Alex 6/30 -- Am I crazy?

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Ginny & Alex

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Alex has had 4 doses of 1.0 unit and is hanging in the 200s. I really do want to give it three days before I change anything. The question is this. When I'm ready to change his dose, do I increase or decrease? I've never given less than 1.0 unit before and I have given lots of different doses between and including 1.0 and 2.5 and nothing has "done the trick". I think maybe Robin and Lori were suggesting this all along and it finally is beginning to sink in. :oops:
 
I guess if you're crazy so am I! I really don't know but at least he's not getting pinks anymore...maybe you should decrease? But, don't take my advice at all...let someone else look at it.
 
Definitely, let Robin or Joanna answer this. But, I am guessing you are decreasing. You have tried 1.2 and all the .2 increases above that and none look as good as 1.0. So, I am saying you are going to .8.
 
I like it. Nice even yellow PS's, I might give it 1 more day at 1unit.

With the long weekend coming up you have an opportunity to experiment and test to see how it goes.

Are you a rip the bandaid off fast kind of gal or do you prefer to take if off one arm hair at a time? There are two ways to go with another decrease, yes I definately think you should decrease, you can drop to .5u on Saturday and test to see what happens, or you could decrease to .8u and back down slowely. Either one will work. But I would take advantage of the 3 day weekend and find out for sure. If Alex shoots up high then you can increase with confidence, if Alex gets better numbers then we have 2 more days to analyze it.

What do you think?
 
Sounds like a plan. He is definitely getting numbers that are as good or better than at the higher doses. It will be interesting to see what his nadir is..... I like Robin's idea of ripping off the bandage.
 
I like it too and I guess I'm ready to be the band-aid kinda gal, even though that isn't my normal personality. I'm tired and really want to see some action! With that said, given that it is a holiday weekend, will you wonderful supporters be around to help me?

Let's get a bit more specific. Say I lower him to .5 on Saturday morning. How many mid-cycle tests do I need? Every other hour freaks him off, but I think we can probably do every 3 hours or so. And at what point would I consider an increase? If his numbers are in the 300s (or 400s) during mid-cycle tests, would I increase at the PM shot? To .8? Or would I wait until Sunday morning to increase? I'd like to take advantage of the long weekend too, but I don't want to mess us the testing.

Thanks much everybody!

Sue, it's good to see you back.
 
I will be around this weekend. (Hate fireworks unless they are on TV and don't like them much then.....)

I would start with a +3 and see what you get. Definitely somewhere around +6. I always thought more than every 3 hours was overkill. And you do have several days to get the info and analyze it.
 
Based on what I'm seeing I would get a nadir test in on this dose and if it is not around 120 or lower (or wonky, like pink), I would actually raise. I think it is mostly irrelevant if the PSs are mid to high yellow vs. pink - they are all too high, and unless the nadirs are good, it means you aren't getting results.

The idea with a dose lowering is that if the dose was too high, you will see near immediate drops into blues & greens - like you saw when you dropped to 1.6 and then again when you dropped to 1.4. You haven't actually seen that (at least based on the data you have) on 1u, which leads me to think the dose is too low. B/c you got that one low 200s PS on the first cycle of 1u I thought it deserved a chance, but I'm not seeing it at this point. Would be nice to have a nadir check though - could be blue, who knows. You can't really judge from PSs unless you have a ton of data and a predictable cat, and even then they can throw curve balls.

So, that's my voice of dissent. If you aren't sure, I would say fine, drop the dose and prove to yourself it's too low, so you can raise back up with confidence. Please test regularly for ketones though, and watch for signs of symptoms getting worse. If he isn't eating well, or the peeing/drinking stuff goes up, I would raise up immediately. I'm happy to be proved wrong, but am worried about his insulin needs not being met. I would say if you drop to 0.5 and get immediate improved results, great. But some cats never zoom up to pinks and reds, they just hang in yellows, so if you aren't seeing blues & greens, the dose reduction is not the answer.
 
I would agree with that. If you don't see results right away then you can raise with confidence. I'm ok with being proved wrong too. At least you'll know.

I've always had this nagging feeling that his dose was started too high. I don't need to be right, but I'd like to know for sure just in case.
 
I will try to get a couple of mid-cycle tests tomorrow. Still looking for that nadir.

And if the .5 doesn't show immediate results, what kind of increase do you recommend?
 
If he's pushed into the 300s tomorrow morning, what should I shoot?

I wanted to get a number tonight before we went to bed, but hubby forgot and fed him his night time snack. :twisted:
 
If you stick with the lower dose, can you get a nadir number tomorrow? That would really help us decide.

It may be that he needs the higher dose, but I hope you can give this one a little more time.
 
Re: Alex 6/30 -- Am I crazy? I got a +6

As I was laying in bed trying to go to sleep (I slept really good last night, so I can't expect to do it 2 nights in a row), I started thinking that maybe Alex's appetite and thirst were bigger today--definitely his appetite. Not sure about peeing--the litter box still looked OK to me. Or maybe I'm imagining it all.

since I can't sleep, I got a +6 tonight--249. He's been pretty flat on 1.0 unit.
 
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