What a BOS award?Congratulations on your first green shot! Whohooo!
And it's a weekend day, so hopefully easy to monitor!
I think you deserve the BOS award already, not sure who can give that though!
OK, that is so funny.Congratulations on shooting your first green, Tyleete! You’ve earned the coveted BOS award!
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I guess you found out what BOS award is. I'm still wondering how you get to give oneWhat a BOS award?
And thank you. I was right in keeping his same dose though, right? I'm having trouble with the whole.... Yes it's low, but THIS is the dose he does well on and works!
Very nervous, but hanging in there. Wendy asked me to get a +1 when his numbers were below 300, but I think that was last week. Should I still try for that? If it's not important, I'll probably just do 2&4 and maybe one between that and pmps. I don't know, just winging it here.![]()
You know with experience. You can see this during a normal flat cycle, how much the increase is when you feed some LC or some MC. Or when he goes low and you have to feed and test every 30 or so minutes. This way you also know how long the increase will last, this is different between LC, MC or HC.Ok, yet more questions after re-reading the Be Data Ready thread.
It says if your cat isn't a food spiker. How would I know? From the start I was told to feed at +2 & +4. His nadir seems to be +4 and I've been feeding him as above from the beginning. I am new to this, but he seems to rise and then at +5 you see the numbers start going down again.
Also says stall if your cat doesn't go down typically after his shot from amps numbers. My cat doesn't go down & has an early nadir. So at what point do I not stall? He was 92 this morning. Should I not have shot so soon and tested him at some other point first?
Great, just when I think I'm getting the hang of this.
And I took a test at +1 and his numbers doubled.
Is this yet another bounce? Thanks![]()
I try hard to pack it in just after 11pm, that's why the lack of tests. My husband wakes me up by 5:45 and I get up out of bed around 6:30 to start the day. I really don't want to be up past midnight if I can help it.I guess you found out what BOS award is. I'm still wondering how you get to give one
Regarding tests, I think it depends a little on what Nico does usually. With Blue, I did not test +1 much, but +2 and +3 were almost always revealing in case of an active cycle.
As for the dose, I'm in no way an expert to advise on dosing, but I'm not seeing anything wrong if you're following TR.
You know with experience. You can see this during a normal flat cycle, how much the increase is when you feed some LC or some MC. Or when he goes low and you have to feed and test every 30 or so minutes. This way you also know how long the increase will last, this is different between LC, MC or HC.
It could be another bounce or it could be double dipping on this cycle when coming of the previous bounce. Blue also did this, when we went lowest at the end of the cycle, but usually at PMPS.
What you are missing though is some tests in the PM cycle. This is when Blue went the lowest most of the time, and luckily we has so hungry that he was keeping us awake so I just tested him if he woke us up.
Yeah, looking for the lowest values is hard though when he's having new numbers. :/If you happen to be awake for any reason, just take a test, whatever time it is. Does your husband also test? Maybe he can start, if he doesn't. My wife also learned to do that, especially when he was waking us up during the night. Is he crying for food, or whatever reason, and we're awake? Ok, let's prick them ears.
I don't see myself qualified to give any dosing advice, and ultimately it's up to you to decide. But if you were to fully follow the TR protocol I see no reason yet for which you would decrease the dose at this point as it does not look to me that Nico has earned a reduction.
Remember, we don't look for pre-shot values like with other insulin (like ProZinc or Vetsulin/Caninsulin) but for the lowest value that Lantus takes them during the cycle.
- If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit.
- Alternatively, attempt a reduction when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.
There's no clear way to adjust the numbers, or not that I've seen demonstrated between my pet and human or in reading. I only know in higher numbers the difference can be 100+.But reductions are very easy to understand:
You should adjust the numbers for your meter (which is why I think human meters are easier to use, since that is what the protocol was written for, many years ago) so that means, if I remember right, adding 18 - but don't take my word for it.
As for people answering, life hits everyone of us with various issues, we should not take anything for granted. If you feel you need help with anything add the question mark to your thread title, or the 911 if it's an emergency and I'm sure someone will be here for you to answer your questions.
Yes, this is a common phenomenon. You do have to learn to shoot lower numbers with Lantus. So glad you shot that green today. Well done.PZ and Lantus are so different, and we started on PZ. So maybe that's why I'm having such issues?
Thanks! When my other cat was diagnosed back years ago, a diabetes site was the one that had suggested the Advocate one. Even showed a coupon to use, so knowing nothing, I went with that.Hi Tyleete!
Valentin has posted the information about reductions for a cat following TR. So, anytime Nico falls below 50 (this is during the first year following dx), he earns a .25 reduction. Alternatively, if Nico has a week of greens under 100, he earns a reduction.
Your spreadsheet is set up for a pet meter, so the numbers are "adjusted" for you.
In terms of testing when you have a lower than normal preshot number that you shoot, it's best to catch a +1/+2. I also catch a +3 because that's typical onset. The direction the cat is moving in at that point can signal how the cycle will go. If they are going up at +1/+2, then they might drop at bit at +3 (onset), but hopefully not too much. If they are moving downward at +1/+2, then you should be prepared to begin manipulating the curve with food--getting carbs on board so that when onset occurs, they don't drop too low (more on that here). Those carbs can be LC/MC/HC, depending on how carb sensitive Nico is.
Let's see if @Sienne and Gabby (GA) is around and she can speak more to your questions about your pet meter numbers.
What might help you with the pet or human meter question is to do some side by side comparisons in lower numbers. Who cares if they are far apart in high numbers, both are still "too high". It's low numbers which count and how we decide what a reduction has been earned. We have had very few people use the Advocate pet test meters, so not a lot of data to compare how it measures against even a more common pet meter like the AT.
Thanks! I needed that laugh.Hm...somebody needs to grab his pogo stick the next time he comes down.
I know I don't hadn't much experience with this yet, but hoping after seeing him in greens, maybe this is good? I'm going to try and get the Relion numbers as much as I can right now alongside his regular one. But even when I get enough blood, I'm still getting errors about half the time. But I'll continue to try.The good news is that it is worth hanging onto this dose a little longer, since he's new to greens. Let's see what he does when he breaks this bounce.