Just having to read my prior posts from years ago to get a feel for this. Apologies my spreadsheet link is showing errors when shared for some reason so I have attached a screenshot.
Brian went into remission within a year a few years ago. Looks like he needed 3.5 iu of Lantus at that time.
Recently he went out of remission while I was out of the country. I can only assume he was given the low carb pate that kept him in remission. But potentially his diet was changed, and when taken to the vet he was sitting in the 500s.
Lantus restarted. Unfortunately the person he was with, under the guidance of a vet, gave him 4 doses of 20iu. She was quite stressed with the whole thing and didn't note the instruction about the syringe. With honey, karo, and dry food every 20 minutes you can see he avoided the worst.
Going forward, the vet advised the person he was with to aim for the 200s in an elderly cat. I tried to advise dosing, and I think he was getting to a decent number at 2.5 iu, but the dose was reduced when blues showed up.
As of Nov 1st I have had him on 2.5. When looking at the spreedsheet I think he had some breakthrough resistance at after the 1iu reduction, and potentially is still within a bounce from seeing blues again.
Any advice is welcome please! I am leaning that he needs more not less, due to him needing 3.5iu when he was first diagnosed, but I know things can change. I am assuming the green he got on travel day was stress related. And I am not sure what might be going on after the huge doses he was given a few weeks ago. The vet equally unsure.
Brian went into remission within a year a few years ago. Looks like he needed 3.5 iu of Lantus at that time.
Recently he went out of remission while I was out of the country. I can only assume he was given the low carb pate that kept him in remission. But potentially his diet was changed, and when taken to the vet he was sitting in the 500s.
Lantus restarted. Unfortunately the person he was with, under the guidance of a vet, gave him 4 doses of 20iu. She was quite stressed with the whole thing and didn't note the instruction about the syringe. With honey, karo, and dry food every 20 minutes you can see he avoided the worst.
Going forward, the vet advised the person he was with to aim for the 200s in an elderly cat. I tried to advise dosing, and I think he was getting to a decent number at 2.5 iu, but the dose was reduced when blues showed up.
As of Nov 1st I have had him on 2.5. When looking at the spreedsheet I think he had some breakthrough resistance at after the 1iu reduction, and potentially is still within a bounce from seeing blues again.
Any advice is welcome please! I am leaning that he needs more not less, due to him needing 3.5iu when he was first diagnosed, but I know things can change. I am assuming the green he got on travel day was stress related. And I am not sure what might be going on after the huge doses he was given a few weeks ago. The vet equally unsure.