Need help!

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StormysMom

StormysMom

Member Since 2017
Stormy is due for her Lantus (1 unit) but her pspm is only 120. It's never been that low. The only thing we did differently was we did not leave a lot of food out today while we were at work. Her last meal was at 7 am and whatever leftovers there were from that for snacking. So do we give her the shot? Spreadsheet is up to date.
Thanks!!
 
Any time you get a PS you're not sure about, it's best to stall and don't feed.....that way when you retest in a little while, you'll know for sure if her numbers are going up on their own (meaning the last shot is probably wearing off)

If she didn't eat much and you can test in about 20 minutes, it should give us a better idea of what to do
 
It's 434 now. I guess she must have eaten more than I thought? I'm so lost with this BG monitoring. Her numbers are constantly all over the place!
 
That's more than food.....It looks like Stormy is bouncing

Her body isn't used to being so low and her liver released stored sugars and hormones to bring her back up to where her body is more "used to" being

If you can still shoot 12 hours from now, I'd highly encourage you to go ahead and shoot the 1 unit dose tonight
 
The good news is that the 1U dose got her into blue numbers, so hopefully if you can continue to get tests in more regularly, you might find that she's doing better than you think she is!!

Bounces can take up to 3 days to clear, so just hold the dose for now and let's see how she does
 
You can move it by 15 minutes every cycle or move it 30 minutes once per day so if 8:30 is 30 minutes early tomorrow morning, it should be fine

Then on Wednesday morning, you could move it another 30 minutes if you want to get back to your usual schedule
 
Couple of housekeeping issues.....On your spreadsheet, the number you actually shoot is always your Pre-shot number.....so in your PMPS cell, put "120 @ +12 434 @ +13" (or 13.5...however long it's been since the AM shot)

You'll have to color code the cell yourself....I'd go with the red since that's the number you actually shot....just go to the top of the spreadsheet and find the icon that looks like a little can of paint tipping over and choose the correct color that corresponds with the number

You could also put "120 @ +12" in the +11 cell if you want

Which insulin are you using? It would help if you'd add that to the information in your signature too
 
We are at 88 this morning at +9. Will retest pre-shot but these numbers have gotten suddenly very low!
 
And now we are 113 at +12. We can't delay because hubby has to leave for work so we feel more comfortable skipping and putting a call into the vet.
 
Do you have half unit marks on your U100 syringes? Looks like you'll be doing some dose fractions soon and these will help enormously.
 
Kris & Teasel said:
Do you have half unit marks on your U100 syringes? Looks like you'll be doing some dose fractions soon and these will help enormously.
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Yes, our vet made sure we got the half unit measurements already. I'm hoping this means that the diet change and a bigger impact than originally thought. The vet didn't think diet alone would fix her numbers but maybe a small dose and diet change will work. >fingers crossed<
 
StormysMom said:
And now we are 113 at +12. We can't delay because hubby has to leave for work so we feel more comfortable skipping and putting a call into the vet.
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Better to be safe than sorry! As I am sure you will hear more than once here, better to be too high for a day than too low for a moment! :)
 
StormysMom said:
Yes, our vet made sure we got the half unit measurements already. I'm hoping this means that the diet change and a bigger impact than originally thought. The vet didn't think diet alone would fix her numbers but maybe a small dose and diet change will work. >fingers crossed<
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She's responding well to the insulin and the diet change is likely a big part of her lower numbers. You'll have to decrease her dose. Do you post on the Lantus forum? There are a lot of very experienced people there to help.
 
Just FYI: Vet recommended moving her to 1 unit once per day with testing every 12 hours to see what impact that missed shot is having. Hooray for dose decreases! :cat:
 
StormysMom said:
Just FYI: Vet recommended moving her to 1 unit once per day with testing every 12 hours to see what impact that missed shot is having. Hooray for dose decreases! :cat:
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Please discuss the potential for using 0.5U twice daily as opposed to 1 unit once daily. Most insulins, including Lantus, need to be administered twice daily (at 12 hour intervals) to achieve/maintain glycemic control. Since Lantus is a long-acting insulin some vets erroneously believe that it should be dosed once daily; this is not the case as cats metabolize insulin at a much greater rate than humans, approximately three times as rapidly!
 
Squalliesmom said:
Please discuss the potential for using 0.5U twice daily as opposed to 1 unit once daily. Most insulins, including Lantus, need to be administered twice daily (at 12 hour intervals) to achieve/maintain glycemic control. Since Lantus is a long-acting insulin some vets erroneously believe that it should be dosed once daily; this is not the case as cats metabolize insulin at a much greater rate than humans, approximately three times as rapidly!
Click to expand...
Good to know. I guess we'll see what her numbers look like over the next few days and regroup.
 
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