Too much insulin???

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Rebecca88 said:
Ok. I'm good. I just did myself. I got 111. So now I do her pad after I clean with alcohol?
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I guess you don't need insulin. Hehe. I use warm water. Alcohol in my opinion makes the stick sting.

I push the strip halfway in the meter before (just short of making meter turn on). Then stick, push strip in rest of way, grab that drop of blood.
 
You don't need to clean the test site. If you do, make sure it dries completely before testing. Wetness especially from alcohol can skew test results.
 
Rebecca88 said:
Yay! I did it. It reads 231
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Well done. Okay then for his 7pm test this is what to do.

Pick up any food at 5PM. Test him at 6. Post here the reading. Do you remember what I said about changing the title bar? Put ? In front, type Dose advice needed (all caps).

Some really experienced people with dosing knowledge will pop on to help. In the meantime. Relax, grab a drink, chocolate or in my case a smoke. Pat yourself on the back Mercedes will be safe tonight. That dose is just way to high to start with.

Read the info on Lantus and the 2 protocols. In the help, tech thread is how to do a ss. It is in Google sheets, not excel and is very helpful to you and anyone who helps you.

I'm here and will be checking frequently. I'm getting my tax stuff together.
 
Andy & Pimp said:
@Rebecca222 how about starting a new thread on the lantus/levemir board? There are a lot more experienced eyes there that can help you out tonight.

edit to add: Here are the spreadsheet instructions
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I will definitely post it on here as well as the other site. Thank you so so much!!!! She didn't even flinch. I had to stick her 3 times because I didn't get enough blood but what a trooper she is! She's actually laying beside me now.
 
Congratulations!! One think that may not be immediately apparent is that it's very likely that your cat's numbers are lower at home than at the vet's office. Vet stress can artificially elevate a cat's numbers. The vet then prescribes more insulin which your cat doesn't really need since the numbers are lower when she's in familiar surroundings.

It's usually best to stay on the Health board until you have a few tests under your belt and you have your spreadsheet up and running. A bit of advice re. testing -- treats! No matter whether a test is successful or not, give Mercedes a treat. She will associate testing with treats and before you know it, she'll be waiting for you to test her.

You may also want to do some reading about food. I think you mentioned on the FB page that you've been doing this. Dr. Lisa (Lisa Pierson, DVM) had a wonderful site all about feline nutrition. It will help you with transitioning to a canned food diet.



 
Nancy and Scotty said:
I am wondering if when the vet switched to Lantus did he give you U100 syringes instead of the U40 syringes you had been using with the Prozinc ?
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He actually gave me a bunch of different sizes. I have 2 bags of u100 but I don't like them cause the needle is too long. My other ones are smaller in size but I'm not sure of what size they are.
 
Lantus is a U100 insulin vs Prozinc which is a U40 insulin. This means that the concentration of the two insulins in different. You need to use a syringe which matches the concentration of the insulin. In other words, you need a U100 syringe with Lantus.

I can't believe your vet didn't tell you specifically to change syringes.

From the sticky on syringes and how to handle Lantus:
U-100 3/10cc syringes with half unit markings are the best to use for drawing Lantus or Levemir from vials, cartridges, and pens. BD, CarePoint Vet, Monoject, GNP, UltiCare Vet Rx, Sure Comfort, and ReliOn are just some of the brands available with half unit markings. Needle gauge and length is your preference Syringes come in ½ inch or 5/16 inch needle lengths. Needle gauges are 29, 30 or 31 (31 being the thinnest)
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Ok. Just did her again. I got 213. So she's supposed to get a shot at 7. ?? And I have u100. And no he didn't say anything. That's why I'm going somewhere else
 
Woodsywife said:
Very good. Now can you update your title with the ? Let's see who comes on to help with dose amount.

By the way. Do you have karo syrup, honey or pure maple syrup (not sugar free) in house?
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Woodsywife said:
Very good. Now can you update your title with the ? Let's see who comes on to help with dose amount.

By the way. Do you have karo syrup, honey or pure maple syrup (not sugar free) in house?
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I just posted on the Lantus thread. Was that right? And yes I have all that here. I did the ? and dosing advise
 
OK I was reading back and forth between the two posts

It looks like you shot 2 units with a preshot of 213..is that correct? And now at +4 she is 53/46?
 
Do you have any high carb wet food such as friskies or ff with gravy? If so then squeeze some of the sauce which has the most carbs and give her some of that. The numbers are not at a danger point but you would eant to keep her at 50 or above and we don't know yet how much more she will drop on the Lantus. Then test again in about 20 minutes and post back. Great job of testing!!!
 
If you have honey or karo or maple syrup you could also put few drops of that in the food to bring her up faster.
 
With having just switched from dry food to all wet low carb, that can cause a big drop in glucose numbers, which is why there was so much concern about the doses your vet wanted you to give. With your home testing you will get a real picture of what the insulin is doing. Good job!!!
 
From the other post:

Are you using a human meter? If you are, 53 is still OK, but if she drops below 50, you'll want to give her something high carb, like a teaspoon or two of Fancy Feast Gravy Lovers, or a few drops of Karo/honey/syrup with a teaspoon of her regular food

Retest in 20-30 minutes

Here's the info on How to Treat a Hypo ....You should print it out and keep it handy

Pop the top on a Gravy lovers food, put it back and "squeeze" the gravy into another bowl....the gravy has most of the carbs. A teaspoon or two is usually enough and we don't want them to "fill up" on a lot of food in case we need them to eat again later
 
Ok - good. I was grabbing the Hypo sticky and trying to remember my password (which my browser forgot), but I can see Chris has given you the high level overview. Rebecca, just read the link she gave you above, take a deep breath, and be sure you are testing frequently.

In your other post, everyone talked about the general value of getting an idea of when a kitty's lowest reading is and what that low reading is (nadir). A reading of 53 four hours after the shot (+4) when preshot was 213 tells you that 2U is too high a dose. She shouldn't drop that far that fast, frankly. Like Chris said, on a human meter, if she stays at 50 or above she should be ok, but that means you have to test overnight for her safety and you have to have your tools (gravy food, etc.) ready just in case.

You're doing GREAT Rebecca. Don't freak out - just test frequently, read through the link on hypos, and post updates please.
 
Looks like she's dropped to the 40's. Go ahead and give her some high carbs now - a teaspoon or so of gravy, or a couple of drops of karo/honey/pancake syrup on one teaspoon of her regular food. Retest in about 20 minutes.

I'm not going to intervene because I don't want you overwhelmed by too many people helping.

With each test, please edit your subject line (look for thread tools at the top right of this page) with the latest numbers. People will watch for you.
 
I'm sorry, I've developed a fever tonight and am not thinking clearly. This could be a serious overdose. The previous dose's depot is still involved.

I think you should scoop up Mercedes and head to the nearest ER. Take your meter and karo with you. Hopefully someone else can drive you. A hypo on Lantus can last as long as 18 hours.

Please go to the vet. You may need a glucose drip for Mercedes.

When you can, please update us.
 
Tuxedo Mom said:
Do you have any high carb wet food such as friskies or ff with gravy? If so then squeeze some of the sauce which has the most carbs and give her some of that. The numbers are not at a danger point but you would eant to keep her at 50 or above and we don't know yet how much more she will drop on the Lantus. Then test again in about 20 minutes and post back. Great job of testing!!!
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She just ate ff tuna with gravy
 
Just to butt in...what was your last reading

Also how long ago was her last shot before this one and what dose did she get>?
 
Rebecca88 said:
she's pissed off because I tried her ear first which didn't work and she didn't like AT ALL! So did the pad again. Wasn't too happy after that
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She'll get over it but for now, it's very important that you continue to test and let us know what numbers you're getting (I understand she's not making it easy, but you may want to put her in a bathroom or someplace she can't run from you)

Since she got 8 units this morning, and has been getting 8/8 for awhile, she could be seriously overdosed and even though you reduced tonight, she may be in trouble
 
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