Lantus - Sliding Scale?

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Cherish Gallagher

Cherish Gallagher

Member Since 2017
I've seen some members SS's where they don't shoot the same dose every shot on Lantus. Does anyone think this mignt work for Angel? It seems like if she's over 300 1.25 might work better for her but under 300, stay at 1U. Any advice would be so helpful. We've been on insulin almost 7 months and Lantus almost 1 month and we are still seeing red numbers and very frequent bounces. Thanks in advance!
 
We don't use a sliding scale on this board with the published protocols. However, there are other protocols that do use a sliding scale.

It's great to see Angel hit green yesterday. Bouncing is a normal part of the process as frustrating as it is. They can bounce from big fast drops not just low numbers. In fact I've seen bigger bounces from fast big drops rather than low numbers which is what I suspect happened with that nasty red last night. My 2 cents is keep following the protocol as I've seen it work over and over again. It can take 6 cycles for a bounce to clear. Hopefully Angel will slide back down slowly soon.
 
Just to add my personal experience with Doodles. It took me 4 months to find this board after his dx and he had severe neuropathy. The IM vet had us doing a sliding scale with minimal mid cycle tests. You can see it on his July-Oct. 2015 tab on his SS. She also told me he'd likely never recover from neuropathy. After finding this board in Oct. 2015 by mid Dec. 2015 not only was he walking and running again he "snapped" and became a green regulated kitty going from 3u to .75u in just a few months. Unfortunately he developed advanced HCM/ CHF and IAA by Feb. 2016 but because of this board lived happily until just this past March.
 
It's so disheartening that every time I post to ask for help I literally get 1 or MAYBE 2 people responding. But then I log on and some members just post their kitties daily numbers with no questions or concerns and they get 10+ people responding to them. :( It makes me so sad because lately I've barely had any of my concerns aknowledged. I try to be as active as possible by reading every post I can and liking and commenting even though I can't offer experienced advice. When I first started this journey with angel I thought of this place as being somewhere I can turn to for help and advice and to not feel so alone. Now it just seems like the only people who get help are the "popular" members or very new members just starting out. Anyways, thanks so much to anyone who has helped us get this far.
 
Can you tell me who you see that's using a sliding scale @Cherish Gallagher ?

There is a TR protocol that a different group uses, but we've found that Lantus does best when it's given at a consistent dose.

The other TR was originally developed for use with ProZinc and they just adapted it to use with Lantus, but most of us don't agree with their methods.

On our TR, you want to hold the dose for at least 3 days (6 cycles) unless they drop below 50 on a human meter. Angel hasn't been on Lantus very long (it was 4-5 months before China started to give me some kind of "pattern") so I think you just need to hang in there and give her some more time

Since you're currently using SLGS, I guess you thought that 91 earned the reduction but they need to drop below 90.....If you were doing TR, you would have stayed at the 1.25 until she dropped below 50

You are testing enough to do TR if you want to
 
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If it helps any, it took Neko a year to stop having red regularly on her spreadsheet. Cats do thing in their own time, some are bouncier than others. Cats need to spend more time in normal numbers to get used to them. TR let's you do that more than SLGS does, but it has to be a dosing method that works for your life too.

Try stopping by in other people's condos, say hello, read their spreadsheets. Even if you can't give advice, people appreciate support and will give it in return. Check out those people new to Lantus as well as experienced folk. You may find a lot of discussions that are of interest to you too. When I had my first low numbers event, no one was on to help me, but I had spent enough time reading others posts to know what to do. Post regularly as others do, so people,get to know you.

One big thing to consider in dosing is the Lantus depot. Often what happens in one cycle is more influenced by what your shot in the previous cycles. Sliding scale works for a Vetsulin because the insulin is in and out in one cycle. Lantus injections mean some insulin goes to the depot and some is used right away. The depotmis a big influence on what happens in any given cycle.

And finally, this is a peer reviewed board, you will get different opinions. That 91 did not earn a reduction. Angel has to go under 90 to earn a reduction on SLGS.
 
Before I found this forum I was on the sliding scale. You can see Fritz SS the first month or so. As soon as I came here I switched to TR.
Be patient and diligent and Lantus likes consistency you will get there:)
 
Wendy&Neko said:
If it helps any, it took Neko a year to stop having red regularly on her spreadsheet. Cats do thing in their own time, some are bouncier than others. Cats need to spend more time in normal numbers to get used to them. TR let's you do that more than SLGS does, but it has to be a dosing method that works for your life too.

Try stopping by in other people's condos, say hello, read their spreadsheets. Even if you can't give advice, people appreciate support and will give it in return. Check out those people new to Lantus as well as experienced folk. You may find a lot of discussions that are of interest to you too. When I had my first low numbers event, no one was on to help me, but I had spent enough time reading others posts to know what to do. Post regularly as others do, so people,get to know you.

One big thing to consider in dosing is the Lantus depot. Often what happens in one cycle is more influenced by what your shot in the previous cycles. Sliding scale works for a Vetsulin because the insulin is in and out in one cycle. Lantus injections mean some insulin goes to the depot and some is used right away. The depotmis a big influence on what happens in any given cycle.

And finally, this is a peer reviewed board, you will get different opinions. That 91 did not earn a reduction. Angel has to go under 90 to earn a reduction on SLGS.
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I didn't reduce when she hit 91. I reduced when she hit 42. I'm confused as to where you guys are seeing that I reduced at 91.
 
Chris & China said:
Can you tell me who you see that's using a sliding scale @Cherish Gallagher ?

There is a TR protocol that a different group uses, but we've found that Lantus does best when it's given at a consistent dose.

The other TR was originally developed for use with ProZinc and they just adapted it to use with Lantus, but most of us don't agree with their methods.

On our TR, you want to hold the dose for at least 3 days (6 cycles) unless they drop below 50 on a human meter. Angel hasn't been on Lantus very long (it was 4-5 months before China started to give me some kind of "pattern") so I think you just need to hang in there and give her some more time

Since you're currently using SLGS, I guess you thought that 91 earned the reduction but they need to drop below 90.....If you were doing TR, you would have stayed at the 1.25 until she dropped below 50

You are testing enough to do TR if you want to
Click to expand...
I was checking out "yongs" SS. and the dosing is definitely not consistent but her kitty is doing well! :) I should update my signature to TR since I think we are following that now. I didn't reduce at 91. I reduced at 42 just recently. Thanks for the advice!!
 
There are sometimes situations and conditions that require one to step outside the guidelines of SLGS or TR. However only after you have followed the guidelines long enough to have a good deal of data accumulated can that sort of determination be safely made.

My $0.02:
look at the spreadsheets of a few of the hundreds of kitties here that have gone into remission by way of following TR. Then give it a fair shot (no pun intended) before evaluating if modifications or customizations are indeed needed for your cat. :cool:
 
Hi Cherish,
I'm sorry you've felt ignored. :bighug: This is a huge forum and you can get lost in the crowd. It might help if you get into the habit of posting daily even if things are uneventful. You can see the format we use on the thread list. Most of us scan down the list to check in on how people are doing and will make a little comment or even "like". It gives us a better feel for how things are going with a kitty and caregiver. Your daily post will pop up every AM, you'll become a "known" member and the regulars here will have a sense of what's been happening. Why not give this a try? :)

ETA: You're still learning about Lantus so don't give up hope. Just follow the protocol and you'll learn a lot about her responses. Teasel has been on Lantus for 8 months now and I'm just getting a good feel for it with him. Patience is key ...
 
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Kris & Teasel said:
It might help if you get into the habit of posting daily even if things are uneventful. You can see the format we use on the thread list. Most of us scan down the list to check in on how people are doing and will make a little comment or even "like". It gives us a better feel for how things are going with a kitty and caregiver. Your daily post will pop up every AM, you'll become a "known" member and the regulars here will have a sense of what's been happening.
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I second this!! Since Rex has gone into remission, I try to pop in and see if I can help anyone. I often scan and see if there are questions or low numbers in the title.
 
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