12u lantus doesn't work :'(

catlady007

catlady007

Member Since 2025
Hello, about six months ago I found out that my cat has diabetes. At first, the veterinarian started treatment with 1 unit of Lantus. When the blood sugar was not controlled, the dose was gradually increased over several weeks to 8 units, at which point the blood sugar two hours after the injection reached 150, and the vet said that was good. We were told to come back after three months for another check-up.


When we went back, we found that the blood sugar had become very high again. Now I am injecting 12 units of Lantus, but the blood sugar two hours after the injection is around 400. I am very scared and worried.


Is this due to a problem with the veterinarian’s management? What should I do? In your opinion, should the insulin be changed? Has my cat developed resistance to this insulin? Should I change veterinarian?

My cat is dsh, male, 9 yo and 6.3 kilograms.
Thanks for your attention 🙏
 
catlady007 said:
No in my country there is no pet glucometr and the vet told me that human glucometr doesn't work for cats😑 if I should buy one which brand is good? Accu CHEK is good? Accu CHEK is available in my country.
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I use a human meter. They work just fine. The range is just different but not different enough that it matters. Im not familiar with Accu Chek but looking at it, it looks just like any other meter. I use prodigy auto-code, but a lot of people use Relion.
 
Hi and welcome, Jo is correct, human meters work just fine. It would be really good to get you started with some of the basics, so we can help you. Wendy or one of the other moderators will likely move you over to the Main Forum which is where we can work through some of the details. What are you currently feeding your cat? A good starting point to read is this post, Sticky - New? How You Can Help Us Help You!
 
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Do you have any tests more like 6 hours after the injection? That is typically a low point point when the insulin is doing the most work. 2 hours after injection doesn't tell you as much. We determine how to change the insulin dose based on how low the dose takes the cat, so need tests more in the middle between shots. If you can start home testing and give us some blood sugar data, we may be able to help you.

It is possible your kitty has some form of insulin resistance. I wouldn't say it's a Lantus problem, as the kitty would likely need a similar dose with other insulins. Some cats have secondary conditions that mean they need higher doses of insulin, mine was one of them. What's important now is trying to figure out how your cat is really doing on the 12 unit dose. Is it too much or too little insulin?

This post has some information that may be helpful. New? How You Can Help Us Help You!
 
Wendy&Neko said:
Do you have any tests more like 6 hours after the injection? That is typically a low point point when the insulin is doing the most work. 2 hours after injection doesn't tell you as much. We determine how to change the insulin dose based on how low the dose takes the cat, so need tests more in the middle between shots. If you can start home testing and give us some blood sugar data, we may be able to help you.

It is possible your kitty has some form of insulin resistance. I wouldn't say it's a Lantus problem, as the kitty would likely need a similar dose with other insulins. Some cats have secondary conditions that mean they need higher doses of insulin, mine was one of them. What's important now is trying to figure out how your cat is really doing on the 12 unit dose. Is it too much or too little insulin?

This post has some information that may be helpful. New? How You Can Help Us Help You!
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No I didn't test.

How can I tell whether the dose is too high or too low? He has not experienced hypoglycemia.
 
Christie & Maverick said:
Hi and welcome, Jo is correct, human meters work just fine. It would be really good to get you started with some of the basics, so we can help you. Wendy or one of the other moderators will likely move you over to the Main Forum which is where we can work through some of the details. What are you currently feeding your cat? A good starting point to read is this post, Sticky - New? How You Can Help Us Help You!
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Josera sensicat, I have 20 cats the diabetic food is expensive and the vet tell us it isn't nessesry but if it's important I should buy in my country there is monge diabetic dry food and Royal canin but Royal canin is very expensive, monge is good?
 
squeem3 said:
AccuChek is fine. I use the Guide.

What country are you located in?

What do you currently feed your cat? It's possible that the wrong diet is keeping your cat's blood glucose levels too high.
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IRAN :(
Every thing in this country is very expensive and so many things is not here :(((((
 
We have a list here of UK cat foods, and a number of them are available on line, if you can get them. People in Europe can usually get them: UK Cat Food List. You want foods that are 10% or less in carbs. Wet or raw food is much better. Most dry foods are too high in carbs for a diabetic cat.

Products with wheat, corn, potatoes or rice near the beginning of the ingredients list are likely to be higher carb. Cats eating higher carb foods will need higher doses of insulin.
 
Catlady, are you able to get the AccuChek monitor and some testing strips? If so, we have information on this forum that will show you how to daily test your cat yourself. By home testing you will be able to know what your cat's blood glucose is and can determine if it is safe enough to give him insulin.

You asked about how to know whether a dose is too high or too low. Most of us follow one of two methods of dosing which are discussed here: Sticky - Dosing Methods: Start Low, Go Slow (SLGS) & Tight Regulation (TR)

Also, this was posted earlier, but it has some basic getting started information: Sticky - New? How You Can Help Us Help You!
 
Mary & Jude said:
Catlady, are you able to get the AccuChek monitor and some testing strips? If so, we have information on this forum that will show you how to daily test your cat yourself. By home testing you will be able to know what your cat's blood glucose is and can determine if it is safe enough to give him insulin.

You asked about how to know whether a dose is too high or too low. Most of us follow one of two methods of dosing which are discussed here: Sticky - Dosing Methods: Start Low, Go Slow (SLGS) & Tight Regulation (TR)

Also, this was posted earlier, but it has some basic getting started information: Sticky - New? How You Can Help Us Help You!
Click to expand...
Thanks, I should buy one and after that I ask for help again.
 
Wendy&Neko said:
Do you have any tests more like 6 hours after the injection? That is typically a low point point when the insulin is doing the most work. 2 hours after injection doesn't tell you as much. We determine how to change the insulin dose based on how low the dose takes the cat, so need tests more in the middle between shots. If you can start home testing and give us some blood sugar data, we may be able to help you.

It is possible your kitty has some form of insulin resistance. I wouldn't say it's a Lantus problem, as the kitty would likely need a similar dose with other insulins. Some cats have secondary conditions that mean they need higher doses of insulin, mine was one of them. What's important now is trying to figure out how your cat is really doing on the 12 unit dose. Is it too much or too little insulin?

This post has some information that may be helpful. New? How You Can Help Us Help You!
Click to expand...

Wendy&Neko said:
Do you have any tests more like 6 hours after the injection? That is typically a low point point when the insulin is doing the most work. 2 hours after injection doesn't tell you as much. We determine how to change the insulin dose based on how low the dose takes the cat, so need tests more in the middle between shots. If you can start home testing and give us some blood sugar data, we may be able to help you.

It is possible your kitty has some form of insulin resistance. I wouldn't say it's a Lantus problem, as the kitty would likely need a similar dose with other insulins. Some cats have secondary conditions that mean they need higher doses of insulin, mine was one of them. What's important now is trying to figure out how your cat is really doing on the 12 unit dose. Is it too much or too little insulin?

This post has some information that may be helpful. New? How You Can Help Us Help You!
Click to expand...
Hello,
My cat’s veterinarian does not accept the use of a human glucometer and has now suggested changing the insulin to NPH. However, I finally bought an Accu-Chek Instant device and, although I have no experience in this at all, I managed to test my cat’s blood glucose with difficulty on several occasions. I wanted to consult with you before changing the insulin. The veterinarian said to start NPH with 6 units. Does this sound correct and reasonable?
It is currently the holiday period, and I hope you can reply, because I need to change the insulin tomorrow. My cat weighs six kilograms, is constantly hungry, and has some degree of lethargy.
BG before insulin injection: 276
+3 h: 261
+6 h: 123
+9 h: 165
These times may differ by about fifteen minutes, as I was not able to do the tests exactly on time. Also, I am not sure whether I performed the tests correctly, since it was my first time. During the second and third attempts, only a very small amount of blood came from my cat’s ear, and I wasted several test strips.
@Christie & Maverick
 
Oh no. NPH is one insulin you don't want to use for cats. It's way too short acting and harsh for cats. It was one of the few choices available to cats maybe 20 years ago. 6 units is a HUGE dose of any insulin to start with.

You don't need the vet's permission to use whatever blood glucose meter YOU want. Before the pet meters were made, all vets used human blood glucose meters.

There is a 2025 guide to managing feline diabetes that is endorsed by various veterinary medical associations. You can share it with your vet: https://journals.sagepub.com/doi/10.1177/1098612X251399103

Ask the vet about acromegaly and Cushing's disease. There is a test available for both. Both diseases can cause a cat to not respond to insulin well. Sticky - Acromegaly and Other High Dose Conditions: What We Know

Hometesting Links and Tips
 
squeem3 said:
Oh no. NPH is one insulin you don't want to use for cats. It's way too short acting and harsh for cats. It was one of the few choices available to cats maybe 20 years ago. 6 units is a HUGE dose of any insulin to start with.

You don't need the vet's permission to use whatever blood glucose meter YOU want. Before the pet meters were made, all vets used human blood glucose meters.

There is a 2025 guide to managing feline diabetes that is endorsed by various veterinary medical associations. You can share it with your vet: https://journals.sagepub.com/doi/10.1177/1098612X251399103

Ask the vet about acromegaly and Cushing's disease. There is a test available for both. Both diseases can cause a cat to not respond to insulin well. Sticky - Acromegaly and Other High Dose Conditions: What We Know

Hometesting Links and Tips
Click to expand...
This veterinarian is the only relatively good one in my area. If I want to change veterinarians, the distance is very far and my cat gets stressed, and I don’t think this veterinarian has time to read articles because he is very busy. I am very confused right now. The doctor said that since 12 units of Lantus had no effect, I should start this insulin at 6 units. That is why I am asking for help here—what exactly should I do now? I have also done several home blood glucose tests, but I don’t know whether they are enough to help you guide me or not.
 
Hi @catlady007! Congratulations on getting the AccuChek and getting some blood glucose tests of your cat. These numbers :
"BG before insulin injection: 276
+3 h: 261
+6 h: 123
+9 h: 165"
are not bad numbers. They certainly aren't 400, which is what you had originally thought the cat was experiencing. So I wouldn't say that the Lantus is not having an effect.

If possible, please stick with the Lantus until you get at least a few other expert opinions from members on this board. It's Christmas, so people might be a little slow in responding due to the holiday. I especially hope that Wendy & Neko will weigh in as she's had a cat that suffered from a high dose condition. I understand how difficult it is to do something contrary to what your vet is asking, but it's possible--in fact, probable--that the people here, who have dealt with feline diabetes for many years, who have helped many, many kitties with feline diabetes, will know some more up-to-date information that will help your cat.

Can you please take a few minutes to set up a spreadsheet for your cat. The instructions are here: Sticky - New? How You Can Help Us Help You!. Also, set up your signature and link the spreadsheet in the signature. Once you set up the spreadsheet, you can input the numbers you've already gathered and continue building information as you move forward. The spreadsheet will give us a visual idea of how your cat is responding to the insulin.
 
catlady007 said:
Hello,
My cat’s veterinarian does not accept the use of a human glucometer and has now suggested changing the insulin to NPH. However, I finally bought an Accu-Chek Instant device and, although I have no experience in this at all, I managed to test my cat’s blood glucose with difficulty on several occasions. I wanted to consult with you before changing the insulin. The veterinarian said to start NPH with 6 units. Does this sound correct and reasonable?
It is currently the holiday period, and I hope you can reply, because I need to change the insulin tomorrow. My cat weighs six kilograms, is constantly hungry, and has some degree of lethargy.
BG before insulin injection: 276
+3 h: 261
+6 h: 123
+9 h: 165
These times may differ by about fifteen minutes, as I was not able to do the tests exactly on time. Also, I am not sure whether I performed the tests correctly, since it was my first time. During the second and third attempts, only a very small amount of blood came from my cat’s ear, and I wasted several test strips.
@Christie & Maverick
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Oh my. I would definitely NOT change from Lantus to NPH which will not work well for cats. Your recorded nadir of 123 at +6 is quite a good. That’s very promising! If I were you, I would stick with Lantus.
 
OBTW, my cat had acromegaly (a “high dose condition”) and I went through several different types of insulin and he was up to well over 40 units of insulin at one point. He did not do well on the shorter acting insulins (at least not as the “basal” insulin). He started to improve with the longer acting depo insulins like Lantus. Believe me, I would have been absolutely ecstatic to have a lovely 123 nadir on only 12 units of Lantus. I hope you can work this out. I am really proud of you for getting those tests! This must be really stressful for you, but you will need to strongly advocate for your cat with the vet (who clearly is not an expert in feline diabetes.)
 
All vets are busy. A good one will make time to listen to a client's concerns and read information the client provides. Give the article to the vet. If the vet doesn't read it, then that's on him. You did your part. You can also read the article and discuss some of the current treatment methods with the vet directly.
 
catlady007 said:
This veterinarian is the only relatively good one in my area.
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Except where it comes to feline diabetes. NPH is a horrible insulin for cats. It lasts maybe 6 hours in a cat. Both Lantus and Prozinc are the ones recommended by the American Animal Hospital Association: (2018) AAHA Diabetes Management Guidelines for Dogs and Cats. Whether or not your vet will read articles, you can, and refer to them. That includes the 2025 guide squeem3 referenced above. In there, and in many other articles, is the fact that around one in four diabetic cats has acromegaly - more properly hypersomatotropism, but that's a mouthful unless unless you use the short form HST. We strongly recommend testing for acromegaly when a cat gets to 6 units. Not all acrocats are 6+ units of insulin, but the fast majority of cats on low carb food and 6+ units will test positive for a secondary condition.

Both Suzanne and I had cats on higher doses of insulin, and both had secondary conditions, Neko was both acro and had IAA, or insulin auto antibodies. You may wonder why we push testing for these conditions. Knowledge is power. There are treatments that can help a lot, but only if you know what you are dealing with. Not to say it'll be easy to get this particular vet to do the tests. Almost 14 years ago, I had to beg and plead for the tests. This was a few years before the 2015 research was published showing how common acromegaly is. Ultimately, I asked the vet to humour me and do the tests. She finally did. Both she and the practice owner were impressed when I was proven right. FDMB was a great help to me. Told me what tests the vet had to ask for and how to get them, then how to treat the conditions.

As far as the meter goes, your vet is not buying the test strips. You are. We'd rather you use the human meter and test more often. Our dosing methods were developed before pet meters were a thing, and use the human meter numbers.

Off topic, but when Neko's acupuncture vet found out she had acromegaly, she dove into research before our first appointment. I loved that vet! Vets should be willing to learn, that's one of my criteria for choosing a vet.
 
Is your cat gaining, losing, or maintaining weight since his diagnosis? We don't want our diabetic cats to gain weight. I found out from my vet what was Neko's ideal weight, and used my pet/baby scale to determine a good amount of food for her.

Acromegaly is caused by a benign pituitary tumour that causes it to send out excess growth hormone. Think of growing teenagers and their need to eat all the time. Cats in high numbers are also hungry because insufficient insulin means they can't process all the food they eat. Alternatively, when cats blood sugar goes low, they search for food to help bring up the sugar numbers.
catlady007 said:
should I increase the lantus?
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Any chance you could put together a spreadsheet showing the blood sugar values you gave gotten so far? Without seeing that data, we don't know if he's on too little or too much insulin. See post #8 where I linked a post with information on how to set up a spreadsheet.
 
Wendy&Neko said:
Is your cat gaining, losing, or maintaining weight since his diagnosis? We don't want our diabetic cats to gain weight. I found out from my vet what was Neko's ideal weight, and used my pet/baby scale to determine a good amount of food for her.

Acromegaly is caused by a benign pituitary tumour that causes it to send out excess growth hormone. Think of growing teenagers and their need to eat all the time. Cats in high numbers are also hungry because insufficient insulin means they can't process all the food they eat. Alternatively, when cats blood sugar goes low, they search for food to help bring up the sugar numbers.

Any chance you could put together a spreadsheet showing the blood sugar values you gave gotten so far? Without seeing that data, we don't know if he's on too little or too much insulin. See post #8 where I linked a post with information on how to set up a spreadsheet.
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Blood sugar test strips are very expensive. Since it was my first time testing, and the amount of blood I could get from my cat's ear was small, I wasted a few strips. It's really hard to test several times every day. If you could tell me the minimum numbers and the days required for testing, I could do it. My cat has been on Lantus for about six months. I just bought diabetic dry food. Until recently, my cat's urine was sticky, clearly indicating very high sugar that was being excreted. I don't know—maybe the results are better now because of the food change. I really don't know and I'm confused, but his appetite is still very high.
 
catlady007 said:
Blood sugar test strips are very expensive. Since it was my first time testing, and the amount of blood I could get from my cat's ear was small, I wasted a few strips. It's really hard to test several times every day. If you could tell me the minimum numbers and the days required for testing, I could do it. My cat has been on Lantus for about six months. I just bought diabetic dry food. Until recently, my cat's urine was sticky, clearly indicating very high sugar that was being excreted. I don't know—maybe the results are better now because of the food change. I really don't know and I'm confused, but his appetite is still very high.
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Yes, the pet meter test strips are very expensive, but the human ones are less expensive. I would not increase his insulin dose based simply on hunger. My cat was also very hungry and he would eat a lot. When he started getting more consistent lower BG numbers his hunger became more normal. The only way to know if it’s safe to increase insulin is to know his nadir (lowest point in the cycle.) You probably caught that today with the +6 test, although we don’t exactly know of it was a little earlier or later. Since right now you are using the very expensive test strips, you can try to het both the morning and evening pre-shot tests and one mid-cycle test. One day you can get a +4, another day a +5 and another day a +6, etc. It’s important to get one evening cycle test as well - before you go to bed.

As for feeding, please split his food up and feed some small meals during the first half of the cycle. Can you do that?
 
Since you are in Iran, I’m not sure which food brands to recommend. As Wendy says, dry foods are too high in carbs, even if they are made for diabetic cats (this is a issue here in the americas with diabetic food—it’s still too high in carbs). You want to look for foods that are high in protein but low in carbohydrates. Typically, these foods are canned. Many people here make their own cat food using a good protein combined with a completer (completers ensure the cat is getting the essential nutrients—they are very important to a cat’s essential nutrition).
 
Suzanne & Darcy said:
بله، نوارهای تست حیوانات خانگی بسیار گران هستند، اما نوارهای انسانی ارزان‌ترند. من دوز انسولین او را صرفاً بر اساس گرسنگی افزایش نمی‌دهم. گربه من هم خیلی گرسنه بود و زیاد غذا می‌خورد. وقتی شروع به کاهش مداوم قند خون کرد، گرسنگی‌اش عادی‌تر شد. تنها راه برای فهمیدن اینکه آیا افزایش انسولین بی‌خطر است یا خیر، دانستن پایین‌ترین نقطه (Nadir) او (پایین‌ترین نقطه در چرخه) است. احتمالاً امروز با تست +۶ متوجه این موضوع شدید، اگرچه دقیقاً نمی‌دانیم که کمی زودتر یا دیرتر بوده است. از آنجایی که در حال حاضر از نوارهای تست بسیار گران‌قیمت استفاده می‌کنید، می‌توانید هم تست‌های قبل از تزریق صبح و عصر و هم یک تست در اواسط چرخه را امتحان کنید. یک روز می‌توانید +۴، روز دیگر +۵ و روز دیگر +۶ و غیره بگیرید. مهم است که یک تست چرخه عصر را نیز انجام دهید - قبل از اینکه به رختخواب بروید.

در مورد تغذیه، لطفاً غذای او را تقسیم کنید و در نیمه اول چرخه، وعده‌های غذایی کوچک به او بدهید. آیا می‌توانید این کار را انجام دهید؟
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Suzanne & Darcy said:
Yes, the pet meter test strips are very expensive, but the human ones are less expensive. I would not increase his insulin dose based simply on hunger. My cat was also very hungry and he would eat a lot. When he started getting more consistent lower BG numbers his hunger became more normal. The only way to know if it’s safe to increase insulin is to know his nadir (lowest point in the cycle.) You probably caught that today with the +6 test, although we don’t exactly know of it was a little earlier or later. Since right now you are using the very expensive test strips, you can try to het both the morning and evening pre-shot tests and one mid-cycle test. One day you can get a +4, another day a +5 and another day a +6, etc. It’s important to get one evening cycle test as well - before you go to bed.

As for feeding, please split his food up and feed some small meals during the first half of the cycle. Can you do that?
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Yes, I currently feed several meals as well: two to three small meals of diabetic dry food, and one or two meals of chicken cooked in vegetable broth (boiled in water with vegetables)
Dry cat food is monge an Italian brand
IMG_20251226_030625.jpg
 
Mary & Jude said:
Since you are in Iran, I’m not sure which food brands to recommend. As Wendy says, dry foods are too high in carbs, even if they are made for diabetic cats (this is a issue here in the americas with diabetic food—it’s still too high in carbs). You want to look for foods that are high in protein but low in carbohydrates. Typically, these foods are canned. Many people here make their own cat food using a good protein combined with a completer (completers ensure the cat is getting the essential nutrients—they are very important to a cat’s essential nutrition).
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He really likes dry food, and since I have many cats, he sees that I give dry food to the others and he wants it too. Otherwise, I give him wet food — every day boiled chicken breast cooked in water with vegetables.
 
Mary & Jude said:
Since you are in Iran, I’m not sure which food brands to recommend. As Wendy says, dry foods are too high in carbs, even if they are made for diabetic cats (this is a issue here in the americas with diabetic food—it’s still too high in carbs). You want to look for foods that are high in protein but low in carbohydrates. Typically, these foods are canned. Many people here make their own cat food using a good protein combined with a completer (completers ensure the cat is getting the essential nutrients—they are very important to a cat’s essential nutrition).
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Does the high amount of protein and chicken breast that I give him throughout the day cause any kidney problems in the future? Because cats’ kidneys are very sensitive.
 
Feeding high quality protein, which you are, is good for him. Protein by itself does not cause kidney problems. The suggestion to lower the amount of protein for cats with kidney disease is only for advanced kidney disease. Before then, protein is what helps keep their weight on.
 
Please see the testing tips here: Hometesting Links and Tips

Warm ears bleed best so if you're not already doing that, start doing so. A "rice sock" is popular but there are other ways to warm up an ear. The 10 test strips or so that is included with most starter kits won't last you long. You need to buy more.

You always want to test before giving insulin. That way you know what your cat's level is and if it's safe enough to give insulin or not. The general cut off number to give insulin is 150 mg/dl for newbies. Get a few in between injection tests done so you have a general idea of how the insulin and dose is working for your cat. 6 hours after insulin is good but you may want to get a test or two done earlier than that.

When we refer to "wet food" we mean moist cat food that comes in a can / tin / pouch. Cooked chicken in broth is considered as home cooked and unless you add in supplements to make the chicken a complete diet, then it is only good as a treat. What other brands of cat food are available in Iran? Maybe browse an Iranian pet supply or other web site to see what is available if you can't get to a store? A quick Google search comes up with this brand: For Cats - Bonacibo Iran The canned and pouched foods seem ok to give.

This Reddit thread might have suggestions if you're near Tehran: https://www.reddit.com/r/iran/comments/1mik1kf/place_to_get_good_quality_cat_food_in_tehran/
 
catlady007 said:
View attachment 76097
I think 25% 🤔
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That is very high and will keep his blood glucose higher. The insulin has to combat against those carbohydrates which makes it much harder for him to get into better numbers. No wonder his dose is high. I understand it may be hard for you to obtain different foods. I am wondering if there is a dry food you can obtain that is like our Dr. Elsey’s Clean Protein food in the U.S. (which is 4 percent carbohydrates.)
 
Suzanne & Darcy said:
That is very high and will keep his blood glucose higher. The insulin has to combat against those carbohydrates which makes it much harder for him to get into better numbers. No wonder his dose is high. I understand it may be hard for you to obtain different foods. I am wondering if there is a dry food you can obtain that is like our Dr. Elsey’s Clean Protein food in the U.S. (which is 4 percent carbohydrates.)
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In my country, pet food is very limited and extremely expensive, and even then, it’s often fake. I try to feed mostly homemade food, but to provide vitamins and minerals, I need to give some dry food. The only diabetic food available is this brand, and Royal Canin and maybe hill's
 
Are you able to order food from European websites like Zooplus? There may be others. I don’t know if they ship to Iran? It’s good that you are providing home cooked meat for them. I know you are doing your best. One thing people here do os to feed either cooked or raw meat and add a “meal completer” which is a powder that is nutritionally complete for cats. But again. I am sorry if this is just another frustrating suggestion because you do not have a way of obtaining something like this. I’m sorry if it is! 🙂 Your English seems excellent by the way! I would definitely have to use a translator if you were writing in Farsi.

So I guess my point is about the food that it is probably the reason why his dose of Lantus is so high in order to get him into the better blood glucose numbers. With the nadir you reported yesterday, the Lantus is working. I am happy that you are able to obtain a good long-acting insulin like Lantus. We can help you with trying to fine tune the dose and do the best for him that you can. What is your cat’s name?
 
Suzanne & Darcy said:
Are you able to order food from European websites like Zooplus? There may be others. I don’t know if they ship to Iran? It’s good that you are providing home cooked meat for them. I know you are doing your best. One thing people here do os to feed either cooked or raw meat and add a “meal completer” which is a powder that is nutritionally complete for cats. But again. I am sorry if this is just another frustrating suggestion because you do not have a way of obtaining something like this. I’m sorry if it is! 🙂 Your English seems excellent by the way! I would definitely have to use a translator if you were writing in Farsi.

So I guess my point is about the food that it is probably the reason why his dose of Lantus is so high in order to get him into the better blood glucose numbers. With the nadir you reported yesterday, the Lantus is working. I am happy that you are able to obtain a good long-acting insulin like Lantus. We can help you with trying to fine tune the dose and do the best for him that you can. What is your cat’s name?
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His name is zoghal it means charcoal
No my country is under sanctions
I am doing the test today every 3h
I put the link in my signature can you see it?
So, do you think that by improving his food, it would be possible to reduce the dose of Lantus?
 
catlady007 said:
His name is zoghal it means charcoal
No my country is under sanctions
I am doing the test today every 3h
I put the link in my signature can you see it?
So, do you think that by improving his food, it would be possible to reduce the dose of Lantus?
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You need to give access to anyone with the link (not access to edit; access to view, only). Click the share button (top right of the spreadsheet), and you'll see some options there.
 
Wendy&Neko said:
Another option for you is to make your own cat food with that chicken by adding a meal completer. TC Feline is available in Europe: TCPremix®. I gave my Neko food made with TC Feline.
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The Euro and dollar are very expensive in my country, and I have a large number of cats. My country is under severe sanctions. I hope I can save some money in the coming months so that I can obtain this through an intermediary and indirectly. Does it taste good, and can it be mixed with cooked chicken?
 
catlady007 said:
His name is zoghal it means charcoal
No my country is under sanctions
I am doing the test today every 3h
I put the link in my signature can you see it?
So, do you think that by improving his food, it would be possible to reduce the dose of Lantus?
Click to expand...
Can you also add the following information to your signature:

  • Add info we need to help you:
    • Caregiver & kitty's name
    • DX: Date
    • Name of Insulin (do not include dose or frequency)
    • Name of your meter
    • Diet: "LC wet" or "dry food" or "combo"
    • Dosing: TR or SLGS or Custom (if applicable)
    • DKA or other recent health issue (if applicable)
    • Bexacat or Senvelgo (if applicable) and dates
    • Acro, IAA, or Cushings (if applicable)
    • Spreadsheet link. Please put the signature link on the bottom line of your signature information, on its own, so it is easy to find.
    • Please do not put any information about your location in the signature for security reasons. If you wish to add your country location, please add it to your profile.
 
I understand about the difficulties in obtaining things with the sanctions. I never even thought about it affecting pet food. That makes me sad. I have seen many cats who are switched to low carb food need reduced insulin. In fact, when transitioning to a new lower carb food you need to watch their blood glucose carefully because it will come down and you don’t want a hypoglycemic event.
 
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