? Young Again = no dose increase?

Discussion in 'Lantus / Levemir / Biosimilars' started by Sarah Gamm, Nov 6, 2020.

  1. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    My Young Again cat food came yesterday, so as of today Charlie is on 100% Young Again. Saturday’s are usually dose-increase day. Should I hold off on a dose increase and see how he changes with the food?
     
  2. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
  3. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    I would give the food change a few cycles to see what it does beforeincreasing.
     
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  4. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
  5. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Ok that’s what I thought. I’ll give it a couple days maybe
     
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  6. Megan and Bernie

    Megan and Bernie Member

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    Feb 11, 2020
    Good luck with the food change! Glad to hear Charlie is feeling better! :)
     
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  7. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    So Charlie threw me for a loop this morning and his blood sugar was 9.6 (aka 172). I retested and it was 9.1 (aka 164)!

    So it’s a no shoot morning! I will watch him throughout the day, but if he starts increasing I don’t give him anything until pmps, correct?
     
  8. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Oct 18, 2019
    if you have decided to skip the morning shot, you shoot at your usual time in the PM.
     
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  9. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    Depending on how much of the YA you were feeding Charlie, you may not need to wait more than a day to adjust the dose.

    Also, you've been monitoring Charlie's BG since September. While this is the first blue pre-shot, It was likely fine to shoot. You might have considered stalling (don't feed your kitty, wait for 20 min or so, then retest and see if numbers are rising -- you can repeat if necessary). The options (i.e., stalling, shooting a slightly lowered dose, skipping) are explained in the dosing methods sticky.

    Ultimately, you want to be able to shoot progressively lower numbers. With Lantus, when you shoot lower numbers, you may see a flat cycle. If you look at some of the spreadsheets where members are shooting low pre-shot numbers, you'll typically see great numbers. The basic idea is "shoot low to stay low."
     
  10. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    So with that in mind, should I shoot 3u at the spam shot? He’s increasing as the day goes on
     
  11. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    You are seeing nice blues today. I don’t think 3 units will be his dose. Let’s see the rest of the day and the pmps.
     
  12. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    His spreadsheet is updated with what I have. Injection is in 1hr 45min. I’m thinking 2u
     
  13. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    I’m thinking 2.5 which is lower than the previous dose. Let’s see what others think. Do get a PMPS to see where he’s at and post it.
     
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  14. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Pmps is 21.5

    I’m thinking 2.5 units. We were on three units before we switched over exclusively to young again food
     
  15. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    Try it. It can be adjusted as needed.
     
  16. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Ok 2.5 it is. Thank you
     

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