3/24 Cleo AMPS 138 +4 76 +7 84 PMPS 144 +4 78 +7 63 +11 49

Amy & Herman said:
Good morning Angela, sending positive vibes …come on Cleo let’s see some green!
Click to expand...
Now I KNOW we'll see :D . Miss you tons but I'm glad you don't have to be here anymore :bighug:
How are you and Herman adjusting to the poke -less life? Is he still getting his picnic snacks:)?
 
With TR, you hold doses with green nadirs for 10 cycles. It's been double that time. I think there are two questions to answer. First, could you monitor closely if you increased? Second, what is your goal with Cleo. Do you want occasional dips to green and series of three days with nothing under 100? Your criteria for reduction is three drops under 50, not sure this dose is going to get you there.
 
Thank you! I learn best by the Socratic Method :) Now I'm sorry for the following which will most likely read as stream of consciousness, its my process :facepalm:.
Wendy&Neko said:
With TR, you hold doses with green nadirs for 10 cycles. It's been double that time.
Click to expand...

I think that I am too lenient by giving her the 'standard' time to clear the bounces. I think that I need to be slightly more aggressive in order to (answer to your second question) achieve my goal of tight regulation. I would love back-to-back cycles of nadirs in the 50s-60s on the FSL.
My hesitations to increase are (1) my ability to monitor closely every cycle [need to confer with DH regarding weekend plans] and (2) the last time she was on 2 units she gave me a scary lime in the 20s. see 2/22 AMBG. I will acknowledge that 2/22 is a lifetime ago in the world of FD and I should probably get over it :joyful:.

Wendy&Neko said:
Your criteria for reduction is three drops under 50
Click to expand...

My mindset for Cleo isn't necessarily reduction in dose. A cat needs as much insulin as s/he needs is ingrained in me and the units in the syringe don't bother me. The bouncing does! She's a different cat bouncing into yellows and the WCR grade is a C-. I would rather see more greens and less bouncing. I recall you recently posted in a condo with @Max & Lori a link to a thread by Marje which referenced feeding higher LC to keep kitty on a dose longer. (I'll find it) Do you think that methodology would benefit my bouncy Cleo?
 
Angela & Cleo said:
I think that I am too lenient by giving her the 'standard' time to clear the bounces.
Click to expand...
You don't have to wait for bounces to clear to increase, but you do want to avoid increases the same cycle they clear the bounce.
Angela & Cleo said:
She's a different cat bouncing into yellows and the WCR grade is a C-. I would rather see more greens and less bouncing. I recall you recently posted in a condo with @Max & Lori a link to a thread by Marje which referenced feeding higher LC to keep kitty on a dose longer. (I'll find it) Do you think that methodology would benefit my bouncy Cleo?
Click to expand...
My goal with Neko was not tight regulation. She was an acrocat, with IAA, and those conditions came with some unpredictability. My goal was as much time under renal threshold as possible. That mean at most low yellows. I did find the sweet spot for her, and that was nadirs in the 70's, and that would mean less bouncing, more flat blues with some green. You did mention you had recently started using calipers. I found that helped me gain consistency and helped level things out too. Hoping you'll get where you can find that sweet spot too and keep her out of the unhappy yellows. Side note, I was thrilled when Neko stopped bouncing to reds after a year. :rolleyes:

What percent food is Cleo getting on average? I see reference to some higher LC's on the spreadsheet. The goal of the slightly higher LC is to try to flatten her out and prevent her from diving too low to earn reductions before she's really ready for them. Have you read this post: Feeding Low Carb vs Lower Carb Foods Some cats just do better on higher LC carb foods. One extreme case I remember is Babu, here is his spreadsheet, look at the second tab, from the top of the year. Starting 3/21/17 she started adding AD into his diet, cause that's what he'd eat. It's 12%, so a little higher than what we'd suggest. But look what happened to his numbers, starting about a week later. I'm not saying that'll be Cleo, but it might be worth an experiment trying to feed 7-9% foods only for a while.
 
Wendy&Neko said:
You don't have to wait for bounces to clear to increase, but you do want to avoid increases the same cycle they clear the bounce.
Click to expand...
I believe that is what happened this morning. She was clearing the bounce and by happenstance I neglected to increase.

Wendy&Neko said:
Have you read this post: Feeding Low Carb vs Lower Carb Foods Some cats just do better on higher LC carb foods. One extreme case I remember is Babu, here is his spreadsheet,
Click to expand...
I have read it but quite some time ago. Will definitely reread and refresh, thanks .

Her PMPS is 144. She's definitely heading for a bounce. Perfect timing for an increase.
However, I decided to use the calipers to up the dose to 1.87U, splitting the difference between 1.75 and 2. After some discussion with DH we're going to hold this new dose for exactly 6 cycles then bother everyone here for opinions and advice. ;):p

For anyone reading, I made this decision to temporarily deviate from the protocol of .25 increments based on my ability to monitor closely over the weekend, my knowledge of my cat, and my current food experiment of removing a protein.
 
I hope the little dose nudge does the job. Call what you are doing in dose an experiment. You'll never know until you try. Some cats are sensitive to small changes.
 
You must log in or register to reply here.
Back
Top