? 4/14 time to shoot, new to Lantus, PMPS 165, help?

Nope. Waiting!

She's hungry though. :\ poor baby.

Just got a fresh pee again. She's having trouble, or not squatting properly, and starts to stand higher as she finishes.

Anyway.
Ketones?
 

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I think you're OK on the ketones but the more water you can get into her, the better. Did they by any chance send you home with Sub-q fluids?
 
I had a leftover bag but it's not still good. I'll keep adding water with the food as I have been, and ask about getting some tomorrow. I've been giving her a sip by syringe here and there. I'll up it.
 
OK....you're going to have to make a tough decision.

She hasn't earned a reduction yet so I'd probably shoot the 4U dose BUT you may have a long night ahead of you. I suspect at some point she'll bounce again higher, but there's no way to guarantee it.

Even if you shot a reduced dose, there's no guarantee she won't drop low on this cycle due to the depot being in play, but it may lesson the chances.

We don't want to skip due to her recent history with DKA....but you can feed her higher carb food to keep her BG up if you need to.

If she were my cat, I'd shoot the 4U dose and be prepared for a long night (but hope for the best!) making sure I had lots of high carb foods in the house.
 
How will I enter in the other two on SS? And can I go ahead and assume a little more gravy be friskies tonight then? I'll mix it with the 4% some.

Who is on here when it's night in the States? For later?
 
Fed a spoonful of 14%, then a 1/4 can (friskies) 4% with water. Is it safe to wait an hour now? Next check will be about 45 after the hour again....
 
Good for you shooting that blue. Lantus does a good job of keeping lower numbers flat. She shouldn’t dive like she does from higher numbers.

I will be on for a couple hours, but will be collapsing early. I was racing today and am beat. I should be up for that +2.
 
Wendy&Neko said:
Good for you shooting that blue. Lantus does a good job of keeping lower numbers flat. She shouldn’t dive like she does from higher numbers.
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Thank you, that's a mild comfort without adding complacency. (There are waves of anxiety rolling off me.)

I guess I expected higher at PS because I am really used to seeing those numbers go back up.

Where's a good graphic again of how Lantus cycles work, and possibly comparison with NPH? I probably need to find something to study to keep me going for the night.


Alice is getting very mad about her ears. She never growls and she barely can right now and I don't like that she is hurting. I don't have the pain relief neosporin right now, just regular. I want to be able to spare those ears soon. My poor baby. Sigh.
 
Her current demeanor is nice. Grooming herself. Just had some petting and responsive purring. She is able to comfortably exert herself a bit more. And she's not hungry for the moment. (She would probably eat more if I put it in front of her though.)
 
There's no comparison between Novolin and Lantus, but this is what you're shooting for

+0 - PreShot number.
+1 - Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number. Onset begins around +2 for most cats. You'll probably see an active cycle if the +2 is the same/similar OR lower than the preshot number. Continue testing!
+3 - Often lower than the PreShot number.
+4 - Lower.
+5 - Lower.
+6 - Nadir/Peak (the lowest number of cycle. NOTE: ECID. Not every cat has a mid-cycle nadir. Adjust the hours on this example to fit your cat.)
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (one of the quirks of Lantus/Basaglar/Levemir: some cat's blood glucose numbers dip around +10 or +11... not to be confused with nadir).
+12 - PreShot number.
 
I almost feel stupid asking this but then have to remind myself it doesn't matter.... Is she stable enough theoretically that I can stop checking on her every ten minutes or less? Turn off her light and let her nap for 30 min in between torture?

How fast can a drop happen with this? From the 100s...?
 
We all truly do understand...We've all been there. None of us likes to think we're doing anything to our babies that bothers them in any way, much less might be painful, but keeping them safe and with us as long as possible is the ultimate goal
 
CassandraCatface said:
Is she stable enough theoretically that I can stop checking on her every ten minutes or less?
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If we tell you to re-test in X minutes, it's because we truly feel like it's OK to wait that long.

Most cats also will become crazy hungry if they're dropping too quickly or into lower numbers. I could always tell when China was dropping too low because of the way she acted....she demanded food, NOW
 
Oh I realized I read your comment wrong and then deleted mine. Then your next comment showed up. Sorry! :)
It finally occurred to me I can drink coffee at night right now. Working on getting focused.....
 
Chris & China (GA) said:
If we tell you to re-test in X minutes, it's because we truly feel like it's OK to wait that long.

Most cats also will become crazy hungry if they're dropping too quickly or into lower numbers. I could always tell when China was dropping too low because of the way she acted....she demanded food, NOW
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That's about how Alice was getting at PS.

Her bowels are noisy. I can hear them gurgling quite a bit. Is this particularly odd?
 
CassandraCatface said:
That's about how Alice was getting at PS.
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Well with China, it was demanding food at an unusual time, not the usual "pre-shot" feeding

CassandraCatface said:
Her bowels are noisy. I can hear them gurgling quite a bit. Is this particularly odd?
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Now this one I can't answer....if it's unusual for her, tuck it into the back of your mind in case it makes sense later (like she has a really running poop next time she goes)
 
Maybe. At what point and in what amount would one administer? Will she be more or less likely to enjoy it? (Read: how to give, and difficulty level.)

She just got a can of FF (2%) mixed with some water. Sometimes I think her tummy has some sensitivities I have never figured out. So maybe bringing a little more of that back in will help.
 
Chris & China (GA) said:
Absolutely....our kitties are more than just their numbers.

We love getting a WCR (Whole Cat Report)….are the 5 "P's" in place? Peeing, pooping, playing, purring and preening
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Oh good. I find paying attention to her levels of activity/exertion give me a lot of clues towards her care. And as previously mentioned somewhere or other, I have amassed a large collection of poop pics now.

Playing is a no though. She has not felt well enough to be playful at all. She was never a whole lot though. Oh but when she was a baby...! Her and her brother! <3 <3 <3 :)
 
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