8/16 Jack AMPS 480 +3 411...+9 178 +10 159 +11 204 PMPS 236 First day on Levemir

Daddy Jack's Mommy (GA)

Daddy Jack's Mommy (GA)

Member Since 2019
This is Jack's first day on Levemir! Here is my previous post: https://www.felinediabetes.com/FDMB...-do-i-start-with-same-dose-as-prozinc.250468/

Jack was in remission for 2 years and came out of remission in May. First time around, his BG instantly responded to insulin and food change, and he went into remission in less than 3 months. This time around, it's a whole new ballgame! High and wonky BG numbers that seem unpredictable. Today is his 1st day with Levemir--switched from Prozinc. I'm hopeful that his numbers will hold more steady and I'll have him tested for a high dose/insulin resistant condition if his dose keeps increasing. I only reduced today's dose slightly from yesterday's Prozinc's dose - 5.8U on Prozinc, 5.5U today on Levemir. The last two days on Prozinc, it looked like Jack's numbers were slightly improving.

Jack has a lot of issues. The most concerning is his protruding, round, hard tummy and his muscle wasting. He needs a tooth removed but I'm opting not to put him under right now. He recently went through a flair up and had horribly runny stools for many weeks. But his stools have now been normal for a few days! It may be why his BG numbers have improved a little. Despite his problems, Jack is a very happy little boy who is extremely food motivated.

I told Jack that both of us are beginning a new adventure. I'm happy to be here in this supportive ISG!
~Carolyn
 
Good luck with the switch to Levemir! I did so with Fred...from Lantus back in June. Fred is still a massive bouncer, but I've found the Lev to be a great improvement with predictability. (though he's thrown me a few curve balls lately!) I was also concerned with high-dose conditions, as Fred seemed to fit the bill. We were fortunately negative for IAA/Acro, so the mystery of his higher dose continues! But he's been doing MUCH better, overall.

Paws crossed!
 
Purrberry said:
Good luck with the switch to Levemir! I did so with Fred...from Lantus back in June. Fred is still a massive bouncer, but I've found the Lev to be a great improvement with predictability. (though he's thrown me a few curve balls lately!) I was also concerned with high-dose conditions, as Fred seemed to fit the bill. We were fortunately negative for IAA/Acro, so the mystery of his higher dose continues! But he's been doing MUCH better, overall.

Paws crossed!
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Fred really is a massive bouncer. A kitty close to Jack's heart!
However, Fred's numbers do look a bit less bouncy since the switch.
 
Whoa. Huge change from Prozinc. Jack always drops down by +3 (usually a lot), but he's barely budged from AMPS. I'm curious to see when his nadir hits.
 
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I'm not used to Jack's numbers being this low as it approaches his PM dose. I don't even know if he's hit his peak yet. If he doesn't go up much higher than he is now at +10 (BG 159), can I give him his usual dose of 5.5U? This is his 1st day on Levemir. With Prozinc, I'm used to high numbers at pre shot.
 
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Hi Carolyn, sorry I can't help. I don't know Levemir well and it looks like Jack is heading into one of those +12 or +14 nadirs that Lev is famous for.
 
Great! Now you can feel good about giving him his full dose.

That "Myths Debunked" condo I pasted has TONS of great stuff to read when you have the time. I revisit it every once in a while and I learn something new each time.
 
PerfumedCatMom said:
Great! Now you can feel good about giving him his full dose.

That "Myths Debunked" condo I pasted has TONS of great stuff to read when you have the time. I revisit it every once in a while and I learn something new each time.
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Is it different for SLGS? The "shooting a falling number" was referring to tight regulation. At least in that point of the condo it was. Anyway, he's rising so I feel better about dosing him the same. And that thread is amazing! Thanks!
 
Daddy Jack's Mommy said:
Is it different for SLGS? The "shooting a falling number" was referring to tight regulation. At least in that point of the condo it was. Anyway, he's rising so I feel better about dosing him the same. And that thread is amazing! Thanks!
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With SLGS, you don't shoot anything below 90, but I'm pretty sure the same method holds regarding falling numbers. You want to take advantage of how well Levemir can grab hold of a low number and keep it there.
 
Curious to know why you're following SLGS if Jack is on a relatively high dose. Is that that method you were following with Prozinc or are you starting off slow until you have an idea of how Levemir will work? I have no experience with Prozinc, and although I've read through the dosing methods for it a few times it's a bit confounding as I've never seen it at work in my own cat. Here on the Lantus/Levemir forum, CGs with cats on higher doses seem to follow TR, especially when seeing numbers in blacks, so that we can prevent prolonged high numbers.
 
I followed SLGS with prozinc. He went into a 2-year remission with that method. But I'm willing to switch if TR is better, and Jack is definitely a higher dose kitty. But if I switch, I would first like to see how Jack responds to a depot insulin.
 
Daddy Jack's Mommy said:
I followed SLGS with prozinc. He went into a 2-year remission with that method. But I'm willing to switch if TR is better, and Jack is definitely a higher dose kitty. But if I switch, I would first like to see how Jack responds to a depot insulin.
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You're doing the right thing. Good luck with it all, Carolyn. Really glad to have you here in LL Land!
 
Hello again! Very glad to see Jack heading back up. I know that's a higher level of comfort.

So Fred had a pretty pronounced reaction to Lev on his very first day as well. I was like, "What the WHAT??" And if you look at my spreadsheet, you'll see that I ended up reducing very quickly...twice within four days of starting. I had started at 70% of Fred's Lantus dose, which is what the board recommends when switching from Lantus. There are so many others on the board who are the real experts!

I basically follow SLGS, but my variations are because I'm a real chicken when it comes to potential hypos. Levemir can also pull Fred WAY down from high numbers, so I get paranoid. Then, of course, Boing! He's back up.

Jack looked great today!
 
Daddy Jack's Mommy said:
Can I give him an insulin dose when he's still on his way to a peak? Stay tuned...
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Good for you on shooting full dose. :) As others have said, it's not uncommon for Lev kitties to nadir around +12. Neko's fav Lev nadir was typically in the +9 to +12 range, though she also did earlier and even later (+15). It takes some time to wrap your head around that. The up side is that onset is quite a bit later, so you have hours before the next shot will start lowering the numbers again. Levemir (and Lantus) are great at taking lower numbers and keeping them flat. Neko's second cycle on Lev was all flat blue - I loved it!

Looks like Jack is liking Levemir so far. Although, it can take a month or two until their bodies get used to working with the new hormone (insulin) and you see what they can really do with it.
 
Purrberry said:
Hello again! Very glad to see Jack heading back up. I know that's a higher level of comfort.

So Fred had a pretty pronounced reaction to Lev on his very first day as well. I was like, "What the WHAT??" And if you look at my spreadsheet, you'll see that I ended up reducing very quickly...twice within four days of starting.
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Fred really did respond quickly to Levemir! He was showing all those nice blues and greens in the first few days. I was shocked to see Jack's PMPS not hit 400! And this is only day #1.
 
Wendy&Neko said:
Good for you on shooting full dose. :) As others have said, it's not uncommon for Lev kitties to nadir around +12. Neko's fav Lev nadir was typically in the +9 to +12 range, though she also did earlier and even later (+15). It takes some time to wrap your head around that. The up side is that onset is quite a bit later, so you have hours before the next shot will start lowering the numbers again. Levemir (and Lantus) are great at taking lower numbers and keeping them flat. Neko's second cycle on Lev was all flat blue - I loved it!

Looks like Jack is liking Levemir so far. Although, it can take a month or two until their bodies get used to working with the new hormone (insulin) and you see what they can really do with it.
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I'm so happy with cycle #1! I Hope he follows in Neko's footsteps and remains in the blues. It would be great to stop seeing blacks and reds. I wouldn't miss that a bit.
 
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