Hi firstly belated welcome from George and me.
I'm so sorry Max has been having a hard time of it lately. How's he doing? I see that he came down from black to red yesterday, and saw some pink last night. How are his numbers today?
The problem you are likely experiencing is one of a depot that is not altogether full, that and the higher carb food are likely contributing to the higher numbers. It may take a few days to see the full effect of the dose. If his numbers are still consistently high you may need to move a little quicker with the dose, but in order to fast track safely you would need to keep up the tests in both am and pm cycles, so you can be sure that you are not missing any lower numbers.
If he remains in pinks or higher for 6 cycles on this dose I would take him up to 2.25u.
He has been quite bouncy so a PS in the red doesn't necessarily exclude him from having seen green earlier int he cycle.
Do continue with checking BG midcycle both in the am and pm cycles, this was discussed when you first switched to Lantus, you've been doing a great job at getting all this data in over the last few days, keep up the good work. It's really important to look at the nadirs (midcycle testing will tell you how low the dose is taking Max) when deciding on dose. When deciding on changing dose, with Lantus/a slow acting depot insulin, there is a basic question you ask yourself
'
How low is this dose taking kitty?'
The answer to that governs your dosing decision, and how often you ask yourself that question and reassess the dose is governed by whether you are following the TR or SLGS dosing methods.
So if kitty is nadiring in the normal range, you would hold the dose, see if he keeps on getting there, ignoring bounces and high PS. If nadirs are not low enough you would increase after 6 cycles (TR) 1 week (SLGS).
That said with DKA in the picture, it complicates matters especially if kitty is not getting enough calories.
Looking back through the numbers on Max's ss there have been some unorthodox dosing decisions, it seems like you may still have a 'prozinc head' on.
I also feel that I want to comment on the usage of 'R' (sorry to hijacck your condo Hettie)
I agree with Jill, that it may not be necessary at the moment, first see how his BG pans out now he is home. It may be worth considering if you find that he is staying high and increasing lantus doesn't get his numbers moving, or if it becomes apparent that you could use R to help manage his bouncing, but it's to early to make that call at the mo IMHO
I've been on the board for 4 years, and my experience has been that those with R experience have been more than willing to give up their time and share their knowledge/experience with those in need, tagging across the timezones to help kitties on the other side of the world. But it is only natural that these volunteers (many who no longer have FD kitties of their own any more) take some time out from the board, so if you are considering it's use do shout out, if tagging folk doesn't work (sometimes the tag alerts don't work) try a PM.
R is a powerful tool, and needs to be used with care and judgement, if you're unable to get help here, perhaps speak to your vet, manu are familiar with it's use.
I agree with Sienne, and think you are being very unfair, the people you are mentioning here in this post I know for a fact have been 'helping' you even though you may not have been aware of it.
Did you not get a response straight away, just when you wanted, perhaps.....
But I've read through and contributed in many of Sebastians threads, at times I have posted information which it seems you choose to simply disregard, and not even acknowledge. Wendy, has for example, with regards the use of R repeatedly said to you that you should avoid overlapping nadirs of Lantus and R, and advised against shooting R at +2 since this risks the L and R nadirs overlapping and causing a steep drop which will trigger a bounce....... she has also offered other advice, which is not taken, and that is your prerogative, but it is unfair to say that you have had no help, that is not true.
Should CG be aware that R can be used to help stabilise a kitty, of course they should, but I'm not convinced that it was an appropriate suggestion at this particular point.
I don't think that if I had been using R (and not with the most auspicious start) for just a couple of weeks that I would be offering to guide someone else on it's usage, I'm not sure that I would be able to say I had enough experience to take all the factors into consideration and keep their cat safe, and that is paramount when giving even the smallest snipit of advice. 'Do no Harm' must always be in our mind when offering advice.
What I would perhaps say is '
R has been working well for me, perhaps you want to explore if R would be appropriate in your particular case, try asking a question about it in the thread title and see what folk with more experience than I think?'
I'd be interested to know why you don't consider it a good fit right now.
One difference here is that Max has a feeding tube, so CG is able to get food into her cat, something you were struggling to do, DKA is not just about the insulin but about getting enough food into the cat and treating infection/inflammation.
Also Sebastian has IAA, Max has not as far as we are aware, certainly his numbers don't suggest that. Sebastians numbers and history made a number of us suspect there was some sort of issue there.
. If you can get it, warm it just a bit before trying to feed it.