? Should I have given .25 Vetsulin for 114 pmps or next time skip?

[Nicki & Marcus]

Marcus, for now, is on Vetsulin until Saturday, when he will be switched to Lantus. For the last several days, he was 1 unit a.m. and 1 unit p.m. of the Vetsulin. Tonight, I tested him as he was eating his dinner (my daughter put the food down just before I got home, but I tested him mid-eating and he never moved when I pricked his ear!) He was 108 at that point. Then, 40 minutes later, after eating, he was 114. I posted with an edited title and a ? on my old thread, but I didn't see it pop up to ask if it was appropriate to give him any Vetsulin. I didn't hear and I went ahead and gave him a tiny dose of about .25. I will keep checking him to see what it does. So, going forward, was this the choice some of you would have made? And, in preparation for changing insulin, what should I do? His numbers keep looking better.

He had an infection from a cat bite which is what seems to have started all of this, cleared up with an antibiotic shot--he had been in remission for 2 years.

 

[Nan & Amber (GA)]

Looking at your spreadsheet, you've shot 1U on close to that number (127 and 123), so it wasn't completely out of line to do a reduced shot on the 114, but it is a pretty low number to be shooting Vetsulin.

The important thing is to make sure you keep an eye on him tonight-- even the 0.25U could bring him down too low if he was heading down anyway.

When you switch to Lantus, you'll have a whole different way of thinking about insulin. Lantus is dosed based on the nadir, not the pre-shot, and is a depot insulin. There's lots of information in the stickies of the Lantus/Basaglar/Levemir forum about all of that, probably a good idea to start reading up to get your head around it. You'll likely start with a dose similar to what the current vetsulin dose is, and go from there. One difference from vetsulin is that, with experience, you can shoot low numbers with Lantus, but it takes a bit of time to work up to that point.

 

[Deb & Wink]

I didn't hear and I went ahead and gave him a tiny dose of about .25. I will keep checking him to see what it does. So, going forward, was this the choice some of you would have made?

Yes, when the number is lower than expected at pre-shot time, if you didn't stall and did not want to skip entirely, giving a token dose was the right thing to do.

Lantus is dosed based on the nadir, not the pre-shot,

In-and-out insulins are also dosed based on the nadirs, not the preshots. Same as the L type insulins.