? 6/7 Ivy, Dose Increase?? AMPS 305, 201+2, 253+6, 218 +7, 281 +9, pmps 249, 206 +1, 232 +2, 222 +3,

Staci & Ivy

Staci & Ivy

Member Since 2022
https://felinediabetes.com/FDMB/thr...mps-200-176-1-166-2-141-3-272-6-311-9.278315/
Ivy is on day 5 of 3.25 units Lantus dose.
**Two days ago she had a dip to Green BGs, both a.m. and p.m. cycles (read on Libre 3). Very active cycles leading to onset.

This sharp drop happens often around +12-13, and continues into the first few hours of each cycle.
She tends to drop very quickly after insulin injection, (within 1/2 hour), then ongoing, leading up to onset and sometimes through hour +4. (Very rough few hours) Then things tend to calm down for her. Low carb food doesn’t really bring up her BG when she’s dropping like that.

I’ve been tinkering past 2 days with adding a tiny bit (1/4 tsp) of medium carb 12/13% food mixed into her low carb meal, to curb the steep drop/ Lantus onset.

Question: since we are trying to follow TR and return to protocols after her broken leg and surgery last week, is it advisable to increase her insulin to 3.5 units, or do I hold off since she’s dropping to green and blue numbers in the past two days and then clearing bounces past 24 hours, as she spiked up to pink and yellow ranges?
Thank you.
@Wendy&Neko @Bandit's Mom @Sienne and Gabby (GA) @Bron and Sheba (GA) @tiffmaxee @Christie & Maverick @Chris & China (GA)
 
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I agree with Elise, she's only had 2 hours with green at this dose. Even if she saw upper green tonight she is good for an increase.
 
When asking yourself whether to increase, you want to be able to answer, 1) how low has this dose taken Ivy over the last 72-96 hours, and 2) when does Ivy reach nadir on this dose. That is the good thing about all your tests, you really do have a good idea of what this dose has been doing and how low she has been going. Good luck with the increase :)
 
Christie & Maverick said:
When asking yourself whether to increase, you want to be able to answer, 1) how low has this dose taken Ivy over the last 72-96 hours, and 2) when does Ivy reach nadir on this dose. That is the good thing about all your tests, you really do have a good idea of what this dose has been doing and how low she has been going. Good luck with the increase :)
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So this dose did take her into blues and greens 2 days ago in 2 consecutive cycles. And then she bounced higher from those lower numbers. and her nadirs seem to be either before shot time or in the first few hours after her shot.
Do you also feel comfortable that she should have an increase?
 
Yes, I agree with the increase tomorrow. Tonight will be 10 cycles on the same dose, and but for a couple nadirs under 100 the rest of the nadirs over the last 5 days have been nothing to write home about. The goal is to get more greens :D
 
Christie & Maverick said:
Yes, I agree with the increase tomorrow. Tonight will be 10 cycles on the same dose, and but for a couple nadirs under 100 the rest of the nadirs over the last 5 days have been nothing to write home about. The goal is to get more greens :D
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Ok, thank you. Just hoping she doesn’t do an Olympic dive session :arghh:
 
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