Hi Deb,
I've looked at Suki's spreadsheet and honestly there is a lot of missing preshot tests as well as mid-cycle tests when she was on 1u that I can't even see what supported the decision to raise the dose in the first place.
With all the holes in the data, I can't tell if she is going very low and bouncing back up to high numbers or if its just not enough insulin.
More than likely you would have been fine to shoot this morning, but I can understand the reluctance to shoot and having to leave especially a still falling number.
So here is what I would do if she was mine. I would roll back to 1.50. Be religious about those preshot tests and grab as many spot checks as you can, even try to get staggered times. Since I don't know what your schedule looks like I don't know when those would be. But kind of what I've done is get my preshot then since most mornings I don't leave the house until 2hours after the preshot so I'd grab an out the door test, then first thing again when I get home, p.m. preshot , then a couple evening test.
Or another approach is get the preshots, a few spot checks the on a day off run a full curve where you test every 2 hours. Both preshots and finding her nadir (lowest point in the cycle) are critical in determining dose with Lantus, since Lantus is based off the nadir not the preshots. But the preshots tell us some important things as well. First and foremost that it is safe to give a shot, but also how fast they are dropping if we see where the cat starts in the 300s but are in double digits by nadir then they are bouncing back to the high numbers. But if the cat stays flat its probably just not enough insulin.
The more points of data you can fill in the easier it will be to figure out what's going on with Suki.
Mel and The Fur Gang
