How much insulin to give?

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BJM said:
Isabella, did you get another test last night? Did he stay above 50 mg/dL on a human glucometer? That is our lower limit and we start giving high carb gravy, or Karo/syrup if they go lower than that to keep the cat safe.
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BJM,

Yesterday his last meal was at 4 pm.

At 9 pm I tested him before food and he was 347.
At 9:20 I fed him, gave his antibiotics and shoot him with 1/U Lantus.
At 11:25 pm his test was 186.

Today at 8:00 am his test was 183.
He devoured a 3oz FF Classic.
At 9 am should be time to shoot him again.
With 183 result today should I shoot him?
 
Chris & China said:
If you have the spreadsheet, you need to put the link to it into your signature so everyone can look when they need to.

Do you have high carb food in the house? Like Fancy Feast Gravy Lovers? Karo syrup/honey/maple syrup? Just want to make sure you have everything you might need....not saying you need it right this minute
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I don't but will get some to leave as an emergency supply. Ty Chris.
 
Lantus builds up over 5-7 days, starting out and the full effect may not be seen until day 5. Given how low he dropped, I'd suggest stalling for 30 minutes without feeding and re-testing. If rising and above 200 mg/dL, it may be safe to shoot if you are home to monitor him.
 
Ok, so about an hour 15 after feeding him, his +12 is 245 (per what you posted on Facebook). But that is food influenced.

If you are hesitant on giving a whole unit, you could give him 1/2 a unit and monitor him throughout the day on that dose. @BJM what do you think?
 
Suzanne & Cobb(GA) said:
Ok, so about an hour 15 after feeding him, his +12 is 245 (per what you posted on Facebook). But that is food influenced.

If you are hesitant on giving a whole unit, you could give him 1/2 a unit and monitor him throughout the day on that dose. @BJM what do you think?
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My dear since I am new to all this I can't say much.
I can give him the 1/u now.
So in 2 hours test again?
What about next test? What time should be since he will probably ask for more food.
He is not over weight. He actually lost a lot of lbs.
he is 11 lbs an 1/2.
 
Suzanne & Cobb(GA) said:
Personally I would give a 1/2 unit and see how he does with that. The infections may be clearing up and we know infection can raise BGs.

Have you shot him already?
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Suzanne, yes. At 9:30 he got 1/U Lantus.
Just read the Lantus link it was shared with me. The go slow one.
Will test him every 2 hours today.
 
290 test at 11:30 am after 2 hrs of insulin.
280 test at 01:30 pm after 4 hours of insulin and no food.
After last test fed him with a 3 oz wet FF Classic.
 
Lantus does not have an immediate effect in dropping glucose. Also, food generally increases the glucose and elevations are often seen around +2 hours after eating. The amount eaten will, of course, affect how much of a spike in glucose you may see.
When Lantus is injected, it forms tiny crystals under the skin. These slowly dissolve to release the insulin to work. A little is undissolved by the time of the next shot, so there is some overlap in effect between shots. This build up is called the depot and is how Lantus can give such smooth curves.
 
BJM said:
Lantus does not have an immediate effect in dropping glucose. Also, food generally increases the glucose and elevations are often seen around +2 hours after eating. The amount eaten will, of course, affect how much of a spike in glucose you may see.
When Lantus is injected, it forms tiny crystals under the skin. These slowly dissolve to release the insulin to work. A little is undissolved by the time of the next shot, so there is some overlap in effect between shots. This build up is called the depot and is how Lantus can give such smooth curves.
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Thanks for that info on lantus.interesting
 
It works very well for controlling the glucose.when you follow the Tight Regulation protocol, you can actually shoot low to stay low, maintaining the glucose in near normal levels. You do need to be testing at pre-shots, with mid-cycle tests at least weekly (getting up in the night if you have to!), especially after changing the dose, so you know the glucose is not dropping too low.
 
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