Another curve

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Bree & Misty

Bree & Misty

Member Since 2021
Hi,
What do you all think of Misty's curve from today?
Are we still on a bounce from that green on the 16th? Maybe she had another one that I didn't catch?
Any insights on what I should do based on her numbers lately?
Thanks :)
 
Hey Bree! A bounce if I remember right will usually clear within 3 cycles (someone correct me if I'm mis-remembering) so she's long since cleared since the 16th. From the looks of it I think she needs a little more juice.

If you want to do a refresher on the Prozinc SLGS method, remember that increases are done every 7 days if nadir is consistently above 150 (she hasn't seen a blue since the 16th) and reductions are given every time they drop below 90. The reason I mention it is because I see you're on SLGS but you didn't decrease when she dropped below 90 on the 16th. We're past that now of course and at this point it looks like she needs more juice.

If you are able to test at least twice between pre-shots, you might even consider TR dosing method, which would have you re-evaluating the dose every 3 days instead of every 7. Not a requirement, just making sure that option is known to you. :)
 
Panic said:
Hey Bree! A bounce if I remember right will usually clear within 3 cycles (someone correct me if I'm mis-remembering) so she's long since cleared since the 16th. From the looks of it I think she needs a little more juice.

If you want to do a refresher on the Prozinc SLGS method, remember that increases are done every 7 days if nadir is consistently above 150 (she hasn't seen a blue since the 16th) and reductions are given every time they drop below 90. The reason I mention it is because I see you're on SLGS but you didn't decrease when she dropped below 90 on the 16th. We're past that now of course and at this point it looks like she needs more juice.

If you are able to test at least twice between pre-shots, you might even consider TR dosing method, which would have you re-evaluating the dose every 3 days instead of every 7. Not a requirement, just making sure that option is known to you. :)
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Hi Elizabeth!
I actually did decrease on the 16th, to a skinny 1.25 as recommended by Janet. (denoted as 1.25s, I apologize if that wasn't clear, is there a different way I should denote that?)
I'm kind of confused, because we have decreased from 1.25 on two separate occasions because she went under 90, only for her numbers to get a lot worse on the reduced dose. I'd love to do TR but I work 4 10 hour shifts, so adding in commute there are 3-4 days a week that I can't get an AM mid cycle test at all. If it's still possible somehow, I'd love to try!
Thanks!
 
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Bree & Misty said:
Hi Elizabeth!
I actually did decrease on the 16th, to a skinny 1.25 as recommended by Janet. (denoted as 1.25s, I apologize if that wasn't clear, is there a different way I should denote that?)
I'm kind of confused, because we have decreased from 1.25 on two separate occasions because she went under 90, only for her numbers to get a lot worse on the reduced dose. I'd love to do TR but I work 4 10 hour shifts, so adding in commute there are 3-4 days a week that I can't get an AM mid cycle test at all. If it's still possible somehow, I'd love to try!
Thanks!
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I see it now, that little s blended in with the 5 is all! That's on me haha, in that case I'm glad you did that!

There are people that work 12 hr shifts and still manage TR, so yes, it is possible! Here is a thread about it. With Prozinc it's actually called Modified Prozinc Method (MPM) as there's some slight differences with the insulin (TR is for Lantus/Levemir). Another thing is that dosing methods aren't set in stone, you can tweak it to suite you/Misty better. For example, some people do SLGS but their reduction number is 70 instead of 90, or they increase every 4-5 days instead of every 7. As long as you're getting the data you need to make that call (like at least 3 days worth of nadirs) you can shift things around if TR isn't possible for you. If you did do that I would recommend putting that in your signature/spreadsheet so others reading it knew what your method was.
 
Panic said:
I see it now, that little s blended in with the 5 is all! That's on me haha, in that case I'm glad you did that!

There are people that work 12 hr shifts and still manage TR, so yes, it is possible! Here is a thread about it. With Prozinc it's actually called Modified Prozinc Method (MPM) as there's some slight differences with the insulin (TR is for Lantus/Levemir). Another thing is that dosing methods aren't set in stone, you can tweak it to suite you/Misty better. For example, some people do SLGS but their reduction number is 70 instead of 90, or they increase every 4-5 days instead of every 7. As long as you're getting the data you need to make that call (like at least 3 days worth of nadirs) you can shift things around if TR isn't possible for you. If you did do that I would recommend putting that in your signature/spreadsheet so others reading it knew what your method was.
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I've actually read that thread and it was super helpful, but everyone on there said you need to know your cat and how they respond to insulin, and honestly I have no idea! Her numbers make no sense to me, I do think her numbers seem to skyrocket with food (even low carb) but that's about it. I have yet to see a pattern, if you see one I'm missing I'd love to know.
I might make my reduction number 70. I think she does well on the 1.25 and I really liked seeing those yellow preshots and blue/green nadirs. I can totally get 3 days worth of nadirs from fri-sun.
Thanks!
 
Bree, skinny doses should only be used when you have almost reached the best dose and just maybe need to tweak it. Misty is not at that point yet. At the moment you need to be going up and down in 1/4 unit increments.:)
 
Bron and Sheba (GA) said:
Bree, skinny doses should only be used when you have almost reached the best dose and just maybe need to tweak it. Misty is not at that point yet. At the moment you need to be going up and down in 1/4 unit increments.:)
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Oh, I didn't know that. I went with the skinny dose per @JanetNJ 's suggestion on my last thread.
Would you say I should be doing 1.25 or 1.5 now?
Thank you
 
Bree & Misty said:
Oh, I didn't know that. I went with the skinny dose per @JanetNJ 's suggestion on my last thread.
Would you say I should be doing 1.25 or 1.5 now?
Thank you
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If @JanetNJ told you to do it, that’s ok she is an experienced Prozinc user. But generally we only use the skinny and fat dosing for when the dose is almost right. let’s see what janet says about what dose you need to go to as I am not a Prozinc user
 
Bron and Sheba (GA) said:
If @JanetNJ told you to do it, that’s ok she is an experienced Prozinc user. But generally we only use the skinny and fat dosing for when the dose is almost right. let’s see what janet says about what dose you need to go to as I am not a Prozinc user
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I suggrdted that because she was nervous that it was under 90 but I didn't really want to see her reduce yet. I'm glad she didn't because that green looks like it was a one time thing.
 
JanetNJ said:
I suffered that because she was nervous that it was under 90 but I didn't really want to see her reduce yet. I'm glad she didn't because that green looks like it was a one time thing.
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I was glad she hit green, but it was also technically a reduce number under slgs so that's why I was nervous to not reduce
 
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