STALLING! NEED HELP!!

[Nan & Amber (GA)]

The +3 number was 103. Should I continue with your previous advice for tonight at 11 pm? (150 - 200 give 1/4. If it is lower than 150 nothing)

50-120 is considered the normal range for a cat. Most non-diabetic cats run on the low side of that (that's why it'd be great to give her a little more insulin support to get her in that range), but wow, look what Maus is doing all on her own!

And yes, you still don't want to shoot even 0.25U of vetsulin on these kinds of numbers, not without having any data on what it would do.

We'll see where she is at the next shot time, but.... Go Maus!!!!

 

[MrWorfMen's Mom]

Great to see that number come down from pre-shot even if only a little. I have my doubts that there will be any question about giving insulin tonight. I expect Maus will not be high enough to try any dose of Vetsulin tonight. I'd keep testing her at usual shot times and see what she does for now.

 

[Matt & Maus]

Great to see that number come down from pre-shot even if only a little. I have my doubts that there will be any question about giving insulin tonight. I expect Maus will not be high enough to try any dose of Vetsulin tonight. I'd keep testing her at usual shot times and see what she does for now.

I have the ball rolling for the switch to Lantus. Do you know if there are any resources available to explain how to transition? Also, whenever you have a spare moment, can you take a peek at her chart to see whatever it is you are able to see. I have foolishly not gotten any mid-cycle PM tests the last few days, but I will get back on that during the next PM cycle. Sorry to keep bothering you, but your help has been invaluable.

 

[MrWorfMen's Mom]

When transitioning from one insulin to another we take the data from the current insulin into consideration. When switching between Vetsulin and Lantus, usually the same dose can be started with Lantus. The one caveat to that is occasionally a cat can have a strong reaction to a new insulin so it's best to the do the switch when you can monitor closely for a couple of cycles.

The nice thing about Lantus is that it is better at holding good numbers than pulling down high numbers so drops in BG tend to be slower and less steep leaving lots of time for steering to keep kitty safe.

The Lantus forum is a busy place so when posting over there, we ask everyone to put the date of their post, their kitty's name and their AMPS and any question you might have in post title. This helps ensure that anyone needing help ASAP is looked after. We can get into that nitty gritty later. In the meantime, when you have a few minutes, I'd suggest you read through the sticky's at the top of the Lantus Forum to get a feel for the differences between how it and Vetsulin work. There are 2 dosing methods and you will be asked to choose one so that folks helping can provide you with consistent and appropriate information. TR (Tight Regulation) is more aggressive and has a great track record for helping cats go into remission. SLGS (Start Low and Go Slow) is also good, can get a kitty into remission but the method is less aggressive. It's entirely up to you which you choose as long as Maus is on a strictly wet diet. If there is any dry food in her diet, then you can only use the SLGS method. The sticky describing both methods is HERE.

No apologies needed. You are not bothering us at all. We are all here because we want to help. Do try to get, at a minimum, a before bed BG reading as many if not most cats, go lower at night than they do during the day. And when you can on day cycles, grab a test between +3 and +7 to see what Maus is up to during that period which tends to be the most active for Vetsulin. Any data you can collect will help us make recommendations about what dose to start her off at with Lantus.

 

[Matt & Maus]

When transitioning from one insulin to another we take the data from the current insulin into consideration. When switching between Vetsulin and Lantus, usually the same dose can be started with Lantus. The one caveat to that is occasionally a cat can have a strong reaction to a new insulin so it's best to the do the switch when you can monitor closely for a couple of cycles.

The nice thing about Lantus is that it is better at holding good numbers than pulling down high numbers so drops in BG tend to be slower and less steep leaving lots of time for steering to keep kitty safe.

The Lantus forum is a busy place so when posting over there, we ask everyone to put the date of their post, their kitty's name and their AMPS and any question you might have in post title. This helps ensure that anyone needing help ASAP is looked after. We can get into that nitty gritty later. In the meantime, when you have a few minutes, I'd suggest you read through the sticky's at the top of the Lantus Forum to get a feel for the differences between how it and Vetsulin work. There are 2 dosing methods and you will be asked to choose one so that folks helping can provide you with consistent and appropriate information. TR (Tight Regulation) is more aggressive and has a great track record for helping cats go into remission. SLGS (Start Low and Go Slow) is also good, can get a kitty into remission but the method is less aggressive. It's entirely up to you which you choose as long as Maus is on a strictly wet diet. If there is any dry food in her diet, then you can only use the SLGS method. The sticky describing both methods is HERE.

No apologies needed. You are not bothering us at all. We are all here because we want to help. Do try to get, at a minimum, a before bed BG reading as many if not most cats, go lower at night than they do during the day. And when you can on day cycles, grab a test between +3 and +7 to see what Maus is up to during that period which tends to be the most active for Vetsulin. Any data you can collect will help us make recommendations about what dose to start her off at with Lantus.

I have plenty of time to read the stickys. I didn't notice that it will take 2 weeks to receive the insulin from Canada, my fault for not checking. I probably would have paid full price at a local pharmacy had I noticed that, but again that is on me. Also, the PM test/shot is just before I go to bed. As for the method, SLGS it is, because dry is part of her diet. Thanks for the information!

 

[Chris & China (GA)]

I didn't notice that it will take 2 weeks to receive the insulin from Canada, my fault for not checking.

It's usually more like a week....it says 2 on their website but in reality, it's usually less. They will give you a tracking number so you can watch it move through the postal system

Once you're an established customer, it can come even faster because they don't have to verify the script. I ordered a refill once on a Monday afternoon and it was in my mail on Friday. (I'm in Missouri)

 

[Matt & Maus]

It's usually more like a week....it says 2 on their website but in reality, it's usually less. They will give you a tracking number so you can watch it move through the postal system

Once you're an established customer, it can come even faster because they don't have to verify the script. I ordered a refill once on a Monday afternoon and it was in my mail on Friday. (I'm in Missouri)

I hope so, because in the FAQ's it says perhaps 3 weeks or more due to customs.