11/16 Ruby AMPS 165/+6 90/+10 205 hold the dose?/PMPS 216/+3.5 99

Katherine&Ruby

Katherine&Ruby

Member Since 2020
Good morning! :coffee:

Yesterday.

Ruby had a pretty uneventful, high and flat day yesterday, which was ok by me because I needed a little emotional vacation from her diabetes. Sure enough though, she starts the day at 165, the lowest AMPS number I've gotten, and of course I have to leave in about a half and hour and won't be back until her +6. :/

Other than that, Ruby's doing super well. She's been eating, pooping regularly and no vomit for a few days. I bought some 31 gauge lancets that are DA BOMB! :p They're sharper, make a smaller prick where I have to milk the area for some blood, but at least the wound is not as large and hopefully her little ears won't be covered in scabs for long anymore. It certainly makes me happy that I don't have to poke her 5 times to draw blood first thing when I wake up in the morning and I'm not wasting expensive testing strips.

Sending healing thoughts to all of the sick kitties and hugs to all you beans who love 'em! :bighug::bighug::bighug:
 
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Christie & Maverick said:
I got a head lamp so I could see the blood drop a little better, and it really helped, especially in the morning.
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I turn on every light in the room and I put on a pair of readers so I can see her ears better. The problem is she flicked her ear nearly every time with the old lancets, maybe because she could really feel the needle, so it would scratch her rather than just poke a small hole and make them really bleed. With this smaller gauge she doesn't seem to mind it quite as much and she flicks less. It's getting easier. Unless I've been testing her a lot, which happens more often during these days of happy low numbers, Ruby's pretty good at sitting still and letting me do it.
 
I’ve been giving Ruby 1.5 units for 9 days now. I’m happy with the progress we’ve made between the Lantus and her diet change, and frankly I’m not sure I can handle numbers any lower than the ones she’s achieved since I increased her dose. We got so very close to another reduction on November 11. My instinct tells me to stay here unless she tells me she’s ready for a reduction or until her nadirs are no longer dropping below 200.

What say all of you here?
 
According to TR, you would increase. Your goal is mostly blues and greens, and Ruby is still seeing pinks and yellows. And her nadirs seem to be drifting up the last few days.
 
Well...you've been getting nadirs under 100 pretty much every day, if it were me, I'd hold the dose a little longer. She's clearing the bounces much more quickly, which is good. I actually wonder what she did earlier today, she may have given you a lower number before that 90 at +6. Nadirs can and do move around, one of my favourite saying from Sienne about her Gabby was that her nadirs were around +3 on Lantus, and except for when they weren't :)
 
Wendy&Neko said:
According to TR, you would increase. Your goal is mostly blues and greens, and Ruby is still seeing pinks and yellows. And her nadirs seem to be drifting up the last few days.
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Christie & Maverick said:
Apparently I was dazzled by the dabble of greens, but Wendy is right, there are a lot of pinks :)
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My vet actually wants me to keep her at a dose for two whole weeks before making any changes (he doesn't know I increased her dose to 1.5. Shhh! ;)). He is not interested in being aggressive at all, and was perfectly happy with the numbers Ruby got when she was on the Libre. I was not, so I increased her dose without informing him.

I thought that dosing was based on nadirs, not on pre-shot numbers which is where the pinks are.

What would be the downside to staying at 1.5 for another week if she keeps to where she is at now, with a lot of greens during the day? Should I be worried about toxicity? Will it decrease the chance of her achieving remission?
 
Dosing is based on nadirs, the last five days you've seen nothing below 88, which gives room for an increase. More insulin will have the side effect of lowering the high points.

It's your call if you want to hold the dose a week, it's just not TR. If you do hold, watch those nadirs closely to see if they start creeping up. A week probably won't make a difference to remission, but there is a clock running on odds of remission. The sooner you can get her regulated (which does mean no pinks/yellows), the better the odds of remission. Should that be in the cards for her. Remember, regulation is a prerequisite to remission and should be your first goal.
 
+3.50 = 99. Ruby ate ½ can of LC right after the test and I left another ½ can in her bowl for tonight.
 
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