4/13 Morris AMPS 70; +10 293; PMPS 301; +2 337

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Gwen and Morris

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yesterday: viewtopic.php?f=9&t=11792

Well, after thinking last night that Morris would need to have a dosecrease UP in the next day or so, this morning I gave him a dosecrease DOWN! After seeing his number this morning, I think it is entirely possible that Morris went low enough to earn a dosecrease either yesterday when I was at work (then bouncing up to that ugly red last night) or overnight last night while I slept (down from ugly red, to low green, then up to 70 where I found him this morning). Plus, since I won't be home to monitor him today (that darn work stuff always gets in the way!), I thought it would be best to give him a bit less juice this morning.

WCR: Although he was waiting for me at the door this morning as usual, he wasn't acting as inpatient as he usually is in the mornings! All P's are in fine working order.
 
Re: 4/13 Morris AMPS 70 - gave dosecrease

That's what planning gets you hehehe.. gratz on the decrease.. hope it works well for Morris!
 
Re: 4/13 Morris AMPS 70 - gave dosecrease

Dawn & Nova said:
hope it works well for Morris!
Thanks Dawn! I sure hope so too! I would just like to find a nice dose that would keep in the nice color zone for more than just a day or so! I want to get him to that nice goal of regulation!!!! Any one have any tips for me on getting him there?!?!?
 
Re: 4/13 Morris AMPS 70 - gave dosecrease

Been thinking today.....maybe I should try Morris with a fat 2.50u rather than a regular 2.5u? What do you think? When he was on a regular 2.50u, it wasn't working out for him....but now (after 11 doses) 2.75u seems to be a bit too much for him.

I just want to end all of this yo-yoing with doses & find a nice dose where he can be regulated for once!
 
Re: 4/13 Morris AMPS 70 - gave dosecrease

My opinion.. and.. I'm not one of the brilliant FD people around here..so take it with a grain of salt :)..

If you are looking for an experiment.. I think you need a test-a-holic/little sleep weekend.. I know it sounds crazy.. but if you could catch it during the time he landslides from those high red numbers to the lows and back up.. I think it might provide some really valuable information.. testing every 3 or 4 hours if he's going up.. every 2 if he's going down.. and every 1 if he's in green.. and napping in the middle bits..

I dunno.. I PM'd D earlier.. had some questions about your SS to ask her.. hopefully she'll have some time to take a looksie and know a whole heck of a lot better than I do what to do :).. something about Morris doesn't seem quite right to me.. but you just haven't happened to catch the exactly right tests that would definitively prove or disprove to me what my brain is thinking.. But my brain likely needs a heck of a lot more information to figure things out than the pro's need.. so my experiment is probably a tad OCD ;).

Anyways, I don't know enough to give any advice.. that's just what I would do if it was Nova and I was trying to figure out what was going on..
 
Re: 4/13 Morris AMPS 70; +10 293

Dawn & Nova said:
I think you need a test-a-holic/little sleep weekend
Yes, I have been thinking about that. I have a 3day weekend coming up (I have taken Fri off work), so I will attempt to get that accomplished.

Dawn & Nova said:
I dunno.. I PM'd D earlier.. had some questions about your SS to ask her
Who is D?

Dawn & Nova said:
something about Morris doesn't seem quite right to me.. but you just haven't happened to catch the exactly right tests that would definitively prove or disprove to me what my brain is thinking.. But my brain likely needs a heck of a lot more information to figure things out than the pro's need.. so my experiment is probably a tad OCD ;).
What is it that you are thinking????
 
Re: 4/13 Morris AMPS 70; +10 293

D is one of the much smarter people than me that hangs around here and helps people like crazy :) She's pretty busy today though she said.. she said she'll try to peak tomorrow..

Anyways.. my thinking.. and keep in mind that the reason I asked someone else is because I don't have any idea what I'm talking about.. it's just random thoughts..

The last 2 low numbers you caught where both 70.. one with no test within 7 hours before, and 4 hours after.. the other with no tests 10 hours before or after.. and life happens.. I totally get it.. but with such a big window in there.. what are the chances really that the 70 was the lowest he went.. and I know you know that.. because of your comments..

What I wonder is.. because of your schedule limitations if there's actually been a bunch of other low numbers that you haven't had as much luck to catch.. and that some of the increases may have been based off of bouncing numbers..

Last night for example.. he dropped from 470 to 70 (or possibly lower as you suspect) in 12 hours.. a few days ago.. 450 to 70 (or maybe lower) in 8 hours.. makes my brain think what's to say that there's not a bunch of big drops that you just didn't catch.. maybe he's just bouncing like crazy and it looks like he's really high for a few days when maybe he's up and down..

I don't know.. I think even if you could maybe get up an hour earlier each day for a little bit and get a PM+11.. so you had some guess whether he was heading on his way up by AMPS or heading down might be really helpful.
 
Re: 4/13 Morris AMPS 70; +10 293; PMPS 301

Interesting theory Dawn. Unfortunately, I can not do any more spot checks during the week. I will try to get some mid-night checks this weekend though.
 
Re: 4/13 Morris AMPS 70; +10 293; PMPS 301

I think any or all of the conclusions that you and Dawn have arrived at are possible. It's also possible that 70 was the low point. The issue is that you just don't know. I would probably have shot a BCS dose or stalled and re-tested this morning (if that was possible with your schedule). However, I would have gone back to 2.75. From what Morris' SS looks like, I don't think he needs less insulin.
 
Re: 4/13 Morris AMPS 70; +10 293; PMPS 301

I agree, another test this morning would have shown whether he was going up fast at that point (so maybe went low earlier), or surfing.

Normally I don't like to scroll back a whole month when studying spreadsheets because things change faster than that, but I noticed that the last green he had (3/13) looks almost exactly like this. He was red in the evening, dropped slowly to a green PS, played around in that neighborhood for an hour, then crawled up to pink by PMPS. Morris also has a pattern in which his rebounds are often delayed by up to 3-4 cycles - on that same 3/13 period, he didn't hit red until 24 hours later. in some cases, his rebounds are even slower than that. After 4/10's green, it took two whole days to get to red. That pattern has shown on Morris's spreadsheet for a long time, you can see it after most of his green numbers.

What I'm saying is that it seems likely that 70 was his lowest point, based on his data. But try the reduction, just plan to go right back up if it doesn't work.

And yes, a testaholic weekend would help a LOT. ;-)
 
Thanks Sienne & Libby for your input as well. I truly value your suggestions!

I guess my next question has to be, if this was YOUR cat & your goal was REGULATION - what would you do? I realize that more testing will be part of your answer & I will do that this weekend.
 
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