10/17 Bocephus AMPS 128 Skip Insulin again

Wendy & Bocephus cat

Wendy & Bocephus cat

Member Since 2020
Are you following SLGS or TR?

With SLGS, you can shoot any number over 90 and with TR any number over 50. However, the comfort to shoot lower numbers comes over time with experience. When you encounter a lower than usual PS number, you do not feed, stall and test again in 20 mins - which you did today. If the number is rising, kitty will eat and you can monitor, you should be able to shoot.

On any day, if you shoot later than usual, you can work back to your original shooting time - 15 minutes a cycle or 30 minutes a day.
 
Ahh yes, I remember now. That was the research homework on 10/15 :) Have you decided? That impacts the possible advice others can give and how low you can give insulin and how long you hold the dose.
 
Bandit's Mom said:
Are you following SLGS or TR?

With SLGS, you can shoot any number over 90 and with TR any number over 50. However, the comfort to shoot lower numbers comes over time with experience. When you encounter a lower than usual PS number, you do not feed, stall and test again in 20 mins - which you did today. If the number is rising, kitty will eat and you can monitor, you should be able to shoot.

On any day, if you shoot later than usual, you can work back to your original shooting time - 15 minutes a cycle or 30 minutes a day.
Click to expand...
I haven't committed to either SLGS or TR because I've struggled to understand them and decide which is best for my boy. I'm thinking that since I'm a newbie and don't have a lot of data yet that I should use SLGS. I was under the impression not to give it under 200 but I know everytime I have to skip one the clock restarts and I fear it lessens his chances at remission. Now I regret not shooting but I'm learning.
Thanks for helping me
 
Once you have enough data, the right dose, and know better how your kitty responds to Lantus, I’m sure you’ll find the need to skip less or not at all. As time goes on, you’ll feel more comfortable shooting between 90-150.

Since you skipped, I’ll tag @Wendy&Neko to see if she wants to weigh in on the dose.

From the SLGS guidelines:
How to handle a lower than normal preshot number:

Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
  • In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
  • Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.
Keep in mind these are general guidelines, and they should be personalized to your own cat's response to insulin
 
thebigfuzz said:
Once you have enough data, the right dose, and know better how your kitty responds to Lantus, I’m sure you’ll find the need to skip less or not at all. As time goes on, you’ll feel more comfortable shooting between 90-150.

Since you skipped, I’ll tag @Wendy&Neko to see if she wants to weigh in on the dose.

From the SLGS guidelines:
How to handle a lower than normal preshot number:

Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
  • In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
  • Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.
Keep in mind these are general guidelines, and they should be personalized to your own cat's response to insulin
Click to expand...
I think I just need to breath and print some stuff out:confused:. I've read this you just sent and then when I needed to know it I couldn't remember what it said or where I read it. My own health issues/meds cause me major brain farts for lack of better wording and that severely impacts my functioning. I'm going to make me a Binder with tabs and get myself organized in control.
 
thebigfuzz said:
Since you skipped, I’ll tag @Wendy&Neko to see if she wants to weigh in on the dose.
Click to expand...
I'd stick with this 1.0 unit dose for now. Since you've decided on SLGS, you reduce the dose if they go under 90.

A favour to ask, could you put "SLGS" in your signature. That way we'll stop asking. :)

A couple of comments from me. First, Bocephus looks like he starting to respond really nicely to the Lantus dose. It's possible he may decide to show you an under 90 not too long from now. In the mean time, he's seeing some great numbers. If you can, it's a good practice to get a before bed test every night. A large number of cats go lower at night, as he's already shown you. We determine how to change the dose based on how low it takes the cat, do getting a second test in the night cycle is a good idea. You might even have been able to see that he was planning to drop last night.
 
Wendy&Neko said:
I'd stick with this 1.0 unit dose for now. Since you've decided on SLGS, you reduce the dose if they go under 90.

A favour to ask, could you put "SLGS" in your signature. That way we'll stop asking. :)

A couple of comments from me. First, Bocephus looks like he starting to respond really nicely to the Lantus dose. It's possible he may decide to show you an under 90 not too long from now. In the mean time, he's seeing some great numbers. If you can, it's a good practice to get a before bed test every night. A large number of cats go lower at night, as he's already shown you. We determine how to change the dose based on how low it takes the cat, do getting a second test in the night cycle is a good idea. You might even have been able to see that he was planning to drop last night.
Click to expand...
I will update the signature and definitely stay at current dose for now. I've printed the SLGS documents out and some others and have really been reading about it and I am going to try to get more between cycle numbers both for the day and night.
Thoughts on doing a curve at night? Or best to just get random tests in at different +hours
 
You must log in or register to reply here.
Back
Top