5/10 Rudy AMPS 329, +1.5 281, +4 91, +4.5 73, +5 66, +6 104, +8.5 238 PMPS 261, +2 254, +4 193

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Could be a wee bounce. Hopefully he will clear it soon, and he will get into good numbers.

Just so you are aware, I know you are following SLGS, but usually we don't take back to back reductions. The 40's you saw yesterday were likely influenced, at least in part, by the depot of the higher dose.

I might have been inclined to hold on to the 4.75u, he came up fairly easily yesterday when he dropped, and it was only 2 cycles from the reduction.

Mentioning this now, as the 5u and indeed the 4.75u may still be influencing Rudy's cycles, so you may want to be a bit leary about taking another reduction if he were to drop below 90 again in the next couple of cycles. Taking them down too quickly can be counter productive.
 
Jen1218 said:
Very little. He eats maybe a spoon or two a day. None of my cats seem to like it. He eats way more FF than dry.
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Was the YA /dry the reason you opted for SLGS?

Jen1218 said:
I love finding this stuff out after the fact. I'll move him back to 4.75 this evening.
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Wait and see what he does with his numbers this morning, I wasn't suggesting you take him back up, ideally you want avoid flip flopping with the dose, as it makes it difficult to see what's really going on. He may just hold on to the reduction anyways.

ETA I just thought that I wouldn't be surprised if he gave you another 'reduction earning' cycle sooner than you might think and wanted you to be aware of the potential issue with too many back to back reductions.
 
Yes. I was told I have to follow SLGS because of the dry. Depending on what he does today - I'm moving his dose back up to 4.75. I can monitor.

Instructions need to be clearer. It says under 90 earns an automatic reduction. It doesn't say anything about back to back days under 90/reductions. How are members just supposed to know this?
 
I'm sorry I should have said something about it yesterday.

I guess it's not written anywhere, because it's not a hard and fast rule. There's a number of things to consider.

How high of a dose are we talking about? the higher the dose the more the depot can influence.
How easily the numbers came back up? If you are fighting to keep the BG up then you might take the reduction.
Looking at the ss overall, if kitty is on a race down the dosing ladder, then you might take the reductions to stay ahead of the depot and not end up in hot water Take a look at Rex's ss for instances, he's a kitty on a mission, and his back to back reductions are holding, he's gone from 2u to .25 in 10 days or so.
So it's not a clear cut decision.

In Rudy's case, it may turn out that the 4.5u is just fine, from the 5u he was on to the 4.5u he is on now we are looking at a 10% reduction. Percentagewise that is the same sort of reduction than a kitty that takes 0.25u reduction when they are on 2.50u dose. The 4.5u dose may still work out for him.

(5u is the point from which dose changes are often taken in 0.5u steps, so Rudy is right on the cusp for that)

Jen1218 said:
Yes. I was told I have to follow SLGS because of the dry.
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If they don't really like it, is it feasible for you to just take it out of the picture altogether, then you could follow TR?

The reason I'm talking about that is that with TR, aside from the fact that on it you can more quickly get a handle on the numbers, it also allows for failed reductions (no such allowance on SLGS). You certainly monitor enough to do TR. What do you think?
 
Jen1218 said:
I don't know. I'm more confused now than I have been since I started all this.
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:bighug::bighug::bighug:
We've all felt like that.

Is there something in particular that's puzzling you?
Maybe something I said is not making sense?
Ask any question you need to, there's no such thing as a silly question.
 
No. I just don't like being made to feel like I don't know what I'm doing. This is all hard enough to deal with on its own. Constructive advice (like telling me not to reduce back to back) is one thing. Making 99 suggestions of things I should or could do is another. I'm following the protocols, taking advice and trying not to be frustrated as best I can, but information overload isn't helpful to me. It just makes an already difficult disease more difficult.
 
Jen1218 said:
No. I just don't like being made to feel like I don't know what I'm doing. This is all hard enough to deal with on its own. Constructive advice (like telling me not to reduce back to back) is one thing. Making 99 suggestions of things I should or could do is another. I'm following the protocols, taking advice and trying not to be frustrated as best I can, but information overload isn't helpful to me. It just makes an already difficult disease more difficult.
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I'm sorry if I have made you feel that way, it wasn't my intention.
I certainly don't think that you don't know what you are doing. You come across as a competent and caring CG for your Rudy. FD is an emotional roller coaster, that's for sure, and we've all been at our wits end at some point (usually more than once) in this journey. I'm truly sorry if I have made it worse for you in any way.
:bighug::bighug::bighug::bighug:


Just to clarify/simplify what I was trying to convey
1) Keep the same dose for now
2) If he drops below 90 in the next couple of cycles, ask about whether you should take the reduction in your condo title. (get some experienced eyes on the question)
 
Thank you. I really hate dealing with this. The cat makes the rules. I have to do what he needs, but some days I don't know what that is.
 
Hi there! I agree that you should stick to 4.5u and see what happens. If it doesn't work out, no biggie. You can always go back up. If you take YA out of the equation, you may be surprised at how well Rudy does. Rex was a dry kibble fan, but I decided to switch him to all wet after being frustrated at how slow I could move with SLGS. Personally, I wish I had cut out dry kibble years ago .. then perhaps Rex wouldn't have had diabetes to start with. It's hard to say. In any case, you know Rudy the best and he knows you are doing your best for him. :bighug:
 
Well - I guess my mistake of the double reduction wasn't so terrible after all. He was 91 at +4 just now. Gave a little LC to hopefully feed the curve and prevent any drops. Will retest after I walk the dog.
 
Based on my earlier conversation in this thread - I don't think he gets another reduction. He had a second one yesterday that he apparently shouldn't have had. I doubt he gets a third one tonight. I'll ask later when it gets closer to his shot time.
 
He had a big drop from shot time to +4, but then levelled off. I suspect that was a bounce breaking. He's clearing them pretty fast. Unless he keeps dropping and you have a hard time bringing him up, I'd hold the dose for now. He'll let you know soon enough if he wants another reducie.

Jen, I totally understand how you feel - most of us do. You're already stressed because your baby is ill and then you are given all this advice - much of which doesn't make sense to you - and told to read a bunch of things that just confuse you further. Meanwhile, you aren't seeing the immediate improvement you hoped for, and pretty soon you just want to go hide in a closet. Been there, got the t-shirt. I can't tell you how many times I read and reread all the stickies, and I still felt confused and overwhelmed. They'd tell me it was my decision, but I really didn't feel like I knew what I was doing enough to make it. Just when you think you have a handle on things, because you're dealing with a cat, everything changes. ARGH!!

We aren't trying to confuse you or make you feel like you don't know what you are doing. Just ask questions and do your best - we will do our best to help.
 
Tricia Cinco(GA) & Harvey said:
He had a big drop from shot time to +4, but then levelled off. I suspect that was a bounce breaking. He's clearing them pretty fast. Unless he keeps dropping and you have a hard time bringing him up, I'd hold the dose for now. He'll let you know soon enough if he wants another reducie.

Jen, I totally understand how you feel - most of us do. You're already stressed because your baby is ill and then you are given all this advice - much of which doesn't make sense to you - and told to read a bunch of things that just confuse you further. Meanwhile, you aren't seeing the immediate improvement you hoped for, and pretty soon you just want to go hide in a closet. Been there, got the t-shirt. I can't tell you how many times I read and reread all the stickies, and I still felt confused and overwhelmed. They'd tell me it was my decision, but I really didn't feel like I knew what I was doing enough to make it. Just when you think you have a handle on things, because you're dealing with a cat, everything changes. ARGH!!

We aren't trying to confuse you or make you feel like you don't know what you are doing. Just ask questions and do your best - we will do our best to help.
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Thank you. I appreciate that. :cat:

He went to 66 at +5. Gave some MC with tons of gravy and he's back to 104. (Means I can finally run errands.)

I'm going to leave him at 4.5 units for at least one more cycle. Maybe once the dose settles in his system his numbers will smooth out. If he's still getting too low or not responding to a food steer - I can always reevaluate.

These mini-bounces are totally new. I do have a feeling that we're close to his proper dose. I've definitely seen improvement over the past week or so.

I'm off for now while Rudy's over 100 and in a food coma somewhere. :smuggrin:
 
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