12/22 Blaze AMPS 306 +4 120 +5 122 +7 91 +8 85 PMPS 376 +2 533 +4 463

Sarah --

A few housekeeping notes -- can you remember to put Blaze's name in your subject line? Also, we link the previous thread to the current day's post so it's easy for you and for us to backtrack if needed. Here's the link to your post from 12/20. From your spreadsheet, it looks like you're following SLGS. It's very helpful if you can include that information in your signature.

Please keep a eye on Blaze's numbers. It looks like your kitty is bouncing into the 300s whenever he drops into numbers in the blues and greens, which it seems like he does during the PM cycle. And just a reminder -- you adjust the dose based on how low the dose takes your cat's numbers (i.e., the nadir), not the pre-shot numbers. I may be misconstruing your comment in the first post so apologies if this is something you know.
 
Sienne and Gabby (GA) said:
Sarah --

A few housekeeping notes -- can you remember to put Blaze's name in your subject line? Also, we link the previous thread to the current day's post so it's easy for you and for us to backtrack if needed. Here's the link to your post from 12/20. From your spreadsheet, it looks like you're following SLGS. It's very helpful if you can include that information in your signature.

Please keep a eye on Blaze's numbers. It looks like your kitty is bouncing into the 300s whenever he drops into numbers in the blues and greens, which it seems like he does during the PM cycle. And just a reminder -- you adjust the dose based on how low the dose takes your cat's numbers (i.e., the nadir), not the pre-shot numbers. I may be misconstruing your comment in the first post so apologies if this is something you know.
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Sorry, I wasn’t quite awake at 5:30am when I posted, just added Blaze’s name to the title. And I wasn’t sure if I needed to added my last post to today’s post since it’s been a few days since I’ve posted. Sorry....
Also, I’m following TR and that is in my signature. I added it to my signature in October when I switched from SLGS to TR.
I know that we increase based on nadir, not pre-shot, I was just including Blaze’s amps in my post because it was my first test of the day and also wanted to add that I was increasing Blaze’s dose because I haven’t “seen” a green since 12/17. I gave him a few more days on 1.5 U, but it seems like for the most part, he has been in yellows, pinks and reds, with the last blue that I’ve “seen” on 12/20. After yesterday with Blaze being in pink numbers all day, and last nights +3 being 406, I assumed that meant he needed an increase. His numbers were going up around onset, instead of down. And on 12/20, a few members said it looked like Blaze was in need of an increase.
 
Sarah --

Sorry for missing that you were following TR. In part, I was confused by your spreadsheet. With TR, you evaluate the dose every 3 or 5 days. If nadirs are over 200, you evaluate every 3 days/6 cycles days and if <200, you hold the dose for 5 days/10 cycles and then evaluate.

As an example, you increased from 1.25u to 1.5u on 10/23. Blaze has been at the 1.5u dose except for when you were traveling. Blazes's dose could have been increased on 10/26. I think you're holding the doses too long which is inconsistent with TR. Even with about half of Blaze's nadirs recently being in better numbers, the nadirs are high enough that you had room to increase.
 
Sienne and Gabby (GA) said:
Sarah --

Sorry for missing that you were following TR. In part, I was confused by your spreadsheet. With TR, you evaluate the dose every 3 or 5 days. If nadirs are over 200, you evaluate every 3 days/6 cycles days and if <200, you hold the dose for 5 days/10 cycles and then evaluate.

As an example, you increased from 1.25u to 1.5u on 10/23. Blaze has been at the 1.5u dose except for when you were traveling. Blazes's dose could have been increased on 10/26. I think you're holding the doses too long which is inconsistent with TR. Even with about half of Blaze's nadirs recently being in better numbers, the nadirs are high enough that you had room to increase.
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It’s okay! I have not been posting daily so I think it’s hard for people to keep track of us. Life was getting too hectic for me to post daily but am trying to post more often again.
I know I have been holding doses longer than I should be with TR, but I had an out of town trip in November and December, which I decreased his dose for when I was out of town, and I was not comfortable increasing his doses before I had to decrease his dose before those trips. I also work full time, get up very early on work days and am not home on work days until PMPS, so I’m not comfortable increasing doses on work days when I am not home to monitor. I’m doing things a little differently to make it work with my work schedule. I am not someone who can stay up late on work nights, so I have had to adjust things to work for my life and my schedule. I like to do increases when I know I will be home to monitor and can stay up late if needed. With two out of town trips in the last couple months, things have been a little crazy but we are getting back on track. I was also very hesitant to increase the dose to 1.75U because before my last out of town trip, Blaze was doing really well on the 1.5U, so I think I held the dose longer because I was hoping he would get back into the good numbers he was seeing.
I’m off work until 1/6, so I’m trying to test more during the day and will get more evening tests too, since I’m not having to go to work (but am still getting up at 5:30am for amps). Thank you for looking over my SS Sienne. I do admit I haven’t been by the book with TR, but like I said, I was trying not to increase before having to decrease again before I went out of town. I don’t have any out of town plans until March, so we should be following TR correctly now!:cat:
 
@Sienne and Gabby (GA)
On 10/25 I increased to 1.5U and then on 11/1 I increased to 1.75U and got freaked out that he kept dropping that day, skipped the evening shot that night (after advisement here) and went back to 1.5U where he was seeing good numbers, but also bouncing from those good numbers too. Then I screwed up a ton and gave 4 fur shots around that time, so every time I gave those fur shots, the cycle counts started over again for the 1.5U, and then I had to lower Blaze’s dose to 1U because I was going out of town and the pet sitter was only coming twice a day. Instead of going back to 1.5U when I got home, I started with 1.25U, which dropped Blaze to 47 and I was advised to go back to 1U. I went back to 1U, we called it a failed reduction and I went back to 1.25U and then again to 1.5U and Blaze was in good numbers, AMPS and PMPS and nadirs in blues and greens for the most part, with the occasional bounce into yellows and pinks. I thought Blaze was looking good at the 1.5U and I knew I would be going out of town again, so I didn’t see the need for an increase yet. So I went out of town again, dropped him to 1U and then back to 1.5U as soon as I got home. We were seeing some blue and green numbers again on 1.5U but not very many, and then he started heading back up, so I asked if he needed an increase, and was advised to get a couple more days of testing, around nadir if possible, before increasing, which I did my best to do and felt comfortable increasing today, so that’s where we are! Hopefully that explains my SS and decisions in dosing for the past couple months. It’s been a little unconventional, I know :D
 
:bighug::bighug::bighug: To you and sweet Blaze :bighug: This FD dance sure ain’t for the faint .:rolleyes: Said it before and I’ll say it again..how y’all that work outside your homes AND care for your kitties truly amazes me . You have my full admiration ❤️
 
It is hard to tell how much Blaze likes this dose. He certainly likes it at night then looks like he bounces -- except for today.

With the holidays coming up I want to put a thought out there for you. With Lantus, you don't always see an immediate response to a dose increase. Because the depot has to fill, the response may to be immediate. If you were to increase the dose on a weekend, you might not see the effect until Monday or Tuesday. If it's appropriate, with some days off, you may want to try increasing and seeing if. you get an immediate response or if it takes a bit for the dose change to kick in. (FWIW, the same can be true with a dose reduction. The depot has to catch up.)
 
Sienne and Gabby (GA) said:
It is hard to tell how much Blaze likes this dose. He certainly likes it at night then looks like he bounces -- except for today.

With the holidays coming up I want to put a thought out there for you. With Lantus, you don't always see an immediate response to a dose increase. Because the depot has to fill, the response may to be immediate. If you were to increase the dose on a weekend, you might not see the effect until Monday or Tuesday. If it's appropriate, with some days off, you may want to try increasing and seeing if. you get an immediate response or if it takes a bit for the dose change to kick in. (FWIW, the same can be true with a dose reduction. The depot has to catch up.)
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I know, it’s hard to tell. It seemed like he liked the 1.5U until recently, so I decided to increase since I
will be off work for two weeks. It looks like the 1.75U is already kicking in, from today’s numbers. Unless today is a bounce breaking. It’s so hard to tell whether it’s the new dose, or a bounce breaking. I’m afraid the 1.75U might be too much, but the 1.5U didn’t seem to be bringing him down very much anymore, so I thought an increase was worth a try. Blaze definitely likes to work his insulin in the evening though and most of the time he bounces during the day. So I guess we’ll see what he does with this 1.75U!:nailbiting:
 
Looks like you've had a busy day! And Blaze has finally hit the lagoon.

Hang in there Sarah. As I've mentioned previously, if you make a note on your SS - perhaps after the fact - that you were at work, not able to test it would help us all to see why you have held the dose - planning for trips; can't be home, etc. it happens to us all. I make little notes on my SS as to why there are blanks -typically after the fact - like Luci at vet, etc. I don't have as an exciting life as you so it's pretty much the same day in and day out for us - it would help if you posted more regularly, but if you're busy...well, we do the best we can.

Hope you and Blaze have a good evening! Keep testing and enjoy your time off work! I hope the next two weeks will be helpful in guiding you with more tests and thereby getting more information about Blaze's patterns and response to doses.
 
Whoa! PMPS is 376!
We had a Christmas get together today we we were gone for a few hours. Blaze was 85 at +8 so I gave him some 13% carb at +8 and a little bit of 13% on top of LC for +9. Not sure if he’s bounced sky high because of the low number or the 13%? Weird.
 
+2 after pm shot is 533. Not sure why he’s so high and numbers are going up since pm shot. New dose wonkieness? Bouncing from lower numbers today? Weird :(
 
Hi Sarah, It's entirely possible that Blaze went down again after the last test - 85 - and if you look at his SS he hasn't been in the greens in several days - so I think this is a hard bounce - his body is responding to this 'new' sensation of not having enough glucose in his bloodstream - so his liver is dumping every bit of stored up glycogen that it can spare to 'normalize' his blood...so you're seeing the additional glucose in those tests.

He'll come back down - just steady as she goes and keep testing - let's hope this dose will bring him back to the lagoon soon. It'll get better over time as his numbers level out...but bouncing is completely normal...it just looks kinda awful when you see those high numbers on the SS.
 
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