4/9 punkin amps 127 3.5/44 4/46 +5.5/62 +6/51 +7 64 +8/85

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julie & punkin (ga)

julie & punkin (ga)

Member Since 2011
yesterday: http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=40779

recap amps 228
+3 155
+9 151
pmps 154
+3 150

i'm thinking i'll be testing him a bunch today since he's starting lower than he has been.

just wondering - this is the 12th dose on the bump back up and just today i'm guessing we're going to see more action. should i "learn" from that that punkin needs more time on a dose before changing than the protocol's 6-10 suggested cycles? I guess what i'm thinking is that when we decreased his dose and he bounced back up, I looked at the protocol and it says if an attempted reduction fails to go back up to the last good dose, which i have done. But should I have waited til at least 12 cycles before deciding it's a failed dose?

"General" Guidelines:
Hold the initial starting dose for 5 - 7 days (10 - 14 cycles) unless the numbers tell you otherwise. Kitties experiencing high flat curves or prone to ketones may want to increase the starting dose after 3 days (6 cycles).
Each subsequent dose is held for a minimum of 3 days (6 cycles) unless kitty earns a reduction (See: Reducing the dose...).
Adjustments to dose are based on nadirs with only some consideration given to preshot numbers.

Increasing the dose...
Hold the dose for 3 - 5 days (6 - 10 cycles) if nadirs are less than 200 before increasing the dose.
After 3 consecutive days (6 cycles)... if nadirs are greater than 200, but less than 300 increase the dose by 0.25 unit.
After 3 consecutive days (6 cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit.

Reducing the dose...
If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit. Alternatively, at each newly reduced dose... try to make sure kitty maintains numbers in the normal range for seven days before reducing the dose further.
If an attempted reduction fails, go right back up to the last good dose.
Try to go from 0.25u to 0.1u before stopping insulin completely.
Click to expand...

oh yeah, and punkin now has 6 other women cooing to him and babying him. that is a good thing because his mama nearly killed his charming self with a slipper when he was yowling at 5:30 am for breakfast and i was trying to keep him quiet til the appointed 7:30 breakfast time. little monkey. i have the only bedroom and the whole place is tiny and i was trying to keep him from waking everyone up. i opened the window "look at the birdies, punkin" and he would have nothing to do with it. food was on his mind and only food. he finally gave up at 6:30 and cuddled with me til 7:15.

and i LOVE the spelunker's headlamp from REI. OHMYGOSH I can see skin to give him his shot! it's awesome!

the weather is beautiful again today - some clouds but it should clear up soon. have a great day everyone!

ps - and Deb & Nikki say there is no such thing as being long-winded! :-D
 
Re: 4/9 punkin amps 127 Q on protocol dose & personalizing?

I wouldn't wait 12 cycles to evaluate if a dose failed. With nadirs under 200, you can hold the dose for as long as 10 cycles. When Punkin started losing the greens, it might have been time to consider increasing. If it were me, unless you see some action this morning, I'd increase the dose.
 
Re: 4/9 punkin amps 127 +2 87 +2.5/69 +3/54

he's down to 54 at +3 and I've just fed him the rest of his breakfast, as usual. i'll keep checking him.

funny how it doesn't seem the crisis that it did the first time around!
 
Re: 4/9 punkin amps 127 +2/87 +2.5/69 +3/54 3.5/44 4/46 4.5/

couldn't fit all of the numbers in:

amps 127 - 7.25 u
+2 87
+2.5 69
+3 54 - gave rest of breakfast, as usual
+3.5 44 gave gravy
+3.75 54 gave gravy
+4 46 gave gravy
+4.5 74

he's not objecting to the testing too much because this new FF chicken with gravy is getting an enthusiastic two thumbs up! :thumbup
 
Re: 4/9 punkin amps 127 +2/87 +2.5/69 +3/54 3.5/44 4/46 4.5/

It seems like every condo where I threatened a dosecrease today the kitties decided that there were going to prove me wrong. Great job steering Punkin's numbers.

Congrats on the dose reduction.
 
Re: 4/9 punkin amps 127 +2/87 +2.5/69 +3/54 3.5/44 4/46 4.5/

:lol: sienne, the kitties are in tune with you and they're all yelling "no, really, i'll get off the roof now!"

i'm happy to drop him to 7 - for one thing (i know, petty) it's so much easier to measure! :-D
 
Re: 4/9 punkin amps 127 +2/87 +2.5/69 +3/54 3.5/44 4/46 4.5/

(((Punkin))) :RAHCAT
Looking great!! Good luck on the dosecrease, Julie.. very excited for you!
Happy Caturday & I hope you both have a wonderful weekend!
 
Re: 4/9 punkin amps 127 +2/87 +2.5/69 +3/54 3.5/44 4/46 4.5/

Whoooohooooo on the dose reduction Punkin'!!! Hope you all are having an awesome Caturday!!! :mrgreen: :mrgreen: :mrgreen:
 
Re: 4/9 punkin amps 127 +2/87 +2.5/69 +3/54 3.5/44 4/46 4.5/

Julie: how far you've come!!! You handled those 40s like an old pro....love how calm you were! Congrats on the dose reduction. These kitties are so funny!! We're talking increases and then they throw 40s and get a decrease!!
 
Re: 4/9 punkin amps 127 3.5/44 4/46 +5.5/62 +6/51 +7 64 +8/

thanks marjorie, i've had good mentors - all of you! :mrgreen:

i forgot to bring the chicken treats so the poor boy has been forced to eat a bite of turkey lunchmeat for a treat. he doesn't mind. :lol: i gave him so left-over steak yesterday but he didn't particularly like it.

off to dinner.
 
Re: 4/9 punkin amps 127 3.5/44 4/46 +5.5/62 +6/51 +7 64 +8/

LOL. Well, I guess punkin told you!!! Congrats on the dosecrease!! Hopefully he won't get toooo spoiled. :lol: :lol: :lol:
 
Re: 4/9 punkin amps 127 3.5/44 4/46 +5.5/62 +6/51 +7 64 +8/

Wow Julie, good for you. It took me a year to stop freaking out over low numbers. :lol:
Beautuful day for Punkin. :mrgreen:
 
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