11/18 Putu AMPS 640 +3 346+4 523 / PMPS 344 +5 349

putus_human

putus_human

Member Since 2020
It's our first day on Lantus (switched from Vetsulin) and Putu's BG is dropping about 100/hour.
  • AMPS 640
  • +3 346
If she continues on this trajectory, she'll be hypo at +6. Is it expected to continue dropping at this rate or will she level out?

What should I be doing to keep her safe?

Thank you,
V
 
That is a massive drop for day one but don’t panic it’s most unlikely she’ll continue on at that rate and she’s probably going to have a collosal bounce after this too. I’d check her again at +5 to see where she’s at and if you haven’t done so already read the sticky at the top of this forum abou handling low numbers. It’s a good idea to print that one out so you have it handy whenever you need it.
 
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Also, keep updating your thread title with your numbers so people can see very quickly if you need help. And I would add today’s date at the start so people know the thread is current - this forum gets pretty busy.

And if she hasn’t eaten recently you could give her a couple of teaspoons on low carb wet to try and level her off a bit.
 
Thanks, I just fed her more LC wet food at +3 but she's already been grazing on that all morning as well (probably had about a third of a 5.5 ounce can by now).

I've read all the hypo stickies, but I was wondering if we ever recommend switching to HC food as a preventative measure - like if she's dropped another 100 at +4?
 
Usually the HC waits until a kitty drops into the danger zone. However as you get to know Putu’s responses and if it turns out she’s a bouncy girl it might be used to steer a cycle and head off a bounce but it’s too late this time and she’s still quite up there so I wouldn’t bother with it now.

ETA although yes, if per chance she dropped to 100 at +4 a tsp of HC wouldn’t hurt.
 
Lol, yup you called that bounce a mile away!

So did I put her on too high of a dose? I know about "earning" a reduction, and she hasn't done that. Is there some kind of guideline for bouncy cats? I'm not sure if I should be backing off her dose or holding steady.
 
You’re going to hold this dose for a week to see what it can do, unless she drops under 90 and earns a reduction. It’s very early days and you’re going to have to clear your mind of everything you learned about vetsulin because lantus works totally differently. Have you had a read of the what is the insulin depot sticky at the top of the forum?

It is common for cats to start off bouncy but this is only cycle 1 for Putu so we really have no idea what her responses are going to be yet.
 
Yes, I read the insulin depot sticky. I don't know if I fully internalized it yet, so thank you for helping.
 
And I’ll just add for completeness, we wouldn’t usually reduce a dose because of bouncing, that’s something we’d try to manage with food. Dose decisions with lantus are all about how low the dose is taking the cat.

ETA - no one picks everything up straight away, it’s very much a case of on the job learning :)
 
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