9/28: ADVICE NEEDED: Lando AMPS 98, +4 137

TankNRK

Member Since 2022
Previous Post:
https://felinediabetes.com/FDMB/threads/9-17-lando-amps-111-pmps-107.281675/


Lately Lando is kind of unpredictable. I couldn't tell if he's been bouncing or not, so I have adjusted his feeding times back to where he's getting his extra snack again and doing his snacks earlier in the cycle to try to slow the drop down. I was trying to do snacks for AM at +2,+4,+6 but his #s started climbing, so I reverted to +2, +3.5, +4.5, +5.5 and he's come down again more consistently.

His PM snacks are at +3,+4,+5, +6 (he drops faster and lower in PM). But I'm not sure if he's bouncing or if I need to increase his insulin again. Some mornings he's abnormally high, sometimes the evenings. Sometimes he's in the 70s, sometimes his cycle is sitting over 100 every check I get. But it's sporadic, which makes me wonder if .1u is too much?

He's not getting into contraband. I've checked the meter to make sure it's working correctly. And sometimes I get a higher reading for PS, and if I feed him and then as he's almost finished check again it's usually much lower. For example, sometimes PS is 130+ and then I check him within 5 minutes AS he's eating before shot and he'll be in the 90s, I know that's within meter variance but it's consistent when it happens, always a lower 2nd reading by a large margin. I usually average the 2 numbers when I do this.

I haven't been able to run a curve, so my partner has been doing random spot checks for me during the day since he's unemployed at the moment. I kind of trust he's doing it right :p he just got a +4 check at 137, which wasn't long after his +3.5 snack.

I think I need a reviewed of my spreadsheet and a suggestion of what to try next!
 
I dint thin’ he’s bouncing. I think the 2 tests you are taking within 5 minutes are meter variance. If you took a third test it might be similar to either one. I’d try an increase to see if you can bring the bg down as there’s room to increase. @Bandit's Mom What do you think?
 
I agree with Elise. Try an increase. If you're giving 0.10U now, try going up to 0.25U. Evaluate the dose again in 4-5 days.
 
That sounds good!
We did a bit of an early decrease as he wasn't *really* hitting 50, but we were consistently seeing 50s in the nadir so we decided to drop and see if he could hold it, but it's looking funky lately so I'm fine to increase and see how he does. I can reevaluate on Tuesday and run a curve when I'm off!
 
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