6/11 George ProZinc 124 PMPS, 57 at nadir today
- Thread starter Hshray
- Start date
- Status
FrostD
Member Since 2020
What is your long term goal? Remission? Or would you be satisfied with numbers in say the 60-120 range? Your answer to that would dictate my answer lol
If you're aiming for remission, which you probably have a good shot at being recently diagnosed and him responding as well as he has, you want to keep him in greens as much as possible. So I would not reduce. His PS numbers are coming down beautifully and his bounces have pretty much stopped, I'd keep working that magic ad long as possible.
BUT if that's a little too stressful for you, or due to life in general you'd rather him run in the 60-120 range, you can always switch to SLGS with a customized reduction point of 60 (or twice below 60, whatever you think works for George). In which case he probably earned a reduction. Downside is with SLGS you'd hold the dose a week before bring able to increase again if needed
If you're aiming for remission, which you probably have a good shot at being recently diagnosed and him responding as well as he has, you want to keep him in greens as much as possible. So I would not reduce. His PS numbers are coming down beautifully and his bounces have pretty much stopped, I'd keep working that magic ad long as possible.
BUT if that's a little too stressful for you, or due to life in general you'd rather him run in the 60-120 range, you can always switch to SLGS with a customized reduction point of 60 (or twice below 60, whatever you think works for George). In which case he probably earned a reduction. Downside is with SLGS you'd hold the dose a week before bring able to increase again if needed
Hshray
Member Since 2021
I would love to aim for remission, so I guess I know the answer without asking the question! I’m fine with waking up and testing him too…I think I know what to do by now, but still feel a little new at shooting these blues, so probably posted a little preemptively today with this thread.
FrostD
Member Since 2020
Always good to get another set of eyes, especially when they get down into blues and greens so quickly. The Lantus/Levemir board is full of daily threads, even if there's not a whole lot of new stuff going on.
With the big bouncing stopping, fairly consistent greens, and downward trend I suspect he'll be asking you for a reduction in a few cycles anyway (politely, I hope).
With the big bouncing stopping, fairly consistent greens, and downward trend I suspect he'll be asking you for a reduction in a few cycles anyway (politely, I hope).
Hshray
Member Since 2021
The Lantus/Levemir forum looks great! I guess that’s one benefit of using those is having all of that activity on the forum.
I appreciate you guiding us through this consistently
I think the last thing that I will preemptively ask (for now at least haha) is - just to confirm in case - if he happens to get into the greens at pre-shot, still shoot a full dose as long as he hasn’t earned a reduction (assuming he’s flat or going up)? Wasn’t sure if that follows the same guidelines or if it would depend and require a post in the case.
FrostD
Member Since 2020
Well you technically don't have to post ever if you don't want to!
Depends on comfort level really, and the obvious precautions of plenty of strips, hypo kit on hand, can stay around to monitor. If it were me personally I'd try shooting 90 or higher, but I'd fully expect some numbers in the 40s/50s and having to help him out with MC/HC.
If you're not quite comfortable there, I would say maybe work in lowering your full dose threshold by 10-ish points at a time? So at this point I would stall until he's 110 or more. Then once youve seen how he does there, can try the 95-110 range.
Depends on comfort level really, and the obvious precautions of plenty of strips, hypo kit on hand, can stay around to monitor. If it were me personally I'd try shooting 90 or higher, but I'd fully expect some numbers in the 40s/50s and having to help him out with MC/HC.
If you're not quite comfortable there, I would say maybe work in lowering your full dose threshold by 10-ish points at a time? So at this point I would stall until he's 110 or more. Then once youve seen how he does there, can try the 95-110 range.
Hshray
Member Since 2021
Probably the wrong wording haha…I guess I more so meant to ask if there is a general rule about the greens or if it could only be answered if I had a specific scenario that was happening.
This makes sense to me! Thank you!
- Status