Need advice - shooting mid-cycle okay?

[Marylou and Malika]

AlphaTrack - last night number @266, shot .5U 6:40pm. This morning 118 @7:00am, didn't shoot. She is slowing going up and at around noon at 208. Should I give her a small dose (large drop) to replenish? Or wait till tonight and give her the .5U
She's doing really good and I'm not sure if this will help flatten her out or do more harm than good.
Please be gentle with me - I'm (unfortunately) a bit sensitive to the concept of hurting my sweet kitten.

 

[Osha]

I know it isn't fun watching the numbers rise, but I would wait to give her the insulin at your normal shot time.

 

[LuanneP]

I would wait until her next scheduled shot time tonight. You can take a break on testing her BG the rest of the day until PMPS since she didn't get her shot this morning. She'll be ok

 

[tiffmaxee]

Your other option would be to shoot your regular dose at +18, skip tonight and then shoot at your normal time in the morning. I’ve done that before with mixed results when I needed to leave and Max started low. It’s just another option I thought I’d bring up. I’d probably wait and shoot tonight but those are your options.

 

[Sandy and Black Kitty]

Hi there

I think the greatest challenge for you right now is to forget the ways of Vetsulin. Lantus is a different animal; it’s slow to onset, long lasting and it creates a depot. Shots are given 12 hours apart. Dosing decisions are based on nadir rather than preshot.

It’s important to establish a foundation of consistency by finding a dose you can shoot every 12 hours. Shooting a different amount every cycle or every other cycle (dose hopping) results in wonky numbers because the depot reacts to changes by recalibrating.

I recommend you find a dose you can safely shoot every 12 hours consistently. Test before each and every shot and get at least one mid cycle test each cycle.

Read up on SLGS and the TR protocol and decide which method is right for you.

Ask questions- we are happy to help.

 

[Marylou and Malika]

Hi there

I think the greatest challenge for you right now is to forget the ways of Vetsulin. Lantus is a different animal; it’s slow to onset, long lasting and it creates a depot. Shots are given 12 hours apart. Dosing decisions are based on nadir rather than preshot.

It’s important to establish a foundation of consistency by finding a dose you can shoot every 12 hours. Shooting a different amount every cycle or every other cycle (dose hopping) results in wonky numbers because the depot reacts to changes by recalibrating.

I recommend you find a dose you can safely shoot every 12 hours consistently. Test before each and every shot and get at least one mid cycle test each cycle.

Read up on SLGS and the TR protocol and decide which method is right for you.

Ask questions- we are happy to help.

"Dosing decisions are based on nadir rather than preshot." Can you elaborate? What if her +12 is low?
This is a new concept and any detail is appreciated!

 

[Sandy and Black Kitty]

"Dosing decisions are based on nadir rather than preshot." Can you elaborate? What if her +12 is low?
This is a new concept and any detail is appreciated!

Knowing how low a dose takes your kitty is critical for safety. The goal with Lantus is to eventually achieve a nice flat curve with all values under the renal threshold or ideally in the normal range ( 50-120). Mind the nadir and if it’s in the cards the rest of the cycle will eventually fall in line.

Being that Lantus onset is 2-3 hours after you shoot, the PS is not what you are shooting at, you are shooting at the number your kitty will be when the Lantus kicks in. That’s why it’s important to determine when onset occurs for your kitty. This can be hard to wrap your mind around, particularly if you have become accustomed to using an insulin that has a quick onset.

Once you determine onset and nadir the picture will start to come into focus. One thing about nadir to keep in mind is that it can move around.

Know Thy Cat - it’s the foundation for safe and successful treatment of FD.

 

[Kathy and TiTi]

The nadir is the lowest your cat's BG will go during the 12 hour cycle. It's also important to know when your cat reaches that lowest point (nadir). Usually a cat on Lantus will reach his or her nadir around 5 or 6 hours after you give the lantus insulin shot. So it's a good idea to test Blood Sugar at 5 and 6 hours after you have given the lantus shot.