Starbuck AMPS 196 +4 71, +5 73, +7 83 could use advice about what next?

[SarahNOLA]

Last week...

I last posted on 9/6 and since then Starbuck has dropped from 1 unit to .25. She's been on insulin a bit less than 4 weeks. I want to say a HUGE THANK YOU to this forum because without it, I wouldn't have known to go from dry food to wet. It made an amazing difference.

I wondered if someone could walk me through what to do next... I had been doing SLGS, but she's already down to .25 units. She has been in the 70s-80s today, which under that protocol means she would get another reduction. What do you do when you're already giving .25?

Should I:

1) Reduce down to .1? (I don't know how to eyeball this, but from how I'm eyeballing .25 I would assume it's just a teeny sliver of light between the syringe plunger and the 0 line?)
2) Try to stay at .25 for a couple of days and be prepared to test her tonight?
3) Skip tonight's dose if she's under, say, 150 & give .25 again tomorrow?

From her spreadsheet you can see she DOES still need insulin. She jumps up when I reduce or skip. But in one week she's gone from 2 units to .25 and I am not sure what to do next! Would love any advice!

 

[Wendy&Neko]

I would try the 0.1 unit dose next. It's hard to say what her dose should be because you've dropped it a lot lately and the larger depot could be in play, but according to SLGS you should reduce. If you can monitor tonight, you can try shooting lower than a preshot of 150, though with SLGS you should only shoot if above 90. From the Sticky Note on Insulin Handling and Fine Doses, here is the picture of 0.1 units:

Congrats on the reduction. She's having an awesome cycle today.

 

[SarahNOLA]

I would try the 0.1 unit dose next. It's hard to say what her dose should be because you've dropped it a lot lately and the larger depot could be in play, but according to SLGS you should reduce. If you can monitor tonight, you can try shooting lower than a preshot of 150, though with SLGS you should only shoot if above 90. From the Sticky Note on Insulin Handling and Fine Doses, here is the picture of 0.1 units:

Congrats on the reduction. She's having an awesome cycle today.

Oh thank you! That pic is exactly what I needed. That's about what I was imagining. As I understand it, the depot effect means her larger doses from a couple days ago could still be in play, right? So it may be the case that if I drop her, I might need to raise her back up again once that wears off.

I thought she was going to do great at .5 until she dropped to 48 yesterday. Whoops.

 

[Kris & Teasel]

She's doing really well!

 

[Mandy & Rex (GA)]

Good job! All those green numbers are healing numbers! I'm one of those people who had to reduce a lot in a short time. Hopefully this reduction will stick, too,