Shots and charts oh my

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Lois and Java

Lois and Java

Member Since 2016
Hi, I've been working with Kris and Teasel and a few other kind folks. I'm worried right now because Java's in the black, and I'm shocked that his BG # isn't down at now +4 after his PM shot. Kris won't be up for hours, E-W time zones.

I was sure it was a good shot until now - that's the only thing that could explain how high it is now? Is there something that I should do? Give a quarter of a dose or something?

Take him to the vet ER? He isn't showing any signs of distress, is sleeping curled up with Lily (cat) but I worry because he's 20 yrs old.

I've ordered new needles and ketone strips, but they're not here yet. I just looked at the ADW shipping order and the tracking number is erronously not HTML enabled so I'm not sure when I'll get them; end of this week at latest. I've never used ketone strips before.

Eta: on the SS, the bottom part is this site's style. I started with historical data and assigned hours to +1 etc. to do that and it's the top part.
 
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The best explanation I can give you is that Java is "bouncing" off those blues today.....his body had gotten used to living in reds and purples, so by dropping him back to what his liver thought was a dangerous level and it released stored sugars and hormones to bring his blood glucose back up to where it's "used to being"....we call it "bouncing"

it can take up to 3 days for a blood glucose to return back down to its former "normal"
 
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I'm so grateful for response thank you. I really don't understand this bouncing business. Bottom line, is it safe for him - and me! - to go to sleep now with his BG so high? I wake up a couple times during the night anyway so I could test him.
 
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Thanks. I took a look at your Squallie's SS. You've had some black and the red but things are fine down the line. Reassuring. I can't seem to get over my panic. Thank you, good night.
 
Hi Lois,

Yup - big bounce numbers. His body is overreacting to the low numbers from yesterday. The numbers don't have to be that low, just lower than usual and/or he dropped there faster than usual. Bounces will stop when they stop unfortunately. Janet has suggested upping his dose when his PS is red or black. He's now had 5 doses of 0.75 u and based on the size of those blue numbers, his dose can be increased. You can try 1 u this AM.

When you have a reactive kitty like Java (and mine!) you have to look at the PS numbers but focus more on the middle numbers. The PSs are often artificially high (overreactivity). You want to decide on a dose based on how low he goes because that's where the more immediate danger is - ie., going too low. What you can't do is start jumping around in dose size and timing. These kitties need calmness and consistency.
 
He just woke me up meowing to go out into the rain where the good water is. Prob really high.
Yup, 570. He's eating now. I'm guessing a shot 1/2 hr early is okay with these #s?
Check, 1 unit.
Eta, I'm shooting now. He's demanding to go out and it's a highlight of his life, these am outdoor trips. I want insulin in first.
 
Lois and Java said:
He just woke me up meowing to go out into the rain where the good water is. Prob really high.
Yup, 570. He's eating now. I'm guessing a shot 1/2 hr early is okay with these #s?
Check, 1 unit.
Eta, I'm shooting now. He's demanding to go out and it's a highlight of his life, these am outdoor trips. I want insulin in first.
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Yes, 1/2 hour early is fine with PZI. This is when your patience will be tested to the max - trying to sort out when bounce numbers are muddying the picture. It's important to not overreact. If you have time today, doing an every 2 hour curve might help to clarify the BG situation. If it ends up being all high and flat after 12 hours, that's evidence of bouncing. That can mean that the dose is too high or that the bounce isn't finished yet. There are many nuances in playing this game ...
 
I think I'm going to have a heart attack first. It's all exacerbated by his age; he's so so resilient - 2,4 heart murmur his entire life, so many battle wounds - I'm on edge, knowing it's a count down to the end of his life and hoping it's years, months, not weeks, days. That kind of alertness is not sustainable, so in a way, I'm doing my own form of bouncing between I'm okay he's okay Lily's okay, and omg the sky is falling what is going on with him panic.

But Squallie's SS had lots of ups and downs and clearly is thriving now.

I get the bounce info intellectually, but obviously not practically. I thought after that early period with lots of blues and yellows, that it would stay that way. Was a really good pattern, those blues and yellows? Is yes, so frustrating it didn't stay!

Lately I keep wondering about his kidneys. I've got four years of blood tests, maybe I'll get those entered into the SS today. There was so little change in values, the vet and I agreed to give up Sub-Q fluids. I've been feeling like he should get a rinse via Ringers. Maybe a blood test. Or leave it alone, he's getting stuck enough. He is an extraordinarily good patient, still some stress going to the vet.

+2, 250 BG.
 
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Do people have experience with Young Again treats Carnivore Zero? They sent a sample with the bag of YA Zero Mature, and apparently it is crack. I just gave him two. I'll be sticking him all day so I would give him more today after sticks, but I will wait to see if anybody responds first.
 
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Lois and Java said:
I think I'm going to have a heart attack first. It's all exacerbated by his age; he's so so resilient - 2,4 heart murmur his entire life, so many battle wounds - I'm on edge, knowing it's a count down to the end of his life and hoping it's years, months, not weeks, days. That kind of alertness is not sustainable, so in a way, I'm doing my own form of bouncing between I'm okay he's okay Lily's okay, and omg the sky is falling what is going on with him panic.

But Squallie's SS had lots of ups and downs and clearly is thriving now.

I get the bounce info intellectually, but obviously not practically. I thought after that early period with lots of blues and yellows, that it would stay that way. Was a really good pattern, those blues and yellows? Is yes, so frustrating it didn't stay!

Lately I keep wondering about his kidneys. I've got four years of blood tests, maybe I'll get those entered into the SS today. There was so little change in values, the vet and I agreed to give up Sub-Q fluids. I've been feeling like he should get a rinse via Ringers. Maybe a blood test. Or leave it alone, he's getting stuck enough. He is an extraordinarily good patient, still some stress going to the vet.

+2, 250 BG.
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I understand the anxiety, Lois, I really do. I had to teach myself not to react to Teasel's numbers or they would have had to drag me away in a white jacket with straps on it. ;)

If you look at other SSs you'll find many examples of kitties running up and down the dosing scale, often inexplicably. The good dose is a moving target. Repeat that to yourself over and over. It's NOT a situation where you fiddle around with dosing for a while, find a good dose and there you have it, done and dusted.

I can't advise on the Sub Q fluids because I have no experience. One thing I have read here is that you shouldn't use the same site for fluid administration and insulin injection.

Lastly, I like the yellow after that infernal black. :)
 
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Lois and Java said:
Do people have experience with Young Again treats Carnivore Zero? They sent a sample with the bag of YA Zero Mature, and apparently it is crack. I just gave him two. I'll be sticking him all day so I would give him more today after sticks, but I will wait to see if anybody response first.
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Sorry, I can't help there. I feed my guy Orijen freeze dried meat treats. He especially likes the Wild Boar.
 
I know how easy it is to be obsessed over the numbers and to worry over them - it's what makes you a good cat mum :) You have to try and think that he is more than a number :) He's still a cat and still just the same as he was before diagnosis (with just a little extra care needs!)

I'm trying to pay as much attention to how she my girl is in herself as to how the numbers are. She has had a spell of fairly high numbers (for her) and a couple of spikes but throughout it all she didn't really change personality wise and in her habits so I left her be and with a food change managed to get her back. Today whilst her BG number was technically low enough to just be safe on a very low dose she has been very subdued and quiet so I haven't given her any insulin.

Sky's insulin dose gets varied (with the vets approval) because she seems to store it up - contrary to what her insulin is supposed to do.
 
>> The good dose is a moving target. Repeat that to yourself over and over. It's NOT a situation where you fiddle around with dosing for a while, find a good dose and there you have it, done and dusted.

Well heck!

Shouldn't have answered the phone just before I was leaving for a class, but I did, so I missed +4, but +6 is 141. And he is happily sitting outside in the rain again. That's my boy!

When I helicopter over him, it's too easy to project things onto him, when all he's really doing is sleeping normally.

His behavior was markedly different and strange when he would go really low, luckily, because, then I'd catch it before it would kill him!

He yowled to come back in in just enough time for me to go do something that starts in 15 minutes and will get me back here in two, two and a half hours.
 
>> "The good dose is a moving target ... the good dose is a moving target ..."
Darn it!
It's 340 at +9.
He's acting very Ragdoll right now, and it's easy for me to say it's because his BG is high. But really I think it's the time of day, because he was super high this morning and could not wait to go out on his morning rounds.
All the stuff from ADW came! New needles, ketone strips, lancets. The AlphaTrak came last week.
 
Lois and Java said:
>> "The good dose is a moving target ... the good dose is a moving target ..."
Darn it!
It's 340 at +9.
He's acting very Ragdoll right now, and it's easy for me to say it's because his BG is high. But really I think it's the time of day, because he was super high this morning and could not wait to go out on his morning rounds.
All the stuff from ADW came! New needles, ketone strips, lancets. The AlphaTrak came last week.
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That's a big jump up in only 3 hours - bouncing. When you have a minute could you put the data on your SS? The nadir value of 141 tells you that you can give 1 u again tonight. Good that you have new supplies.
 
So even though 340 is high, I need to sit it out and wait for 12 hours to go by. This high is the actual bounce...And I'm sure it'll go higher. High numbers are bounce but low numbers are not? Or each is half of the whole?

I guess I'll find out tonight if it was an accidental fur shot last night. Right? If it even a little bit lower tonight after one unit, as it should, then last night had to have been a fur shot?

A nadir value of 141 is not low enough to be dangerous, that's why one unit is okay?
 
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Lois and Java said:
So even though 340 is high, I need to sit it out and wait for 12 hours to go by. This high is the actual bounce...And I'm sure it'll go higher High numbers are bounce but low numbers are not.
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Yes to sitting it out. You're finally getting a regular routine going and you want to stay with it. When a BG soars in a short time it's a bounce. The lows are proper responses to the insulin. The bounce is an overreaction to low BG, lower than usual BG or rate of drop of BG.

Lois and Java said:
then last night had to have been a fur shot correct?
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Hard to say. You'd need evidence of a fur shot to be certain - wet fur at the injection site, distinct smell of insulin (strong Band-Aid like odour). Water under the bridge now ...
 
Lois and Java said:
So even though 340 is high, I need to sit it out and wait for 12 hours to go by. This high is the actual bounce...And I'm sure it'll go higher. High numbers are bounce but low numbers are not? Or each is half of the whole?

I guess I'll find out tonight if it was an accidental fur shot last night. Right? If it even a little bit lower tonight after one unit, as it should, then last night had to have been a fur shot?

A nadir value of 141 is not low enough to be dangerous, that's why one unit is okay?
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Exactly... A goal of nadir is to get it into the low blues. Under 150 on a pet meter(120 human meter) is when the pancreas can rest and even start to heal itself. 1 pushed her closer to that goal.
 
356 at 3 am, or +7.5
I was cleaning out the litter box when he got in and started peeing, butt to me. I grabbed an empty cat food dish and collected some urine. Negative on both colours on ketone stick, yay.
He ate a little. Feels lighter, more fragile.
Back to sleep for us.
 
Lois and Java said:
356 at 3 am, or +7.5
I was cleaning out the litter box when he got in and started peeing, butt to me. I grabbed an empty cat food dish and collected some urine. Negative on both colours on ketone stick, yay.
He ate a little. Feels lighter, more fragile.
Back to sleep for us.
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I like the blue you got last night. Stick with 1 u for a total of 6 cycles but I'm guessing he'll need a bigger dose. Basing that almost solely on how low he goes. His reactive PSs are deceptive so I just give them a cursory glance.

It's great that you got your first ketone test in. I hope he's an accomodating kitty on that score - makes it a lot easier for you. :)

Do you weigh him regularly? A digital baby scale is a good tool to have for dealing with an FD kitty. It's hard to get them to gain weight when they're unregulated but also "delicate" eaters. Is he enjoying the YA? It's very nutrient dense and if he's a kibble fiend, you might have to use it more.
 
Lois and Java said:
356 at 3 am, or +7.5
I was cleaning out the litter box when he got in and started peeing, butt to me. I grabbed an empty cat food dish and collected some urine. Negative on both colours on ketone stick, yay.
He ate a little. Feels lighter, more fragile.
Back to sleep for us.
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Do you give any additional b12 to the b right? If not you could.
 
417 AMPS. 1 U.
I didn't feel any moisture at the injection site*, but he wriggled again, same as the night it went so high and it had to be a fur shot. If his BG doesn't go down, it almost certainly was an accidental fur shot again. Hypothetically speaking if that happens what do I do? * it's such a tiny amount, but still I would feel some moisture, I would think.

Oh I wanted to ask somebody about higher doses of B. I did what Tanya's site recommended and opened up one capsule and divided it into 10 servings several times. Now I ballpark-sprinkle that amount into his wet food for almost every serving, because he hardly ever eats a wet food serving down to an empty bowl.

He does really like the dry food, the young again. I keep a bowl down at all times, based on info here and mfrs info that it won't affect his BS.

He's out in the rain again this morning. That will be a really alarming thing if he ever doesn't want to go out in the morning.
 
Lois and Java said:
417 AMPS. 1 U.
I didn't feel any moisture at the injection site*, but he wriggled again, same as the night it went so high and it had to be a fur shot. If his BG doesn't go down, it almost certainly was an accidental fur shot again. Hypothetically speaking if that happens what do I do? * it's such a tiny amount, but still I would feel some moisture, I would think.

Oh I wanted to ask somebody about higher doses of B. I did what Tanya's site recommended and opened up one capsule and divided it into 10 servings several times. Now I ballpark-sprinkle that amount into his wet food for almost every serving, because he hardly ever eats a wet food serving down to an empty bowl.

He does really like the dry food, the young again. I keep a bowl down at all times, based on info here and mfrs info that it won't affect his BS.

He's out in the rain again this morning. That will be a really alarming thing if he ever doesn't want to go out in the morning.
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If his BG doesn't go down it might be a faulty injection but it could be protracted bouncing. Can't tell yet because you're only 10 days into a structured routine. You need much more data to learn his response pattern. You can't rush this. There's a reason why we call it a marathon and not a sprint. I know it's hard because you're fighting a strong desire to intervene whenever you see a high number.
 
I have to leave in about 10 minutes, it's been about an hour since I gave him one unit so I'll test him now and see if it's moved. He was so drenched, it took took two towels to dry him off. He loves it! His BG has never not gone down with a good shot though.

306 at am +1. Okay, it was a good shot.

He just looked at me like, every time you touch me you're hurting me. Should I try for a nadir test around six hours or leave him alone today or other?
 
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Lois and Java said:
I have to leave in about 10 minutes, it's been about an hour since I gave him one unit so I'll test him now and see if it's moved. He was so drenched, it took took two towels to dry him off. He loves it! His BG has never not gone down with a good shot though.

306 at am +1. Okay, it was a good shot.

He just looked at me like, every time you touch me you're hurting me. Should I try for a nadir test around six hours or leave him alone today or other?
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Try for a +6 and if it's unremarkable leave him alone until PMPS.
 
I like that blue from last night. I see that you using an AlphaTrak now. I have no idea how closely it'll compare with the meter you were using. Numbers will tell. Last day at 1 u unless he surprises you.
 
423 PMPT just now and I'm kicking myself for not doing a 6 hr. test during the day. I was here, too, just didn't think of it while working in yard - cat assisted part of the time - dumb / such a pleasure to have dry weather. Plus, orb! In the sky!
I'd assumed the Schein and AlphaTrak would allign but didn't think through saving some Schein strips to double-test both meters, same time, a few times.
295 at +5.
 
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Could be rebound off a lower mid cycle but no way to know. If you have time to do +3, +5 and +7 mid day today, that might give some good info. I'd stay at the 1 u until that's done because you need to see what's going on.
 
Okay, thank you, 447 AMPS, he's woken me up yowling to go outside again, wondered how much to give him. 1 U again, can check every 3 hrs.

I have to be gone bulk of day Monday and probably Thursday, helping friend to - from pre op, and surgery at Stanford. What I do has to be geared to that. Neighbour can come check in while I'm gone but not comfortable with tests or shots.

I started reading threads here with "vitamin b" in them, was up until almost 3 am reading Dan and Hannah. Heart breaking, so touched by the support here.
 
Good news: BG is 142 at +5
Bad news: BG was 63 at +4
I know, I'm the worst most erratic flaky cat caretaker ever. Was out gardening again... time ceases to exist. I have to start taking timers and alarms with me.
He definitely ate before getting a shot and going out this AM - he goes out for about an hour - but not enough apparently. My fault for not testing sooner, I'm so sorry he's paying for it.
I'm going to do some maintenance on the SS and enter his lab values. I'm going to take him in for a blood draw on Monday, get a complete panel. And cancel theater tonight, what was I thinking, I have to be here to test, give a shot.
 
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Did you retest right away when you got that 63? It seems so out of place after a high AMPS and then he's back up to blue an hour later. Did you feed him something high carb when you saw that low number? Doesn't make sense ...
 
I didn't retest at the 63. I had to use 2 test strip, and 3 ear jabs, just not enough blood drops at first. Didn't occur to me to retest. Should I always with a low number?
When I saw the low number, I gave him agave on the gums, and he ate FF, chicken breast, and 15 Max Cat kibbles. It's time to test him again.
314 at +7
Am so fatigued. Shouldn't have stayed up so late reading threads. Am taking nap with the cats.
 
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Lois and Java said:
I didn't retest at the 63. I had to use 2 test strip, and 3 ear jabs, just not enough blood drops at first. Didn't occur to me to retest. Should I always with a low number?
When I saw the low number, I gave him agave on the gums, and he ate FF, chicken breast, and 15 Max Cat kibbles. It's time to test him again.
314 at +7
Am so fatigued. Shouldn't have stayed up so late reading threads. Am taking nap with the cats.
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Any time there's an unexpected very low or very high you should retest. Sometimes you can have a wonky strip or a wonky reading from too little blood, etc. I assume the blue an hour later is from the agave and kibble. Just read up on agave vis a vis BG and it said had a lower glycemic index than sucrose. Might be better to use honey or karo syrup if you need to raise BG quickly.
 
Okay.
334 for PM PT.
He's eaten some cut up chicken and FF.
No idea what amount to use.
.5? .75? Do I stick with 1?
It's about Java, not me...But this is really depressing.
Oh no, I hope you see this Kris and Teasel.
 
Lois and Java said:
Okay.
334 for PM PT.
He's eaten some cut up chicken and FF.
No idea what amount to use.
.5? .75? Do I stick with 1?
It's about Java, not me...But this is really depressing.
Oh no, I hope you see this Kris and Teasel.
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I think you should give 1 u again and plan to test at +2, +3 and +4. That low green still makes no sense to me. If you get those three tests tonight you should be getting a feel for where BG is heading before nadir hits. If the first test is low - eg. 100 points down in 2 hours - then be ready to steer with food.

If you really don't feel right with this dose, try 0.75 u.
 
I'm so out of my depth w/r/t dosing.
I can check, yes.
2, 3, 4, if a big drop at 2, intervene with food. But just more of regular food, not with high carb stuff unless super low?
There's an end game with 1 unit? no, wait, a good dose is a moving target.

I just don't know anymore. I've lost my
moorings. He has slightly more neuropathy and he's lost some weight since I started here. He seems more fragile to me, and yet he's sleeping and active almost the same amount as the five-year-old cat, so I'm not sure how much of it is a projection of my worry because of his age. It's reality, that he's approaching the end of his life and it's a question of when.

Left to my own devices I would probably do .5, because the 63 scared me for him, but I really am still at sea on the dosing. I see what you're saying about heading it off if it plunges. If it plunges and is headed off, that's not going to kill him right?
 
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Lois and Java said:
I'm so out of my depth w/r/t dosing.
I can check, yes.
2, 3, 4, if a big drop at 2, intervene with food. But just more of regular food, not with high carb stuff unless super low?
There's an end game with 1 unit? no, wait, a good dose is a moving target.

I just don't know anymore. I've lost my
moorings. He has slightly more neuropathy and he's lost some weight since I started here. He seems more fragile to me, and yet he's sleeping and active almost the same amount as the five-year-old cat, so I'm not sure how much of it is a projection of my worry because of his age. It's reality, that he's approaching the end of his life and it's a question of when.

Left to my own devices I would probably do .5, because the 63 scared me for him, but I really am still at sea on the dosing. I see what you're saying about heading it off if it plunges. If it plunges and is headed off, that's not going to kill him right?
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If he's dropped a fair bit at +2 that's a warning that this cycle might be more "active" as we say with you possibly having to intervene with food. Don't jump in with too much food - a teaspoon or two of his regular low carb food is what you'd try first. If he's dropped too much by +3, give a little more regular food. Save the medium to high carb food for +4 and beyond if his numbers are veering toward that lime green.

Right, the good dose is a moving target. Sometimes you can find a dose that keeps them in good numbers over a period of time but often the good dose that gives good numbers goes up a little and down a little, often for no obvious reason. It's a complex physiologic system. Java appears to be a bouncy cat and that makes dosing more of a challenge. You'll read here often that a bouncy cat will bounce until he/she stops.

You can try 0.5 u but it might set you back numbers wise than you'd like. Your choice though. Learning how to "read" Java's SS numbers so that you can make good dosing decisions will take time. You've only recently adopted a systematic approach. I know it still causes you discomfort because it requires you to quell your desire to react to individual numbers by dosing in a scattershot way. Patience rules!
 
Lois and Java said:
If it plunges and is headed off, that's not going to kill him right?
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You want to head it off before it plunges too low. That's the reason for the early tests - to see if he's dropping earlier and faster than usual which can signal an impending too low BG. You intervene carefully with food to prop up BG and keep him fairly level in good numbers (best case). No, heading it off won't kill him even if he was headed very low because you took measures to raise BG.
 
I got worried about waiting more and so I went with .75. I'll check at 2, 3 hours, if nothing terrible is happening I hope I'll be asleep after that. I usually wake up around +6-7 hours anyway, or I can set alarm.
I hope that it isn't a setback. I think that with the 1.0 doses we are trying to establish a regular routine, but the 63 put that back at the Starting Gate anyway?
You're right about reacting to the numbers. Thanks for the information where I can check it and read it if I get worried a little bit later when I test him. I really have not had enough sleep, and I'm worried about him, and thinking about the end of his life.
I'm really happy to get into the 12-hour 12 hour regimen. It's very helpful.
I want to do the most I can for him to make him comfortable and happy. There was a doctor on National Public Radio who was saying that people think death is an event, but it isn't, it's a process. I think about that often, that what's going on now is part of the natural process, and there's tension and angst not just about not having him the future at some point, but where the btalance is between doing everything to stave it off, and just making him happy and comfortable.
The 63 told me that he wasn't getting up and seeking food after his feeding in the kitchen. I frequently do bring him food to wherever he is, usually on a bookcase in the sun in the morning. Is that a sign of things to come, or was it just something today.
Okay I've gotta quit thinking about this. Thank you so much I am really appreciative that you're there, very very much.
 
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PMPS 334 - ate some FF
.75 unit
+2 - 288 - ate a little FF, pee'd
+3. - 179 - ate a little FF, drank water, no interest in YA dry food. Jumped to bathroom counter from toilet looking for Greenies fiber treats, had water there, a few YA Carnivore treats. Hind legs strong enough!, though getting wobbly.
+4 - had a little more FF.
249 at +6. had some FF, YA, peed. Wobbly hind legs. So relieved.
Ate more FF slurry from bowl that I held at his pillow in front of him.
 
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Lois and Java said:
I got worried about waiting more and so I went with .75. I'll check at 2, 3 hours, if nothing terrible is happening I hope I'll be asleep after that. I usually wake up around +6-7 hours anyway, or I can set alarm.
I hope that it isn't a setback. I think that with the 1.0 doses we are trying to establish a regular routine, but the 63 put that back at the Starting Gate anyway?
You're right about reacting to the numbers. Thanks for the information where I can check it and read it if I get worried a little bit later when I test him. I really have not had enough sleep, and I'm worried about him, and thinking about the end of his life.
I'm really happy to get into the 12-hour 12 hour regimen. It's very helpful.
I want to do the most I can for him to make him comfortable and happy. There was a doctor on National Public Radio who was saying that people think death is an event, but it isn't, it's a process. I think about that often, that what's going on now is part of the natural process, and there's tension and angst not just about not having him the future at some point, but where the btalance is between doing everything to stave it off, and just making him happy and comfortable.
The 63 told me that he wasn't getting up and seeking food after his feeding in the kitchen. I frequently do bring him food to wherever he is, usually on a bookcase in the sun in the morning. Is that a sign of things to come, or was it just something today.
Okay I've gotta quit thinking about this. Thank you so much I am really appreciative that you're there, very very much.
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Believe me, Lois, I understand the worry about aging pets and pet loss. I've been there many times, some of it quite traumatic, but I can't focus on the future or it'll make me crazy. All I can do is love them today and do what I can in the present to help them. That's all you can do for Java. They can sense our anxiety and tension so keeping calm and balanced is better for both you and Java.

Yes, the 12/12 dosing schedule is better all around. I see that you had a blue last night after the 0.75 u dose. You can either give 0.75 u this AM or try 1.0 u again. If you can be at home, I'd aim for testing starting at +3. That 63 was at +4 yesterday and knowing what the +3 was would have been very useful. I still wonder about the 63. Your testing goal is to learn what his onset of the dose is (often around +3), when he has his nadir (often +5 to +7) and when the dose is waning.
 
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