6/10 Frank AMPS 298, +6 46 Dose decrease help?

[Delma and Frank]

Hi everyone! Well Frank surprised me today (sort of) with the 46. He gave me a couple worrisome days at work yesterday and Tuesday, too. However with the DS home from school, I was able to get him to feed Frank some dry food (eek!) while I was at work...did the best I could...DS gave me grief to do me the favor.
( Hope I wasn't as grumpy to my mom when I was 15.)
Anyway..... I was wondering about whether or not Frank has earned a dose reduction with BGs in the 40s today and Monday, 6/7. Monday, I had to leave, but I think he may have or did drift into the 40s.
What do you think...decrease or let it ride at same dose?

 

[Iorwen & Tray]

I'm not a dose expert but I just wanted to say YAY Frank! that is a nice green!

 

[paige]

Let's see what the others say. But since Frank has been diabetic for over a year...here is what the protocol says for decreases...

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.

So I am thinking that Frank needs to drop below 40 before you take a reduction. But I am no expert for sure :mrgreen:

 

[Sienne and Gabby (GA)]

While it's a great number, it doesn't earn a dose reduction. Frank would need to drop below 40 for an immediate reduction. However, from the Tilly Protocol:

if the nadir glucose concentration is 40 - <50 mg/dl at least three times on separate days, try lowering the dose. If the cat drops below 40 mg/dl once, reduce the dose immediately!

This would be your first below 50 number. Two more and you can try a reduction unless Frank drops below 40 and earns an immediate reduction.