Janice & Johnny
Member Since 2010
Hi all! Long-timer coming back with her tail between her legs to ask for advice...(please don't kill me, I already feel guilty!)
Johnny's numbers are all out of whack. Let me explain why. Towards the end of September, we could tell the insulin was losing its oomph. We called the vet to request a refill. She hadn't seen Johnny in a while and asked us to do a curve at home and send her the numbers so she could see how he was doing before calling it in. I reminded her that we chart and sent her the link. She called the next morning and said that she believed that he was showing signs of samoygi effect and that she wanted to see how he would do without insulin. She advised us to stop insulin for a week and not test him (so that his numbers could regulate without us reading too much into them). We were excited at this prospect and I wish I'd discussed it here before we took this step.
It was determined that he did need the insulin, so she called in the refill on 10/3. She wanted us to try once-a-day dosing (said that Lantus was initially developed to work that way for humans) because she didn't like the low numbers he hits in the evening time. She felt the 40s and 50s he was hitting were not safe and also potentially causing bounces. We started at 0.1u once a day and did that for five days before we decided (without the vet) that he needed twice-a-day and we took the reigns back from there.
The vet wrote today and said the following: "Just wanted to check in. I checked Johnny's spreadsheet- It looks like he is now on 0.25 units twice daily [note from Janice: The chart was not updated then, but is now]. I am wondering if he is once again dropping too low at night. Is he drinking and urinating a lot or is that under control on this dosing? Based on his numbers we might try him on just morning insulin at this higher dose. We may have to increase the dose, but I would do that before going to twice daily dosing. I am interested to hear your thoughts on this."
Johnny has been acting normally. All Ps are in place. Fall is usually his time to start sleeping in forts and he has been requesting them everywhere.
His chart is updated. We've been increasing him, but he just doesn't seem to be responding to the insulin like he normally would. This makes me really nervous and we feel SO awful for throwing him so far off track. Dosing advice greatly appreciated. Note: We aren't around M-F during the day to test.
Sorry so long!
Johnny's numbers are all out of whack. Let me explain why. Towards the end of September, we could tell the insulin was losing its oomph. We called the vet to request a refill. She hadn't seen Johnny in a while and asked us to do a curve at home and send her the numbers so she could see how he was doing before calling it in. I reminded her that we chart and sent her the link. She called the next morning and said that she believed that he was showing signs of samoygi effect and that she wanted to see how he would do without insulin. She advised us to stop insulin for a week and not test him (so that his numbers could regulate without us reading too much into them). We were excited at this prospect and I wish I'd discussed it here before we took this step.
It was determined that he did need the insulin, so she called in the refill on 10/3. She wanted us to try once-a-day dosing (said that Lantus was initially developed to work that way for humans) because she didn't like the low numbers he hits in the evening time. She felt the 40s and 50s he was hitting were not safe and also potentially causing bounces. We started at 0.1u once a day and did that for five days before we decided (without the vet) that he needed twice-a-day and we took the reigns back from there.
The vet wrote today and said the following: "Just wanted to check in. I checked Johnny's spreadsheet- It looks like he is now on 0.25 units twice daily [note from Janice: The chart was not updated then, but is now]. I am wondering if he is once again dropping too low at night. Is he drinking and urinating a lot or is that under control on this dosing? Based on his numbers we might try him on just morning insulin at this higher dose. We may have to increase the dose, but I would do that before going to twice daily dosing. I am interested to hear your thoughts on this."
Johnny has been acting normally. All Ps are in place. Fall is usually his time to start sleeping in forts and he has been requesting them everywhere.
His chart is updated. We've been increasing him, but he just doesn't seem to be responding to the insulin like he normally would. This makes me really nervous and we feel SO awful for throwing him so far off track. Dosing advice greatly appreciated. Note: We aren't around M-F during the day to test. Sorry so long!
