? New member need help

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Diane Tyler's Mom said:
Holy crap over 400 bucks ,yes it's extremely expensive in the US
Sometimes the pharmacy you get it at has a coupon to apply for you
Like CVS, Walmart, Costco . It's about 198.00 from Marks
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Yes CVS was the cheapest and they used a coupon! No telling what it was without the coupon.
 
@Max & Lori @Chris & China (GA)

I just have a moment but since you are three hours later than me, I want to be sure you see this, Lori.

I had already been thinking of dose for Lantus and I agree with Chris; 5u bid was what I was thinking because that’s the dose where he saw some BGs in blue. He’s had almost six cycles since he could have possible gone low and he’s not seen any lower numbers than 200s. If you start him at 2u bid, I’m afraid we will have to fast track him up and he will build more glucose toxicity.

I know we are asking you to go against what this new vet that you like said. But when we switch from one insulin to another, we don’t go by the same conversion we would if he was starting from scratch because we already know what insulin can or can’t do for him.

It’s your decision and if you go with 2u, we will back you up and work to fast track him but we’ve dealt with this many, many, many times and I just think 2u is too low.

Caveat: if you see any BGs below 100 tonight, I’d start at 4u.
 
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Chris & China (GA) said:
I'm not sure I'd drop back that much. Lantus isn't "stronger" than Vetsulin the way you're thinking and dropping back that much will probably just result in a lot of wasted time while you work your way back up. Also, be prepared to test your patience. Whatever "starting dose" you begin with, it usually takes 5-7 days before you're going to see how he's really responding to that dose (although some cats can react much sooner)

I'd probably suggest that if you do drop the dose, you start at 5U....yes, I said 5 units. Let's get some other opinions though. We have until tomorrow to make a decision.

@Marje and Gracie

ETA...I'll also put a new line in for you on your spreadsheet for the change to Lantus
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Okay. I guess I'm a little nervous because I'm not sure what to expect. I hope he tolerates the time it takes to respond without getting sick. I wondered why the vet dropped it back so much. I suppose I was thinking it was stronger. I am getting ready to do some reading. I will check back later on the dose. Thanks for fixing my spreadsheet Chris.
 
Marje and Gracie said:
@Max & Lori @Chris & China (GA)

I just have a moment but since you are three hours later than me, I want to be sure you see this, Lori.

I had already been thinking of dose for Lantus and I agree with Chris; 5u bid was what I was thinking because that’s the dose where he saw some BGs in blue. He’s had almost six cycles since he could have possible gone low and he’s not seen any lower numbers than 200s. If you start him at 2u bid, I’m afraid we will have to fast track him up and he will build more glucose toxicity.

I know we are asking you to go against what this new vet that you like said. But when we switch from one insulin to another, we don’t go by the same conversion we would if he was starting from scratch because we already know what insulin can or can’t do for him.

It’s your decision and if you go with 2u, we will back you up and work to fast track him but we’ve dealt with this many, many, many times and I just think 2u is too low.

Caveat: if you see any BGs below 100 tonight, I’d start at 4u.
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Wow I am super nervous. I guess I was just thinking Lantus would be a lot less amount of insulin. I know you guys are way way more experienced than me. If I do go with the 5 units bid, am I supposed to tell the vet that? I'm supposed to do the glucose curve for him in a couple of weeks.
 
Max & Lori said:
Wow I am super nervous. I guess I was just thinking Lantus would be a lot less amount of insulin. I know you guys are way way more experienced than me. If I do go with the 5 units bid, am I supposed to tell the vet that? I'm supposed to do the glucose curve for him in a couple of weeks.
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Well I would be honest with him. No…when we are switching insulins, except between Lantus and Levemir, we start at the dose where we saw some decent numbers.
 
For what it's worth, we were on Vetsulin, 5.5 units, before switching to Lantus. Lantus dose of 2.5 was still getting readings of "Hi" (650+) on our AlphaTrak meter. It wasn't until we upped the Lantus to over 4 units that we saw any readings that weren't bonkers high.
Glad you found a vet that agreed with giving Lantus, and don't be afraid to speak your own opinion with them!

One more thing, I didn't see needles mentioned, forgive me if I missed it. Make SURE you are using needles that say U-100. Lantus is a U-100 insulin, and Vetsulin is a U-40 insulin.

ETA: I see Diane already asked regarding the needles, great!
 
@Chris & China (GA) @Marje and Gracie should I continue to post under feline health since I’m starting Lantus or move over to that forum? I know I’m going to need you guys a lot because I still feel clueless about what I’m doing. I read the Lantus files but I’m one of these “learn by doing” type of people. Thanks for your input @smorgasbord
 
Max & Lori said:
@Chris & China (GA) @Marje and Gracie should I continue to post under feline health since I’m starting Lantus or move over to that forum? I know I’m going to need you guys a lot because I still feel clueless about what I’m doing. I read the Lantus files but I’m one of these “learn by doing” type of people. Thanks for your input @smorgasbord
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Since you have learned the basics, you can move to the Lantus forum. If you haven’t read the stickys there, you’ll want to read them.

Here are the Posting Guidelines to read first so you post correctly as it’s different there. Also, please link this thread. Be glad to see you there!
 
Max & Lori said:
How do you link this thread?
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You will start each post over there by copying the browser address of the previous thread and pasting it in the new one following the above. Most people just entitle it “Previous” or “Yesterday” but some get creative. It’s very important to link the previous thread every day over there.
Let me know if you have questions.
 
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