Sue and Oliver (GA) said:
The problem with vet testing vs home testing is that most cats are very stressed at the vet (strange smells, strange people and other animals). Stress raises blood glucose levels, so the numbers gotten there are often higher than they would be at home, and dose changes based on those numbers can be too much when the kitty gets home and relaxes. It is also very expensive, compared with home testing.
I totally agree with Sue here. Not only does the vet stress increase numbers, but the time of day you bring Molly in can skew what the numbers look like at the vet's. A test at the vet's is just a single snapshot in time. For example, when we first got diagnosed, we brought Eddie in up to twice a week, because his numbers were going up each time, so the vet kept increasing his dose! You can actually see my first post here asking about that very issue. The problem was, we were taking him to the vet about an hour before his normal shot time, so his numbers were at their peak. We didn't realize until we started testing at home, that his numbers were dropping quite low in the middle of his cycle, and the high numbers we were seeing reflected a "bounce."
With the type of insulin you are using, dosing is actually based on the lowest number of Molly's cycle, rather than the highest number. A single test at the vet, or even an all day curve at the vet, may not give you accurate information as to how low Molly is actually going. Many vets are very supportive of home testing, but unfortunately, there are some that are not. There are also some good links on the forum as to how to talk to your vet about home testing. In my personal opinion, I think a lot of vets just assume their clients are not willing or able to home test and so they don't actively encourage it. Thankfully, our vet tech and our vet are very supportive of home testing, and my tech actually has a link to Eddie's blood glucose spreadsheet that she can access directly online. You can see an example of Eddie's spreadsheet in my signature below. Many people find using this kind of spreadsheet very useful in keeping track of blood glucose, and to see patterns so you can dose the insulin more accurately and effectively.
You will also likely find that getting the infection taken care of, and with a change in diet, Molly's insulin needs may go down dramatically, or she may even stop needing insulin all together. Your insulin has a great track record using what's known as the "Tight Regulation" protocol for getting kitties off insulin all together. I encourage you to learn more about Lantus and the protocols in the specific Lantus area of the board.
http://www.felinediabetes.com/FDMB/viewforum.php?f=9 There are MANY lantus users here who are happy to offer support, guidance, and advice.
Ask as many questions as you can think of! It can be overwhelming at first because there is a TON of information to digest, but it all comes together. :smile: