12/3 Bingo - AMPS 148, +1 85 (Libre)

Hi Kate, I know that you’re following your vet’s dosing advice. When do they suggest you take reductions? TR takes a reduction below 50 and SLGS at below 90. Just curious since Bingo came close to that 50 point today.
 
Mary & Jude said:
Hi Kate, I know that you’re following your vet’s dosing advice. When do they suggest you take reductions? TR takes a reduction below 50 and SLGS at below 90. Just curious since Bingo came close to that 50 point today.
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Hi Mary, this is a good question— she reviews the Libre data regularly (it’s automatically sent to the hospital) and then reaches out to us when it’s time to change dose. She’s done this every time except the drop to .5 we made a few days ago while she wasn’t in office.

I might send her an email to ask if another reduction makes sense. Also curious to know what metric/trigger she’s using for the reductions so we can understand how she would handle.

If we reduced again would that put him at just 0.25? Maybe weird to say but it feels surprising for him to be that low!

Thanks again for asking about this.
 
Kate and Bingo said:
Hi Mary, this is a good question— she reviews the Libre data regularly (it’s automatically sent to the hospital) and then reaches out to us when it’s time to change dose. She’s done this every time except the drop to .5 we made a few days ago while she wasn’t in office.

I might send her an email to ask if another reduction makes sense. Also curious to know what metric/trigger she’s using for the reductions so we can understand how she would handle.

If we reduced again would that put him at just 0.25? Maybe weird to say but it feels surprising for him to be that low!

Thanks again for asking about this.
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Here’s an idea: could you show her the information for TR and SLGS which both have pretty detailed dosing increase/decrease guidelines in them. See if she can get behind one of them. We have some on here that actually follow a modified version of the TR or SLGS, as directed by their vets. We also have some folks on here whose vets have their own specific guidelines for increasing/decreasing—it’s written out. The point is that is so much easier for the caregiver to have a specified method to follow, and not to have to worry about the vet checking in (what a burden for her) or to run into the risk of needing to take a reduction when the vet is unreachable. Just a thought.
 
Kate and Bingo said:
If we reduced again would that put him at just 0.25? Maybe weird to say but it feels surprising for him to be that low!
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Yes, the next dose down is .25, and were you following SLGS, that’s the reduction you would take (dose reduction when numbers fall below 90). Personally, I prefer TR because it allows you to hold a dose longer and not take that reduction until you’re under 50. It’s a more aggressive dosing method, but it’s one that has research backing its efficacy in getting kitties into remission. You always want to look at the nadirs (how low a dose is taking Bingo) when it comes to dosing, and drops down into the 50s are low—not too low, unless it’s below 50, but inching close to that. Below 50? Bingo needs a reduction.
 
Mary & Jude said:
Here’s an idea: could you show her the information for TR and SLGS which both have pretty detailed dosing increase/decrease guidelines in them. See if she can get behind one of them. We have some on here that actually follow a modified version of the TR or SLGS, as directed by their vets. We also have some folks on here whose vets have their own specific guidelines for increasing/decreasing—it’s written out. The point is that is so much easier for the caregiver to have a specified method to follow, and not to have to worry about the vet checking in (what a burden for her) or to run into the risk of needing to take a reduction when the vet is unreachable. Just a thought.
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I love this idea. Thank you very much.
 
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