103 PM Test - Dosage Advice Needed Very Soon

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SandyandFelix

SandyandFelix

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I posted in the Lantus area but haven't received a response and it is passed the time that I normally shoot. So I hope it is okay to post here too.

I have been shooting .1 but today I gave .25. Felix just tested at 103......Do I continue with the .25 dosage or go back to the .1 dose???
 
Sandy, have you fed Felix yet? If not then test again and see if the BG number is going up or down. Post here when you get it.
 
Sorry I missed you Sandy.

I am going to leave you with some parting advice for the next time this happens as I see this is not the first time Felix has had a low number at night.

You have 4 choices when you see a low number at pre-shot time:

1. Don't feed and wait 30 mins, then take another BG reading and see if it's going up or down. Then wait another 30 mins (don't feed yet) and repeat the BG to see if it's going up or down.
a. If it's going up, then you know to go ahead and give insulin.
b. If it's going down, you may want to skip. Especially if you don't have the ability to stay up and get more BG readings throughout the night.

2. You could go ahead and give the regular insulin dose but, once again, you'll need to stay up and retest every hour or so to make sure kitty is doing ok.

3. You could give a half dose of what you're normally giving (recommended by most people on this board). This way Felix doesn't miss a whole dose of insulin and his body is getting something to work with even though it's less than usual.

4. You can skip the dose all together.

Hope that helps. I'll try to keep an eye out for your posts so that I can help in the future right as you are posting.
 
Thank you everyone!

I decided to shoot .1 and just tested him again at +3. He went up to 104 but probably because he had some food after his PM Pre-shot time.
 
I would guess you should give his normal dose, and perhaps retest later and see how he does before considering a permanent change? That's what I do when my mom needs her dose adjusted, but that's a human... You should probably ask the vet to be sure.
 
Am I misunderstanding something? He is in very low 100's and we're still shooting?
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With lantus, consistency is very important because it is an insulin with an insulin depot. If you don't shoot, you drain the depot. Experienced lantus caregivers typically shoot in the 50s and 60s. It is very different from PZI.

When a new caregiver comes in, we try to teach them to gradually shoot lower and lower.
 
Thank you Marje for the clarification. It has been very confusing when I get advice from one person to shoot low numbers then another person says not to.

But, all is good. I've learned quite a bit so far!

Thanks!
 
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