? Need help! Mimi 12/1 Should I wait to increase?

I think it might be best to follow the protocol and increase tonight since you're so close to the 6 cycle mark. It is up to you though, if you decide to increase this morning just make sure that you will be able to monitor all day and that you have all of the things needed in case of a hypo situation. :)
 
First, numbers in the 200s are not "high". High numbers are 400s and above -- for some cats, maybe 300s and above.

If you are following TR, then follow the protocol. TR is aggressive. If you increase prematurely, you are courting problems.
 
Sienne and Gabby (GA) said:
First, numbers in the 200s are not "high". High numbers are 400s and above -- for some cats, maybe 300s and above.

If you are following TR, then follow the protocol. TR is aggressive. If you increase prematurely, you are courting problems.
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Oh ok.. I was just going off what the bottle of test strips said was high

Thanks!
 
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She's reading still high but I am now interested in this "error of margin" thing that could be happening but wonder if its common for higher numbers?
for example I got 292, then tested right after and got 359, and 348? Am I going to have to test 3 times now and go with the one I got the best number with or is the difference in 292 to 350 something not the same as say if she tested 75 and then 120? I thought I read somewhere that the readings in the higher numbers have more error than the ones in the lower numbers and having one read 50 or so points off isn't as concerning as one that is that far off when the numbers are below 100.. hope that made sense, its hard to put into words (also my brain is tired today)
 
Try not to get caught up in the margin of error.
Basically who cares if it is 293 359 or 348, there's not much in it really, they are within 20% of each other give or take.
I would only repeat a test if you have a number that doesn't fit in with how the cycle is panning out, so a surprise high or a surprise low. Otherwise you are going to drive yourself doolally.

What does the TR protocol say regarding an increase? Mimi spent a nice bit of time in blue/below 200
From the Sticky
Increasing the dose:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
  • Increase by 0.25 unit after 3 days (6 consecutive cycles) if nadirs are greater than 200, but less than 300.
  • Increase by 0.5 unit after 3 days (6 consecutive cycles) if nadirs are greater than 300.
Does that help?
 
what about when the 50 point difference is important- say when Im trying to decide to hold a dose or increase? she has a couple of numbers below 200 but in the high 100s. so according to TR you will always hold a dose for at least 6 cycles- and if its below 200 6-10?
I should be increasing tonight?
 
also, off topic- do cats ever get type 1 diabetes? and why does Dr Pierson say in her food chart to feed diabetic cats at least 15% carb over her feeding recommended 10 % and below
 
Mimis mom said: ↑
She's reading still high but I am now interested in this "error of margin" thing that could be happening but wonder if its common for higher numbers?
for example I got 292, then tested right after and got 359, and 348? Am I going to have to test 3 times now and go with the one I got the best number with or is the difference in 292 to 350 something not the same as say if she tested 75 and then 120? I thought I read somewhere that the readings in the higher numbers have more error than the ones in the lower numbers and having one read 50 or so points off isn't as concerning as one that is that far off when the numbers are below 100.. hope that made sense, its hard to put into words (also my brain is tired today)
Don’t retest unless you get a wacky number that doesn’t fit in. Don’t worry about meter variance. And yes, the meter variance will be much larger when numbers are high.

Example:

400 x 0.8 = 320 so a difference of 80 vs 100 x 0.8 = 80 so a difference of 20.

Mimis mom said:
what about when the 50 point difference is important- say when Im trying to decide to hold a dose or increase? she has a couple of numbers below 200 but in the high 100s. so according to TR you will always hold a dose for at least 6 cycles- and if its below 200 6-10?
I should be increasing tonight?
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If you have a 50 mg/dL difference, than the BG is high enough that you will not have to worry about whether you should be giving an increase or not. In other words, if she’s at 220 and you retest and get 176, and that’s her only blue number, she needs an increase. Again, don’t retest to find out what the meter variance number is.

Mimis mom said:
also, off topic- do cats ever get type 1 diabetes? and why does Dr Pierson say in her food chart to feed diabetic cats at least 15% carb over her feeding recommended 10 % and below
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No, they don’t. And I don’t know where you are talking about on Dr. Lisa’s chart. You’ll have to be more specific. I don’t really understand the question.
 
Marje and Gracie said:
Mimis mom said: ↑
She's reading still high but I am now interested in this "error of margin" thing that could be happening but wonder if its common for higher numbers?
for example I got 292, then tested right after and got 359, and 348? Am I going to have to test 3 times now and go with the one I got the best number with or is the difference in 292 to 350 something not the same as say if she tested 75 and then 120? I thought I read somewhere that the readings in the higher numbers have more error than the ones in the lower numbers and having one read 50 or so points off isn't as concerning as one that is that far off when the numbers are below 100.. hope that made sense, its hard to put into words (also my brain is tired today)
Don’t retest unless you get a wacky number that doesn’t fit in. Don’t worry about meter variance. And yes, the meter variance will be much larger when numbers are high.

Example:

400 x 0.8 = 320 so a difference of 80 vs 100 x 0.8 = 80 so a difference of 20.


If you have a 50 mg/dL difference, than the BG is high enough that you will not have to worry about whether you should be giving an increase or not. In other words, if she’s at 220 and you retest and get 176, and that’s her only blue number, she needs an increase. Again, don’t retest to find out what the meter variance number is.


No, they don’t. And I don’t know where you are talking about on Dr. Lisa’s chart. You’ll have to be more specific. I don’t really understand the question.
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not sure if that is clear- it says
Carbohydrates: Choosing diets with 10% or less carb calories is a good goal but, unless the cat is diabetic, sticking with less than 15% is also reasonable.
 
Mimis mom said:
not sure if that is clear- it says
Carbohydrates: Choosing diets with 10% or less carb calories is a good goal but, unless the cat is diabetic, sticking with less than 15% is also reasonable.
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She is saying if you have a non diabetic cat, it’s ok to feed foods that are less than 15% calories from carbs. She’s also saying diabetic cats should be fed less than 10% calories from carbs which is what the TR protocol also says.
 
Marje and Gracie said:
She is saying if you have a non diabetic cat, it’s ok to feed foods that are less than 15% calories from carbs. She’s also saying diabetic cats should be fed less than 10% calories from carbs which is what the TR protocol also says.
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Drrrr I read that wrong...

So my question about sticking 8-10 cycles if nadirs below 200 are new but she’s not new to them and she hasn’t seen nadirs below 200? Are we sure I shouldn’t increase?
 
Mimis mom said:
Ok. I guess I’m confused about the “if they are new to numbers under 200 in the nadir hold for 8” but she’s not new to numbers that low- or am I understanding it incorrectly?

i held it 1.25
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The TR protocol states to hold the dose 6-10 cycles if the nadirs are below 200. The section which refers to “if your cat is new to numbers below 200” means that once the cat starts seeing nadirs below 200, if they haven’t been there before, hold the dose 8-10 consecutive cycles after the blue numbers.

For cats that have seen nadirs below 200, if you see blue numbers, hold the dose 6-10 consecutive cycles total.

In addition, Mimi is bouncing from the blues so I’d give her eight cycles and see if she’s cleared the bounce and where she’s landed.
 
Marje and Gracie said:
The TR protocol states to hold the dose 6-10 cycles if the nadirs are below 200. The section which refers to “if your cat is new to numbers below 200” means that once the cat starts seeing nadirs below 200, if they haven’t been there before, hold the dose 8-10 consecutive cycles after the blue numbers.

For cats that have seen nadirs below 200, if you see blue numbers, hold the dose 6-10 consecutive cycles total.

In addition, Mimi is bouncing from the blues so I’d give her eight cycles and see if she’s cleared the bounce and where she’s landed.
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The only thing is it’s been almost 2 weeks since she’s seen any green and the blues were mid to high.
 
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