2/7 Kevin AMBG 55

Keviiiiiin!

Keviiiiiin!

Member Since 2020
We recently increased Kevin's dose to 1.5 AM and PM. Our thought process was that he was just hovering in the mid-high 200's and now I am second guessing myself looking at his new numbers. I have never been good with curves due to both of us working outside the house but I have working hard to change that because I really want to get useful data to help him.

Specific Q's:
- Was it wrong to push to 1.5? Should we drop back to 1 or 1.25?
- Are we handling these low numbers right but not shooting? 120 is our threshold when we don't shoot. We try to do the "Slow and Low" rather than "Tight Regulation", due to not being great about curves/mid-day BG checks.
- Do you have any advice about how we can better help Kevin with his diabetes? He is on low carb food, eats the same at the same time every day, and we do his shot religiously at 7 and 7. What else can we do?

Kevin's spreadsheet: https://docs.google.com/spreadsheet...eSkWZgHwBjQCptpJStweg-otI/edit#gid=1182885903
 
First. I am happy to see Kevin is alive! Please remove the GA. It stands for Guardian Angel and means the cat has passed away. I’m going to look at your spreadsheet and will be back with my observations.
 
Since you are following SLGS, a reduction is earned for falling under 90 so after you skipped the dose should be 1.25. Even with SLGS you need to get some tests at night to see the other half of the picture. I see you are starting to get more tests. If you get a +2 at night and it’s lower than the PMPS that would be a night to set an alarm and grab a +6 or +7. With SLGS a curve is needed every 7 days as well. Please reread the sticky on SLGS for more testing suggestions. And reduce the dose to 1.25 tonight.

https://www.felinediabetes.com/FDMB...-low-go-slow-slgs-tight-regulation-tr.210110/
 
I removed the GA. It gives most of us palpitations when we see "GA" in the subject line as Elise noted.

Likewise, as Elise pointed out, the point at which you reduce the dose is at 90 on a human meter. It looks like you've missed 3 points at this dose when you should have reduced Kevin's dose.

With SLGS, ideally you should be getting at least 4 tests per day -- your pre-shot tests and at least one spot check each cycle. We strongly recommend a "before bed" test every night. There are two reasons for these tests. While the pre-shot test tells you if it's safe to shoot, the spot checks inform you if the dose is in reduction range or dropping to the degree where you need to intervene. It is also a safety factor. The other reason is that Lantus dosing is based on the lowest number in the cycle -- the nadir -- not the pre-shot number.

The other consideration regarding SLGS is that you hold the dose (unless a reduction is warranted) for a week. At the end of the week you do a curve (i.e., testing every 2 hours) for a cycle.
 
Oh my god, thank you to whoever helped me remove that GA -- I am SO sorry. I just assumed it was general advice and oh man was I wrong. I apologize!

Thank you for the advice! We will 1.25 tonight and I will be reviewing the SLGS sticky, and I will work more on getting some post-PM-shot numbers.
 
One other quick request, please. If you can change “AMPS” to “AMBG” then you can delete “didn’t shoot”. If we don’t shoot, it’s just AMBG or PMBG. Everyone will know. Thank you and glad Kevin is ok. You aren’t the first to do that...it happens all the time:)
 
Sienne and Gabby (GA) said:
I removed the GA. It gives most of us palpitations when we see "GA" in the subject line as Elise noted.

Likewise, as Elise pointed out, the point at which you reduce the dose is at 90 on a human meter. It looks like you've missed 3 points at this dose when you should have reduced Kevin's dose.
Click to expand...

Ugh I just feel sick that I misused that! Thank you for fixing that.

The 4 tests per day helps -- especially the before bed suggestion. We're going to drop to 1.25 tonight as he has "earned" that reduction like you and Elise said.
 
Marje and Gracie said:
One other quick request, please. If you can change “AMPS” to “AMBG” then you can delete “didn’t shoot”. If we don’t shoot, it’s just AMBG or PMBG. Everyone will know. Thank you and glad Kevin is ok. You aren’t the first to do that...it happens all the time:)
Click to expand...

That makes sense! Thank you -- I am stumbling through this whole this, obviously, but trying to learn along the way.
 
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