? 11/5 EDDIE AMPS 167 +3 70 +4 61 +5 115 +6 214 +9 238 PMPS 259 +2 281

Good morning,
So, after the BCS (our first ever!), we arrive at AMPS 167, which seems reasonable. Shall I assume going ahead with 10u, as we discussed yesterday?
 
Bandit's Mom said:
Yes :)
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Also @Wendy&Neko @FrostD

Look at the +3 - 70!!! It's good I'm working from home today and can monitor him but, holy wow he had only 6u last night and 10u this morning!

I gave him his lunch (3 good tablespoons LC) after I did the test, so I can test again in a couple of hours and see where we are.

Where are we??? This is amazing, really, and I feel so good for him.

I'm so grateful for the constant support with learning about TR. I have no doubt that if I had continued treating him the way the vet wanted (which never really let me understand the significance of nadir) Eddie would still be in high numbers because his system would not have a chance to recover itself, which seems to be what TR enables.
 
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And thus begins pin the tail on the running donkey! Can you imagine without the BCS? You'd be having fun today.

I was not great at this part, look at SS from July. Tried to be methodical and consistent but Mr Kitty had other wild ideas.

Let's see how badly he wants these greens today. A little toe dip is different than having to be dragged out. It's a reduction no matter what, just have to decide new dose.

I assume you fed some HC?
 
Ah I just saw the LC part - 70 is close to 68 on AT, and with him clearly wanting to come down I'd have fed HC this early in the cycle. Test again in 30-60 mins from last test please, he may continue to drop til nadir.

If flat I'd give 1 tsp HC and retest in an hour. If rising, let him be for another hour. If dropping...2 tsp HC and retest in 40 mins. I don't have a good feel for low AT numbers, so if he ends up below 60 I'd also add honey/karo and retest in 20.
 
Jodey&Eddie said:
Where are we???
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Post SRT roller coaster. This is why we always take reductions when earned, and sometimes sooner. And I agree with Melissa, I wouldn't wait longer than 1 hour to test after some higher carb. Good thing you are home today!
 
Wendy&Neko said:
Post SRT roller coaster. This is why we always take reductions when earned, and sometimes sooner. And I agree with Melissa, I wouldn't wait longer than 1 hour to test after some higher carb. Good thing you are home today!
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@FrostD

Yes, it's a very good thing I'm home today! Just tested +4 61 so will give 2 Tsp H/C and retest in an hour.
 
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FrostD said:
Ah I just saw the LC part - 70 is close to 68 on AT, and with him clearly wanting to come down I'd have fed HC this early in the cycle. Test again in 30-60 mins from last test please, he may continue to drop til nadir.

If flat I'd give 1 tsp HC and retest in an hour. If rising, let him be for another hour. If dropping...2 tsp HC and retest in 40 mins. I don't have a good feel for low AT numbers, so if he ends up below 60 I'd also add honey/karo and retest in 20.
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Yes, getting low and not even near nadir so did the 2tsp hc and will retest as recommended. At that point if he's still low will give honey/karo and retest.
Post SRT is exciting but also really challenging! Thank you!
 
It's still ok just don't want him any lower. Pleas give a little more HC...the keto is a quick boost out of lower numbers but need the actual food to help keep him up
 
I also gave him a little more h/c along with the honey. I'll check him again in about 20 minutes. Thank you for being there!
 
Can you take the part in the brackets with yesterday's PM numbers off the subject title. Right now we just need to see the current data.

I found it handy to document how much extra food, when, whether higher carbs, and whether corn syrup (what karo is called in the US) or honey is added. That way, if I saw low numbers again, I'd have a good idea how much I needed to feed to bring her up.
 
FrostD said:
It's still ok just don't want him any lower. Pleas give a little more HC...the keto is a quick boost out of lower numbers but need the actual food to help keep him up
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Ok, at +5 we've gone up to 115 so out of the woods but where are we going???
I'm hearing an earned reduction? Even if we just went to 10u? Or should we wait until tomorrow AMPS?? Would we be going to 9u? This is really quite amazing.
 
Wendy&Neko said:
Can you take the part in the brackets with yesterday's PM numbers off the subject title. Right now we just need to see the current data.

I found it handy to document how much extra food, when, whether higher carbs, and whether corn syrup (what karo is called in the US) or honey is added. That way, if I saw low numbers again, I'd have a good idea how much I needed to feed to bring her up.
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I keep a running record of all his daily medications and anomalous events/issues so I will do that. He had a little over a 1/4 tsp honey {I do have karo but decided on the honey] & with that a good teaspoon of h/c food mixed. He loved it, quite frankly.
 
And I can see by the 115, that perhaps this time that was a bit much. At least he's up, so it's OK. Higher carbs/honey can wear off in a couple hours, so I'd keep testing hourly to make sure he stays up.

At this point in time, I'd try 9 units next. The lower numbers were probably due to the 11 unit depot as you only shot 10 units for one cycle, but this could be a post SRT effect and it's much easier to go back up in dose if you need to.
 
Wendy&Neko said:
And I can see by the 115, that perhaps this time that was a bit much. At least he's up, so it's OK. Higher carbs/honey can wear off in a couple hours, so I'd keep testing hourly to make sure he stays up.

At this point in time, I'd try 9 units next. The lower numbers were probably due to the 11 unit depot as you only shot 10 units for one cycle, but this could be a post SRT effect and it's much easier to go back up in dose if you need to.
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I'm home with him all day so I can certainly keep track. Next time with the h/c and the honey, I can reduce (and put in my notes that it brought him up a bit much).

I will definitely go with 9u next. I hope that this is, as I've said, the post SRT effect. I tell Eddie every time i do a test that we are aiming for him to not be on insulin one day.
 
Jodey&Eddie said:
I'm home with him all day so I can certainly keep track. Next time with the h/c and the honey, I can reduce (and put in my notes that it brought him up a bit much).

I will definitely go with 9u next. I hope that this is, as I've said, the post SRT effect. I tell Eddie every time i do a test that we are aiming for him to not be on insulin one day.
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At +6 we now have 214 so I guess there's no worries about going low at the moment.
 
Jodey&Eddie said:
I'm home with him all day so I can certainly keep track. Next time with the h/c and the honey, I can reduce (and put in my notes that it brought him up a bit much).

I will definitely go with 9u next. I hope that this is, as I've said, the post SRT effect. I tell Eddie every time i do a test that we are aiming for him to not be on insulin one day.
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At +9 we now have 238 (yellow again). Is this a function of him eating hc & honey (and snacks?)? Still ok with 9u tonight?
 
My best guess is it's a combination - he was likely at/just last nadir when you gave it, so a bit of a double whammy. Insulin wearing off, assisted by high carb food, sent him higher. Bit of bounce in there too possibly.

He earned a reduction and those lows were still too low for my liking, especially with BCS, so yes I would go with 9U.
 
Thank you. I really agree with you and hearing it gives me confidence. Those lows were certainly evidence of action. I’m grateful for the guidance snd so glad I was able to work from home today.

Wr go on. :-)
 
PMPS After this wild day: 259. Given the possible bit of a bounce and earned reduction, unless I hear from @FrostD @Wendy&Neko or @Bandit's Mom , I will go with his food and 9u.

I hope someone's up and I'll go with a +2 or +3 before bed. Also, is there a need to get a +7?

Thank you.
 
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Yes, time to hit the pillow. It'll be a quiet cycle. The bounce was caused by the 61 today.

Stay the course on the dose.
 
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