? 9/15 Lilly curve day: Reduce or hold dose??

Kelsey & Lilly

Kelsey & Lilly

Member Since 2019
Lillys been on 1.5u for a little while now. We didn't want to make any dose adjustments while she was going through two recent bouts of conjunctivitis and a stressful move. Now, we've had a week to settle into the new place. We've gotten many more blues and greens on this dose vs. the 1.25u, but I'm wondering if this is continued signs of bouncing?

Going forward, do I reduce the dose to 1.25 or continue holding at 1.5??
 
If you're doing SLGS, she earned a reduction to 1.25 today by dropping below 90.

Is there a reason you're not doing TR? You test enough
 
Thanks, Chris! I gave 1.25 after stalling tonight.

I'm not doing TR because the only reason we're able to get so many tests in right now is because my fiance is going through the hiring process for a new job (aka temporarily unemployed). He'll hopefully be getting on with a police department in the next couple of weeks, and I am away for work 10+ hours during the week. ... Basically a long-winded way of saying it's not sustainable for us. I know TR is possible with working full time, but it requires a lot of data, and it seems to me Lilly isnt quite that predictable yet haha.
 
You can do TR while you can (are home, etc.) and then switch back to SLGS when work demands you're away - it's just a matter of how soon you can change the dose - and of course no dry food on TR.
 
She doesn't eat dry food now.

What would be the advantage to switching to TR? Also I would also have to ask a lot of my fiance since he's the one that's home. He doesn't fully "get" all the intricacies of feline diabetes in the first place.
 
TR is more aggressive -- doses are held for 3 days/6 cycles and the point at which you reduce the dose is lower than with SlGS. The biggest advantage is that there is published research speaking to it's effectiveness for getting cats into remission.
 
Kelsey & Lilly said:
What would be the advantage to switching to TR
Click to expand...

Another reason...the sooner you get the glucose under control and the more time spent in good numbers, the better the chance of going into remission.

On TR you would have continued to hold the 1.5U dose until she either dropped below 68 (on the Alphatrak) or after 3-5 days, you'd go up again with the goal of keeping her in good numbers as much as possible so her pancreas has the most time to heal.

I say 3-5 days because when they first start to see lower to mid-blues and greens, you'd hold the same dose for 8-10 cycles before deciding to increase again instead of only 6 cycles.
 
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