9/7 Hexie AMPS359, +2 349, +6.5 259, PMPS 289, +2 136

[Charia & Hexie]

Hi all. Hexie is on day 5 of Lantus/Glargine and just had her lowest number since switching. She got a 136 at +2. So she dropped in half. Seems a bit of a drop to me and I would guess more testing is warranted but being new would love any input please. She does have food available and grazes at least once a hour.

Do I need to do more testing tonight and if so when would be best?


Yesterdays thread: https://www.felinediabetes.com/FDMB...294-5-297-pmps-338-2-314.281271/#post-3101844

 

[tiffmaxee]

I’d get another test in an hour. When there’s a big drop like that at +2 it’s usually an active cycle and the BG could continue to drop.

 

[tiffmaxee]

This is from the basics sticky.

Example of an ACTIVE, but NOT necessarily typical Lantus and glargine biosimilars cycle:
NOTE: Until kitty is pretty well regulated, the description below is NOT not what you'd consider a "typical" Lantus/Basaglar/Semglee cycle. It takes time and patience for kitty to achieve a "typical" cycle! The example below is what you're working towards (a nice shallow curve). A relatively flat cycle is the ultimate goal.

+0 - PreShot number.
+1 - Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number. Onset begins around +2 for most cats. You'll probably see an active cycle if the +2 is the same/similar OR lower than the preshot number. Continue testing!
+3 - Often lower than the PreShot number.
+4 - Lower.
+5 - Lower.
+6 - Nadir/Peak (the lowest number of cycle. NOTE: ECID. Not every cat has a mid-cycle nadir. Adjust the hours on this example to fit your cat.)
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (one of the quirks of Lantus/Levemir/Biosimilars: some cat's blood glucose numbers dip around +10 or +11... not to be confused with nadir).
+12 - PreShot number.

 

[Charia & Hexie]

Her +3 was even lower at 92 and her first green number on Lantus. She is eating some of her food that’s set out.

Since she dropped again should I test again?

 

[Bandit's Mom]

Yes, please get a +4?

Btw, I thought you were following TR? SS and Signature say SLGS?

 

[Charia & Hexie]

No not TR. It makes me a bit nervous.

I will get a +4.

 

[Bandit's Mom]

No not TR. It makes me a bit nervous.

Why? You are testing a ton and you have experience with numbers as low as the 50s on Vetsulin.

 

[Charia & Hexie]

Dropped even lower to 78 earning a reduction yes?

 

[Bandit's Mom]

Yes. With SLGS a drop below 90 is a reduction. Will she eat some more now?

 

[Charia & Hexie]

And should I continue to test? Headaches keeping me up anyway.

 

[Charia & Hexie]

I got her to eat a bit of her regular DM food after the last two lower results.

 

[Bandit's Mom]

And should I continue to test? Headaches keeping me up anyway.

Sorry about the headache! if you're going to be up anyway, you could get a +5.

 

[Charia & Hexie]

Thank you. Unfortunately I have Chronic Migraines on top of EDS and more.

Her +5 was 65. I got her to eat more. Should I keep testing?

 

[Bandit's Mom]

Unfortunately I have Chronic Migraines on top of EDS and more.

Her +5 was 65. I got her to eat more. Should I keep testing?

If you will be up, you could get another test at +5.5 or +6.

 

[Charia & Hexie]

Got a 69 at +6.25. Hopefully she’s flattening out. Is she safe enough for me to sleep we think?

 

[Bandit's Mom]

Got a 69 at +6.25. Hopefully she’s flattening out. Is she safe enough for me to sleep we think?

Yes it is! Good night!