Heike & BInie
Member Since 2024
Last thread: https://www.felinediabetes.com/FDMB/threads/03-14-binie-amps-500-finally-something-moving.287712/
Good morning,
after a night with not much sleep I woud be so grateful if someone can help me with my fundamental doubts about the treatment:
When Binie was diagnosed with diabetes my trusted vet told me to inject 2 IU Lantus per day. The night before I already read a lot on the internet and understood, that most people advise to start low with Lantus, sometimes very low and go up in tiny (0,25-0,5 IE or sometimes lower) doses. My doctor advised me not to do so because we would "lose time" if we start low. I did as she told me because I go there since 10 years and always felt she does an amazing job. And after all I was overwhelmed with the diagnose and had just one night of reading. But my gut feeling was not good when I started with 2 IE.
Ever since the doubt about the dosing did not leave me and this makes it hard for me to go higher even if the bg numbers are high. I read, that big drops with more than an average fall of 50mg/dl per hour are an indicator for overdosing. We have this all the time. Either nothing moves at all or we have these big drops, usually at night with an average of 70 mg/dl. No nice flat curves.
Also I see more yellow and some blue the last days it only comes in big drops and the rest of the time she is even higher than before. The freestyle libre gives you a overview of the average bloodsugar and the number is rising on a daily basis. More and more often the freestyle just gives me an "HI" for hours.
I don't sleep anymore because I fear the drops at night. I don't have an 24-hour-emergency vet nearby and I would be lost if she goes into hypo. The freestyle helps but as it measures much higher to the Accu Check I don't trust it 100 % if it comes to low bg. That is why I already start to panic if the display shows something in the 100 with the arrow pointing downwards.
When I came to this forum I already got the answer, that I don't have to start over again with a low dose but for my doubts it would be helpful to get some more explanation. How can I know, I didn't skipped the right dose? How can I know, the high numbers are not the result of a counter-regulation. Thanks to your pantient explanation I understood the idea of bouncing but how do I know, the bounce happens because the body is not used to lower numbers and not as a defense mechanism to too much insulin?
I am sorry to question so much. I tried to talk to my vet but she was very short and just said that there is no counter-regulation or Somogy with Lantus. She thinks there is no real danger for hypo if I always leave out food for Binie. I have to care for Binie on my own and I feel so overwhelmed with responsibility. I think it would be easier if my mind understand, that I am heading in the right direction. Thank you so much!!!
Good morning,
after a night with not much sleep I woud be so grateful if someone can help me with my fundamental doubts about the treatment:
When Binie was diagnosed with diabetes my trusted vet told me to inject 2 IU Lantus per day. The night before I already read a lot on the internet and understood, that most people advise to start low with Lantus, sometimes very low and go up in tiny (0,25-0,5 IE or sometimes lower) doses. My doctor advised me not to do so because we would "lose time" if we start low. I did as she told me because I go there since 10 years and always felt she does an amazing job. And after all I was overwhelmed with the diagnose and had just one night of reading. But my gut feeling was not good when I started with 2 IE.
Ever since the doubt about the dosing did not leave me and this makes it hard for me to go higher even if the bg numbers are high. I read, that big drops with more than an average fall of 50mg/dl per hour are an indicator for overdosing. We have this all the time. Either nothing moves at all or we have these big drops, usually at night with an average of 70 mg/dl. No nice flat curves.
Also I see more yellow and some blue the last days it only comes in big drops and the rest of the time she is even higher than before. The freestyle libre gives you a overview of the average bloodsugar and the number is rising on a daily basis. More and more often the freestyle just gives me an "HI" for hours.
I don't sleep anymore because I fear the drops at night. I don't have an 24-hour-emergency vet nearby and I would be lost if she goes into hypo. The freestyle helps but as it measures much higher to the Accu Check I don't trust it 100 % if it comes to low bg. That is why I already start to panic if the display shows something in the 100 with the arrow pointing downwards.
When I came to this forum I already got the answer, that I don't have to start over again with a low dose but for my doubts it would be helpful to get some more explanation. How can I know, I didn't skipped the right dose? How can I know, the high numbers are not the result of a counter-regulation. Thanks to your pantient explanation I understood the idea of bouncing but how do I know, the bounce happens because the body is not used to lower numbers and not as a defense mechanism to too much insulin?
I am sorry to question so much. I tried to talk to my vet but she was very short and just said that there is no counter-regulation or Somogy with Lantus. She thinks there is no real danger for hypo if I always leave out food for Binie. I have to care for Binie on my own and I feel so overwhelmed with responsibility. I think it would be easier if my mind understand, that I am heading in the right direction. Thank you so much!!!
