9/16 Ludwig Having lows, how much to reduce insulin?

[jennaboden]

Hi everyone,

My boy has had 3 lows in the last 5 days. I'm following the tight regulation dosing method which says that after a low you should permanently reduce their dose by 0.25. The first two lows (Sept 11 and Sept 14) I reduced by 0.25 units each time. That brought him down to 1.75 units. However he had another low last night, so should I reduce again? It seems drastic to reduce his dose so much in a short amount of time, but I don't want him going low either. He is also still having lots of higher numbers, maybe due to bouncing, not sure?

This morning I kept him at 1.75 because he was high. But should I be reducing to 1.5 moving forward? Help!!

 

[Wendy&Neko]

Hello and welcome over here. First a comment on the spreadsheet - I too used the World version. Always check the US tab to see if it converted OK. The spreadsheet will not convert values with something like "@x.y" in it. So you have to go to the US tab and manually convert it. I mention it because the majority of people here are in the US, and if they look at the US tab they don't see those low numbers last night. I see you did the conversion already for August 25.

OK, onto the dose. After you reduce the does, the larger depot can influence 4-6 cycles after the reduction. With TR, we'll stick with the dose after a reduction for those 4 cycles, unless he were to go really low, such as into the 30's (below 2.2) or if it's really difficult to get him up into safe numbers.

Yes, those higher numbers are bounces.

 

[jennaboden]

Hello and welcome over here. First a comment on the spreadsheet - I too used the World version. Always check the US tab to see if it converted OK. The spreadsheet will not convert values with something like "@x.y" in it. So you have to go to the US tab and manually convert it. I mention it because the majority of people here are in the US, and if they look at the US tab they don't see those low numbers last night. I see you did the conversion already for August 25.

OK, onto the dose. After you reduce the does, the larger depot can influence 4-6 cycles after the reduction. With TR, we'll stick with the dose after a reduction for those 4 cycles, unless he were to go really low, such as into the 30's (below 2.2) or if it's really difficult to get him up into safe numbers.

Yes, those higher numbers are bounces.

Hi Wendy,

Ahh so sorry, I have fixed the US tab! I'm exhausted, one of my other cats had emergency surgery last week so I haven't been sleeping much.

Okay, so I did hold the 2 unit dose for 6 cycles. So now that I've gone down to 1.75, I should hold that for at least 6 cycles before going down again?

 

[Wendy&Neko]

I would hold the 1.75 at least 4 cycles, unless he goes under 40 or is low and hard to get up. The other complicating factor is the reduced dose a couple nights ago, which would have reduced the depot. He's getting over bounces quickly, he should let you know soon what he thinks of this dose.