Caninsulin question

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Good news on the hubby and strips! And the drinking and peeing. And adapting the SS for TID!

It seems on first glance he's not getting much duration from caninsulin.

FWIW French vets recently have access to a heads-up regarding the AAHA guidelines for FD, and in particular the recommendation of using Lantus: http://www.lepointveterinaire.fr/ac...des-recommandations-sur-le-diabete-sucre.html (I do not remember if you wanted to get Lantus but couldn't, or if you were interested in trying it or not -- just putting this out there).
 
Diana&Tom said:
Glad to hear DH is home, one less thing to worry about!

Also good news that you have new strips so now you can do a few more tests when possible and get a better idea of how the doses are working. I'm trying to think of people here who have experience with TID dosing but can't pinpoint anyone offhand... I think it would help if someone could look at what's going on to at least give you some encouragement about the way forward... You're right to discount the possibility of giving a higher dose at the moment, but it may be that Bob is what we call a "big gulper", ie needs higher than "usual" doses of insulin to keep his blood glucose down.

I'm going to tag one of our very experienced UK members, @Critter Mom , who always gives sound advice and whose opinion I would trust. Meanwhile, it's good that Bob's clinical signs are improving.

Hang in there!
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Hi Diana

Yes, all good news (to a degree). Much relief.

There's no doubt in my mind that the Caninsulin doses are not lasting, even given 3x a day.

I'll be interested in Critter Mom's opinion - I see that she has "liked" some of the posts on this thread so has read my mad rants o_O :)
 
Stephanie & Quintus said:
Good news on the hubby and strips! And the drinking and peeing. And adapting the SS for TID!

It seems on first glance he's not getting much duration from caninsulin.

FWIW French vets recently have access to a heads-up regarding the AAHA guidelines for FD, and in particular the recommendation of using Lantus: http://www.lepointveterinaire.fr/ac...des-recommandations-sur-le-diabete-sucre.html (I do not remember if you wanted to get Lantus but couldn't, or if you were interested in trying it or not -- just putting this out there).
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Hi Stephanie

Thanks for the link. I shall save it to show our vet on the next visit.

I've been reading up on Lantus (actually posted up another thread about it here yesterday) as hubby uses it as his long acting insulin.

It seems more suitable for the increased metabolism of cats, so I am going to ask the vet if we can give it a go.

Note that I have the AT strips and can test more frequently (when Bob isn't putting up a fight!), I'm going to gather up as much data as I can over the next couple of weeks to lay down the evidence in front of the vet.

Onwards and upwards!
 
Tilou said:
I've been reading up on Lantus (actually posted up another thread about it here yesterday) as hubby uses it as his long acting insulin.

It seems more suitable for the increased metabolism of cats, so I am going to ask the vet if we can give it a go.
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Based on my limited experience but many readings, I really think Lantus is better adapted.
 
Update: Just tested Bob. 7 hours since 2ui, glucose now at 30.3 so have given him his next 2ui, which would normally have been due in an hour. On the data collected today, the Caninsulin only seems to last a couple of hours before glucose levels start rising. I'm going to give this 2ui TID routine a week and see what happens.

Just to note: Bob's food intake since 7am (his morning injection) has comprised of 70g tin of Almo Nature chicken and 75g Animonda Integra Protect Adult Diabète food (other cat ate the other quarter of the pot), of which some is still left.
 
Something funny going on, ladies...

Less than three hours since his 2ui (14:15 French time) - after a reading of 30.3 (see previous message) - Bob's just tested at 35.6

He's only eaten a small piece of wet food left in his bowl from this morning, about ten minutes before this latest test, so can't see it being that.

Curiouser and curiouser (said Alice).
 
I see you are dosing Caninsulin TID. I know you started this because you felt that there wasn’t enough duration with BID dosing. It’s possible that the dose really is lasting longer than 8 hours by varying degrees and you’re getting varying degrees of dose overlap. That creates a situation where the dose level is fluctuating and conceivably is too high sometimes. That can lead to lows you aren’t catching with tests. That could cause bouncing and elevated numbers.

Just my two cents. I have no experience with this dosing regimen.
 
Tilou said:
Something funny going on, ladies...

Less than three hours since his 2ui (14:15 French time) - after a reading of 30.3 (see previous message) - Bob's just tested at 35.6

He's only eaten a small piece of wet food left in his bowl from this morning, about ten minutes before this latest test, so can't see it being that.

Curiouser and curiouser (said Alice).
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Yes I think there's something funny going on, which is really why I tagged Critter Mom to see if she had any thoughts. We know Caninsulin doesn't have a full 12-hour duration but it *might* be a matter of adjusting the dose BID as well as trying the current TID... so very hard to know what to do for the best and it is just a matter of trial and error really. The trouble is, in France your vet is doing things differently to what most of us here might suggest, ie starting at a lower dose and working up... on the current regime Bob is getting quite a lot of insulin and we simply don't know if that's right or not... it is easier to get a clearer picture on BID dosing. But time will tell and at the end of the day, you have to take everything into account - what the vet says, what we might say here, and what your instinct tells you.
 
Kris & Teasel said:
I see you are dosing Caninsulin TID. I know you started this because you felt that there wasn’t enough duration with BID dosing. It’s possible that the dose really is lasting longer than 8 hours by varying degrees and you’re getting varying degrees of dose overlap. That creates a situation where the dose level is fluctuating and conceivably is too high sometimes. That can lead to lows you aren’t catching with tests. That could cause bouncing and elevated numbers.

Just my two cents. I have no experience with this dosing regimen.
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Kris has posted just before me and said more or less what I've been thinking... it really is just a guess but this is a possibility to consider.
 
It's a veritable minefield. I'm really at a loss at the moment as to what to do.

I'd been warned of the possibility of "bouncing" and it may well be the problem.

Our French vet started Bob off on 2ui twice a day. Then after two weeks upped the dose to 3ui in the morning and 2ui at night, and told us to adjust from there as we thought necessary.

Having discovered that Caninsulin in cats doesn't necessarily last 12 hours, and taking into consideration Bob's high readings after 4 or 5 hours, we decided to try TID, but stick to the 5ui per day that the vet prescribed.

As can be seen on the SS, it hasn't made any difference. We realise that Bob's eating regime may not be conducive with the spread of units we have been giving over the 24 hour period. Only an increase of an additional 1ui last night (to counter the high reading) brought his BG down to under 20 this morning.

Now it's rocketed again, I'm not sure what to do next.
 
Ok, just tested again. Looks like we had a bounce! It's dropped slightly back to 31.7 and that's 6 hours after the last 2ui were given.

I shall test again in a couple of hours, which is when we would be giving Bob his third injection (normally 1ui).
 
That's what I was thinking. If the next test shows BG going down, I'll miss out on tonight's shot, retest in the morning before giving any insulin and go from there.

Thanks once again to everyone's input. So much appreciated :kiss:
 
Tilou said:
That's what I was thinking. If the next test shows BG going down, I'll miss out on tonight's shot, retest in the morning before giving any insulin and go from there.

Thanks once again to everyone's input. So much appreciated :kiss:
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Yes give it a go but it might take a couple of cycles to get a better idea.
After tonight it would be good to aim for some consistency in dosing so see what happens and come up with a plan perhaps... we can suggest and advise here, but you have to bear everything in mind and do what you think is best. We are not here to bash vets but they are not always right as many people on this board will attest.
 
Just tested at 30.7 - down from 31.7 two hours ago, so not a huge drop.

Now can't decide whether to give him the shot tonight or just leave it until the morning. He will eat through the night.

:banghead:
 
More fun with Caninsulin! I just started a new vial (on a cat that already bounces) and it's like starting all over again. I generally start a new vial at 80% of what I was dosing before, I know I'm not the only member who has seen this. My vials are nowhere near their expiry date, frustrating.
 
Tilou said:
Just tested at 30.7 - down from 31.7 two hours ago, so not a huge drop.

Now can't decide whether to give him the shot tonight or just leave it until the morning. He will eat through the night.

:banghead:
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When in doubt, and with a number this high, you could always give a token/reduced dose - say 1u or 1.5u - and see what that does. It's so frustrating not knowing what to do, I know... are you giving Bob too much insulin or not enough... only trying the different permutations will tell. But when you've decided what to do tonight and then get tomorrow's amps, stick to a dose BID for a couple of days and see what happens.
 
Noah & me (GA) said:
More fun with Caninsulin! I just started a new vial (on a cat that already bounces) and it's like starting all over again. I generally start a new vial at 80% of what I was dosing before, I know I'm not the only member who has seen this. My vials are nowhere near their expiry date, frustrating.
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Hi - I'm only in the first vial, so I can see this is going to be fun. Bob was diagnosed on the 16 January, so just coming up to week four.

Do you stick rigidly to the expiry after opening?

The reason I ask is that I have read on a veterinary website that although Caninsulin is marked to be used for only 28 days, tests showed that it is still active up to 42 days.

Obviously I'm checking the vial for any signs of separation, floating bits etc, but it all seems ok at the moment... and at €34 a pop I'm inclined to not bin it yet.

Interesting that you're experiencing the bounce. It's my first confirmation that that's what is happening to Bob. I've not been testing that much until today as AlphaTrak starter pack strips were failing and I was wasting so many, plus Bob was not very receptive to the tests and drawing more blood from me!
 
Diana&Tom said:
When in doubt, and with a number this high, you could always give a token/reduced dose - say 1u or 1.5u - and see what that does. It's so frustrating not knowing what to do, I know... are you giving Bob too much insulin or not enough... only trying the different permutations will tell. But when you've decided what to do tonight and then get tomorrow's amps, stick to a dose BID for a couple of days and see what happens.
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Just been having this discussion with hubby as to what to do and our plan is to give a shot tonight (in about an hour) - 1.5ui is a good idea.

Then test Bob in the morning when he settles down after breakfast for his sleep.

Then we'll start a BID routine of 2ui 12-hours apart and see how that goes for a few days.
 
Tilou said:
The reason I ask is that I have read on a veterinary website that although Caninsulin is marked to be used for only 28 days, tests showed that it is still active up to 42 days.
Obviously I'm checking the vial for any signs of separation, floating bits etc
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Can I ask who said 28 days? The 2 I just got expire in August but I never go past the 1/3 remaining point, I see Noah's numbers go up and I know it's time to change. Once I had something floating in a vial, it looked like an inch long thread. Kind of coarse and uneven. We never heard back from the manufacturer. Are you using the official Caninsulin syringes? They're very anal about switching. Mine were 1 cc marked in 40 increments so there's math involved in switching, something I cannot ethically advise you to think about right now.
 
Hi Tilou,

Just seen the tag. Had a very quick glance at your spreadsheet and I'm concerned that Bob is currently very high and flat on the TID dosing schedule (even with the switch back to Alphatrak meter, the numbers are of concern).

NB: I've never attempted TID dosing with Caninsulin but I have used it and I'm quite familiar with the 'expected' action profile per the manufacturer's guidelines.

I'm quite concerned about Bob's BG getting to such high levels at the moment. I will write more tomorrow (I have health problems and I can't manage a proper reply right now - so sorry!) but my immediate worry is risk of Bob starting to throw ketones because his BG is so high. For safety I'd very much recommend that you immediately start checking Bob for ketones every day. If you can't reliably catch him peeing I'd recommend getting a blood beta ketone meter (e.g. Abbot Freestyle Optium Neo). The ketone test strips are not cheap but the ability to test for ketones reliably and catch any issues very early makes the BBK meter a smart investment if regular urine testing can't be assured (better for the cat and the wallet - veterinary treatment for ketosis and DKA is $$$). Also, keep a close eye on Bob's clinical signs and behaviour (in case something medical might be driving numbers upwards).

I think your decision to go back to BID dosing in order to get a better handle on how Bob's responding to the Caninsulin is a good idea. It would help you all enormously if you could follow the regular testing routine:

* Withhold food for 2 hours prior to preshot test (ideally keep Bob inside - not sure if this is feasible for you).

* Do preshot BG test, feed and wait 20-30 minutes.

* Give insulin dose.

* At the moment I'd suggest getting tests at +3 (earlier if Bob comes looking for food sooner - can be a pointer to dose onset, or possibly a very early nadir) and +5 after each dose. If you want to find out more about dose duration, you could also snag a test at +8 to see if the dose is wearing off (assuming a 12/12 dosing schedule here).

Again, sorry I can't write more just now. Before I post again it would help me to know the following:

1. Carb info for ALL the foods Bob eats. Here's the UK food list for you to check (includes products available at Zooplus):

https://docs.google.com/spreadsheets/d/1J5JpMe6TDXrHq_aTl9hUtHy6Gs9oRBqlz4nPGKxtySA/pubhtml

2. What is the situation re insulin choices in France (particularly Prozinc, Lantus and Levemir)?


Mogs
.
 
Noah & me (GA) said:
Can I ask who said 28 days? The 2 I just got expire in August but I never go past the 1/3 remaining point, I see Noah's numbers go up and I know it's time to change. Once I had something floating in a vial, it looked like an inch long thread. Kind of coarse and uneven. We never heard back from the manufacturer. Are you using the official Caninsulin syringes? They're very anal about switching. Mine were 1 cc marked in 40 increments so there's math involved in switching, something I cannot ethically advise you to think about right now.
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The "throw away 28 days after opening" is the usual disclaimer you find marked on many pharma products. I tend to ignore, as I consider it just a way of the companies forcing us to buy more than is necessary. That's why I did some research to see what the actual life span of Caninsulin is once the vial is "opened" (even although it's effectively sealed again after you withdraw the needle due to the rubber top).

We were given a bundle of individually wrapped 40ui needles by the vet. The needles are rather thick on them though, so I sourced an alternative, on a French veterinary supplies website, with thinner needles that were recommended for use with Caninsulin and were not too pricey.
 
Critter Mom said:
Hi Tilou,

Just seen the tag. Had a very quick glance at your spreadsheet and I'm concerned that Bob is currently very high and flat on the TID dosing schedule (even with the switch back to Alphatrak meter, the numbers are of concern).

NB: I've never attempted TID dosing with Caninsulin but I have used it and I'm quite familiar with the 'expected' action profile per the manufacturer's guidelines.

I'm quite concerned about Bob's BG getting to such high levels at the moment. I will write more tomorrow (I have health problems and I can't manage a proper reply right now - so sorry!) but my immediate worry is risk of Bob starting to throw ketones because his BG is so high. For safety I'd very much recommend that you immediately start checking Bob for ketones every day. If you can't reliably catch him peeing I'd recommend getting a blood beta ketone meter (e.g. Abbot Freestyle Optium Neo). The ketone test strips are not cheap but the ability to test for ketones reliably and catch any issues very early makes the BBK meter a smart investment if regular urine testing can't be assured (better for the cat and the wallet - veterinary treatment for ketosis and DKA is $$$). Also, keep a close eye on Bob's clinical signs and behaviour (in case something medical might be driving numbers upwards).

I think your decision to go back to BID dosing in order to get a better handle on how Bob's responding to the Caninsulin is a good idea. It would help you all enormously if you could follow the regular testing routine:

* Withhold food for 2 hours prior to preshot test (ideally keep Bob inside - not sure if this is feasible for you).

* Do preshot BG test, feed and wait 20-30 minutes.

* Give insulin dose.

* At the moment I'd suggest getting tests at +3 (earlier if Bob comes looking for food sooner - can be a pointer to dose onset, or possibly a very early nadir) and +5 after each dose. If you want to find out more about dose duration, you could also snag a test at +8 to see if the dose is wearing off (assuming a 12/12 dosing schedule here).

Again, sorry I can't write more just now. Before I post again it would help me to know the following:

1. Carb info for ALL the foods Bob eats. Here's the UK food list for you to check (includes products available at Zooplus):

https://docs.google.com/spreadsheets/d/1J5JpMe6TDXrHq_aTl9hUtHy6Gs9oRBqlz4nPGKxtySA/pubhtml

2. What is the situation re insulin choices in France (particularly Prozinc, Lantus and Levemir)?


Mogs
.
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Hi - sorry to hear you are unwell, so appreciate your response.

Just to update from last night: we tried to get a pre-shot BG test this morning and the only ones with enough blood to test was from myself and DH (and he's on blood thinners, so plenty on that front!). Bob went into full feral mode unfortunately. So I've given him 2u to restart a BID schedule of two shots 12-hours apart and will try to get a BG test in a couple of hours once he has settled down.

I've managed to get one ketone urine test from him (last week) which showed no ketones. He's an outdoor cat, so stealth is required to hunt down where he's peeing. Fortunately, due to the inclement weather the wood shed has become the preferred place (plenty of chippings on the floor!) So I will try and catch him when he visits it again.

Withholding food is a difficult one as we have always had a running buffet and both Bob and our other cat start kicking off from around 4am to be fed - as that's when they've finished off whatever was left in the bowls from the previous evening.

Re food: I order from Zooplus France. Bob's current diet is:

Animonda Integra Protect Adult Diabète 100g in small foil tins - beef, chicken and rabbit (didn't like the fish variety)

Almo Nature Legend 70g tins - chicken, chicken & tuna

Royal Canin diabetic sachets 100g (which I have as back up for when I run out of the other food and am waiting on an order delivery).

He does also like a few biscuits and takes some of the RC diabetic variety sold to us by the vet (who declared that's all he should be eating!)

As for other insulin types, I will have to speak to the vet as he gave us no other options other than Caninsulin.

Tilou
 
Noah & me (GA) said:
What does Bob need blood thinners for? Noah has cardiomyopathy and an enlarged heart.
@Stephanie & Quintus Nothing other than Caninsulin in France, does that sound right?
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Oops, apologies, it's my hubby that's on the blood thinners, not Bob. That's why we have so much fun trying to test Bob as DH ends up scratched and can't stop bleeding. As he's also diabetic (hubby) he ends up getting a BG test, not the cat :rolleyes:

I need to speak to the vet to find out if he has anything other than Caninsulin available. I have Lantus as that's what DH uses, but I wouldn't use it on Bob.
 
I just have to say you don't sound at all like some of the terrified first timers we see here. Having a sense of humour is important, this is not the darkest hour of your life.
Because I'm handy with a syringe and my wife and I see the same family doctor the 3 of us decided to save the system some money by having me give my wife her B12 injections at home. This is apparently "inappropriate" so I'd like to ask the internet never to repeat that and everyone have your hard drives wiped later today.
 
Lol... I have to have a sense of humour otherwise I'd be madder than I already am! And I'm all for beating the system ;)
 
This is when a sense of humour really helps. The cats are eating the dogs food, the dog loves cat food, the cats love splashing the water completely out of their bowls, I just came back from seeing another neurologist, my mom called to say her cable is out, the vet said she needed to discuss your non-obese young and apparently healthy cat's lab results.
hannah&nigel001 (4).JPG
 
Off to a great start with Bob's BID routine.

2u yesterday morning. After 3 hours BG down to 24. After 6 hours up to 30.2

2u in evening, then another 2u this morning (12 hours later).

Note: (and gripe!) Can't get pre shot test as Bob will not sleep until he's eaten. The only food I currently have (due to delayed delivery from ZooPlus because of snow) are 70g tins of Almo Nature shredded chicken that I paid an extortionate price for in Gamm Vert yesterday.

The two cats have eaten six tins since lunchtime yesterday, plus a piece of fish last night and then Bob had a tablespoon of normal cooked chicken before he would go off for his sleep this morning.

At which point test taken, 2 hours after shot, BG is at 36.6

I don't think this is working :(
 
Tilou said:
Off to a great start with Bob's BID routine.

2u yesterday morning. After 3 hours BG down to 24. After 6 hours up to 30.2

2u in evening, then another 2u this morning (12 hours later).

Note: (and gripe!) Can't get pre shot test as Bob will not sleep until he's eaten. The only food I currently have (due to delayed delivery from ZooPlus because of snow) are 70g tins of Almo Nature shredded chicken that I paid an extortionate price for in Gamm Vert yesterday.

The two cats have eaten six tins since lunchtime yesterday, plus a piece of fish last night and then Bob had a tablespoon of normal cooked chicken before he would go off for his sleep this morning.

At which point test taken, 2 hours after shot, BG is at 36.6

I don't think this is working :(
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Unfortunately, with FD - unless you're one of the few lucky ones - you may have to be prepared for the long haul. We say here all the time that this is "a marathon, not a sprint" - ie it can be a long and winding road, not a short straight one. It may be that Bob needs more insulin - nothing wrong with that if he does, cats need as much as they need - but we do need to see more bg tests to determine exactly how fast the dose is dropping him, and what a typical cycle looks like. It does seem that the Caninsulin simply isn't lasting very long, and at high numbers like he's giving you at the moment, 2u has quite a lot of work to do. Or it may well be that a different-acting insulin with longer duration would suit him better. When are you going back to the vet? I'd have a word to discuss your options. These ongoing high numbers won't be making Bob feel too great. Show the vet the numbers you've been getting and ask him what he makes of them and what his suggestions are re dose increase and/or another insulin.

Sorry I don't have anything more constructive to say but it really is a case of hanging in there. Some kitties are really hard nuts to crack so don't think you're alone - very far from it. If you read other threads here and look at people's spreadsheets you'll see what I mean.
 
I'm beginning to realise that we've been messing about too much with the dosage. I'm going back to the vets recommended dosage of 3u in the morning and 2u at night temporarily as I've printed the SS and made up a graph to show the vet. I'm going to pop in there tomorrow and see if I can grab a word with him.

I'm also going armed with the link that Stephanie gave me (earlier on the thread) recommending French vets use Lantus.

Bob isn't his usual self - hasn't been for a while - but saying that he hasn't shown any major changes in habits. He's always been lazy and sleeps a lot, so that hasn't changed!

Ironically I have a surplus supply of Lantus in the fridge, as DH uses it and is always over-prescribed by his GP. I've probably got enough to keep Bob going until the end of his days!

Unfortunately DH is not recovering well from his hospitalisation so things are a bit stressful at the moment.
 
Maybe you just hit your first bump on the road. I can't contribute too much medically here but I can tell you a story and I'll do it quickly. The cat in post 81 is Nigel, our first diabetic cat. Not only did he have textbook curves he would leap onto the table to be tested and he loved going for car rides, how could things get any better? On the other hand Noah, Nigel's brother, has never been crated in his life. He has some form of PTSD perhaps? His numbers are all over the place, he is a high dose bouncer.
So, everything Diana said about the long haul is true. As I said before I really was happy for you that you got off to such a good start without any dysfunctional crying but the instant I read about "DH is not recovering well from his hospitalisation so things are a bit stressful at the moment." it brought back a lot of memories. All the charts and recommendations that made so much sense at one time can just make you want to pull your hair out. Have patience and know we are here for you.
 
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Noah & me (GA) said:
Maybe you just hit your first bump on the road. I can't contribute too much medically here but I can tell you a story and I'll do it quickly. The cat in post 81 is Nigel, our first diabetic cat. Not only did he have textbook curves he would leap onto the table to be tested and he loved going for car rides, how could things get any better? On the other hand Noah, Nigel's brother, has never been crated in his life. He has some form of PTSD perhaps? His numbers are all over the place, he is a high dose bouncer.
So, everything Diana about the long haul is true. As I said before I really was happy for you that you got off to such a good start without any dysfunctional crying but the instant I read about "DH is not recovering well from his hospitalisation so things are a bit stressful at the moment." it brought back a lot of memories. All the charts and recommendations that made so much sense at one time can just make you want to pull your hair out. Have patience and know we are here for you.
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Now I've welled up ready to cry at all the wonderful support on here... but hopefully not in a dysfunctional way o_O

I appreciate it's a long road, guess I'm a little impatient :rolleyes:
 
Here's a published study about treatment of diabetic cats with longer-acting insulins. Given that Caninsulin doesn't have sufficient duration in Bob I think a change to a longer-acting insulin may be the way forward for him. It may be helpful to discuss the document with your vet.


Mogs
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Tilou said:
Merci for the info :) I'm going to print off Bob's SS and take it to the vet and ask about a switch to Lantus, so I shall take this doc as additional evidence.
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Yes - another insulin would seem a better bet. It will probably depend on what the vet sees as a decent period of time to stick with Caninsulin - Bob hasn't been on it long and there is scope to increase dosage, but these ongoing worryingly high numbers might speak for themselves and persuade the vet to try Lantus.
 
I agree. Tested Bob today (wouldn't let us near him yesterday for BG) and he's just recorded 25.4, two and a half hours after 3u. I'm inclined to keep to the 3u/2u regime until we see the vet, rather than increase.

Unfortunately DH is not recovering too well from his infection that hospitalised him, so am juggling the two issues at the moment.

I anticipate getting in to see the vet tomorrow, all being well.

Btw, did get a urine sample for ketones yesterday - all clear.
 
It's a shame you can't get pre-shot tests (it's ok, we understand why!) as without those numbers we don't know how well a specific dose is dropping him later in the cycle. So we can only assume that the 25.4 at +3 is a decent drop from pre-shot on a dose of 3u, which means he's been very high again then.
Good news about no ketones, that's always the big worry so keep up with the tests if you can.
Sorry you have so much to think about - it never rains, etc...
 
One more thing to baffle you may be the lack of consistency in Bob's numbers. Meters are legally allowed to be off by quite a bit, sometimes when Noah's numbers just don't look right I'll test him again and in a 30 second window I'll get readings 10% apart. And that's at home when he's relaxed, some cats produce numbers at the vets office that don't make any sense. Nigel not only loved car rides he adored our vet but that's where reality ceased to exist.
Sorry about DH. In our case the vets office is halfway to the "hospital" where the "doctors" are. Amazing how quotation marks give away a persons true feelings.:rolleyes:
 
Hello

J'étais à Caninsulin 9 mois et mon chat ne descendait pas assez de temps, est à Lantus il va beaucoup mieux et vit à nouveau



J'étais à Caninsulin pendentif 9 mois et mon chat ne descendait pas assez de temps, depuis longtemps à Lantus il va beaucoup mieux et vit à nouveau
 
What Google thinks Kailee said:
I was in Caninsulin for 9 months and my cat did not go down enough time, for a long time in Lantus he is much better and lives again.
reply
I am thinking of switching Noah to another insuling, his numbers are just too high.
Je pense à changer Noah pour une autre instance, ses chiffres sont trop élevés. :banghead:
Bonjour Dallas, bon chat! :bighug: :)
 
Kailee § Dallas said:
Hello

J'étais à Caninsulin 9 mois et mon chat ne descendait pas assez de temps, est à Lantus il va beaucoup mieux et vit à nouveau



J'étais à Caninsulin pendentif 9 mois et mon chat ne descendait pas assez de temps, depuis longtemps à Lantus il va beaucoup mieux et vit à nouveau
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Merci pour votre message. Je vais demander à mon vétérinaire de changer l'insuline de Bob à Lantus.
 
Good news. Bob switched to Lantus. Starting on 1u morning and evening. May have to increase dose slightly if BG remains too high. SS will be updated with test results.

Thank you for all your help.

:cat:
 
Tilou said:
Good news. Bob switched to Lantus. Starting on 1u morning and evening. May have to increase dose slightly if BG remains too high. SS will be updated with test results.

Thank you for all your help.

:cat:
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VERY good news. You must have had less of a struggle with your vet in getting him to agree than most of us here in the UK do. 1u sounds an excellent starting dose. Do test whenever you can so we can see how the dose is affecting Bob's bgs.
You may also find it helpful to post on the Lantus ISG (insulin support group) forum here where insulin-specific experts will talk you through any questions - if you title a new thread saying you're new to Lantus, hopefully you'll get lots of replies.
Best of luck!
 
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