? Dosing/failed reductions

Lisa and little

Lisa and little

Member Since 2018
Hi again!!
So Little was reduced from 3.75 to 3.5 after 3 reading in the 40’s over 11 cycles in late June. Reduction to 3.5 threw a 35 in cycle 4 so I reduced again to 3.25 which seems to be a failed reduction. Protocol says go back up to the last good dose. Welllp.. truthfully none of these doses were consistently good. To go back to 3.5 doesn’t seem right cause that 35 scared me a bit even though she was completely fine. Thoughts on a 3.5S- meaning just above the 3.5 line or what I’d call a 3.4?
Guess I’m just a bit miffed by the fact that in the end of June she was at 3.5 and the numbers indicated an increase to 3.75 then 2 days back on 3.5 this week and she throws a 35!!! What in the heck?:banghead: Thank you all for always being there for us and sharing your thoughts. It is invaluable to me.
 
Your ss looks a lot like Max’s first one. He often failed reductions so I said start taking smaller increases and de decreases which I called skinny and fat. I used digital calipers to make the dosing as accurate as possible.
 
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First, I'm hoping you realize that for a long term diabetic on TR, your reduction point is below 40 or you can also use three drops into the 40 - 50 range. You've also been at this long enough that using a fat or skinny dose may make sense.

Also, on the housekeeping front, could you take a look at Marje's post? In particular, could you look over the info on your subject line?
 
tiffmaxee said:
Your ss looks a lot likeMax’s first one. He often failed reductions so I said start taking smaller increases and de decreases which I called skinny and fat. I used digital calipers to make the dosing as accurate as possible.
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Sheesh.thank you. Can you direct me to info on calipers? Ive done skinny and fat before but once you don’t have a direct above or below the line it becomes very subjective and tough To do by eye
 
Sienne and Gabby (GA) said:
First, I'm hoping you realize that for a long term diabetic on TR, your reduction point is below 40 or you can also use three drops into the 40 - 50 range. You've also been at this long enough that using a fat or skinny dose may make sense.

Also, on the housekeeping front, could you take a look at Marje's post? In particular, could you look over the info on your subject line?
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Yes I will look it over when I get back home. Thank you. As for the reductions. She did in fact go below 50 3 times on 3.75 and hit a 35 on 3.5 so I believe the reductions were warranted. Am I missing something?
 
Nope. I wasn't criticizing the reductions. I just was reacting to your concern over the numbers in the 30s. It's a bit nerve wracking that the longer term FD kitties have to drop so low. Some members forget about the cat needing to be under 40.
 
Sienne and Gabby (GA) said:
Nope. I wasn't criticizing the reductions. I just was reacting to your concern over the numbers in the 30s. It's a bit nerve wracking that the longer term FD kitties have to drop so low. Some members forget about the cat needing to be under 40.
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I must have missed that entirely. I thought under 40 was immediate dose reduction no matter how long the kitty has had FD. Is there something I should read? I was inclined to keep her at the 3.75 even after 3 drops under 40.. actually maybe even Increase The dose as the 3.75 wasn’t giving me the block of greens I am looking for consistently, but was advised otherwise. Even though it didn’t work I’m glad I tried both reductions as all of this is still a learning curve with new insulin. If there is anything you can site RE some cats needing to be in the 30S that may help me understand a bit better And I’d surely appreciate it. I don’t panic much any more but the 35 shocked me as I was so not expecting it at all. Thank you again and I will watch my post titles going forward. I was good for a while and that fell out of my brain too!
 
From the Dosing Methods sticky:

Reducing the dose:

The TR Protocol is an aggressive method in itself. The modified version of the protocol is slightly more aggressive. Let's keep all our kitties in the Lantus, Basaglar, & Levemir ISG safe by taking reductions when appropriate.
  • If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit.
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