Thanks for your patience in letting me respond to this today.
I only see two significant drops and that’s on PM 1/3 and PM 1/6. While some of the others might seem large to you, remember there is a 20% variance between meter readings so even 441 to 360 is just slightly over 20% less from 441.
Our general recommendation for working with Lantus is to feed small minimeals at PS, +1, +2, +3 to start and then see how that works with the curve. If you are only feeding every six hours, you aren’t working the insulin properly. Cats should not eat within two hours prior to a PS test (unless the BG is below 50) so that BG is not influenced by food.
Tiger is also a grazer. He usually grazes on his meal for 3 hours. Does this count for the +1, +2, +3? We try so hard to stretch his ps feeding to just before he gets his shot but he wants to eat an hour before and gets mad and refuses to eat at ps. Catitude!
In addition, any time you are feeding after mid cycle, especially with HC, you are shortening his duration and his BG is going to rise quickly. If the BG is headed up anyway because he has lost duration, and then he starts to bounce because of a BG in the 100s that he isn’t used to, then he’s going to go up really high. I can tell he’s losing duration because he started HI last night but gradually came down to 240.
I am giving him 5% at his mid meal at am +6 as much as possible. At night he gets about a tbls of kibble. Right now it’s like a 20% kibble but working on switching to LC kibble. Dr Kelsey’s gave him burps badly so trying Young Again and testing as treats.
Since I don’t know what his “tummy issues” are (what has he been diagnosed with?), it’s hard to give you advice on this. However, I can tell you that if you are feeding him at PS and then not feeding him again for six hours, you aren’t going to be able to control the curve like you want and you’ll see these patterns continue. Likewise, feeding him after nadir, other than a very LC, freeze-dried type snack, is doing to stop his duration.
We have had test after test but nothing proven, he gets excess bile in his tummy if it gets empty. Several vets recommended giving cerenia and not to let him go over 6 hours without food. Proof he needs this shows when last week his auto feeder was empty and we didn’t know it for 2 nights. He got very sick and needed a vet visit for a shot. He gets a half of cerenia every other day. This routine has worked for years.
I do understand, though, the difficulty in changing feeding patterns. Some cats will adopt to it right away like my Gracie did. However, I am thankful my boy is not diabetic because, no matter how hard I try, he does not want to get onto a feeding schedule like my little female is on. He’s a “grazer” cat (he gets no dry food) and by that I mean he just likes to eat a few bites when he’s hungry but he does not like to sit down four times a day and eat a full portion of food like my little one does.
Yup, Tiger is just like your boy.
It might help me more if I knew what his “tummy issues” are and what you are doing to address them.
It might take him a little time to adjust to a new dose but their little bodies don’t like these high numbers. Beyond that, I don’t know why he sleeps more; cats do sleep about 18 hours a day but you know him best so know if his pattern has changed. I don’t really think there is anything about a 2u dose, that he obviously needs, other than adjusting to it.
