3/2 Leo AMPS 430 +2=280 ? Increase needed?

La-La Leo (GA)

La-La Leo (GA)

Member Since 2021
Leo decreased to 1.75U at PM dose, 02/24, but not sure if it's time to go back to 2U, or not. Maybe I should have already increased? It's easier for me to realize a dose decrease, but not when an increase is needed. I know I frustrate the mods here, but I frustrate myself even more. Leo has never been steady in over two years. :confused: (I need a crying emoji.)
 
It’s hard for me too. You have a very bouncy kitty! Looks like he’s clearing another bounce.
 
tiffmaxee said:
It’s hard for me too. You have a very bouncy kitty! Looks like he’s clearing another bounce.
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Thanks, again. I suspect he dipped while out yesterday afternoon. If he did, and I caught it, this info would confuse me even more. When he had such a blue day on 2/29, I hoped to see green again, but alas, he went high.
 
I would try fattening the dose. That’s what worked for Max. He was very sensitive to carbs as well as insulin changes. I think it’s worth a try. Maybe then you won’t need the honey and he won’t bounce as high and won’t hit the 40’s.
 
tiffmaxee said:
I would try fattening the dose. That’s what worked for Max. He was very sensitive to carbs as well as insulin changes. I think it’s worth a try. Maybe then you won’t need the honey and he won’t bounce as high and won’t hit the 40’s.
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Thanks. I tried this before, but told not to do that. Maybe Leo was still considered new at the time... I don't remember exactly when this was. Also, it was used that way when getting closer to off the juice. But he's clearly not new now, so will fatten up his 1.75 dose tonight. Unless I misunderstand your comment! Let me know. I'm 110% hard-headed. :banghead:
:smuggrin::nailbiting::kiss:
 
Not everyone agrees with doing this. I just know it helped Max. He was very bouncy but was tightly controlled after a year or so. I might have suggested you give it a try and one of the mods was against it. I vaguely remember that. Wish we had a crystal ball. Leo is hard headed too, lol.

Do you use calipers? The markings on syringes vary a lot from my experience so if you dint you might give that a try first and continue dosing as you are doing. They also help with micro dosing.
 
Hello there. He definitely has proven that he can go lime on both the 2 units and the 1.75 units, I see. You could try the fattened dose, yes. But I believe that then you should put in your signature and your spreadsheet "Custom Dosing, Do Not Copy" to indicate that you aren't following TR to the letter (so that other people looking at your spreadsheet won't get confused or try to do what you are doing.) What do you think @tiffmaxee ?

What do you feed him at +2? What kind of a snack does he get?
 
Suzanne & Darcy said:
Hello there. He definitely has proven that he can go lime on both the 2 units and the 1.75 units, I see. You could try the fattened dose, yes. But I believe that then you should put in your signature and your spreadsheet "Custom Dosing, Do Not Copy" to indicate that you aren't following TR to the letter (so that other people looking at your spreadsheet won't get confused or try to do what you are doing.) What do you think @tiffmaxee ?

What do you feed him at +2? What kind of a snack does he get?
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I’m not sure about whether it would be custom or not. I was advised to do this I am pretty sure by Marje with Max and was not told to adjust my method. @Marje and Gracie @Wendy&Neko
 
La-La Leo said:
Maybe I should have already increased? It's easier for me to realize a dose decrease, but not when an increase is needed
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Agreed on the failed reduction. I would have gone six cycles after his green on the 26th - which could still have been influenced by the 2.0 units depot. Then I would have increased had I not seen green. Leo wasn't even close after that. Six cycles without green was enough for me to increase. Note to lurkers, this is me and what I knew Neko needed. I probably would have waited until yesterday morning as the previous PMPS looked like a bounce breaking cycle and I tried to avoid increases in those circumstances.

I tended to increase by full 0.25 units (when under 5 units total) and decrease by smaller amounts. Though not if I saw a reduction number in the 30's which meant a full 0.25 unit reduction. You do have to learn how sensitive your cat is to smaller changes. I wouldn't put custom dosing in your signature as partial doses are described in the TR protocol.

The TR protocol Sticky does mention using fat/skinny reductions in the case of a long term diabetic or cat that doesn't hold reductions well. However, you don't combine skinny reductions with going under 50 three times for a reduction. Pick one or the other.

The TR protocol Sticky on failed reductions also talks about finding the in between dose going back up, if a reduction fails when kitty goes into the 30's or 20's.
 
Thanks, everyone,
{@Wendy&Neko, @tiffmaxee, @Suzanne & Darcy,}
for helping me with Leo. I've been AWOL from FDMB for awhile. I admit to utilizing the "Custom Dosing" idea, and now see the rest of the comments. :oops: I never updated the SS or signature.

Due to three times under 50 drops in seven days, I am dropped the evening dose tonight by .25, but gee-whiz, it's complicated due to the less than TR protocol numbers of .25. Definitely not TR, but with that said, I need to transition to SLGS due to upcoming calendar complications. I'll need to find stickies or posts about it, if a transition is even needed... maybe just do it. I recall attempting to do SLGS when first diagnosed, but the frustration of the protocol led me to TR.... just as BGs were getting good with TR, the SLGS protocol had the dose decrease so much that BGs went up. Maybe SLGS will be the same thing until sometime after my 4/15 dental surgery. It should only be about a month of change. Maybe there's a better way to do this, but the 4/4 funeral service for my step-mom is something I won't be able to get help and I cannot risk Leo getting under 50 that day. No one will be home and I'm about an hour away from Leo, one way. I definitely don't want to change too late/too close to 4/4. Sorry I'm such a mess.
 
And no need to apologize. Life happens. We can help you with possible dose changes for days that you will not be home to monitor for extended periods of time. Obviously with a glargine insulin you nay need to make changes a little ahead of those days, but let’s look at that spreadsheet.
 
For those days when "life happens", you can always give him an away or petsitter dose. Start the new reduced dose a couple days before to drain the depot, then take it back up after you are home and able to monitor more. Or what some people have done, just skip that one cycle if it's only one day. He'll bounce back and you'll be able to relax knowing he'll be safe. :bighug::bighug:
 
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