BJM
Very Active Member
previously
Straight Lantus isn't flexibly dosed and is lasting him about 10 hours. It builds up and has carryover.
Straight ProZinc is flexibly dosed and is lasting him about 8 hours. It isn't having carryover in Spitzer.
Spitzer's eating pattern is to eat a lot when food is first put down, then taper off and nibble throught the time until the next meal. His glucose goes up pretty quickly, then slowly tapers off.
Spitzer is ill and I need both some continuity and some flexibility. I have to do something to get his glucose down as he has been riding up in the 400s, with trace ketones showing up in a urine test and moderately high levels in 1 home blood test (uncertain about the validity and reliability of NovaMax on cats, so take with a grain of salt!)
I am going to custom dosing. I know there will be some concern about this.
WARNING TO NEW FOLK - THIS IS NOT STANDARD DOSING. FOLLOW THE REGULAR PROTOCOL FOR YOUR INSULIN.
I will be using a basal plus bolus approach, based on what I have observed in Spitzer's reactions to Lantus over the past year and ProZinc over the past week.
He is resuming a basal dose of Lantus at 1.5 units (This seemed a good level for him until he became ill, even if it isn't all transcribed to the spreadsheets.) His nadir on this was right around +6 hours when healthy.
He can have a bolus dose of ProZinc based on his glucose readings. Right now, 1 to 1.2 units seems to be getting him down from the 400s. His nadir has been around +4 hours. As the antibiotic takes effect (I hope), I can decrease that on the fly based on his glucose levels.
If the 2 nadirs overlap, he might actually get to a glucose in the 100s ... although I'm not holding my breath. Staying out of the 400s and getting him to the lower 300s is enough for now. The nadirs may line up just behind when most of his food is being digested, (+4 to +6) , and prevent him from going too high.
Of course I will be testing before every and any dose and some in between times; going home for lunch by using vacation leave or scheduling a longer day at the office so I can take a longer lunch.
Straight Lantus isn't flexibly dosed and is lasting him about 10 hours. It builds up and has carryover.
Straight ProZinc is flexibly dosed and is lasting him about 8 hours. It isn't having carryover in Spitzer.
Spitzer's eating pattern is to eat a lot when food is first put down, then taper off and nibble throught the time until the next meal. His glucose goes up pretty quickly, then slowly tapers off.
Spitzer is ill and I need both some continuity and some flexibility. I have to do something to get his glucose down as he has been riding up in the 400s, with trace ketones showing up in a urine test and moderately high levels in 1 home blood test (uncertain about the validity and reliability of NovaMax on cats, so take with a grain of salt!)
I am going to custom dosing. I know there will be some concern about this.
WARNING TO NEW FOLK - THIS IS NOT STANDARD DOSING. FOLLOW THE REGULAR PROTOCOL FOR YOUR INSULIN.
I will be using a basal plus bolus approach, based on what I have observed in Spitzer's reactions to Lantus over the past year and ProZinc over the past week.
He is resuming a basal dose of Lantus at 1.5 units (This seemed a good level for him until he became ill, even if it isn't all transcribed to the spreadsheets.) His nadir on this was right around +6 hours when healthy.
He can have a bolus dose of ProZinc based on his glucose readings. Right now, 1 to 1.2 units seems to be getting him down from the 400s. His nadir has been around +4 hours. As the antibiotic takes effect (I hope), I can decrease that on the fly based on his glucose levels.
If the 2 nadirs overlap, he might actually get to a glucose in the 100s ... although I'm not holding my breath. Staying out of the 400s and getting him to the lower 300s is enough for now. The nadirs may line up just behind when most of his food is being digested, (+4 to +6) , and prevent him from going too high.
Of course I will be testing before every and any dose and some in between times; going home for lunch by using vacation leave or scheduling a longer day at the office so I can take a longer lunch.
