Re: 6/13 TASHIE AM=489+6=208
I use levemir and the pens are "supposed" to be good for 42 days. That's for a human that it is carrying it around in their pocket unrefrigerated.
Lately, I have gotten just about every drop out of my pens as well. The one thing I found that does affect it is the amount of time you leave it out of the frig while you are drawing the dose as the pen gets to the last 40-50 units. I did some reading on this and, apparently, as the pen gets down closer to the bottom and less volume, the change in temp from in/out of the frig and sitting out, can affect the insulin more by making it just a little less effective. So you might start to see numbers get a little wonky. For that reason, I take the pen out, draw the dose out of it and immediately put the pen back in the frig before I adjust my dose in the syringe. I never leave the pen on the counter while I'm adjusting the dose. Also...it's best to keep them in a cheese drawer...or some other kind of drawer where they are less affected by temp changes as you open and close the frig door. I also keep a refrigerator thermometer in next to my pack of pens. I have found that if I put warm food from a pan into a container and put it in the frig while warm, it actually raises the temp in the cheese drawer...especially if we are having a party and I have alot of food. I usually put all warm food in the other frig to keep from affecting the temperature.
I'm glad you increased the dose. Tashie hasn't had any green since you reduced her and you've been doing a really nice job of testing!! Under the protocol, if an attempted reduction fails, go right back up to the last good dose. What you want to see after you reduce is when she clears the bounces, she comes back into green. Because a higher dose can affect up to six subsequent cycles (although most cats it's likely 3-4) it's usually worthwhile to hold the reduced dose for at least four cycles and let the depot drain before you decide whether the dose reduction held or not. If you see green numbers in the first four cycles after the reduction, you could still be seeing depot from the higher dose. You can always ask us until you get comfortable with seeing it on her SS.
Also on the subject line, you will see that most of us will have the AMPS data in it until PMPS. Then we delete the AMPS data and start with the PMPS. That will give you more room.