4/28 Shakes curve...SAME!! What do I do??

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dmartini4

dmartini4

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To me it looks like the same numbers he was getting when he was at 2.5 units,
compared to the 1.75 units I gave him today...
How is that possible?

I REALLY dont understand what is happening here, I thought I would know right away if 1.75 was too low...
I have to shoot at 5pm, can anyone please advise me on what to do here.. confused_cat

thanks for the help, it is so appreciated
:sad:
 
Don't listen to me, because I am just telling you what I would do if it was my cat...I would shoot the 1.75 again. If the 2.5 was no better, I wouldn't shoot that , and I wouldn't want to reduce any further without more data.

No "data" reason behind what I am telling you--it is just what I would do!

Truly, if the reasoning behind a flat curve means too much insulin, you probably could reduce further. But, I would hold the 1.75 dose for another cycle or two to get more data. Listen to me talking about data--I am a hypocrit, as I have less data than anyone here!!!! lol
 
Thank you for your input
I was starting tho think the same thing, because Ithought if they needed more insulin their numbers
would go up
so I will keep him at 1.75 for tonight and see what happens
THAKK YOU!!
 
That's what I'd do too. I'd hold that dose for at least another cycle or two to see what it might do once it settles in.
 
Since you're there, I agree I'd hold it a cycle or two and see what happens.

Back to a momentary rant :mrgreen: I'm concerned that everyone seems to think a flat curve means too much insulin. Typically a flat curve means too little insulin. A high flat curve, like all reds and flat, can be chronic rebound, but you only get chronic rebound after a prolonged period (I have no idea how long) of acute rebound, which Shakes most definitely does not have.

There are some times with PZI where we have seen dose "resistance" where the #s are so-so and then a lowered dose works better. So you are trying the lowered dose to see if that is the case. If the #s don't quickly drop down to better #s then that's not the case. When it is the case, you might see something like all yellows one day, and then you lower by 0.1 and get an immediate green nadir. Then you can deduce that the higher dose was high enough that they resisted it, and with the slight lowering you got the nadir that is now safe to get b/c they sense the dose is no longer too high. I don't know if that's really how it works, but I have seen that pattern.

So far the 1.75 just looks like too low a dose to me, but still might as well give it one more cycle since you are already here. As far as the #s looking about the same on the different doses, it may be a sign that all of those doses are too low. Sometimes on PZI it just seems like it isn't doing much until you get to a dose that is high enough that you start to see some action.
 
Thanks Joanna
I thinkI understand what you are saying
The last time I got good numbers was the last time I lowered him from 2.5 to 2.25.

But tonights numbers are not bad, better than they have been all week
so what does that mean?

I am still a very confused mama

Thanks!
 
fwiw the #s don't look better to me today than all week? they were similar 4/24 & 4/25, on the 27th you got a blue...? Of course if tomorrow's PS is in the yellows that would be a good sign, but if it's back in the pinks I think the #s are continued ho-hum
 
I'm going to go out on a limb here and say that this is just the second cycle on the lower dose and nothing drastic has happened, like sky rocketing numbers, I would like to see a few more cycles on this dose to see if something becomes more clear.
 
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