Hi April
Great job with the curve! I’d like to toss some thoughts out for you, though, to help improve Quincy’s numbers.
First, while, based on the curve, it would appear he needs a dose increase, our approach here, for safety, is that you shouldn’t increase a dose unless you know how low it’s taking him.
When I see black that is a bit “isolated”, I think:
- The BG went too low and kitty is bouncing back up; Wendy mentioned this to you on 10/2.
- Contraband
You put in the remarks on the last black that he might have gotten into some contraband. We usually see dry food affecting the BG for a while after contraband.
I have two concerns: one is that you shouldn’t shoot without a test. There are several days where there are no AMPS. Second, even with SLGS, you are missing half your data with no nighttime tests. I understand that we all need our sleep and that you work and have nighttime med needs, etc. However, we can’t give you good dosing advice without knowing what is happening at night to some degree. Cats often go lower at night.
Is it possible for you to just get a +2 and a before bed test every single night? That would at least tell us if he’s coming down any at night.
You posted this a while back as your proposed schedule:
7:10am - Test
7:15am - Breakfast/Injection
4:30pm - Snack
7:15pm - Test
7:30pm - Injection/Dinner
Always get a PS test even if you tested an hour before. Is it at all possible to get up even an hour earlier so you can get a +1 test? I’d also urge you to get a test as soon as you get home from school before his 4:30 snack. And, then, as I said, a +2 test at night. If you then go to bed, that’s fine but if you are up after that, even an hour, grab a before bed test.
Insofar as your vet’s recommendation to raise to 1.5u, it is not what we would suggest to you here. If you are following SLGS, the increase would only be 1.25u. Vets are not aware, often, that 1/2u syringes exist or that we can dose very accurately (to 0.1u) if we are using
calipers. And while many of us have great vets (me, included), most of them do not understand the nuances that can exist in numbers you can’t see.
But even more than that, with the absence of data and not really knowing how low his dose is taking him, IMHO, while it appears he has room to be increased by 1.25u, a couple of days of a bit more data would be better before you increase just to see if he’s flat at night or headed down.
() but got the rest. Just wanted to let you guys see the curve!! What do you think? Up .5?
I didn't test before on some of the days because his ears were so bad from all the poking and I was going to be home to monitor him. It obviously isn't normal and I won't let that be a normal occurrence but I felt safe those days because of that. 
Thanks again.
