3/9 Noodle AMPS 257 +3 322 +5 383 PMPS 394 +1.75 326 +4.5 286 dosecrease question

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One more cycle af this dose and we're due for a dosecrease. Come on, Noodle, break the bounce! Lets see those greens again.

Off to the vetty now! She doesn't have diarrhea anymore, but I figured a once over couldn't hurt since I have the appointment anyways. I shook her treat bag to get her to come so I could pop her in the carrier, and she ran right to her testing spot, hahaha! She took one look at the lack of meter, saw that my jacket was on, and made for under the bed.

Good vines to everyone in need today. Hopefully others aren't as wrecked by DST as I am!
 
Vetty appointment went well. They're doing another CBC to ensure she's still doing well and her anemia has resolved, as well as a fecal exam just to be sure nothing's going on there with her diarrhea last week. Noodle charmed the vet and had her kneeling on the ground holding the princess up to look out the window she'd spent half the appointment trying to get to. :rolleyes:

Regarding her dose, this is cycle 10 at 1.25u and cycle 6 since she started bouncing from the greens. I'm thinking dosecrease tomorrow, but what if she breaks the bounce tonight? If I see blues, do I still dosecrease or wait a few more cycles? What about greens?
 
Glad the vetty appointment went well. The vet sounds really nice holding Noodle up to look out the window! :)

I wonder if she'd been in green numbers overnight on the 7th/8th. If that 144 AMPS yesterday was a rising number, which it probably was, she might have been lower than that a couple of hours previously - might that be why she looks like she's bouncing again?
 
You're seeing some greens and low blues on this dose. I think Noodle fits in the part i've put in blue below. Because she's getting some good numbers in between the bounces, i'd probably hold the dose the full day consecutive cycles, and then unless you see something significantly lower than the 82 you got before, I'd go ahead and increase by 0.25u. Looks like you're getting closer to a good dose!

Increasing the dose:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 200, but less than 300 increase the dose by 0.25 unit.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit.
 
manxcat419 said:
I wonder if she'd been in green numbers overnight on the 7th/8th. If that 144 AMPS yesterday was a rising number, which it probably was, she might have been lower than that a couple of hours previously - might that be why she looks like she's bouncing again?
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I wonder that, too. I had alarms set that night... during the missing hour! :banghead:

I wonder how that affects the dose, though. Do a few cycles of blues/some greens with bounces warrant staying at this dose for longer than 10 cycles to see if she levels out?
 
@julie & punkin (ga)
Thanks, I re-read earlier, but didn't know how bounces factored in. This is the 10th cycle (day 5), my interpretation is a dosecrease to 1.5u tomorrow unless we get a big drop tonight? Its 10 cycles at this dose--not 10 cycles after the green, right?
 
Patricia & Noodle said:
I had alarms set that night... during the missing hour! :banghead:
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Been there, done that! The last decrease Rosa got, I barely caught it in time - I went btb and meant to get up for a +2. Slept right through the alarm and barely caught her at 52 at +4. It happens - nothing you can do about it.

I don't know how the bounce would affect a dosing change - I just don't know enough about it - sorry.
 
Lantus dosing is based upon how low a dose takes a cat. As the cat spends more time in normal blood sugar numbers, their body will get used to it and the bouncing will usually lessen or stop completely. So the focus is on those low numbers - the bouncing highs will usually resolve themselves as you get the lows into the right range.

Does that make sense?
 
julie & punkin (ga) said:
Lantus dosing is based upon how low a dose takes a cat. As the cat spends more time in normal blood sugar numbers, their body will get used to it and the bouncing will usually lessen or stop completely. So the focus is on those low numbers - the bouncing highs will usually resolve themselves as you get the lows into the right range.

Does that make sense?
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Yes, it does! I've been framing it in my mind that I need to find the dose that will keep her in good numbers and help mitigate the effect of any potential bounce. I think I read something in a condo recently where there was a recommendation to hold a dosecrease until a bounce cleared and it just confused me!

I'm going to set an alarm to get a test in a couple hours. Since nobody is usually up at her AMPS and I'll have to shoot and go right to practice for an hour, no stalking: if her AMPS is a mid/low blue again, do I still take the dosecrease that cycle or wait and see?
 
Good luck with the increase - provided Noodle doesn't respond to that dose increase threat before hand.

You might want to look at this article on TR Myths Debunked that Libby wrote, especially post #17 about bouncing and increasing. You just don't want to increase on the cycle when they are breaking a bounce, cause the momentum of a bounce clearing plus an increase can make for a exciting cycle.
 
Patricia, I am not going to give you any advice, as I don't pretend to understand a lot of what you and Julie are discussing. So I'll just send Noodle some safe sliding vines to encourage a nice, slow drop to better numbers.

I hope all your test results are good ones.
 
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