1/18 Milo's Curve,need dosing advice please.

[Mariaana and Milo]

Milo's last curve was done on January 7/2022, and his Lantus was increased to 2.5 Units at that time.
His Nadir was 144 mg/dl (8 mmol/L) today,my guess is that we need to Maintain on 2.5 Units for another week? (according to the SLGS protocol) Thank You.

 

[Bandit's Mom]

Hi Mariaana, are you still working with a lower reduction point of 80?

You want him on a dose that sees nadirs in the 80s and 90s. There is scope for an increase to 2.75U.

 

[Mariaana and Milo]

Hi again and so appreciate you connecting with me Bhooma!
Yes.. i am planning on reduction point of 80.(Forgot about that...)
Thanks for the heads up on those Nadirs Numbers!
So an increase at AMPS to 2.75 Units then?

 

[Bandit's Mom]

So an increase at AMPS to 2.75 Units then?

Yes. And if possible, a curve and revaluation of the dose in a week. We don't want to be holding doses longer than a week. You are doing enough spot tests not to need a curve.

 

[Mariaana and Milo]

Question: With a Lantus dose of 2.75 Units... what BG numbers at AMPS and PMPS is "safe" to
shoot "the full dose" and when should i decrease it a bit?

 

[Bandit's Mom]

You can shoot any number over 80 (which is your reduction point) provided you can monitor. It is very scary to see lower numbers - both mid-cycle and preshots, but once you get used to them, they can be pretty addictive and Lantus is known for flat cycles. Shoot low to stay low.

A cat's normal numbers are 50-100 (2.8 to 5.5) on a human meter. We get so used to higher numbers that normal numbers begin to seem "low" to us.

 

[Mariaana and Milo]

Ok.. now i am confused...You are saying to do a curve in another week,and then:" that i'm doing "enough
spot tests not to need a curve" ?? Please clarify..Thank's!

 

[Bandit's Mom]

Sorry, I realized after I posted that I might have confused you.

What I meant was that I know you wait for a day when you can do a curve to take a call on dosing. And sometimes life gets in the way and you cannot do one every week and that means you hold doses for longer than a week. Since you are testing enough to have a good idea of how low he is going on a dose, it's okay if you can't do a curve on a particular day. You have enough data to take a call on whether he needs an increase or not. With the amount you test you aren't missing out on any significant lows that could affect dosing decisions.