Fred ...vacation dosing help

Purrberry

Member Since 2020
Fred gives me a roller coaster ride on the best of days, but now I am really in a quandary.

I am traveling for 6 days starting on Wednesday. I am extremely stressed about leaving Fred but I have hired a vet tech to come and stay with him for about 16 hours each day, and hopefully...HOPEFULLY, be able to test. I say hopefully because there's no guarantee she will be able to test as well as I do, simply because it will be a different technique. We spent two hours going over everything...he even let me test him to demonstrate while she was here, but bottom line is, she's not me, and the very last thing I can have is have him afraid of her. (and hide for shots)

We had some really nice numbers this week...relatively speaking for Fred. Now, however, he's either in a sustained bounce, or he needs an increase. I think it's likely a combo of both. I did not, and do not, want to increase only 3 days prior to leaving. I'd be terrified something would break or go he'd go hypo while I'm gone. However, I cannot have him live at these high numbers and have more toxicity set in.

When I saw him in blues, this week, I thought, "Yay! I should be able to leave him at this dose for a while". Now he's living in red, and I can tell he doesn't feel great. He was soo good in those blues. Again, could be a bounce, but if I'm even CONSIDERING upping the dose, I'd HAVE to do it tomorrow AM.

My quandary:
a) I leave the dose, hoping this is bounce he'll break. We go back into decent numbers (one can hope)
b) I leave the dose, and he's unwell...peeing/drinking excessively, appetite goes off
c) I leave the dose, and he lives in high numbers, and risk DKA
d) I increase the dose, running the risk the sitter can't test, and he goes hypo

I have a ketone meter, hydroponic sand for the box in case ear testing is not possible, hypo kit, meds, cameras set up..I'm as prepared as I can be, but still worried to death.

Any thoughts on the dose issue appreciated! Thank you!
 
Today is cycle six after the last blues, hopefully you'll see what his post bounce numbers will be tonight. With SLGS, he would be due for an increase. If you increase tomorrow, you have three days to see how low that dose takes him, and whether you have to back off the dose while you are gone. Provide of course that Fred doesn't pull a fast one tonight!
 
@Diane Tyler's Mom Thanks for the bump!

Today is cycle six after the last blues, hopefully you'll see what his post bounce numbers will be tonight
Well, we did indeed see some indication he was breaking the bounce. I'm not sure how low he got, unfortunately, but I was very happy to see the yellows.

So my darling and very well-meaning husband, thinking to let me sleep in after the loss of the hour last night, fed and gave Fred his insulin this morning. Unfortunately, he got the timing a bit confused due to DST and ended up giving the injection basically an hour early. :nailbiting: He also does not test first, so I don't know what his AMPS number was...AND he still gave him 5.5u, when I was likely planning to start in with 6u. When I tested Fred at about +30 min, he was 396, and though I know that's food influenced, it'll likely also a bounce. I'll be keeping a close eye on Fred today. He's a little swishy-tailed right now. That usually means he's feeling something with the insulin.

It's so frustrating with the bounces. Fred spends maybe 8 hours in good numbers and then pays for it for 3 days after. I know the bounces stop when they get used to lower numbers, but it's like his liver won't give him the chance! :banghead:

Since the early shot this AM may act as a slight dose increase, could I increase to 6u. this evening? Waiting until tomorrow to start a new dose, only 2 days before I have to leave, would make me way too nervous. Now I really don't know what to do!
 
Fred's down from 396 (+30 min) to 302 (+2.5) in a little over two hours, so he's taking a bit of a ride....
 
Unless you see greens today, I think you'd be fine increasing this evening.

And hard as it is (I know!) hubby has to work on that testing skill. One day, Fred will surprise you for PS.
 
Well...I sure doubt I'll be seeing any greens...408 at +9.5 *sigh*

We've had the talk(s)...I've shown him how...but my DH can have very selective hearing. ;-) I continue to work on it!

Thank you so much for your guidance on this!
 
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