8/22/2019 Blaze AMPS 499, +6 319, +10.5 313, PMPS 350, +2.5 291, +4.5 265

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I wouldn't go back to 1u right now. How about giving 0.5u today since he seems to be weaning himself off the dry food and we don't know if that AMPS is partly a bounce or his "real" BG. If it's a bounce and that BG is inflated, 1u might be too much.
 
MrWorfMen's Mom said:
I wouldn't go back to 1u right now. How about giving 0.5u today since he seems to be weaning himself off the dry food and we don't know if that AMPS is partly a bounce or his "real" BG. If it's a bounce and that BG is inflated, 1u might be too much.
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Okay sounds good! 0.5 U this morning it is! Im going to haul a** home on my lunch to test him to see where he’s at. Should I not leave ANY dry food out today? Or leave a little out? Or just leave wet food out?
 
Also, my vet called me yesterday and said she will write my the new prescription for Lantus! She also said he needs prescription food, but everything I’ve read says that it’s too high in carbs, correct? I don’t want to switch his food now, he’s doing so well with the wet food and having a little dry food to nibble on until he’s off the dry food completely.
 
YEAH for the vet on the Lantus! Boo on the vet for suggesting prescription food. All the dry food is definitely too high in carbs but there are some wet prescription foods that are Ok as far as carbs are concerned. The ingredients are no better (and maybe worse) than even the reasonably priced FF pates etc. A lot of cats will eat it initially and then get sick of it and of course it's overpriced just because they are marketing the food as "prescription" when there is absolutely nothing medicinal about it. The really funny thing is that some of the prescription food the vets push is labelled "dietetic" NOT diabetic. While some diabetic cats do need to lose weight, if kitty has lost weight the last thing they need is a dietetic food. :rolleyes:

If your vet gets very pushy about the script food and you want to keep peace, buy a couple of cans to try to appease her and then take all but one back and tell her Blaze won't eat it.;) They will refund you as the manufacturer has a money back guarantee.
 
MrWorfMen's Mom said:
YEAH for the vet on the Lantus! Boo on the vet for suggesting prescription food. All the dry food is definitely too high in carbs but there are some wet prescription foods that are Ok as far as carbs are concerned. The ingredients are no better (and maybe worse) than even the reasonably priced FF pates etc. A lot of cats will eat it initially and then get sick of it and of course it's overpriced just because they are marketing the food as "prescription" when there is absolutely nothing medicinal about it. The really funny thing is that some of the prescription food the vets push is labelled "dietetic" NOT diabetic. While some diabetic cats do need to lose weight, if kitty has lost weight the last thing they need is a dietetic food. :rolleyes:

If your vet gets very pushy about the script food and you want to keep peace, buy a couple of cans to try to appease her and then take all but one back and tell her Blaze won't eat it.;) They will refund you as the manufacturer has a money back guarantee.
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Ya I’m not very interested in buying the prescription food, he seems to be doing great with canned
Fancy feast and friskies pâtés, and it’s more doable on the price. I also don’t want to change things up on him again with his food. I’m just going to pick up the new prescription and tell them I’m not wanting to try prescription food yet.
 
Made it home on my lunch to test Blaze, he's at 319 at +6. Wonder if I should give 0.5U or 1U this evening? Or wait to decide the dose when I do PMPS?
 
Wow, a lot of action again just on the 0.5U!

I'm sorry I can't be of much specific help with dose (I don't have the experience with this insulin), but yes, I'm guessing that you won't really know until you see the pre-shot.

One thing we're missing with Blaze is a good sense of the nadir BG-- +2 in the evening is a bit early, the +6 during the day likely overshoots a bit. One of the nice things when you switch to Lantus is that the nadirs tend to be later, so even if you don't have a lot of days where you can be home to do a lot of testing, your lunchtime tests are going to be even more handy for seeing just what he's getting up to!
 
Well I’m worried about switching to Lantus now. Of course my vet said she doesn’t recommend the pens and said I shouldn’t have skipped his dose last night, even though his PMPS was 289. She said I should have given him at least 0.5U last night.

Talking to Lantus users, they’re saying you have to be much more strict with shots but sometimes I’m not home by 5:30 to test BG, feed him and shoot by 6:00 and my fiancé will not test his BG so I’m not sure what the right option is now. If that’s the case, that we have to be strict with times of shots, there will be some nights that he won’t be tested before receiving his dose. Is it safe with Lantus to do a reduced dose on nights he can’t be tested before shot?
 
Sarah: I talked a little about Lantus on your other thread. Short version, it's OK to have some flexibility in the shot schedule, you just have to be aware of it when you interpret his BG numbers.

In addition to what I said there, another feature of Lantus that will help you is that, unlike Novolin, you don't have to have a full meal on-board before shooting-- Lantus usually doesn't even onset until a couple hours post-shot. So, that removes some of the downtime between the evening test and the shot.
 
Nan & Amber said:
Sarah: I talked a little about Lantus on your other thread. Short version, it's OK to have some flexibility in the shot schedule, you just have to be aware of it when you interpret his BG numbers.

In addition to what I said there, another feature of Lantus that will help you is that, unlike Novolin, you don't have to have a full meal on-board before shooting-- Lantus usually doesn't even onset until a couple hours post-shot. So, that removes some of the downtime between the evening test and the shot.
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So if I test/feed/shoot Lantus at 6:00am and don’t make it home on my lunch to test him mid-cycle (which will happen sometimes), will he be okay until I get home from work? I don’t want him to drop too low during the day while I’m not there and possibly not able to test until PMPS.
 
Did a test at +10.5 just now and BG is 313. Should I test again at +11.5 and decide then whether to skip PM shot or give a reduced dose? We skipped last night because he was at 289 at PMPS.
 
Sarah Hamrick said:
Did a test at +10.5 just now and BG is 313. Should I test again at +11.5 and decide then whether to skip PM shot or give a reduced dose? We skipped last night because he was at 289 at PMPS.
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Hopefully Linda will be on soon, if she isn't already, to help with the dose tonight. Since you've got time before he's due, I'd recommend doing the stall tonight-- hold off on feeding and test again to try to figure out if he's on the way up or down or steady.

Sarah Hamrick said:
So if I test/feed/shoot Lantus at 6:00am and don’t make it home on my lunch to test him mid-cycle (which will happen sometimes), will he be okay until I get home from work? I don’t want him to drop too low during the day while I’m not there and possibly not able to test until PMPS.
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A lot of people manage that way. Of course, even with the "gentle" insulins it's not ideal to not be able to get any midcycle tests, and it means that you'll probably have to be a bit more conservative in dosing, but you should still be able to get Blaze into healthier numbers safely. One of the things you'll be reading a lot about in the Lantus forum is the "depot"-- a bit of each shot is saved and slowly released over time. This time-release feature is expected to help make the different cycles more level and predictable, so you can use the data you gather on nights and weekends and have a good idea of what is probably going on during the cycles you can't test.

Never any guarantees, of course, and then cats, being cats, always like to break the rules :rolleyes:, so we'll just have to see what Blaze has to say about all of this.
 
Nan & Amber said:
Hopefully Linda will be on soon, if she isn't already, to help with the dose tonight. Since you've got time before he's due, I'd recommend doing the stall tonight-- hold off on feeding and test again to try to figure out if he's on the way up or down or steady.




A lot of people manage that way. Of course, even with the "gentle" insulins it's not ideal to not be able to get any midcycle tests, and it means that you'll probably have to be a bit more conservative in dosing, but you should still be able to get Blaze into healthier numbers safely. One of the things you'll be reading a lot about in the Lantus forum is the "depot"-- a bit of each shot is saved and slowly released over time. This time-release feature is expected to help make the different cycles more level and predictable, so you can use the data you gather on nights and weekends and have a good idea of what is probably going on during the cycles you can't test.

Never any guarantees, of course, and then cats, being cats, always like to break the rules :rolleyes:, so we'll just have to see what Blaze has to say about all of this.
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Of course this happens on a night I have to leave the house by 6 to go to a meeting. I don't think I will be able to stall, I planned on testing at 5:30 and deciding whether to skip the dose or give a reduced dose tonight. I should only be gone for about an hour so I can test him as soon as I get home from my meeting. If he is under 300 at PMPS, then I will probably skip the dose tonight like we did last night, to be safe.

And I plan on coming home on my lunch break at every chance I get, but sometimes I have a shorter lunch so I know it won't work out every day for mid cycle tests. But that's great about the "depot". I will continue to test as much as I can during the work week so we can see how he's doing. I think Lantus will be much better for him. But you're right, cats make their own rules!
 
I gave him 0.5 U, he ate a whole can of FF classic paté 15-30 minutes before his shot and there’s a little more left out, plus a little bit of dry food. I should be back home in an hour or so, should I test him around +3-+4?
 
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