11/24: Jude: AMPS 462, +4 382, +8 401, PMPS 409, +3 352,

@Christie & Maverick or anyone else who cares to weigh in, Christie and I had previously talked (see my link above) about possibly switching over to the TR dosing method for Jude. I was reluctant because I work during the week, and I live far away from work. After some thought, I'm pretty sure I can get home for at least one check on Jude during the day (and of course I can do the check at night with no problem). But I won't be able to get there at the mid-point; I should be able to get home between +8 and +10. Will this be enough to check him and keep him on TR? I've read the material on the TR and SLGS methods. With that said, I'm a little confused as to why the TR method tests so often (and SLGS does not). And why would only one test during a cycle be sufficient for him to be on the TR dosing method? What is it I'm looking for with one test? Thanks in advance!
 
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That’s ok if you can’t get BG exactly at +6 ever cycle, since not all cats nadir at +6 and nadirs can and do move around.

Per the link I sent about following TR and working full time, the goal really is to use the data you can get to your advantage, since we know, the preshot numbers don’t tell the story of how low a dose is taking the cat. Even a test at +8 or +10 or +11 helps as can +1 or +2 because the later cycle tests can indicate how much duration the cat is getting and provide valuable info especially if you are coming up on a lower than usual preshot. We’ve also found that in many cases, bounce breaking cycles can have later nadirs, so those late cycle tests do not go to waste. The earlier tests like +1 or +2 can help show food bumps and onsets.

Even with SLGS, all data is good data; extra tests and getting random spot checks during the week helps fill in the missing pieces. SLGS is an effective method to getting to regulation albeit is is less intensive, since doses are held for a week, and the goal with SLGS is to achieve nadirs between 90-149, and so under 90 earns a reduction. For caregivers who have difficulty testing their cat, and/or feed dry food SLGS is a better fit.

TR is more aggressive, where caregivers are seeking to have nadirs under 100 and dose reductions are taken if the cat goes under 50 for newly diagnosed cats (less than 1 year) or under 40 for long term diabetic cats, or if a cat regularly has lowest BG in the range of 50-80 while staying under 100 overall for a week.

There are a few other differences, but hopefully this gives you a general idea. Does this answer your questions?
 
Christie & Maverick said:
That’s ok if you can’t get BG exactly at +6 ever cycle, since not all cats nadir at +6 and nadirs can and do move around.

Per the link I sent about following TR and working full time, the goal really is to use the data you can get to your advantage, since we know, the preshot numbers don’t tell the story of how low a dose is taking the cat. Even a test at +8 or +10 or +11 helps as can +1 or +2 because the later cycle tests can indicate how much duration the cat is getting and provide valuable info especially if you are coming up on a lower than usual preshot. We’ve also found that in many cases, bounce breaking cycles can have later nadirs, so those late cycle tests do not go to waste. The earlier tests like +1 or +2 can help show food bumps and onsets.

Even with SLGS, all data is good data; extra tests and getting random spot checks during the week helps fill in the missing pieces. SLGS is an effective method to getting to regulation albeit is is less intensive, since doses are held for a week, and the goal with SLGS is to achieve nadirs between 90-149, and so under 90 earns a reduction. For caregivers who have difficulty testing their cat, and/or feed dry food SLGS is a better fit.

TR is more aggressive, where caregivers are seeking to have nadirs under 100 and dose reductions are taken if the cat goes under 50 for newly diagnosed cats (less than 1 year) or under 40 for long term diabetic cats, or if a cat regularly has lowest BG in the range of 50-80 while staying under 100 overall for a week.

There are a few other differences, but hopefully this gives you a general idea. Does this answer your questions?
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Yes, Christie, this does answer my questions. Thank you so much for taking the time to respond. Jude did see some blues last night (as you noted), but he was back up in the 400s this a.m. I think I'm still going to hold him for a week at this point and then increase, depending on the numbers. Is the dosage increase .25 or .50 on SLGS?
 
You are very welcome, Mary, happy to help. Okay, you can always try TR later when you are more comfortable, and if you hide Jude’s YA LID ;). Depending on how the next several days go, you’d be good to increase by 0.25u after 7 days on this current dose if nadirs are consistently over 150. So that’s be around Nov 29th. Do you think you’d still be able to get some spot checks in this week?
 
Christie & Maverick said:
You are very welcome, Mary, happy to help. Okay, you can always try TR later when you are more comfortable, and if you hide Jude’s YA LID ;). Depending on how the next several days go, you’d be good to increase by 0.25u after 7 days on this current dose if nadirs are consistently over 150. So that’s be around Nov 29th. Do you think you’d still be able to get some spot checks in this week?
Click to expand...

Sadly, for Jude, I have cut off his LID. He gets freeze dried chicken hearts and other freeze dried high protein treats for his snacks, which he loves, so he'll be fine. I will be able to test him more frequently this week--and actually through the first of the year, as my schedule will be changing with the holidays (I'm a college professor). I keep vacillating on the dosing method, and perhaps should just go ahead with TR, since I will be able to get at least one other test in each cycle, even when my schedule returns to normal in Jan. I just tested him at +8 and he's 401 :-(. He's all over the place; I thought with him dropping into the blues last night, that things were getting regulated--getting him closer to normal, but we're back up into the 400s today. Poor fella. Thankfully, other than being hungry, he's not showing any other symptoms.
 
Some cats who come back from remission can be a bit more bouncy than they were the first time around. And, Jude went into remission so quickly last time, so we didn’t really get a good read on his patterns. Nothing wrong with giving this dose a few more days, and you can think a bit more on TR.
 
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