? Shlould I swich to Levemir, need advice with Lantus dose

[Andreea&Tilica]

Hi friends,

In the last weeks it's harder and harder to fix a „good” dose. I noticed that 1 u is too little and I decided to increase to 1.10u , the dose I wanted to keep for at least a week.
This morning, being very tired, it may have been possible to shoot a slightly larger dose, possibly 1.25? I really do not know if I shot 1.10 (1 fat) or 1.25... therefore he had a big drop. Whatever I do he can’t get rid of BOUNCE , that's why I go back to an older idea: swich to Levemir.

What would be your opinion, what dose should I continue with? Should I swich to Levemir?

Thanks

 

[Wendy&Neko]

Since you are following SLGS because of the dry food, that 48 would indicate a reduction is needed. Could you go back to 1.1?

I see it's your one year anniversary today. That makes Tilica a long term diabetic. If you were following TR that would change the reduction criteria, but not with SLGS.

As for Levemir, the decision is up to you. It's hard to say what a cat will look like on Lev vs. Lantus. My Neko got a lot flatter and I really liked it. But not all cats go flatter, there is no guarantee. The one big thing is that the Levemir onset is later (around +4) and nadir is later (typical is +8). Neko onset was +5 and nadir +9 to +12. You have to decide if that timing works with your lifestyle. You'll have to get more tests in the last half of the cycle than you are doing now.

 

[Andreea&Tilica]

Since you are following SLGS because of the dry food, that 48 would indicate a reduction is needed. Could you go back to 1.1?

I see it's your one year anniversary today. That makes Tilica a long term diabetic. If you were following TR that would change the reduction criteria, but not with SLGS.

As for Levemir, the decision is up to you. It's hard to say what a cat will look like on Lev vs. Lantus. My Neko got a lot flatter and I really liked it. But not all cats go flatter, there is no guarantee. The one big thing is that the Levemir onset is later (around +4) and nadir is later (typical is +8). Neko onset was +5 and nadir +9 to +12. You have to decide if that timing works with your lifestyle. You'll have to get more tests in the last half of the cycle than you are doing now.

I have not taken into account the SLGS rules, only when he drops to 70 I decrease the dose but less than 1.25. I try to modify the SLGS protocol at his condition.
About dry food, he eats very rarely, only if he refuses to wet food one day. This happens when it has a health problem and appetite lacks. If I applied the TR rules I should keep the dose of 1.25( if this morning I shot 1.25 instead of 1.10)?

 

[Wendy&Neko]

With long term diabetics (over 1 year), the TR criteria changes to reductions under 40. Some people modify that to 3 times under 50. I wouldn't suggest this approach if he has any dry food available.

 

[Andreea&Tilica]

I wouldn't suggest this approach if he has any dry food available.

Even if he occasionally eats it? I would have tried TR protocol long time ago but but there is no one to monitor him. I didn't go to work today until I stabilized him . And something else....there is only one non-stop vet emergency service in town which is very demanding and it has only 2 vets. My fear is that he might have hypoglycemia when I'm not home or at night when emergency vets are busy with many cases. Even worse is night because I always test at +2.