Squints 9/24/21 Dosing question

StephanieNJ

Member Since 2021
My cat squints is on lantus 1.5 units twice a day. His sugar this morning at 5am was 563... this evening at 5pm it was 91 then we rechecked it at 530pm and it was 101. I am unsure if I should be giving him his 1.5 units when he has those lower numbers. We just started testing at home on 9/9/21. I have my spreadsheet made but nees to fill it out. His numbers in the morning are consistently higher in the 200s, 300s and 400s while his PM numbers are high sometimes they go in the 100s... just need to know about dosing when low
 
@tiffmaxee @Wendy&Neko I'm not sure who is online right now. Data will be needed to give dosing advice. Would you please edit your title with the question mark and put your kitty's name and the date -- you can of course keep the dosing question part.
 
I see you have a spreadsheet. Once you input the data for the last two weeks I can try and help.
 
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Hey @StephanieNJ It is me, @Cinnie Cole from the Facebook group! You have found the right place. Hi @tiffmaxee - she is faily new and I told her to sign on here. AMPS was 523 then PMPS was 91, she waited a little and it went up to 101 and she gave 1U lantus (normal is 1.5). I was worried about a hypo and don't feel comfortable giving advice. Let me know how I can help - will be off for about an hour but will check back in.
 
Post the second line as your subject - we always include date cat name and Blood Glucose info - then any addl needed question

9/24 Squints AMPS=523 PMPS 91 Gave 1U - concerned about hypo
 
Ok. Dosing 1.0 you might still have an active cycle. Get a +1 and +2. Post the results. If you dint get a food bump at +1 feed a couple teaspoons of 10-12% carbs. If higher feed a couple teaspoons of normal low carb. Keep Squints hungry in case you need to feed often to keep the bg up so small amounts right now. If the +2 is the same or lower than the pmps it might be an active cycle. There may very well be a bounce.
 
oK. I think I have all the data entered onto the spreadsheet. We were having many issues getting blood in the morning. but the past few days we have been using the warm rice sock and that has been helping.
We use the relion premier classic meter for the last week ---- before that we were using my husbands meter (he is diabetic too)
 
I see it now. You must never shoot under 50 even when experienced. That is VERY DANGEROUS and you could very well end up at the ER with Squint. Please clarify that you shot a 20 on 9/22. Your cat should never have gotten insulin that night let alone 1.5 unless that is a mistake.
 
oK. I think I have all the data entered onto the spreadsheet. We were having many issues getting blood in the morning. but the past few days we have been using the warm rice sock and that has been helping.
We use the relion premier classic meter for the last week ---- before that we were using my husbands meter (he is diabetic too)

Thank you for that. Did you put the wrong number in on PMPS on 9/22?
 
We are at +2.5 so I think another reading should happen soon, @tiffmaxee - it looks like there was the +1, but should she be testing at least every hour?

Stephanie - the +1 is one hours after dosing, +2 would be two hours, etc. I am not certain you were aware of that way of identifying how lost after dosing the BG is checked.
 
Connie did she shoot a 20? Please tell me. Where are you Stephanie? If the test was at +2.5 I would test again in an hour from then. We have no idea how low this cat has gone. I am waiting to hear from my mechanic and might need to leave at any time to walk over to get my car. It’s important the cat be at a safe number before you atop testing. There aren’t any mid cycle tests so I don’t know when it will be.
 
Good job getting the SS data entered. We follow two dosing methods here on the forum: Dosing Methods

Some of the dosing advice we can give you depends on which dosing method you'd like to follow, so please do have a read through, and we're happy to help with questions.

At the moment you have been getting only preshots and no mid cycle tests. The mid cycle tests are critical in determining how low the dose is taking the kitty.

As Elise said, we never give insulin if the preshot number is under 50 and following TR. That number would be 90 if following SLGS. For new members who are just gathering data, and are posting here on the Lantus Lev Basalgar subforum, we would usually suggest not shooting under 150 until you have a sense of how the insulin and carbs you feed are influencing your cat, which requires trying to test at various times in the cycle so you can determine where your cat onsets, nadirs, and how much duration they are getting.
  • Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
  • Peak/Nadir - the lowest point in the cycle
  • Duration - the length of time insulin continues to lower blood glucose
This post may also help : New? How you can help us help you

When you get a preshot under 150, it is often best when you are still gathering data, to stall, not feed, and test again in 20 minutes to see whether the BG is rising on its own. As you gather more data, and get more comfortable with how the insulin is affecting your cat, you can gradually reduce this number.

For now, since you have giving insulin, as Elise said, start with a +1 and +2, and depending on those tests, it would be good to continue to monitor tonight to ensure Squints isn't dropping too low, and if you need to intervene with higher carb food.
 
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If I understand correctly, you got a PMPS of 91 then waited? (how long?) then tested and got 101. If that is the case, please enter in the data in the PMPS cell to read: +12 91, +12.5 101 (if you waited about 1/2 hour). Where are you at now since you shot?
 
At 820 pm EST squints was at 196...
You might want to check at +5 (10:30 EST) and +6 (11:30 EST) to be sure those numbers are not starting to dip too much (because that is when the Lantus will really start kicking in) and keep an eye on his behavior. Good luck. Post here if you have any concerns and please post those blood glucose numbers.
 
All data is good data, but it looks like a bounce is starting. For most kitties, Lantus kicks in around +2 so when it is significantly higher than preshot, that usually indicates not much action. You can certainly get a before bed test to be sure, but if it is still on the rise, I'd call it a night.

Makes me wonder what Squints was up to earlier today, if it were me, I'd hold the 1.25u and try and get some spot checks during each cycle as I noted above in post #19.
 
@StephanieNJ it would be helpful to keep your SS up to date and your title, otherwise the BG tests in the post can get lost. If that last test was about +5 he's come down a little but with meter variance, it's not super concerning. Do you usually feed smaller snacks through the cycle or just at main meals? I'd feed a couple of teaspoons of LC snack now. If you can get a +6 that will show if numbers are still relatively flat, just in case.
 
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