? 9/9 Thelma PMPS 138 SLGS Shot reduced dose

Update 2 ::: amps +50 min was 161 -- dosed at .50 and gave her food.

Update::: Amps +30min is 172


Thelma (CHART) has a 174 reading this morning, I tested twice to be sure it was accurate she was 181 at 8:56 and 174 at 8:58 with our relion prime meter. She’s on lantus .75 I’m stalling for 30 min and retesting, If she’s still under 200 do I shoot? Give a smaller dose like .50 or smaller? Her chart is here. I feel like she’s kind of all over the place and we’re only a month into our diabetic kitty journey.

 

I cannot give dosing advice. Just posting to keep this to the top of the list

Maybe
@tiffmaxee can help

 

And to say how ADORABLE Thelma is

 

good idea adding the 911!

 

Not sure if I should shoot or not?? Feed? I can test all day today

 

lets try this @Critter Mom

 

Is your hypo tool box at the ready? UGH I cant give you advice on that. sorry.

Ive tagged Mogs hopefully shes available.

Alternative you can post the same on the Lantus board

 

Hi there,

Can I ask you to please re-post this on the Lantus/Basaglar/Levemir board? There's very little data as yet in your spreadsheet and I would not feel comfortable making any suggestions in this instance (sorry!).

Here's a direct link to the board:

L B L Sub-forum

When you post your new thread, I recommend using the '?' icon next to the title to attract attention to your thread. (The '911' tag tends to put the heart crossways as it's usually used for cats running in very low numbers. )

Also, once you've posted your new thread it'd be mucho appreciated if you could pop back here to edit the opening post of this thread to take down the '911'.


Mogs
.

 

i screwed up again sorry

 

I just had a look at your spreadsheet. There is not enough information. You are not getting any night tests past pmps. Lantus is based upon how low it takes a cat and not the pretests. She could have gone a lot lower on this dose but we don’t know.

 

Amps +50 was 161, I couldn’t stall any longer, I shot her with .50 (her regular dose is .75) and fed her. Going to test every 2 hrs all day today. I hope I did the right thing

 

Mid-cycle testing will help you be more comfortable with giving doses at lower numbers.

For now until you get that mid-cycle data in, you want to skip any pre-shot below 200 (after stalling).

Since you gave 0.5u can you test in two hours please?

 

I have narcolepsy and it’s very hard for me to be awake after her pmps

 

Hi. Please read the SLGS sticky. You need to get at least one more test at night. The +2 or +3 will give an indication if a mid cycle is needed. Lantus is dosed based upon how low it takes your cat. The .75 depot is in place so start with a +2 this morning. If we used your curve she would have needed an increase. Without night tests there is no way to know. Please remove the 911.

 

Do you test mid cycle everyday? I was under the impression you just did amps and pmps then did the every two hour testing once every 1-2 weeks?

 

Can you change your shot time so you can get a +2? We cross posted.

 

Nonsensology! You did just fine, Jeanne. (Says the woman who has been pretty free with her own 911 posts in the past. That's the only reason I know the etiquette. )




Mogs
.

 

On SLGS you do a curve once a week IF you don't have the mid-cycle tests each day. I think that was designed with people in mind who are gone all week for work and can only get mid-cycles in on the weekend. It's a lot better to get a couple mid-cycles in every day, paints a better picture of your kitty's cycles.

 

If you're testing throughout the day she should be fine.

The 'take action' number for your meter type is 50. If your little one drops below 100, post for help on the LBL board and someone will keep an eye on you.


Mogs
.

 

I followed TR. I tested a lot. Since many cats drop lower at night if you only have day tests you only have half of the picture. Dosing can’t be based on one test a week. Cats don’t have the same nadir every day even if fed exactly the same food. Read the yellow sticky again. I would copy it and also what to do if you have a lower than usual preshot. You won’t always be able to get guidance fast enough.

 

I have the opposite problem. Sleep disorders are pants. I feel for you.




Mogs
.

 

giggling

 

Okay, so since I'm usually home every day I should do a +5/6 hour test every day, and not do a every 2 hour test once a week, correct?

 

I'd be open to switching to Tight regulation, I just started with SLGS because she was on dry food prior and wanted to give her body time to adjust.

 

That would be better, yes!

I do recommend always getting a +2, morning and evening cycle. It's a good indication of how the cycle is going to go.
You can alternate times too.
Day 1 test +2, +4, +6
Day 2 test +3, +5, +7

After a bit of time you'll start to notice Thelma's pattern on Lantus and you can test 2-3 times accordingly if you're able.

 

No way can you do TR when you can’t test past pmps.

 

You need both. The main issue is how you can see what she does at night. I doubt anyone will feel comfortable giving dosing advice with only half of the picture.

 

You can set an alarm at night, it's really important to get a test in, you will never know if she drops too low, you want to keep her safe

 

what time does the night one have to be? +6?

 

A +2 at least. If you stay up longer than that a "before bed" test is good.

 

You are going to cyber kill me but if you can get a+2 I could answer better. What time do you shoot?

 

I actually moved her shot time to 8 so I could get some pm readings!

 

So see what 1 unit does. Hold a week unless you see a drop under 90. Then puck z day and go a curve testing every two hours fir a cycle or every 3 hours for 18 hours. Good you can get more tests at night. You saw a blue!

 

So she’s 145 tonight, do I give a full dose or a mini dose?

 

Did you stall and not feed? If so test again.

 

Yeah I stalled, 138

 

With SLGS under 150 you do not give insulin. Feed her now and skip. Put NS on yiur spreadsheet.

 

Read this too late, I gave her .50u, should I give her some dry kibble with her wet?

 

With SLGS under 150 you do not give insulin. Feed her now and skip. Put NS on yiur spreadsheet.

 

It’s up to you. I would get a +1 and +2. You may need to test more after that. You really need to read the directions for doing SLGS

 

I’ve read them, am I misinterpreting where it says “don’t shoot a preshot number lower than 90”?

 

Please change your title to say 9/9 Thelma PMPS 138 SLGS Shot reduced dose

 

Don’t shoot a preshot under 150. Under 90 calls for a reduction whenever you test and that.