? New Buster Challenge - dosing

[Madm4444]

@Suzanne & Darcy
@Wendy&Neko

I hope you guys are well. It's been a while since I've posted. We've been going along pretty well with Buster. We've seen some significant drops in bg so have tweaked the dose but no big changes until now.

I've been very cognizant of the comments that we may have rushed reductions in the past so we have been trying to leave the dose steady, even though that means a lot of low preshots. But I'm here to watch him so we keep going.

But now I'm not sure what is going on. He is suddenly in a field of Libre green low numbers (AlphaTrak3 spot checks show mostly low 100s). And yes, that is wonderful but it's just flat, no real curve and low. I'm afraid for hypo all day & all night. Although the random AT checks aren't less than 68, I feel like it's too much insulin. Shouldn't there be highs and lows?

He has some unexplained weight gain, is sleeping more & not as voraciously hungry. Could this be the lower bg?

We've started to lower the dose slowly but with no real response. I'm going to try 6.5 this morning b/c I have to go out for a bit today. Do you think this is the right approach?

Any guidance for this new challenge would be much appreciated. Thanks.

 

[Wendy&Neko]

With Neko on Lantus and a human BG meter, the IM vet at CSU suggested a rule of thumb of reducing at below 70 post SRT. Not sure what to say for the AT or the Libre, both of which generally read different from a human BG meter. You might want to pick some number that works for you.

Another comment, I found that between 5 and 10 units total dose, decreases by 0.5 units at a time were better/safer. But I was also dealing with the Lantus depot. Anyway, try the 0.5 unit reductions until they stop working.

I did find post SRT times where the reductions came fast and furious, followed by ages of nothing. Depends how fast the tumour cells die off.

Regarding the lack of hunger, the time in normal numbers may be why. Plus if he's gaining weight. Maybe you need to watch how much you are feeding him.

Note to any lurkers, all the above is special for Buster, a post SRT acrocat.