Re: Newbie Lantus dosage question
:lol: that was quick....you don't have the profile properly linked so that it is public so you might want to go through the instructions again.
What I am seeing is that .5u looks like it could be a nice dose for her. While many of us shoot in the 50s, you are right...you are not yet data ready to shoot that low so we need to get you there. We say here "shoot low to stay low" but that is when it's safe.
I think the nice string of green numbers you saw on 10/5 a.m. Cycle was most likely because of the insulin depot. Lantus and levemir are depot insulins...what that means is the first several shots you give have to first build the depot and then the kitty starts to use the shots you give...once the depot is full. That's why the starting doses are held 3-5 days and subsequent dose increases are held for 3 days until we see what the effect of the insulin will be.
So with these types of insulin, there is a cumulative effect where one dose builds upon the previous dose. When you reduce the dose, the previous dose can affect up to six subsequent cycles....that's why we don't take back to back reductions. We only give reductions, under the tight regulation protocol, when kitty goes below 50 if you are using a human glucometer and 80 if you are using an alpha trak. Since I can't see the profile, I don't know which glucometer you are using so my comments are prefaced upon the assumption you are using a human glucometer.
Every time you skip a shot, you are draining the depot and you can see her numbers trending higher. Unfortunately, on the nights you did shoot, you have no p.m. Tests and cats are often lower at night. It's important that you get at least a +2 test and before bed test each night so we can see where she is headed.
Since you haven't shot tonight, I would normally tell you to shoot .25u and I'd stay up and walk you through it if you had supplies and could stay up to test. Unfortunately, I'm visiting my mom out of town and my iPad is about to go out on me....plus I have to be up and out early tomorrow.
How long have you stalled? Stalling acts like a dose reduction plus you've really reduced her dose a lot. If you can let me know how long it's been, I can tell you what I think you should shoot. I'll wait for your answer.
If you don't shoot tonight, I'd take her dose back up to .25u in the morning, give her six cycles and try to shoot consistently. It would be good if you could post a +11 so we can see where shes headed and offer advice but if you can't, if she's below 150 at shot time, don't feed, post here and let us help you.
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