Alex - 6/26-What do you make of these #?

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Ginny & Alex

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I increased Alex's dose from 1.6 to 1.8 just 3 days ago and really don't see any movement, except for last night.
Do I attribute today's numbers to liver training or what?

Can he really be that stressed out b/c there's a cat carrier sitting in the living room?
 
I was waiting for others to weigh in, but since they aren't, it looks like another inverse curve to me, meaning too much insulin.

There are two approaches here, go slow and sneak up on regulation like I did or shoot the numbers down. It seems that both work.

It is up to you to choose your approach.
 
Well, if it's an inverse curve from the dose being too high, I would lower the dose. Today looks flattish to me though, not really inverse. It looks to me like he needs more insulin, but then you've tried higher doses and not gotten better results, and then when you lowered to 1.6 you actually got better results. So it's kind of a puzzle to me frankly.

If you don't get enough input here, I would post on Health for more eyes. Sorry not to have any easy answers! Sometimes you just have to try things. When I was in muddle-ville with Bix, I went to the lowest dose that I felt was beyond a shadow of a doubt not too high a dose, and then moved up systematically from there in 0.2 increments every third day. It certainly made it easier for me to know there was only one direction to go in - up. Before that, I was muddling around all over the place with dose changes, and not getting anywhere. I don't see anything that makes me think 1.6 is too high, but who knows.

If you scroll through his SS, the bottom half looks A LOT nicer than the top half, so *something* has improved, which is great to see! It's not ideal numbers, but they are better than they were at least. I still can't quite correlate it to what dose to try, since the top part even has some of the same doses in it. Maybe it's some liver training settling down? Or the change to small meals? Hard to say, but at least you are moving in the right direction!
 
Since no one is chiming in here , I will. It is obvious you have had a lot if flat curves. It is also obvious you have had more blue test at the 1.6 dose than any other dose.
 
Robin, could you explain the 2 options you see, please? ---go slow and sneak up on regulation---would that mean continue with dosing as is? And shooting the numbers down, is that an increase? I figure I don't understand right, because you said inverse curve, too much insulin. And do these numbers look like liver training?---is that why you would shoot the numbers down? :dizcat
 
Ok, it just seems to me that one approach is the start low go slow approach which I took, I found a happy medium with nice even PS's and decent nadirs and then I started pushing him lower with small dose increases every weekend (because I work full time and can only do a curve on a weekend) which ultimately let his system clear the bounces by himself, untill he was consistantly in blue #'s. It might have been the long way around but it worked for me.

The other approach is to just keep shooting down the PS's and shooting through the bounces (think SueandSamwise) untill you get the breakthrough, then you can start backing down on the dose.

I think either approach will work, it is a matter of style or schedule or whatever.

If Alex were my cat, I would drop back to 1 unit and start over. The only blues you've seen have been when you dropped back to 1.6u and now at 1.8 they have dissappeared. At least if you drop back to 1 unit and he shoots up you can do as Joanna suggested and increase with confidence on a regular basis and find Alex's sweet spot.

Just my opinion.
 
I chickened out and didn't drop back to 1.0 unit, but I did drop to 1.4. Yesterday's numbers looked pretty decent.
 
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