Shots and charts oh my

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Edit to unbury the lead:
414 AM-PS
+ 3 - 237
+4.5 - 145
+5.5 - 166

Heard him eating YA kibble at 5:30ish and 6:30ish. Happy sound to me. He got under the covers with me for awhike, and is now on top of the bookcase, waiting to go outside to the good water.
I felt awful last night, not just angst but ill. Too little sleep, too much worry, upset body.
Today's another day, got solid sleep after 2:30 for starters. Thanks again for your reassuring presence. Time to test.
 
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I saw your numbers up to +4 today and they look more typical and are in keeping with yesterday's if you ignore that 63. It's an outlier and I don't think you can judge this 1 u dose based on it. Did you get more data after that?

BTW - I like your avatar pix. ;)
 
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Eta, 288 at +9
Hi Kris,
No, but if I stabbed him now, that would be +9.
Help me understand why a need more numbers in addition to all the stabbing I've been doing lately.
Today, 145 is the nadir, yes?
It's rising by + 5.5, meaning that it will continue to rise from that point on, which also means that the dose is waning. Yes?
Should I stab him now anyway? ( Done)
PS thanks, I enjoy photographing these two.
PPS I'm curious, are you male or female?
 
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I've reread everything and I understand that you recommend doing six Cycles at 1 unit. It scares me, what if there's a big drop and I miss it. He's more fragile since the end of January. His hind legs are more wobbly. Sleeps more.
I shouldn't wait more, I'll do .75 and check in +3 or 3.5.
 
Lois and Java said:
I've reread everything and I understand that you recommend doing six Cycles at 1 unit. It scares me, what if there's a big drop and I miss it. He's more fragile since the end of January. His hind legs are more wobbly. Sleeps more.
I shouldn't wait more, I'll do .75 and check in +3 or 3.5.
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  • Me - female, retired secondary school physics/chemistry teacher
  • Today's numbers look fairly typical for a dose that is effective in lowering BG but not to a very low level
  • By getting that mid cycle BG profile you're seeing when he's lower and how low he goes so that you can judge the efficacy of the dose
  • If 1 u scares you for a PM dose, drop it to 0.75 u
  • There's no magic formula for dosing PZI. It's all data gathering from starting off at a lower dose and raising in 0.25 u increments while testing at strategic points in the cycle
  • As the data picture fills in over time you have a record of responses at various doses to draw upon in making dosing decisions, you learn when the insulin usually kicks, when his nadir usually happens, etc.
  • Once you have a clearer picture and more experience you can move into sliding scale dosing - ie., varying the dose at AM and PM according to the preshot value. I don't think you have enough data for that yet.
 
Woke up, tested again, it's gone up. If 1 unit, might have stayed lower?
He ate a little FF slurry.
Hind legs more draggy. Thinking of taking him to vet in am for blood test, pick up Ringer's solution give him Sub-Q fluids. How might that affect dose?
How much data is enough? None of prior info useable because not 12-12 darn it.
Is there hospice type thread? Or you're okay with it here? I wish he could talk.
My mother used to substitute teach chem, physics. Was an engineer. I'm retired paralegal, exec legal asst. More sleep.
 
Lois and Java said:
Woke up, tested again, it's gone up. If 1 unit, might have stayed lower?
He ate a little FF slurry.
Hind legs more draggy. Thinking of taking him to vet in am for blood test, pick up Ringer's solution give him Sub-Q fluids. How might that affect dose?
How much data is enough? None of prior info useable because not 12-12 darn it.
Is there hospice type thread? Or you're okay with it here? I wish he could talk.
My mother used to substitute teach chem, physics. Was an engineer. I'm retired paralegal, exec legal asst. More sleep.
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I think you can give 1 u again this AM. There's a bit more to be learned about this dose although I think it might have to go up. Have you considered giving a B12 supplement for his neuropathy ( dragging his legs)? Vets will sometimes poo poo that but many here have used it very successfully. You could do a separate post asking for info.

Re sub Q fluids: I have no experience but have read that you should avoid giving insulin in the same location as the fluids were given. There are limits to the total volume given at one time and over a day as well as risks for kitties with cardiac disease.

Lois and Java said:
How much data is enough? None of prior info useable because not 12-12 darn it.
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The previous data isn't a waste. It shows that Java does respond to PZI, albeit erratically. That's why you really needed to get him on a routine. It's very early days in that routine, only 2 weeks. You need weeks and weeks of data to get a clearer idea of his responses when doses methodically.

Lois and Java said:
s there hospice type thread? Or you're okay with it here? I wish he could talk.
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You're torturing yourself thinking this way, Lois. Take it one day at a time and do the best you can treating his diabetes. Yes, he's a very senior feline but if he eats, pees, poops, enjoys his outdoor walks, etc. he has quality of life.
 
I can do 1-5, and 8 or 9 - 11. Taking friend to Stanford Med and back, leaving house at +4.5 actually.
So I'll do 4.5 and as soon as I get back.
I'm into a new vial of AT test strips already. Combo starter pack of 25 gone.
 
Saw vet this AM. All good news, whew! Hydration is good - skin, gums, and eyes. Wasn't concerned about recent creamy eye goo (instead of brown eye goo); eyes look fine; pollen? Calif. spring is underway. Weight exactly the same as Dec. 30 appt. - 9.31 lbs. (yay! big relief). Took blood for kidney function panel, etc. Hind legs are more bent, some of that is age related muscle loss. Got a B12 shot and came home with 6 syringes for 6 weeks of shots. I'll keep doing the powdered Jarrow Bs in his food. Vet commented sounds like insulin deficiency rather than insulin resistance - based on Java's quick reactions to insulin. Commented he's in remarkable shape for a 2o year old cat even with the diabetes. It's (genuinely) good to know it's me that's coming unhinged - I can work on that.
Lily bolted from the front door, which is v. unusual, and it took an hour of gardening with Java following me around and napping while I was in one place for her to conclude that she wasn't being shoved in a crate any time soon. So we've all had our fresh air and now I can take off.
+4.5, 186
 
Lois and Java said:
Saw vet this AM. All good news, whew! Hydration is good - skin, gums, and eyes. Wasn't concerned about recent creamy eye goo (instead of brown eye goo); eyes look fine; pollen? Calif. spring is underway. Weight exactly the same as Dec. 30 appt. - 9.31 lbs. (yay! big relief). Took blood for kidney function panel, etc. Hind legs are more bent, some of that is age related muscle loss. Got a B12 shot and came home with 6 syringes for 6 weeks of shots. I'll keep doing the powdered Jarrow Bs in his food. Vet commented sounds like insulin deficiency rather than insulin resistance - based on Java's quick reactions to insulin. Commented he's in remarkable shape for a 2o year old cat even with the diabetes. It's (genuinely) good to know it's me that's coming unhinged - I can work on that.
Lily bolted from the front door, which is v. unusual, and it took an hour of gardening with Java following me around and napping while I was in one place for her to conclude that she wasn't being shoved in a crate any time soon. So we've all had our fresh air and now I can take off.
+4.5, 186
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Great news! I agree with the vet that his dose is a bit too low. He can come down but his average BG tells the story.
 
? Didn't talk to vet about dosing since he's not been helpful. Vet said insulin deficient vs. insulin resistant is all.
Because of time diff, might not see you online after pmps. Think I should try for 1 U? Part of concern is getting enough sleep personally, a test at +3 is latest I'm up usually. I wake up anyway at +6ish, other test times require alarms or staying up not sleeping, not good long run. Is argument for .75 perhaps.
 
Lois and Java said:
? Didn't talk to vet about dosing since he's not been helpful. Vet said insulin deficient vs. insulin resistant is all.
Because of time diff, might not see you online after pmps. Think I should try for 1 U? Part of concern is getting enough sleep personally, a test at +3 is latest I'm up usually. I wake up anyway at +6ish, other test times require alarms or staying up not sleeping, not good long run. Is argument for .75 perhaps.
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I meant I agree with your vet's opinion that he's "insulin deficient" - ie., not getting enough. You can try for a 1 u tomight if you have the stomach for it. I think he'd be OK and a +3 test before you go to bed should reveal whether a plunge is imminent. I usually do a +3 at the latest myself and only set an alarm for a +6 or +7 if I'm worried.
 
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Kris, any chance you are around? PMPS is 418.
I can wait about 15 minutes before I absolutely must shoot. Delays at my friend's medical appt. = we just got home; meanwhile, friend who was to take up cat food 2 hrs. ago, couldn't until 30 mins. ago. Looks to me like the AM excitement of vet, gardening, etc. means both cats slept all afternoon - not much FF eaten. YA has been eaten, just watched Java graze on some. Does uncertainty about empty stomach BG testing affect the dose?
I feel okay about 1 U. I have to follow him around with FF, it seems, to be sure he eats enough of it to not go low. Edit: Am going with 1 U.
 
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Lois and Java said:
Kris, any chance you are around? PMPS is 418.
I can wait about 15 minutes before I absolutely must shoot. Delays at my friend's medical appt. = we just got home; meanwhile, friend who was to take up cat food 2 hrs. ago, couldn't until 30 mins. ago. Looks to me like the AM excitement of vet, gardening, etc. means both cats slept all afternoon - not much FF eaten. YA has been eaten, just watched Java graze on some. Does uncertainty about empty stomach BG testing affect the dose?
I feel okay about 1 U. I have to follow him around with FF, it seems, to be sure he eats enough of it to not go low. Edit: Am going with 1 U.
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I went to bed a bit earlier last night, Lois, so I just saw this now. I would have suggested 1 u anyway. Yes, unless you know for sure that no food has been eaten for at least 2 hours before a BG test you can't rule out that it's influenced by that.

I suggest one more day at 1 u and then try an increase to 1.25 u tomorrow AM. I really don't think that low green is a reliable number.
 
I don't remember, just got out of a class. Will fill in when I get home.
367. 1 hr between test and shot of 1 U, he went outside, up on shed roof (from fence), not expected. Must be B12 boost.
Labs are in. BUN and creatinine elevated. Something else = possible pancreatitis. I'm not sure what that is exactly, off to Google.
 
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Talking to vet. Rather, waiting to talk to vet.
So, bottom line, the tests show a cat that's being well supported, mostly kidney function are off normal. The values that are high are not Def Con high - BUN, Creatine, PSL, .... where'd the pdf go? grr. Starting up Ringers twice a week will bring all the high values back into normal or acceptable range. I'm running over to get some Ringers and start today.
+5 was 127, ate/fed.
Edit - the lab shows values. I did click open with Google docs, so did it populate there by itself?
Edit - no, those are baseline values, der.
Edit - I was delayed with Java's shot by 1 hr. after test. Tonight, okay to get back to regular schedule? E.g., 11 hrs. not 12 between shots.
I need to check the permanent messages, but I got that the injection site for Ringers should be diff than insulin. Ringers, I always do the scruff, and never use the scruff for insulin. If I give him Ringers tonight ... what about timing?
I'm delaying going to vet to give the friend who's having surgery tomorrow a ride home. She lives near the vet and is in my home town for med appt. right now. Save her a bus ride.
 
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Lois and Java said:
I was delayed with Java's shot by 1 hr. after test. Tonight, okay to get back to regular schedule? E.g., 11 hrs. not 12 between shots.
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Shouldn't be a problem. Give 1 u again and consider 1.25 u tomorrow AM if you can be around to test in the middle section of his cycle.

I can't advise on timing of insulin versus Ringer's. I have no experience.
 
Where do I ask about the Ringers and insulin? Just start a new conversation?
Edit - just did. Am hoping someone sees it and replies tonight, fingers crossed!
I have just enough time before friend out of her appt. Should I run home for a +8 BG test? Would it make a difference? If no, I'll save him the jab, and go with 1 u.
I'll be home tomorrow around +3 after AM shot, so can do. How often? 3, 6. 9? .
 
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Kris & Teasel! The pmps was 217. I thought that was low so immediately did another one which came out at 190. Should I do a third? I'm leery of one unit.

Edit, thinking about why it could be so low. He hasn't eaten much FF but he has eaten YA. I'm not sure what to do. He'll eat FF if I take it to him usually. Then BG likely to go up. But then I could give a partial dose?

I want to give him ringers, wash away whatever. Advice this site ( thank you!) was do it after PM shot because it could affect BG reading.
 
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I thought I'd seen something helpful and I found it, and opted for C:
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines. Below 150 mg/dl (8.3 mmol/L), don't give insulin. Between 150 and 200 (8.3-11.1 mmol/L), you have three options: a.) give nothing; b.) give a token dose (10-25% of the usual dose); c.) feed as usual, test in a couple of hours, and make a decision based on that value. Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.

I fed him some chicken, some FF, over 1.25 hrs. A re-test after food gave 320. He's been in the 400s PMPT more recently. For a reduced dose, I'm not sure whether to go with .75 or .5. Fail-safe: I'm going with .5.
 
Kris, I've been bringing food to him, so he's eating a little FF every hr since 7:30 or 8. He got 125 ml Ringers subq around 11 p.m. it's now 12:30 a.m. and he ate more FF 10 mins ago, and got up to eat some YA on his own. Because I gave .5 because of the low readings, BG likely high in the morning? Because of all the delays tonight, this is not going to be the 12-hour shot, which I'm guessing is okay? I can test, shoot up to 10:30 at latest.
Setting alarm to test at 3 am., At +5.
Edit, in retrospect I could have given one unit given all that he's eaten, but I didn't know that he would eat so many little snacks, and the shot was already really delayed and I don't think I should have waited any longer.
3am, or +5, 268, and he drank a ridic amt of water! Only 1 pee in the litter box. Ate some FF also.
 
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A migraine claimed me last night, Lois. Looks like you figured it out and i think that 0.5 u dose was fine - and safe. At no time was his BG dangerously low so if you can monitor, persisting with 1 u is a good idea. If that scares you, try 0.75 u. This is the way we figure things out. The guidelines are very general. you need to accumulate data on Java's specific responses to build your own reference manual.
 
Sorry about migraine. Hope you are feeling better.
Argh I could sleep another few hours but Java knows it's 8 and almost time to go outside for morning rounds.
Sounds like fine to resume normal schedule shot times today.
Edit. 397 amps. I can't get him to eat. He is singularly focused on getting outside and drinking water from the little stream next door. This is what I ran into yesterday, when it took him an hour to come back to where I could grab him again.
Is it safe to dose him, let him go out, and then feed him in an hour when he comes back in?
Edit, I got him to eat a tablespoon of cut up chicken. No carbs, but food in his belly. I wonder, he'd eat Max cat Kibbles, but that spikes his BG, but if I ever couldn't get him to eat anything else would I ever give him like 4, 5 max kibbles to get carbs in his system anytime except in a HG situation?
1 U.
Sorry to constantly be so talky talky at you! I am perpetually grateful to have someone to talk to about this.
 
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Lois and Java said:
Sorry about migraine. Hope you are feeling better.
Argh I could sleep another few hours but Java knows it's 8 and almost time to go outside for morning rounds.
Sounds like fine to resume normal schedule shot times today.
Edit. 397 amps. I can't get him to eat. He is singularly focused on getting outside and drinking water from the little stream next door. This is what I ran into yesterday, when it took him an hour to come back to where I could grab him again.
Is it safe to dose him, let him go out, and then feed him in an hour when he comes back in?
Edit, I got him to eat a tablespoon of cut up chicken. No carbs, but food in his belly. I wonder, he'd eat Max cat Kibbles, but that spikes his BG, but if I ever couldn't get him to eat anything else would I ever give him like 4, 5 max kibbles to get carbs in his system anytime except in a HG situation?
1 U.
Sorry to constantly be so talky talky at you! I am perpetually grateful to have someone to talk to about this.
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I think that if you're sure his perambulation will be over in an hour you should wait to feed then dose. If this is hisa daily routine then your scheduled shot time have to accomodate it.
 
Yes sorry, worker at house all day. Java had a little chicken, but mostly he's eating YA. He's had hardly any Fancy Feast. I have to take off I'll be back in 2 or 3 hours.
 
PMPS, was 376.
+3.5. 463. Big rise. From FF I encouraged him to eat, or maybe is this a bounce from last night's low?
(What protocol do people follow for rounding time on their SS? <X:29=the hr before, >=x:30=the next hour?)
Edit, 4 hrs later, so, +7.5, 524.
Criminy. I always check for moisture, would've sworn this was a good shot.
Is it ever indicated to give the next dose an hour or two earlier than 12 hrs?
 
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Lois and Java said:
What protocol do people follow for rounding time on their SS? <X:29=the hr before, >=x:30=the next hour?)
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If you mean times falling outside the whole number for hours, you can use 0.25, 0.50 or 0.75. For example half way between hour 3 and hour 4 can be entered as +3.5 and you can put in into the cell along with BG number. Have a look at Teasel's SS for more examples.

Lois and Java said:
s it ever indicated to give the next dose an hour or two earlier than 12 hrs?
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Generally, sticking fairly close to 12/12 dosing is recommended. It's possible to dose an hour early/late without messing up the bloodstream insulin levels too much and here are some examples of when you might do it:
  • your own schedule will take you/keep you away at normal dose time
  • you know with certainty you had a fur shot at the previous injection
  • BG has jumped up very high at the end of the dose cycle - this is the least acceptable reason.
There are circumstances where people change to a 13/11 or 11/13 dosing schedule because a large accumulation of data shows a consistently higher AMPS or PMPS. You're not getting that with Java, Lois. His AM/PMPSs are very similar.

Ignoring the recent lime green (bogus I say!) and that black, Java is responding typically to PZI in that he comes down nicely for midcycle and then rises back up to a PS that's similar to the previous one. Your data for 1 u is telling me that you'll need to try 1.25 u to see if the nadir numbers can go down a bit. If jumping to 1.25 u right away scares you, try a "fat" 1 u.

Important reminders:
  • consistency in dosing schedule is very important!
  • don't react to one number - always look at the whole picture.
 
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Thank you. I'm really grateful that you're willing to keep repeating that, help keep me on a steady course. At 4 am, he was gulping water and staring longingly at the overnight rain, even standing by the door, willing it to open, as it often does, but not at night.
I tried reading other threads to calm down, not always a good idea I'm learning - Dan and Hannah broke my heart and freaked me out (in retrospect I was unwell also), and last night I read a thread that said cats feel awful when their BG is spiking high. Argh!
A saving grace is that he sleeps next to me most of the time, so if he's relaxed or sleeping, I can too. My boy! I'm talking while he's out at the end of his morning rounds. Lily and I can keep an eye on him from bed, see photo.
AMPS, 543, fat 1U.
Should start a new thread?
 
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Lois and Java said:
Thank you. I'm really grateful that you're willing to keep repeating that, help keep me on a steady course. At 4 am, he was gulping water and staring longingly at the overnight rain, even standing by the door, willing it to open, as it often does, but not at night.
I tried reading other threads to calm down, not always a good idea I'm learning - Dan and Hannah broke my heart and freaked me out (in retrospect I was unwell also), and last night I read a thread that said cats feel awful when their BG is spiking high. Argh!
A saving grace is that he sleeps next to me most of the time, so if he's relaxed or sleeping, I can too. My boy! I'm talking while he's out at the end of his morning rounds. Lily and I can keep an eye on him from bed.
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Do you mean Dan and Heather and their kitty, Mittens, around Christmas? If so, I was part of that group trying to help and it was extremely stressful.

Stay the course, Lois! Love the pic of Java on the roof. :)
 
Yes, Dan and Heather and Mittens. I saw you were helping. Heartbreaking, stressful just to read.
I just checked all my #s against the meter, and had to make 2 corrections. A pink into a yellow on I think 12 or 13, and one more similar # (to another # 2 hrs earlier) wasn't recorded on another date.
Java's so lethargic right now. I woke him up to test.
 
Lois and Java said:
Yes, Dan and Heather and Mittens. I saw you were helping. Heartbreaking, stressful just to read.
I just checked all my #s against the meter, and had to make 2 corrections. A pink into a yellow on I think 12 or 13, and one more similar # (to another # 2 hrs earlier) wasn't recorded on another date.
Java's so lethargic right now. I woke him up to test.
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Some mighty bouncing going on!
 
486, Fat 1 unit
I entered his most recent lab work at the lab tab. Is there a particular place, person, to ask to look at it?

The lethargy...Except for his regular ventures outside in the morning, he mostly just slounges and sleeps day, night. Often when I pick him up he's completely a ragdoll. He's always been cooperative for medical things but this is really limp. Is it is age, is it kidney disease, is it diabetes, is it all of them, not sure there's anything I can do about it, but I wonder if I should worry about it.
 
I've looked at your spreadsheet a couple of times and I just get completely thrown by the numbers because it's a different system. I haven't looked at it on the laptop, that's probably part of the problem, on the phone it's segmented, hard to see whole chart.
But I did see that you've been giving Teasel insulin since 2016, correct? How old is Teasel? Did you see behavioral changes, besides symptoms like thirst and peeing?
 
Was 188 at +3.5.
He ate some FF slurry, 181 at 2 am, or +6.
Crazy that I'm still up ( two houseguests did it? Or chocolate)
I think this is probably the nadir. The FF slurry that I mixed for him will 1) give him some carbs, 2) counteract an hg trend in case bg wants to go lower, more likely 3) will contribute to a rise to the amps value.
I think I could sleep through the rest of the night without testing.

Kris, are you happy with the alt test strips you use with AT? I should order more strips. Henry Schein's are slightly cheaper than the AT, and there are things about their meter that I like better than AT - primary is memory counts up, not down; most recent test is always on top, not buried at the bottom. But AT seems to be the standard, if the alt strips work, I'll go there.

He's so lethargic. I'll call vet tomorrow, find out when ringers would improve snap whatsit test, if it will.
 
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Lois and Java said:
I've looked at your spreadsheet a couple of times and I just get completely thrown by the numbers because it's a different system. I haven't looked at it on the laptop, that's probably part of the problem, on the phone it's segmented, hard to see whole chart.
But I did see that you've been giving Teasel insulin since 2016, correct? How old is Teasel? Did you see behavioral changes, besides symptoms like thirst and peeing?
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Teasel was only 5 when he was diagnosed in January 2016. Drinking a lot from his water bowl and excessive peeing, including outside the litter box, were the symptoms that made me take him to the vet. He was put on Lantus insulin at 1 u twice a day but I was doing only what my vet told me, not what we promote here. He ended up stuck in high numbers from chronic rebound (bouncing). The vet told me to stop insulin for 48 hours with the plan to restart (reboot) him but after 24 hours he developed DKA. Once he recovered from that, he was switched to ProZinc and I eventually (I can be slow to change!) came here to FDMB in August last year and finally built up a dosing picture that showed me why his curves for the vet never got us anywhere. He bounces a lot and stays high for a long time. Those curves were usually catching him in one of those phases. I've learned SO much here and now I'm trying him back on Lantus to see if I can tame some of his bouncing. Jury's still out on that because it's only been a week and a half.
 
Lois and Java said:
Was 188 at +3.5.
He ate some FF slurry, 181 at 2 am, or +6.
Crazy that I'm still up ( two houseguests did it? Or chocolate)
I think this is probably the nadir. The FF slurry that I mixed for him will 1) give him some carbs, 2) counteract an hg trend in case bg wants to go lower, more likely 3) will contribute to a rise to the amps value.
I think I could sleep through the rest of the night without testing.

Kris, are you happy with the alt test strips you use with AT? I should order more strips. Henry Schein's are slightly cheaper than the AT, and there are things about their meter that I like better than AT - primary is memory counts up, not down; most recent test is always on top, not buried at the bottom. But AT seems to be the standard, if the alt strips work, I'll go there.

He's so lethargic. I'll call vet tomorrow, find out when ringers would improve snap whatsit test, if it will.
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I agree that the AT strips are $$$ but I stockpiled a lot of them when I could get them slightly cheaper from an online pet pharmacy here in Canada. I'm using that meter right now because I'm very comfortable with the numbers it gives and didn't want to change to a pet meter while trying Teasel on a different insulin. I never use the memory function on it. I write everything down in my paper and pencil notebook and then transfer it to my online SS.

The lethargy that Java is experiencing might be caused by the large changes in BG he goes through in a cycle. The goal with insulin is to get them to good numbers (low 100s or high double digits) for as much of the cycle as possible while having the PS highs be in a "comfortable" low to mid 200s range. He's not yet low enough but he goes too high at PS. Those large changes are hard on them. Teasel does the same and he does get lethargic from it. Java bounces up at the end of a cycle but, overall, doesn't tend to say stuck up there through a cycle. Teasel does.

Lantus is a depot insulin which means that a portion of every dose acts in a slow release fashion and the hope is that it can keep BG more stable over a cycle. That mechanism works really well in some cats but less so in others. Teasel is probably in that latter category. I'm trying it again because I now know what I'm doing and I hope to get it working better this time around. A switch to Lantus might help Java - something to think about. However:
  • does your vet have any experience with it?
  • it's very expensive in the US (many US users order from a Canadian pharmacy in Vancouver, BC once their vet gives them a script for it).
I suggest you go to the Lantus&Levemir (another insulin that works like Lantus) forum and read the info stickies there. You might post a message there asking whether it might be a good choice for Java. It's a very large forum with quite a few very experienced, knowledgeable people who can advise. I'm still a newbie there.
 
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Yup. Houseguests, class.
Setting up to test right now.
Outside in rain 7-8, then AMPS 484, fat 1 U
Had FF, seen grazing on YA a few times
Now +4, 78. Oh heck.
Just ate a little more FF.
Should I retest I wonder?
He's back for more a little more FF slurry.
Fingertip of honey to gums
Scraped goo from bottom of FF can, eating that.
 
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Lois and Java said:
Yup. Houseguests, class.
Setting up to test right now.
oh heck.
Outside in rain, then AMPS 484, fat 1 U
Had FF, seen grazing on YA a few times
+4, 78. Just ate a little more FF.
Should I retest I wonder?
He's back for more a little more FF slurry.
Fingertip of honey to gums
Scraped goo from bottom of FF can, eating that.
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That's a gigantic drop in 4 hours. Test again at +5 and +6. If he doesn't go too low, give either a regular 1U or a "skinny" 1 u tonight. Put the numbers in your SS as you get them. I'll check periodically.
 
I think what happened is that even though he ate, and I watched him eat... because I was making breakfast for guests, I didn't follow him to where he is around plus 1 and plus 2 and make sure he ate some more Fancy Feast.
 
Was this 78 from the AT meter? The too low number for a pet meter is 68. He's OK for now. Hold off on any more honey/food and retest in 15-20 min.
 
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