New member 3/30/2022 | Are these BG numbers considered as a remission?

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gingel

Member Since 2022
Hi everyone,

I am new here. My name is kobi.
I'm from Israel.

My male cat, (14 years old), was diagnosed with diabetes about 2 weeks ago.
My cat was losing weight but his appetite increased.
He is now about 9.9 pounds (4.5 KG). He was 12.5 pounds (5.7 KG), but not fat, he is just a little big.

I took him to the vet which did a complete blood test that showed blood glucose of over 400.
He also did a Fructosamine test. The result was about 600 from what i remember.

We started treatment with insulin.
The type of insulin is Lantus that comes in a pen. We are using the pen needles, and not syringes.
The first time the Vet took a glucose test with his cat glucometer, the result was 550.
He gave him 5 units.
The next morning i came to the Vet with a human glucometer (Accu chek instant) that i bought.
He showed me how to take blood from the ear, and how to inject the insulin.
The Vet meter showed 554. He gave him 6 units.
At the evening i went back to the Vet for the second test and injection.
We tested with my human meter, and the result was 70.
The Vet meter result was 85. So ofcourse no injection was given.
The next day at the Vet we checked only with my human meter and the result was 562.
He was given 3 units.
At the evening the result was 537. Again 3 units of insulin.


I started to check and inject alone at home.
Telling the Vet the result each time so he can tell me how much units to give.
The next few days was a roller coaster. sometimes between 400 and 500.
Sometimes a little lower then 200, it even got one time to 62. (didn't give him an injection with these results.)

A few days ago i measured twice more after the morning test and injection.
In the morning before the injection it was 509 (4 units were given). 4 hours later 203. 3 hours later 154. before the evening injection it was 263.
Now we are back again to 400-500. (Giving 4 units)

It did happen to me twice now (second time was this evening), that i inserted the needle in the scruff area
(the Vet shaved a small area so i will be able to see it),
and i pushed the button of the insulin pen, and a small amount came out on his fur.
Not sure what happened there.
So maybe at those times i didn't inject the full corrrect dose.

About the food.
The Vet recommended one of the known brands diabetic food (wet/dry).
He doesn't sell it to me. I buy it from a pet store.
I bought Royal canin diabetic, wet (comes in pouches) and dry.
I am feeding him the amount it says on the bag. About 55 grams from the dry and 1 wet pouch.
Do i need to give him more food?
I am dividing it to about 4 times a day.
After reading here and other places i now understand that the food i bought is not the best.
Better than the regular dry food he used to eat but still not ideal.

The poor cat always want to eat, and i understand it's because of the high glucose in the blood.

I read that it is recommended to give wet food.
I saw the brands people recommended, but didn't find most of them where i live.
I found canned food from Animonda Carny, and i understand these are good?
The one i found is "beef, chicken+duck hearts" for adult cat.
37 % beef (lung, heart, meat, udder, kidney), 20 % chicken liver, 8 % duck hearts, calcium carbonate, sodium chloride.
Protein 11.5 %
fat content 6.5 %
crude fiber 0.5 %
crude ash 1.8 %
moisture 79 %
taurine 0.8 g/kg.

Is that good for a diabetic cat?


Sorry for the long post.
It is a very frustrating situation, and i feel like i'm not able to help him.
I appreciate any advice with the food and injections or any other comment that can help.

Many Thanks.
 
Hi there, welcome, you're in the right place!

First of all, those doses are HUGE. As in, I had a heart attack when I saw 6 units. You are lucky he is still alive, to be honest.

Have you already started to change his food? If yes, please do not make any more changes. If no, please do not make any changes yet.

Does he have any other health issues?

Do you know his ideal weight? We can help you figure out how many calories he should be getting per day, and how to divide the meals.

I am glad to see you are home testing, that's great.

Lantus is a depot insulin, it should be the same dose, given 12 hours apart. We do not adjust the dose based on high numbers/pre-shot data like your vet was doing, only the lows. A dose needs to be held for at least 3 days for the depot to stabilize, and we reduce any time they go under 90 (there are different dosing methods, I am assuming the more conservative one here until you get your bearings). Dose changes are done in 0.25U increments.

The pen needles waste a lot of insulin since.you have to prime them, you can insert a syringe directly into the pen - see video here

I am going to tag some Lantus users because I really am not sure the best way to proceed - @Christie & Maverick @Bandit's Mom @tiffmaxee @Bron and Sheba (GA)

Bhooma, also - do you know what food list to use for Israel?
 
Welcome. That is way to much insulin starting out.A cat needing that much would have a high dose condition. Can you start a spreadsheet and input your numbers. Since you are feeding some dry food you would follow our SLGS method. Will he eat all wet? How much is his ideal weight? I’m guessing he’s underweight so you need to feed him as much as he will eat.
A cat his size would get 1.0 to start. We then would increase in .25 increments.
 
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More reading.
https://www.felinediabetes.com/FDMB/threads/the-basics-new-to-the-group-start-here.18139/

Don’t try and read all this at once. Start with a spreadsheet and see the carb content in the foods you are feeding. Sorry I am not familiar with food in Israel and actually feed my two that are 5 1/2 raw food so I am not as up on current canned foods. I fed Max fancy feast pates but pet food manufacturers change the formula so often it’s hard to keep track.

Spreadsheet directions.
https://www.felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
 
The food you gave us the information about looks as if it has about 3% carbs in it so is ok for diabetics. However I’m a bit concerned it has 20% chicken liver. That’s too much to be feeding all the time. Liver should not be more than about 5% of the total.

I am certainly glad you are hometesting. The reason you are seeing the blood glucose numbers all over the place is because of the high dose you have been giving and then the BG drops low and the cat bounces up high. Bouncing happens when the BG drops too fast, too low or lower than it is used to. The cats body then panics and dumps stored glucose and regulatory hormones into the system and the BG shoots up high. Bounces can last from 1 to 6 cycles and there is nothing you can do but wait them out.
I would also go back to 1 unit and start with that dose twice a day. Test before every dose to see it is safe to give the insulin and try and test around +4 to +7 (vary it) to see how low the dose is taking your kitty.
Also get the spreadsheet and signature set up so we can help you much more easily. I’ll ask @Bandit's Mom if she would check to see how you are getting on with the SS
 
Hi,

Thank you all for the info.
I really don't know what to do.
Because yesterday i saw a small amount of insulin that came out on his fur, i went to the Vet this morning to do
the injection with him so he can see if i'm doing something wrong.
I tested the BG before the injection, and it was 507. The Vet decided to give 5 units.
I asked if that not too much, but he said no.
He did said that maybe after i'll finished with the insulin pen, he will switch to a vial and syringes.
maybe it will be easier for me to do the injection.

I'll check the BG again at home after it will be about 6 hours after the injection.

Bron and Sheba (GA) said:
The food you gave us the information about looks as if it has about 3% carbs in it so is ok for diabetics. However I’m a bit concerned it has 20% chicken liver. That’s too much to be feeding all the time. Liver should not be more than about 5% of the total.
Click to expand...

I only bought 2 cans. Can i use the 2 cans with the dry food?
I will try to check if they have other types from animonda carny without too much chicken liver.

EDIT:
FrostD said:
The pen needles waste a lot of insulin since.you have to prime them, you can insert a syringe directly into the pen - see video here
Click to expand...

What do you mean by prime?
The vet showed me to select the correct dose with the knob, and then stick the needle in his
scruff area. I'm holding it in for a few seconds, than take it out.

I also saw a video on youtube doing the same.

Thank you.
 
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gingel said:
What do you mean by prime?
Click to expand...
We do not recommend using the pens to dose insulin for several reasons. You have to prime the pen for every shot. This means you are expelling 1u of insulin every time you have to give your cat a shot.
We use the syringes so we can adjust the dose by 0.25 units
You can still use the pen ,we use the syringe to draw out the insulin from the pen
You just don't use the needles that come with the pens
I'm surprised your vet didn't know that
Just take the cap off the pen and use a U100 syringes and pull the insulin out of the pen!
syringe-in-pen-pic-jpg.45006
 
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gingel said:
Hi,

Thank you all for the info.
I really don't know what to do.
Because yesterday i saw a small amount of insulin that came out on his fur, i went to the Vet this morning to do
the injection with him so he can see if i'm doing something wrong.
I tested the BG before the injection, and it was 507. The Vet decided to give 5 units.
I asked if that not too much, but he said no.
He did said that maybe after i'll finished with the insulin pen, he will switch to a vial and syringes.
maybe it will be easier for me to do the injection.

You don't have to wait to finish the pen in order to use syringes

I'll check the BG again at home after it will be about 6 hours after the injection.
Click to expand...
I think 5 units is still to high, as tiffmax mentioned above start with 1 unit we then would increase by 0.25 units at a time.
The dose is not based on how high the AMPS first test in the AM and PMPS first test in the PM
It's based on how low his BG drops during each cycle
That's why you need to be testing as much as possible so you can catch it
I'll give you the link for lantus ,read the yellow sticky's
Especially the one about the 2 dosing methods to choose from
https://www.felinediabetes.com/FDMB/forums/lantus-levemir-biosimilars.9/



We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help.
Spreadsheet directions.
https://www.felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
 
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gingel said:
He did said that maybe after i'll finished with the insulin pen, he will switch to a vial and syringes.
maybe it will be easier for me to do the injection.

I'll check the BG again at home after it will be about 6 hours after the injection.
Click to expand...
By u don't have to wait to finish the pen in order to use syringes
Just take the cap off the pen and use a U100 syringes and pull the insulin out of the pen!
syringe-in-pen-pic-jpg.45006
 
Diane Tyler's Mom said:
By u don't have to wait to finish the pen in order to use syringes
Just take the cap off the pen and use a U100 syringes and pull the insulin out of the pen!
syringe-in-pen-pic-jpg.45006
Click to expand...

I'll talk with him about it. Thanks.

So basically, without priming, it's giving a lower dose than what you set it?
 
gingel said:
I'll talk with him about it. Thanks.

So basically, without priming, it's giving a lower dose than what you set it?
Click to expand...

I have never Primed the pen because I always used syringes
I'm am going to tag a few members on how to prime the lantus pen

Kobi is giving 5 units of insulin now see post #8, he is not using syringes to draw out the insulin

So what does he have to do dial it to 5 units then get rid of it in the sink, then dial up 5 units again to inject. Or say if it was a lower dose of insulin what do you have to do to prime the pen
@tiffmaxee

@Bron and Sheba (GA)

@Sienne and Gabby (GA)

@Wendy&Neko

@Suzanne & Darcy

@Bandit's Mom

@FrostD

@Larry and Kitties

Thanks ladies
 
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Lantus SoloStar should be primed before each use, this is sometimes called a safety test. This should be done to remove any bubbles, to ensure that the pen is working properly and that the device can administer the dose of insulin required.Jun 22, 2020
 
I never used Lantus in pen form - only vials. I used Levemir pens. No priming required. Inserted the U-100 syringe (do not insert air into the pen) and draw back the insulin. If you draw too much, do not push it back into the pen.
 
Diane Tyler's Mom said:
Lantus SoloStar should be primed before each use, this is sometimes called a safety test. This should be done to remove any bubbles, to ensure that the pen is working properly and that the device can administer the dose of insulin required.Jun 22, 2020
Click to expand...
Are you sure this isn’t for humans using the pen? People use the pen needles and don’t draw the insulin out of the pen with syringes the way we do for our cats. @Jill & Jade you use Lantus pens. Can you enlighten us? Do you have to “prime” it before each shot?
 
Suzanne & Darcy said:
Are you sure this isn’t for humans using the pen? People use the pen needles and don’t draw the insulin out of the pen with syringes the way we do for our cats. @Jill & Jade you use Lantus pens. Can you enlighten us? Do you have to “prime” it before each shot?
Click to expand...
Hi. I have never primed the pen. The syringe goes directly into the “stopper” to draw the insulin.
 
Suzanne & Darcy said:
Are you sure this isn’t for humans using the pen? People use the pen needles and don’t draw the insulin out of the pen with syringes the way we do for our cats. @Jill & Jade you use Lantus pens. Can you enlighten us? Do you have to “prime” it before each shot?
Click to expand...

I'm talking about if you are not using the syringes to draw out the insulin from the pens which he is not using syringes he's just injecting with using the pen with the pen needles
I know you don't have to prime the pen if you are using the syringes :cat:
Hi Suzanne
Hi Jill
I did a search on our forum and they all say you have to prime the lantus pens I put in the search are Prime the pen if you are not using the syringes , you will see the members have said you have to prime , you can look at Sienne and Gabby's reply about it for instance
@Suzanne & Darcy

@Jill & Jade

See post #51 here
https://www.felinediabetes.com/FDMB/threads/kaz-needs-help-desperately.260485/#post-2924564

Also from Bron and Sheba post #39 here
https://www.felinediabetes.com/FDMB...asing-after-insulin-shot.258050/#post-2904420
 
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Hello and welcome to the best place you never wanted to be.

Please don't let that vet inject insulin in your cat ever again. They are giving way too much insulin!!! Which can cause a hypo and kill your cat. I suspect your cat is so frantically hungry because the high dose of insulin is driving his blood sugar numbers down and eating food is how he is keeping himself safe. We don't determine what Lantus dose to give based on numbers we test just before we shoot, but rather how low the insulin dose is taking the cat. I rather suspect your vet is used to older style insulins in cats and not so much with Lantus. We can help you with dosing.

Before we suggest a better starting dose of insulin, can you tell me if your cat has any other medical conditions diagnosed at the same time? Did the vet mention ketones? A typical starting dose of insulin is more like 1.0 units, but not if there complications like ketones.

As for food, a lot of UK foods are available in Europe, and I suspect Israel too. This food list UK Cat Food List shows the values for the Animonda. A low carb food is under 10% carbs, and that is what is appropriate for a diabetic. Dry food is not appropriate for a diabetic, or frankly almost any other cat. Don't change the food until we can see some of your home testing data and we have you starting on a better insulin dose.
 
Diane Tyler's Mom said:
I'm talking about if you are not using the syringes to draw out the insulin from the pens which he is not using syringes he's just injecting with using the pen with the pen needles
I know you don't have to prime the pen if you are using the syringes :cat:
Hi Suzanne
Hi Jill
I did a search on our forum and they all say you have to prime the lantus pens I put in the search are Prime the pen if you are not using the syringes , you will see the members have said you have to prime , you can look at Sienne and Gabby's reply about it for instance
@Suzanne & Darcy

@Jill & Jade

See post #51 here
https://www.felinediabetes.com/FDMB/threads/kaz-needs-help-desperately.260485/#post-2924564

Also from Bron and Sheba post #39 here
https://www.felinediabetes.com/FDMB...asing-after-insulin-shot.258050/#post-2904420
Click to expand...
Hi!! :)
 
Thank you for all the information.
Sorry for the late update. This morning the BG was 507. injection (5 units, without priming the pen).
I tested 6 hours later and the BG was 72. I tested at the evening before the second injection,
and the BG was 93. So ofcourse no injection was given with this numbers.

I'm afraid to know what will be at the morning test.

Wendy&Neko said:
Before we suggest a better starting dose of insulin, can you tell me if your cat has any other medical conditions diagnosed at the same time? Did the vet mention ketones? A typical starting dose of insulin is more like 1.0 units, but not if there complications like ketones.
Click to expand...

The cat also have a problem with some of his teeth. This is been for a few years, but the vet told me it's a very
risky operation to remove them at his age. There were a few times in the past years where he was treated
with antibiotics and some kind of Steroids. That actually helped for a long time.
The vet didn't mention something like ketones.

FrostD said:
Yes last I knew if you are using the pen needles (not syringes) you do have to prime it first, which wastes about 1U
Click to expand...
Ok, so i need to select 1unit, and then push the button letting the insulin out the needle.
(1 unit is enough to prime the pen?)
Then set the pen to the correct dose i need. Correct?
 
Jill & Jade said:
Hi. I have never primed the pen. The syringe goes directly into the “stopper” to draw the insulin.
Click to expand...
Me too. I like that way. But it seems Kobi is using the pen needles that come with the pen for people. I think that would waste insulin and be more difficult to give the shots. Hopefully, Kobi, you can get some U-100 syringes.
 
Diane Tyler's Mom said:
I'm talking about if you are not using the syringes to draw out the insulin from the pens which he is not using syringes he's just injecting with using the pen with the pen needles
I know you don't have to prime the pen if you are using the syringes :cat:
Hi Suzanne
Hi Jill
I did a search on our forum and they all say you have to prime the lantus pens I put in the search are Prime the pen if you are not using the syringes , you will see the members have said you have to prime , you can look at Sienne and Gabby's reply about it for instance
@Suzanne & Darcy

@Jill & Jade

See post #51 here
https://www.felinediabetes.com/FDMB/threads/kaz-needs-help-desperately.260485/#post-2924564

Also from Bron and Sheba post #39 here
https://www.felinediabetes.com/FDMB...asing-after-insulin-shot.258050/#post-2904420
Click to expand...
Sorry, Diane. I didn't realize he was using the pen needles at first. I was sitting in the parking lot at the vet waiting for my cat (actually two cats) to be seen and get finished up. My fault.
 
Suzanne & Darcy said:
Me too. I like that way. But it seems Kobi is using the pen needles that come with the pen for people. I think that would waste insulin and be more difficult to give the shots. Hopefully, Kobi, you can get some U-100 syringes.
Click to expand...

Yes, i'll talk with the vet about that. I will probably purchase a few syringes from him and see how it goes.
Will it be possible to return and use the pen with the pen needles after that?
 
STEP 3. PERFORM A SAFETY TEST
• Dial a test dose of 2 Units.
• Hold pen with the needle pointing up and lightly tap the insulin reservoir so the air bubbles rise to the top of the needle. This will help you get the most accurate dose.
• Press the injection button all the way in and check to see that insulin comes out of the needle. The dial will automatically go back to zero after you perform the test.
• If no insulin comes out, repeat the test 2 more times. If there is still no insulin coming out, use a new needle and do the safety test again. !

• Always perform the safety test before each injection.
• Never use the pen if no insulin comes out after using a second needle.

Above from: https://www.lantus.com/dam/jcr:817aed9c-a677-4cd6-a6b3-d93d8aba629a/lantus-solostar-pen-guide.pdf

Because you waste about 1-2 units each time, using pen needles w/dial-a-dose is wasteful of insulin with the low doses most cats use.
I used Levemir Flex Pens for my aero MurrFee. I I got them cheeplt w/pen needles from a person changing to insulin pump. Hr was on 25 units twice daily and I never
 
gingel said:
Will it be possible to return and use the pen with the pen needles after that?
Click to expand...
Maybe. Frequently when you draw insulin out of a pen using a syringe air gets into the pen. The iar is compressible and if you use the pen needles with air in the pen the dial-a-dose units will not be accurate. I suspect the actual injection will be lower that the dial-a-dose number.
 
gingel said:
I tested 6 hours later and the BG was 72. I tested at the evening before the second injection,
and the BG was 93. So ofcourse no injection was given with this numbers.

I'm afraid to know what will be at the morning test.
Click to expand...
Don't give 5 units tomorrow, it's too much insulin. It's better to shoot a lower dose so you can shoot twice a day.

Try calling one of your local pharmacies and see if they sell the BD Microfine+demi 0.3 ml U-100 syringes or the BD Ultrafine U-100 3/109 cc syringes, ideally with half unit markings. This link is to one pharmacy in the UK that ships them if you can't find them in stores. Or you can get a few from your vet to try out.
 
Hi,
This morning the BG was 500. I gave him 4 units. I primed the pen before, using 2 units.
Can i prime the pen with only 1 unit?
I'll check his BG again after about 6 hours.

Hopefully i'll get the syringes this weekend, or at the begining of next week.
Thank you.
 
4 units is still too much insulin. When you see a number below 100, give him some of his food to try to prevent him from going lower. Since you are only shooting once a day because his numbers are going too low, which makes him really high because you are skipping a dose. I might suggest trying half the dose and see if you can shoot twice a day, so maybe 2 units next time he's high enough to dose? It'd really be much easier for me to give a definitive answer if we had a spreadsheet of numbers to look at. Let us know if you'd like help setting that up.
 
Hi Wendy,
Thank you. I'll talk with the Vet about your suggestion of giving a lower dose so i'll be able to give the second injection.
I'll try to work on filling the spreadsheet this weekend. Is there a tutorial?
Is a week of info is good, or do i need to fill it from day one?

Meanwhile ,the BG at the evening before injection was 129. (So no injection)
Probably will go back up tomorrow morning.

Thank you so much.
 
Hi,

I created the spreadsheet. (i hope i didn't make a mistake)
I don't know what to fill under the "Dosing Method (SLGS or TR)"

So, yesterday when i checked at +6.25 the BG was 64. (he got 4 units at the morning).
Today the AMPS was 468, and after discussing with the Vet (because i was afraid on giving 4 units again), we
decided to go for the 2 units twice a day.
So this morning he was given 2 units. I checked at +6 and the BG was 127.

Let's see how much it will be at PMPS.
What should be the limit of no not giving an injection?
 
I am hoping Wendy can come by, but you guys are fairly opposite time zones.

The formal guidelines say if you get a number under 200, stall without feeding and ask for help. If you shoot, and how much you shoot, will depend on a few things so it's best if you ask for help.

I would get a +11 today so that way you know whether his BG is going up or down at shot time.
 
FrostD said:
I am hoping Wendy can come by, but you guys are fairly opposite time zones.

The formal guidelines say if you get a number under 200, stall without feeding and ask for help. If you shoot, and how much you shoot, will depend on a few things so it's best if you ask for help.

I would get a +11 today so that way you know whether his BG is going up or down at shot time.
Click to expand...

Thank you. It was a little late today for the +11 test.
I Checked at PMPS, and it was 360. I talked with the Vet and he told me to give 2 units, so that's what i did.

I'll try to check again at +3, if he will let me :-) .

Thank you.
 
Ok, i checked at +3 after PMPS, and it's 436.
he did eat when i gave him the injection, but wasn't it supposed to go down a little after 3 hours?
 
gingel said:
Ok, i checked at +3 after PMPS, and it's 436.
he did eat when i gave him the injection, but wasn't it supposed to go down a little after 3 hours?
Click to expand...

it really depends on whether or no the insulin is having an "active" cycle. If it's an inactive cycle, it can feel like the insulin isn't doing anything at all when you look at the numbers! Very frustrating.
 
Hendrick's mom and dad said:
it really depends on whether or no the insulin is having an "active" cycle. If it's an inactive cycle, it can feel like the insulin isn't doing anything at all when you look at the numbers! Very frustrating.
Click to expand...
^This, and I also suspect he's bouncing. Because the dose is more appropriate, it's not cutting through bounces like it did in the past.

Bouncing is when they drop lower and/or faster than they're used to, their body "panics" and releases stored glycogen and counterregulatory hormones that make the BG go very high. It can take up to 6 cycles for the bounce to go away.
 
Today AMPS BG was 420. Gave 2 units.
Will test again at about +5.

Do you think it will be ok if i'll give him some of the Animonda carny canned food, the one that have 20% chicken liver? I only have 2 cans.
I will not buy this type again, i'll try to find othe flavors from animonda with less or without chicken liver.

Edit:
What do you think about this MULTI MEAT COCKTAIL from Animonda carny?

Composition:
30 % beef (lung, meat, heart, kidney, udder), 29 % chicken (liver, stomach, neck, meat), 6 % game meat, calcium carbonate, sodium chloride.

Protein 11.5 %
fat content 6.5 %
crude fiber 0.5 %
crude ash 1.8 %
moisture 79 %
taurine 0.8 g/kg.
 
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gingel said:
Do you think it will be ok if i'll give him some of the Animonda carny canned food, the one that have 20% chicken liver? I only have 2 cans.
I will not buy this type again, i'll try to find othe flavors from animonda with less or without chicken liver.
Click to expand...
Yes that would be fine to give. You just wouldn’t want to feed it all the time with so much liver in it. But it’s fine occasionally. Liver is a great food but it needs to be in small amounts only.
gingel said:
Composition:
30 % beef (lung, meat, heart, kidney, udder), 29 % chicken (liver, stomach, neck, meat), 6 % game meat, calcium carbonate, sodium chloride.

Protein 11.5 %
fat content 6.5 %
crude fiber 0.5 %
crude ash 1.8 %
moisture 79 %
taurine 0.8 g/kg.
Click to expand...
that looks OK. It’s low carb,
 
Today i had some problems with keeping the schedule.
First, at the morning the cat was outside and it took me a while to get him in to do the AMPS and injection (BG 420, 2 UNITS). so it was about 30 minutes later than usual.
I checked again at +5, BG was 251.

Then i had an emergency and i had to go an hour and a half before the usual time for PMPS. So i did the BG test and injection an hour and a half earlier. (BG was 414, 2 units)
After i came back home, i tested the BG at +5.5 and it was 340.

Not sure on how to fill that in the Spreadsheet. (I added a note at the remarks).

Should i check again tomorrow morning at the usual time, even if it will be 13.5 hours after the last injection?

What a mess. :confused:
 
Lantus is best if you can stay on schedule as close as possible. You can vary the time 1/2 hour once per day, or 15 minutes per shot, and still be OK. Generally we don't go a lot earlier because it can act a bit like an increase. Since he was so high tonight, going earlier this one time may be OK.

As for the spreadsheet, this morning in the AMPS units column you can say 2@+12.5. That will tell us it was 0.5 hours late. For tonight, was it 1.5 hours earlier than usual, or 1.5 hours earlier than this morning? If the former, then it was 2 hours earlier than it should have been or a shot at +10 from this morning. If the latter, then shot time was at +10.5.

Tomorrow morning you can shoot 12 hours after you shot tonight, if you want to move the schedule earlier. Or you can shoot at 12.5 hours later if you want to stay mostly on schedule with tonight's shot.
 
Hi Wendy,

I usually test and give a shot at around 8:45PM - 9PM.
yesterday i had to test and give a shot at 7:20PM.
So the PMPS last night was at +10 ?

This morning i tested at 8:45AM and the BG was 151. The vet asked to check again, so i checked again and it was the same.
So he told me not to inject insulin.

Edit:
So if i didn't give a shot this morning because the BG was 151, this evening i can go back
to the usual test time at 8:45pm - 9pm ?
 
Last edited:
gingel said:
So if i didn't give a shot this morning because the BG was 151, this evening i can go back
to the usual test time at 8:45pm - 9pm ?
Click to expand...
Yes
If you get a lower than normal preshot again...stall, don't feed and test again in 20 mins to see of the BG is rising. and post and ask for help. Change the subject line to attract attention
 
Thank you, i really appreciate your help here.
I tried to give him this morning from the animonda carny wet food with the beef and chicken liver.
He doesn't seems to really like it. He ate a little from it.
I'll search for something with more chicken. Maybe he doesn't like beef.
 
I checked the BG at +5.25 and it was 140. But he did eat less this morning.
I gave it another try with the canned animonda "beef, chicken+duck hearts", and he ate more this time.
Also gave him some of the diabetic dry food before. I want to try and lower the dry food as much as possible.

I found another flavour from animonda carny, chicken+salmon.
Composition: 60% chicken (stomach, liver, meat, heart, fat), 10% salmon, calcium carbonate, sodium chloride.
Protein 11%
fat content 6%
Crude fiber 0.5%
Crude ash 2.4%
humidity 79%
Taurine 0.8 g/kg

Does 10% salmon is ok?

Thank you.
 
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