Phoenix R.
Member Since 2023
Hello... I am new to Lantus, this is day 2 and I'm pretty nervous as this will be Mouse's lowest shooting BG (253). I could really use some reassurance that it's ok to shoot at 253...
06/10 Mouse PMPS 479, +2 332
- Thread starter Phoenix R.
- Start date
Diane Tyler's Mom GA
Member Since 2018
I would say it's safe to shoot at 253 , are you going to be home to monitor Mouse today
Deb and Sylvester
Member Since 2023
253 is a very safe number to shoot. When you see low 100s, you can be more concerned
If it eases your mind, do a BG check at +1
You are clear for takeoff!
Phoenix R.
Member Since 2023
We do have to make a trip into town today. Shouldn't be gone for more than an hour and a half.
Diane Tyler's Mom GA
Member Since 2018
Diane Tyler's Mom GA
Member Since 2018
That's fine ,you can leave some lc food out before you leave
Don't forget to fill your SS out for today
Phoenix R.
Member Since 2023
Ok thank you... time to shoot... Wish us luck!253 is a very safe number to shoot. When you see low 100s, you can be more concerned
If it eases your mind, do a BG check at +1
You are clear for takeoff!
Deb and Sylvester
Member Since 2023
How long after you shoot are you going out?
I looked at the SS, I see this is Mouse's lowest pre-shot.
Deb and Sylvester
Member Since 2023
Good luck, I think you'll be fine, like Diane said above, leave some low carb for Mouse where he can find it, so he can snack.
Phoenix R.
Member Since 2023
Will be around 2 hours after before we can leave so I'll definitely do a +2 before we go. Should I test at random times today after that to fill in the gaps on her SS since I tested every 2 hours yesterday? Yes this is her lowest PS BG!
Diane Tyler's Mom GA
Member Since 2018
You can get a test @+4 and @+6 when you get homeWill be around 2 hours after before we can leave so I'll definitely do a +2 before we go. Should I test at random times today after that to fill in the gaps on her SS since I tested every 2 hours yesterday? Yes this is her lowest PS BG!
Try and mix up the test times each day ,like filling in pieces of a puzzle
I know you can't stay up late at night but I see you said you can get a +2 after the PMPS test, If the number is much lower at +2 you might have to get another test in.
Just post if you need help
During the day maybe you can get a +10 to see where she's at .
I'm sure you know to withhold feeding 2 hours before the AMPS and PMPS so it's not influenced by food
Just want to be sure you have your hypo kit in case Mouse ever drops too low and you need to bring his BG up to safe numbers
Such as
Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs
Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy 15% Med Carbs
Fancy Feast Gravy Lovers Turkey Feast in Gravy 15% Med Carbs
Fancy Feast Gravy Lovers Chicken and Beef in Gravy 15% Med Carbs
Good idea to mark the cans with magic marker how many carbs
Or any on the food chart. Doesn't have to be Fancy Feast just an example about the med and high carb foods
And some honey in the house
https://felinediabetes.com/FDMB/threads/dr-pierson-new-food-
11% -15 is medium carbs.
16- 24 is high carb.
Phoenix R.
Member Since 2023
I have 4 cans of ff beef gravy lovers in my hypo kit, I have them in a special bag with her other hypo items. I'll have to pick up some medium carb cans, I do have some other canned cat food on hand but not sure what the carbs are on those. Yup, withholding food 2 hours prior to PS tests.
Phoenix R.
Member Since 2023
Her BG is really high now... +2 422.
Deb and Sylvester
Member Since 2023
Could be a bounce from her pre-shot number, it takes a while for most cats to get acclimated to lower numbers. Some cats bounce, some don't.
Either way you're safe to go out!
Phoenix R.
Member Since 2023
Thank you... I saw your message shortly after you sent it but had to go quick so we could get back. This is definitely a rollercoaster ride of anxiety. I did a +5 now she's up to 452.
Deb and Sylvester
Member Since 2023
Let the Lantus build up since you just switched insulin. She's just bouncing. She'll come down. Stick to your dose and dose time for the best results with glargine insulin.
Deb and Sylvester
Member Since 2023
And yes, it is exactly that, a rollercoaster of emotion. It gets easier, trust me!
Christie & Maverick
Member Since 2017
Welcome to the Subforum . It looks like the starting dose of Lantus may have been too low, taking into consideration the numbers you had with Vetsulin. I suspect at the moment it’s not much in the way of bouncing, but just some glucose toxicity going on. The depot will take around 5-7 days to build so we shall see. Here on the subforum, we would suggest until you gather data and experience with Lantus that if you get a preshot of under 150, stall, do not feed and post for help, so numbers in the 200s are fine to shoot. Lantus works differently than Vetsulin, even the methodology of testing, feeding and shooting is quite different also.
. It looks like the starting dose of Lantus may have been too low, taking into consideration the numbers you had with Vetsulin. I suspect at the moment it’s not much in the way of bouncing, but just some glucose toxicity going on. The depot will take around 5-7 days to build so we shall see. Here on the subforum, we would suggest until you gather data and experience with Lantus that if you get a preshot of under 150, stall, do not feed and post for help, so numbers in the 200s are fine to shoot. Lantus works differently than Vetsulin, even the methodology of testing, feeding and shooting is quite different also.
Phoenix R.
Member Since 2023
Glucose toxicity sounds bad... Should I be worried? If we still see the higher numbers after 5-7 days does that mean she's insulin resistant and if so then what? I'm a chronic worrier so I need to know how bad this might be...Welcome to the Subforum
Christie & Maverick
Member Since 2017
When a cat stays in prolonged higher numbers, glucose toxicity can set in, which means the cat has gotten a little too comfy being in higher numbers, and it may take a few increases in dose (more insulin) to break through and bring the numbers down.
Phoenix R.
Member Since 2023
Is it still ok to use the SLGS Protocol?
Deb and Sylvester
Member Since 2023
@Phoenix R.
Yes you can still follow SLGS. Mouse may be experiencing glucose toxicity. Many cats do at the beginning of their diagnosis. Stay on course for the next 3 days, and then you can increase if the numbers are stagnant.
Don't forget to log the readings on the SS, and start a new post for today.
Yes you can still follow SLGS. Mouse may be experiencing glucose toxicity. Many cats do at the beginning of their diagnosis. Stay on course for the next 3 days, and then you can increase if the numbers are stagnant.
Don't forget to log the readings on the SS, and start a new post for today.
Phoenix R.
Member Since 2023
Thank you, I'll start my new post soon
Deb and Sylvester
Member Since 2023
Thank you, I'll start my new post soon
If you see the numbers sticking too high, above 350, all the time, you can post and ask about increasing before then, but we do want the glargine to build up, so we can see what the dose is going to do.
How much does Mouse weigh?
Christie & Maverick
Member Since 2017
The SLGS dosing method is still fine to follow, it varies from TR in the length of time that caregivers hold the dose, and has a different set of guidelines for reductions and increases. With SLGS you would hold each dose for at least a week and then assess based on nadirs whether to increase. TR allows caregivers increases more quickly, and on the initial starting dose, with TR you’d hold for 5-7 days, unless we’re seeing high flat curves, in which case an increase sooner might be warranted. You have been seeing some nadirs under 300 so he’s not super high and flat, but let’s see how the next few days go. It just depends on what you are comfortable with when selecting which dosing method to follow.. There is no harm in starting with following SLGS then as you get more comfortable in how the insulin is working for Mouse, you can switch to TR, since you aren’t feeding any dry food.
Phoenix R.
Member Since 2023
She was down to 4.5 lbs when diagnosed with FD 05/17 but when we took her to the vet for followup 06/07 she was 5.4 lbs.
Deb and Sylvester
Member Since 2023
Oh she's tiny! And very cute as well.
Ride out the next few days, Lantus creates a glargine depot in the body. Have you read the sticky on the insulin depot? If not, you should, it will explain how long acting insulin works.