloodstream)
 
Allison K said:
Ok just checked now and it was up to 65 (30 mins after your post on Facebook which was at +4)
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Good deal. I'd grab another test in 30 minutes....if he's still going up, test one more time an hour later. You want to test for at least 2 hours after you "intervene" to make sure he's done dropping so you can sleep. IF he drops again and you have to intervene with food again, that 2 hour clock starts over.

Allison K said:
I had given him a 1/4 can (Friskies 5.5 oz cans) before I saw your post here to only give 1-2 tsp, sorry.
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No worries! No need to apologize! You can't know what you don't know!

(my secret story) The first time China dropped below 50, I knew I could give her some syrup but wasn't clear on how much I was supposed to use so I dumped about a cup full into a bowl and let her have it (she liked it!). Needless to say, her numbers went up...and up....and up. I found out later I was supposed to use a drop or two---not half the bottle....LOL (shhhhh...don't tell)
 
That one I was not surprised at with the small amount required, similar is true for human diabetics (have some nursing training) .... I just am used to giving him 1/4 can between his shots ... so will go with like 1/8 or something next time (not sure about only a tsp or 2 and measuring it out) :)
 
Was getting worried about continuing to wait with him that low ... never had him 80 till now ... and hell, first time I got a green reading I added a tiny bit of HC to his normal LC bed time feeding. He bounced a little but I was terrified he would drop further after I went to bed and would prefer a little high to that
 
Well at the time, I wanted to go to bed because I was already staying up an hour past when I normally went to bed (since starting Lantus) ... it was hard enough only having at most 5-6 hrs sleep without fearing my cat would die. I felt a tiny bit of HC was what I needed :) plus his 1/4 can of LC :)
 
Is he a big eater? I'm concerned about filling him up too soon in case we need him to eat later.

If you are getting tired, you could use a little bit of something higher carb to boost him a little.
 
He eats whatever I put down generally .... for a while there he wanted food every 2-3 hours (if I let him) managed to get him to settle for 3 hrs (has been a little better of late, closer to 4-6 hrs recently)
 
I usually am up till 1am (EST) to get a +6 read unless I am concerned that it is falling, I can push to +7 (2am) but I am hoping not to. Was going to give him more LC before I head to bed (since I usually do)
 
Chris & China (GA) said:
Is he a big eater? I'm concerned about filling him up too soon in case we need him to eat later.

If you are getting tired, you could use a little bit of something higher carb to boost him a little.
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If he is still too low at 1am, I was considering adding a TINY bit of his Gravy Lovers to his LC like last time. I am thinking I will not change his insulin for a while yet.
 
Allison K said:
am thinking I will not change his insulin for a while yet.
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That is a wise decision. I would not increase the dose at the moment. Looking at his SS you can see the importance of holding the dose for at least10 cycles when they first see green on a dose. On the 10th and 11th cycles he has gone down to greens again and you have had to intervene.
 
10th and 11th cycle? Where are you counting this from? Is this only from green mid cycle or any green?
 
Allison K said:
It is that the discussion was that I should RAISE it.
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That was before tonight. Remember I said earlier that you had 9 cycles at this dose, so depending on what he does on this cycle, you may need to increase tomorrow....but since he dropped into green again, you would hold the 1U dose.

We'll see how he does over the next few cycles. He may earn a reduction....he may start to climb and need more.

There's kind of a magic around here....if you just threaten to increase the dose, they drop into green!
 
Allison K said:
All I meant is I had not indicated I was planning to give him a reduction .... that's all
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No worries! It's easy for one of us to lose track of everything that happens so you question us if you don't understand something or the advice seems to have changed from what was said earlier.

This whole thing would be a lot easier if our cats would read the rules and follow them! Of course if they did that to please us, they'd be dogs.....LOL
 
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