8/25 Artemis AMPS 270 +1 265 +5 300 +6 271 +9 387 PMPS 417

[MemberLeftDueToAbusiveMod]

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Posting yesterday and this morning's results (in next post).

I've been able to feed him more low carb foods again and reintroduced the Antinol the last 3 days since he seems to be perking up and returning to his baseline behaviors. He's asking for food again so that is reassuring.

Am I correct in assuming he'll need to go up on his dose?

 

[Diane Tyler's Mom GA]

@Twinkleboots
Previous post
https://felinediabetes.com/FDMB/thr...ps-248-3-261-5-303-7-355.280725/#post-3097085
Hi there I'm no expert but to me it looks like Artemis could use an increase
I think you may be holding the dose too long
I hope he's eating better for you

SLGS
After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours. Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet. The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.

• If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
• If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
• If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit

 

[Diane Tyler's Mom GA]

I can tag a few members for you to be sure an increase is needed
By the way can you start a new post for today (8-26) instead of adding today's numbers to this one
@tiffmaxee
@Sienne and Gabby (GA)
Thanks ladies

 

[tiffmaxee]

I’d take the dose up to 1.5 since nadirs are over 150 per SLGS. Good luck with the increase and I’m glad he’s feeling better.

 

[Sienne and Gabby (GA)]

I agree with Elise. Increasing seems like a good idea.

 

[MemberLeftDueToAbusiveMod]

I’d take the dose up to 1.5 since nadirs are over 150 per SLGS. Good luck with the increase and I’m glad he’s feeling better.

Thanks tiffmaxee!

 

[MemberLeftDueToAbusiveMod]

I think you may be holding the dose too long

I agree, but saw the instructions for SLGS say to hold dose for 1 week each time before changes in dose? Is there flexibility on this?

I hope he's eating better for you

Yes! He's eating much much better. Like his old food-driven self. He really loves the ritual of asking for food, talking, being fed, getting pets, etc. I guess the auto-feeder will be an emergency-only kind of tool. Really rocked his world in a bad way to introduce that. Poor guy!

After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours.

Missed the 2 hour mark already if I'm doing this today. Should I push it off to tomorrow anyways for when he's had his 2nd dose of 1.5u?

I can tag a few members for you to be sure an increase is needed

Thanks! Really appreciate the help.

By the way can you start a new post for today (8-26) instead of adding today's numbers to this one

No problem, I just don't understand what the point of doing a post with today's numbers is when they haven't been recorded yet? Can you help me understand what the cadence is here? Post in evening for the day you've just completed? What if the post is always before the PMPS?

 

[Diane Tyler's Mom GA]

Missed the 2 hour mark already if I'm doing this today. Should I push it off to tomorrow anyways for when he's had his 2nd dose of 1.5u?

I'll have to tag Elise and Sienne for this question
@tiffmaxee
@Sienne and Gabby (GA)

 

[Diane Tyler's Mom GA]

No problem, I just don't understand what the point of doing a post with today's numbers is when they haven't been recorded yet? Can you help me understand what the cadence is here? Post in evening for the day you've just completed? What if the post is always before the PMPS?

They like us to post a new post for everyday,,then you can continue with his numbers when you do additional tests and you can continue with his PMPS tests

 

[tiffmaxee]

You can test every 3 hours fir 18 hours. And yes new day new condo please.

 

[Sienne and Gabby (GA)]

The Lantus board is busy and has a lot of people posting. By having a daily thread, it prevents the threads from becoming too long to be functional. Once you have tested at AMPS, or at any point thereafter, we'd ask that you start a thread for that day. You then add the numbers to the subject line as you collect data for the day.

Could you explain what you meant by:

...a post with today's numbers is when they haven't been recorded yet

I wasn't clear on what you meant.

If you would prefer to do a curve tomorrow, that's fine. However, you're not likely to see much of a response to a new dose on the first day of a dose change. Also, did Artemis get insulin last evening? There's no dose indicated and no tests past PMPS.

 

[MemberLeftDueToAbusiveMod]

You can test every 3 hours fir 18 hours. And yes new day new condo please.

So if AMPS reading is 8:00 AM then I just need to stay up to 11:00 PM to get 18 hours in? Should this curve be done on the current dose of 1.25u or the new dose of 1.5u?

 

[MemberLeftDueToAbusiveMod]

Could you explain what you meant by:
I wasn't clear on what you meant.

You actually answered this question here:

You then add the numbers to the subject line as you collect data for the day.

Also, did Artemis get insulin last evening? There's no dose indicated and no tests past PMPS.

Yep, just no further tests after PMPS.
Forgot to put down the 1.25. Fixed it. Now the sheet is accurate up to this minute.

 

[tiffmaxee]

So if AMPS reading is 8:00 AM then I just need to stay up to 11:00 PM to get 18 hours in? Should this curve be done on the current dose of 1.25u or the new dose of 1.5u?

That’s correct. I’d do it before the increase but rarely will you see a big difference on the first dise of an increase. It is possible though.