? 9/24 Charlie AMPS 196, +4 71, +6 81, PMPS 107 Shoot?

Chickened out and didn't shoot. I don't know how much of a problem the changes in my dosing may create. I know Lantus likes consistency but I'm not sure how to get there.

As a side note, he threw up several times last night around 1 am. Not sure what caused that.
 
Sorry no one got back to you in time on this. People with data and experience on TR will shoot as low as 50. I don't think you are quite there yet. Last night's skip and resulting higher blue this morning showed that Charlie still needs some insulin, but maybe just a small amount. I'm hoping last night and tonight's skip will drain any depot left from the 1.0 unit shots, and 0.5 will work better for you. If not, then you may have to try a 0.25 units dose. Shooting a smaller dose is also an option at night, if you are able to monitor.
 
Wendy&Neko said:
Sorry no one got back to you in time on this. People with data and experience on TR will shoot as low as 50. I don't think you are quite there yet. Last night's skip and resulting higher blue this morning showed that Charlie still needs some insulin, but maybe just a small amount. I'm hoping last night and tonight's skip will drain any depot left from the 1.0 unit shots, and 0.5 will work better for you. If not, then you may have to try a 0.25 units dose. Shooting a smaller dose is also an option at night, if you are able to monitor.
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Thank you. This forum is unbelievably busy and many with much more urgent concerns than mine. But I do want to do what I can to try to get Charlie into remission.

The part that I'm not getting is that if the AM dose decreases his BG by 100+ points, isn't the nighttime dose going to do the same thing?

My vet did say that we could probably get by with 1 dose a day, which of course makes life a little easier than every 12 hours, but if that isn't going to help him actually get better, I'd rather put in the effort. Sorry, I'm just feeling a I need some hand holding at the moment.
 
Julie & Charlie said:
The part that I'm not getting is that if the AM dose decreases his BG by 100+ points, isn't the nighttime dose going to do the same thing?
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Lantus doesn't work like that. It's great about grabbing onto lower numbers and keeping them flat and low. Next time you get a lower number than you are comfortable shooting, and are able to monitor that cycle, do a 0.25 units dose instead of 0.5, and see what happens. Eventually you'll lower your "no shoot" or "shoot a reduced dose" preshot number to lower and lower numbers. I loved giving Neko insulin with numbers in the 80's, because for her, it meant moving no more than 10 points the entire cycle. Now not all cats are the same of course, and you need to build data on what works for Charlie.
 
Thank you for the follow up. I will review the information on how to measure partial doses with my half-unit marked syringes. Thanks again.
 
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