2/12-ELLIOTT:AMPS=324, +2=284, +7=299..Newbie asking for Lantus Guidance

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I was told to start a new day with a new page..Am I suppose to stop? I guess I am asking for continued guidance on what Lantus dosage to give when. I do have the TR protocol.
He is eating fine now. And so, being on Cycle 5 of increasing Lantus, there has been great advice on what to do next. I guess I do not need to add a new page each day. I am concerned and am trying to reach out to experts on the bounce up and down that appears to be a routine occurrence as I review ss's. I thought that this would all calm down someday in the future, though I am more than willing to do this the rest of my life. However, these bounces and effect of high BG on organs worry me and so I ask for guidance from FDMD members. In addition, I chart the Relion BG since most like the human glucometers better and they are less expensive. However, what if their BG is really in 400's and not 300's? My DVM does not seem very concerned over feline DM. I am a newbie and mean no disrespect..I am grateful for all the help provided to me. I just don't understand WHY this bouncing doesn't have a specific guide to prevention/treatment in the Veterinary Science World. And maybe it does..I just can't find it. Thanks, I'll change or delete my page.
 
Fran, you ARE supposed to do a new condo each day. You don't have to post every day - some of us just don't have time - but when you do post, a fresh condo each day that you post, with a link to the previous one, helps keep things a little easier to follow.

Jill's question was because you used the ? icon but there was no question in the body of your post. Just asking for dosing guidance and not telling us more specifically what your concerns are is a little vague. Don't worry, you'll get the hang of this!

Unfortunately, bouncing is part of the FD process. Kitties will bounce until they don't. I'm not make light of it, I'm just saying that's how it works. I know it's frustrating and confusing and worrisome, but it's normal.

FD is not studied heavily in Vet School - I take my kitties to the second highest rated Vet School in the country, and I was told by a senior student that they studied diabetes - in both cats and dogs - for exactly five hours!!!! :eek: Most vets will tell you that a lot of their clients don't want to deal with the hassles of treating their cat for FD, so they choose euthanization. :mad: Others simply take their cats to the vet for curves and don't worry about it :facepalm:. We are unusual here, in that we pay close attention to what's going on with our cats and monitor and test and adjust accordingly. We have a lot of info on this site about it, but you're not going to find much more elsewhere. That's the sad truth.

Elliott had some nice numbers yesterday - which is probably why he's bouncing now. But those greens are what you want to see. As he gets into those numbers more often - and surfs like he did yesterday - his body will get used to them and stop panicking, so the bouncing should reduce and eventually even go away. This is a marathon, not a sprint. It's not going to happen quickly. Hang in there!

I don't know if that answered your questions. If not, reply and ask again, maybe with a little more specifics. You're doing fine.
 
Hey Fran!!

You're right...we DO start new threads every day!....but unless your post contains a specific question, you don't need to use the ? prefix

The people who watch the forum scan the subject lines quickly, going first to the ones with 911 prefixes, then to the ones with ?....if you're just reporting on how Elliot is doing, there's no need to add the ?

If you do have a question, feel free to add it though....and once you get an answer, you'd remove the ? prefix......that way, if you have another specific question later that day, you can put the ? back on and it'll notify everyone that you have another question!
 
I think if I were you I would go ahead and hold 2 units for cycle 7 and 8 and see how he does, then you may want to look into raising to 2.25, also as your cat starts to get regulated it will not be so hungry all the time, when they are in high numbers they are of course starving and as the numbers come down it gets better, that may not be the case with Elliot, he may just have been off his food for a day but I would say it is a possibility.
 
Fran, you ARE supposed to do a new condo each day. You don't have to post every day - some of us just don't have time - but when you do post, a fresh condo each day that you post, with a link to the previous one, helps keep things a little easier to follow.

Jill's question was because you used the ? icon but there was no question in the body of your post. Just asking for dosing guidance and not telling us more specifically what your concerns are is a little vague. Don't worry, you'll get the hang of this!

Unfortunately, bouncing is part of the FD process. Kitties will bounce until they don't. I'm not make light of it, I'm just saying that's how it works. I know it's frustrating and confusing and worrisome, but it's normal.

FD is not studied heavily in Vet School - I take my kitties to the second highest rated Vet School in the country, and I was told by a senior student that they studied diabetes - in both cats and dogs - for exactly five hours!!!! :eek: Most vets will tell you that a lot of their clients don't want to deal with the hassles of treating their cat for FD, so they choose euthanization. :mad: Others simply take their cats to the vet for curves and don't worry about it :facepalm:. We are unusual here, in that we pay close attention to what's going on with our cats and monitor and test and adjust accordingly. We have a lot of info on this site about it, but you're not going to find much more elsewhere. That's the sad truth.

Elliott had some nice numbers yesterday - which is probably why he's bouncing now. But those greens are what you want to see. As he gets into those numbers more often - and surfs like he did yesterday - his body will get used to them and stop panicking, so the bouncing should reduce and eventually even go away. This is a marathon, not a sprint. It's not going to happen quickly. Hang in there!

I don't know if that answered your questions. If not, reply and ask again, maybe with a little more specifics. You're doing fine.
I appreciate all of your info and encouragement..My NERVES ARE SHOT and am irritated ..I am trying to get "Phelps" or into an official DVM site "believing maybe naively" that there are thorough studies and adequate treatments to prevent some of the bounces and damage caused by prolonged high BG's. You all have great experience and knowledge and so much more than I do, which is "none"... It is just very hard to accept that no expert out there is taking it as seriously as your members are. Even if they don't "care"..DVM's could make more "Money", Going to the DVM with my cats is vastly different from going with my dogs. Every little aspect of the dogs' treatment/care/followup is mandatory. My cats...."...the cat has DM, give x amount Insulin, stop reading and charting like ICU, and test only at +6 during day...regardless. Don't worry about HYPERglycemia...". Who knows..maybe I will look back someday and think ,"He was right."(NOT). The FDMB members are much more informed and "CARE"... I did not feel very confident after again going to the DVM for Fructosamine testing. Don't get me wrong, this DVM was chosen due his renown rep and progressive experienced approach to care, that I used to have to go to Cornell or MSU for. I Just don't get it!! ..Thanks for taking the time to evaluate Elliott's condition...sorry if I am rambling!!
 
I think if I were you I would go ahead and hold 2 units for cycle 7 and 8 and see how he does, then you may want to look into raising to 2.25, also as your cat starts to get regulated it will not be so hungry all the time, when they are in high numbers they are of course starving and as the numbers come down it gets better, that may not be the case with Elliot, he may just have been off his food for a day but I would say it is a possibility.
Thank you for the dose advice..I needed to know what to do for 6 am and was not sure if I should keep at 2 or increase as per protocol.
 
Fran, you ARE supposed to do a new condo each day. You don't have to post every day - some of us just don't have time - but when you do post, a fresh condo each day that you post, with a link to the previous one, helps keep things a little easier to follow.

Jill's question was because you used the ? icon but there was no question in the body of your post. Just asking for dosing guidance and not telling us more specifically what your concerns are is a little vague. Don't worry, you'll get the hang of this!

Unfortunately, bouncing is part of the FD process. Kitties will bounce until they don't. I'm not make light of it, I'm just saying that's how it works. I know it's frustrating and confusing and worrisome, but it's normal.

FD is not studied heavily in Vet School - I take my kitties to the second highest rated Vet School in the country, and I was told by a senior student that they studied diabetes - in both cats and dogs - for exactly five hours!!!! :eek: Most vets will tell you that a lot of their clients don't want to deal with the hassles of treating their cat for FD, so they choose euthanization. :mad: Others simply take their cats to the vet for curves and don't worry about it :facepalm:. We are unusual here, in that we pay close attention to what's going on with our cats and monitor and test and adjust accordingly. We have a lot of info on this site about it, but you're not going to find much more elsewhere. That's the sad truth.

Elliott had some nice numbers yesterday - which is probably why he's bouncing now. But those greens are what you want to see. As he gets into those numbers more often - and surfs like he did yesterday - his body will get used to them and stop panicking, so the bouncing should reduce and eventually even go away. This is a marathon, not a sprint. It's not going to happen quickly. Hang in there!

I don't know if that answered your questions. If not, reply and ask again, maybe with a little more specifics. You're doing fine.
 
I posted already for the 13th with a ? because even though I have read the protocol, there have been informative opinions on what I should do as to raising and lowering the Lantus..Now at 2u...I would like dosage recommendations for 6am. I will remove the ? in AM. Thanks for letting me know how things are done here!!!
 
Thank you for the dose advice..I needed to know what to do for 6 am and was not sure if I should keep at 2 or increase as per protocol.
If he holds pretty much the same numbers through cycles 7 and 8 then I would go ahead and increase to 2.25, honestly for the amount of time you have had him on lantus his numbers are not that bad and its good that he is holding steady through the day, I think you probably will have to increase a couple more times to get him in regulation but it is good to do it slowly and let his body adjust, I think you are doing great Fran.
 
Hi Fran M. I'm also a newbie like you and just wanted to let you know that you are not alone with your feelings, I feel exactly the same! I have been thrown into a world that is foreign and scary, I just learned yesterday what a condo is in this world. Or amps and pmps, bouncing and ECID. It's frustrating when my cat just has high numbers and I feel like you are feeling. Angry, sad, at lost and so worried about my boy. Stay strong, these people here are amazing. Hugo's vet also sent us home with only a sheet of paper, prescription for insulin and that's it. Without this place I don't know where would we be. It's only been a week for us and it has felt like a month. Stay strong!
 
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