Switching to lantus from canin. low bgl after first shot!!

Status
Not open for further replies.
CassWTribby

CassWTribby

Member Since 2017
Hi all,

This is posted at the end of my Insulin? Post but I wanted to be sure it's seen.

Tribby just started lantus at 1/2 unit. Her bgl is 17.8 this am!! After getting 1/2u of caninsulin at 9pm last night) our exact problem with caninsulin.

Should I wait and see if the lantus works right away? I just read that it can have a delay when first starting.
Should I give a small amount of caninsulin now after the lantus to help bring down her bgl now? That's a scarey number.

I can't test until after 5pm. I actually snuck home to test and give her lantus I just bought . ($119 At Loblaws pharmacy in )
Shes eating and drinking but I can tell she's feeling poorly.

Thanks again
 
It will take a few days for the lantus depot to fill - you'll see higher numbers until that happens. No do NOT give caninsulin to bring that down, let it ride especially since you can't test later. Yep she'll feel icky due to higher bg but that will pass.

HUGS!
 
Yes, it'll take a few days for the Lantus depot to fill so you can't judge the dose just yet. It's very different in action from Caninsulin so it's a good idea to read the yellow info stickies on the Lantus forum to learn how it works. Also, ask a lot of questions over on the Lantus forum. There are a lot of very knowledgeable people over there.

Try not to panic over a few high BGs. In the short term they aren't as dangerous as very low numbers.
 
Squeaky and KT (GA) said:
It will take a few days for the lantus depot to fill - you'll see higher numbers until that happens. No do NOT give caninsulin to bring that down, let it ride especially since you can't test later. Yep she'll feel icky due to higher bg but that will pass.

HUGS!
Click to expand...

Thank you!!!
 
FYI sounds like you’re in Canada? $119 quitr expensive for Lantus. Try Walmart next time as I got a vial for $70.
 
Hi all,

Just got home and bgt and 3.8!!!
That is 5.5 + hours since 1/2 unit of lantus was given. she did eat some of her raw meal and a bit of canned. Just fed her some canned w gravy to hopefully bring her bgl up a bit.

Eek! I was worried it wasn't going to help at all yet. 17.8 to 3.8 in 5 hours.
 
CassWTribby said:
Hi all,

Just got home and bgt and 3.8!!!
That is 5.5 + hours since 1/2 unit of lantus was given. she did eat some of her raw meal and a bit of canned. Just fed her some canned w gravy to hopefully bring her bgl up a bit.

Eek! I was worried it wasn't going to help at all yet. 17.8 to 3.8 in 5 hours.
Click to expand...
That's a big drop. She'll likely bounce high after this. As far as numbers go, this is in the safe dark green zone on the spreadsheet. You might not have decided yet but if you're going to follow SLGS guidelines, this calls for a 0.25 u dose reduction.

Let's see what the Lantus experts say.
 
Hi everyone,
I loaded my spreadsheet. Or at least I think I did. I'm planning on doing a curve this weekend.
Please take a look and let me know what you think. The only thing I wasn't for sure about was the units of insulin. I lowered by 1/4 or more for a bgl close to normal.

She seems OK. Ate well. Resting now. I'm going to retest her bgl soon and give her her night meds.
Should I skip the insulin or lower it further?

Thanks.
A very tired Cass and tribby
 
Kris & Teasel said:
That's a big drop. She'll likely bounce high after this. As far as numbers go, this is in the safe dark green zone on the spreadsheet. You might not have decided yet but if you're going to follow SLGS guidelines, this calls for a 0.25 u dose reduction.

Let's see what the Lantus experts say.
Click to expand...
I gave her some honey and fed her canned right away. I should keep the 1/2u of lantus if she goes high?
Should I skip it tonight?

Thanks
 
CassWTribby said:
I gave her some honey and fed her canned right away. I should keep the 1/2u of lantus if she goes high?
Should I skip it tonight?

Thanks
Click to expand...
If the PMPS is high enough - and I'm guessing it will be - you can try a half unit again. Aim to get at least one test before bed. However, if you were already following the more cautious set of Lantus dosing guidelines (SLGS: Start Low Go Slow), the rule is to drop the dose immediately by 0.25 u if a BG falls below 90 (5 in our "world" measurements). It's worth taking a look at the yellow sticky on SLGS on the Lantus forum list. It gives specific advice about what to do. There's also the TR (Tight Regulation) protocol but it's more aggressive.
 
Hi Cass and Mr. Stripes! Did you retest that 3.8? If not, I think that may have been a 'hokie pokie'. I learned it saved me gray hairs when it happened. :) First day Lantus shouldn't have caused that steep of a dive.
 
Squeaky and KT (GA) said:
Hi Cass and Mr. Stripes! Did you retest that 3.8? If not, I think that may have been a 'hokie pokie'. I learned it saved me gray hairs when it happened. :) First day Lantus shouldn't have caused that steep of a dive.
Click to expand...

I did re test it sadly. thanks though. I cannot believe how many test strips I'm using!
 
so she had .25 u +9 hrs later she's 15.3
Should I do .25 units at 12 hrs or .5 my lantus knowing sugar kitty friends?
I'll retest her at 12 hrs .
 
CassWTribby said:
so she had .25 u +9 hrs later she's 15.3
Should I do .25 units at 12 hrs or .5 my lantus knowing sugar kitty friends?
I'll retest her at 12 hrs .
Click to expand...
If you could update your spreadsheet and then post for advice on the Lantus forum you'll get more specific advice.
 
I'm doing .25u of Lantus and keeping my fingers crossed. I'll continue that dose this week and maybe increase a bit next week? Going slow!
She seems happier? More bright and alert. I really think the caninsulin was making her feel yucky. She's eating well, sleeping better and about a bit instead of staying on my bed. Good stuff!
 
That's a big drop for the first dose of Lantus. Did you use a U-100 syringe drawn to the 0.5 mark?

Just checking ... Since Caninsulin and Lantus are different strengths, sometimes people aren't aware they need different syringes (or if already using u-100 syringes with a U-40 insulin, going from doing a conversion to NOT can be a hard habit to break).
 
JL and Chip said:
That's a big drop for the first dose of Lantus. Did you use a U-100 syringe drawn to the 0.5 mark?

Just checking ... Since Caninsulin and Lantus are different strengths, sometimes people aren't aware they need different syringes (or if already using u-100 syringes with a U-40 insulin, going from doing a conversion to NOT can be a hard habit to break).
Click to expand...


I used u100 syringes for the caninsulin as well as the Caninsulin u40 syringes havd a large guage needle. Im sure I measured correctly. It's so hard to see the .25 Mark! Then I had a fur shot last night on top of everything! GEEZ me!!
 
Status
Not open for further replies.
Back
Top