? Dose advice needed NOW - 3/13 Orion AMPS=299, +2=227, +10=95

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Airway

Airway

Member Since 2013
It's Orion's first day on Lantus. I'm at work right now and will update his spreadsheet when I get home. The next number I will be able to get is +10.
 
Good morning, looks like a nice sunny start for Orion on Lantus. :) I hope you left a little food out for him to snack on if he goes lower.

Paws crossed Lantus is the ticket for Orion.
 
Yes, I left food out before I left for work. I hope this gets him regulated. I have been so frustrated with his numbers for months. He's been unpredictable.

Wendy&Neko said:
Good morning, looks like a nice sunny start for Orion on Lantus. :) I hope you left a little food out for him to snack on if he goes lower.

Paws crossed Lantus is the ticket for Orion.
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A comment for when you get home, it would be great to highlight on your spreadsheet when you made the switch to Lantus. So you can do something like a blank line between yesterday and today. Maybe use the paintbrush tool to colour the line and put something like "start Lantus" on it.

Sometime you need to change insulins to find what works for your cat. I started with Caninulin, then Lantus, but was much happier when I went to Levemir.
 
Looks like he had a strong reaction to Lantus today. Could you update the spreadsheet? Not sure if you should stick with this dose.
 
Can you get a +11.5 and post it? That will give us time to figure if he needs a dose adjustment.
 
He had a low green yesterday so I think that left him extra sensitive to insulin of any sort. On top of that, he's reacting to a change in insulin. Thanks heavens you opted to give only 2 u.
 
I know you are at (or past) normal shot time-- if you edit the subject line with the PMPS and put a "?" for "Dose advice?" maybe some experienced eyes will get here quickly to give you a number to shoot.
 
Looks like he is bouncing ,and if it were my kittie, I would still shoot the 2 units and get a +2 If it is lower than the PMPS, you might need to monitor and steer . Can you do that ?
 
What is monitor and steer? I can attempt to monitor past +2 but it's difficult for me. I don't know if I will be conscious enough to do it.

Bobbie And Bubba said:
Looks like he is bouncing ,and if it were my kittie, I would still shoot the 2 units and get a +2 If it is lower than the PMPS, you might need to monitor and steer . Can you do that ?
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I would shoot the 2 units if he is over 90 because chances are he is going to start to bounce higher. And that is only if you can monitor after a +2 if it is lower than the presh0t .
 
He's nearing an hour overdue now. If I give him his morning shot 12 hours from now I will be unable to get a +2. I would need to give it early to get a +2.
 
That was a big jump and I am not surprised from the nice green at +9 today. All in all a nice first Lantus cycle, Angela ! Get a +2 and I am expecting that he will continue to bounce but, we can not assume. If his +2 is lower than his preshot number, then you know it will be an active cycle and you will need to keep testing to make sure he is safe.
 
How long would I need to keep testing if he is lower at +2? Once I take my nightly medication, I'm not very reliable for 10-12 hours, and I am scheduled to work tomorrow.
 
I'm so confused by this forum. I have more than one veterinarian telling me I don't need to be getting as many numbers as I do and that there are other things more important like how my cat is acting and whether there is sugar present in the urine. People here seem to be obsessed with numbers.
 
Some people here test more than others. I tended to the "test just as much as I needed to keep her safe" side of the sprectrum. Some vets think that cat's don't like testing. Mine looked forward to it, and the treat that followed. :cool: If she was getting lower, she would go to the testing spot and tell me it was time for a test. A lot of vets, even with diabetic cats, don't test. I once interviewed a vet who had a diabetic cat, and the cat had died from hypo (because she didn't test). To me, a little testing with Neko didn't mind, would keep her safe and also kept me at ease.
 
Airway said:
I'm so confused by this forum. I have more than one veterinarian telling me I don't need to be getting as many numbers as I do and that there are other things more important like how my cat is acting and whether there is sugar present in the urine. People here seem to be obsessed with numbers.
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Yep, I admit it, I am obsessed, but,that said, I could have not gotten Bubba into remission without those numbers
 
Airway said:
. I have more than one veterinarian telling me I don't need to be getting as many numbers as I do and that there are other things more important like how my cat is acting and whether there is sugar present in the urine.
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This is a very common response from vets. Then again, they think any BG under 100 is bad and would discourage you from giving insulin. We have had more than one cat here have a serious hypo because the caregiver wasn't testing, and sadly, some of those cats didn't make it. We don't ask you to test a lot all the time, but in the early days on Lantus, you may need to do a little more testing until you get an idea how the insulin is affecting your cat. Some days you will only need to get a pre-shot test and a +2 or +3, and other days, if the kitty is having a more active cycle, you will need to test more. There are a lot of very experienced people on this site, and we do know what we are talking about. We aren't vets, though, so if it makes you uncomfortable to take suggestions that contradict your vet, you certainly can ignore what we say. Everything we tell you is with the objective of keeping Orion safe and helping you to get his numbers under control and possibly even achieving remission.
 
so glad you got to switch to lantus.


You really are in good hands here....
I was a tester too.... but my girl's numbers were not dramatic. She found the green floor and just stayed there and quickly went into remission. But I checked her numbers often just for my own piece of mind.
The numbers are what help us to keep you and Orion safe.
There have been a few cats who did not present any symptoms until it was too late... those were people who didn't monitor - or barely did.
And i hate seeing people board their cat with diabetes because the vet goes home at 5:30 after giving the cat insulin....
and no one is at the office until the next morning.

Somewhere in the future, not necessarily tonight, it would be great if you could get a random wee hour pm test....

like a +8 or 9 or a 10.

the data is like pieces to a jigsaw puzzle .... and kitties often go lower in the pm cycle than the am cycle.....
I used to drink water before bed so I'd have to get up, and I'd grab a test.

My vet was really surprised when I didn't follow her advice.... and actually made it to remission status and then knew more than she did.
They really only get a few hours of training on diabetes, and it focuses on dogs....not cats.
Some of them keep learning and some don't.
But we here, are always learning and sharing.... and paying it forward ....
 
Hey Angela, I just peeked at the SS and Airway was bouncing from the green yesterday cycle and it looks like he is all ready clearing the bounce so I would try and test some tonight The+2 will tell you how active the cycle wlli be and then get one before you go to bed.
 
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