4/11,Chuck, AMPS +12.5 101,+1 147,+3 94, +4 117,+5 168,+6 475,+7 471,PMPS HI,+2.5 534,+6 338,+8 350

[StephG]

Yesterday: http://www.felinediabetes.com/FDMB/...220-3-203-4-25-154-6-117-9-137-11-108.176107/

+11 was 108
+12 is 85
Stalling 20-30 minutes to see where he's going, up or down...

No idea what we will do. No idea why he's still going down...
Depot over full? Should we feed and no shot or feed with half a shot (4 units) to let his Depot drain and start over at 8 units again?
I don't have enough experience on lantus to know what to do.

 

[Wendy&Neko]

It could be that Chuck has a nadir this last cycle at +12. 85 is normally a safe number to shoot, but not if he's going down and you can't monitor tonight and don't have the data with shooting this low. Yes, the depot is probably overfull.

If you shoot 4 units, there is a good chance the depot will still influence the first half of the cycle. However, shooting a one time reduced dose is a good way to deplete the depot. With larger dose cats, that is a technique we use. If you could monitor the first part of the cycle, the 1/2 dose followed by going to 8 units is a good choice.

 

[julie & punkin (ga)]

Chuck's really liking to mess with you at amps, isn't he!?

Wendy's got good advice - I'd second her comments.

 

[StephG]

If you shoot 4 units, there is a good chance the depot will still influence the first half of the cycle. However, shooting a one time reduced dose is a good way to deplete the depot. With larger dose cats, that is a technique we use. If you could monitor the first part of the cycle, the 1/2 dose followed by going to 8 units is a good choice.

DH can monitor til +4 and I can get up early to check +5 to +7... I feel comfortable shooting 4 units vs 8.25.
Tomorrow pm cycle is 8 units ok instead of the 8.25?

 

[StephG]

Chuck's really liking to mess with you at amps, isn't he!?

Wendy's got good advice - I'd second her comments.

Yes! We are both in a state of confusion and awe since this is so not normal for us! Chuck on the other hand is giving us quite the lecture about being late with breakfast!

 

[Wendy&Neko]

Tomorrow pm cycle is 8 units ok instead of the 8.25?

Sure, you can try 8.0 units again for a while to get your Lantus sea legs. And if you do end up increasing again, maybe try a smaller increase.

 

[StephG]

Ok
+12.5 ish is 101
Still ok to go with 4 or does this test change the plan?

 

[StephG]

I still feel most comfortable with 4 units tonight but that could be my prozinc programming!

 

[Wendy&Neko]

Good to see he's stopped the drop.

Think of the 4 units as an experiment. Some people find that a half dose is too big a reduction to interupt the depot (I used 2/3) but you need to find out what works for Chuck.

 

[StephG]

Ok we will go with 4 tonight and hopefully we won't have to do this again! *Paws crossed*

 

[StephG]

AMPS (+12.5): 101
Fed 4.5oz+ 2T water. Usual snacks.
Gave 4 units. (Starting over at 8 on pm cycle)
DH monitoring hourly.

 

[StephG]

+1 147
DH giving small snack of LC food.

 

[Nan & Amber (GA)]

Doing great! He may actually have a totally non-stressful day even with those low pre-shot numbers-- unlike the other day where he was in mid-blues when you shot, this time he got all the way down to greens earlier, so he may just bounce today.

 

[Kris & Teasel]

Steph, Chuck's progress on Lantus is nothing short of amazing! I'm so happy for you!

 

[StephG]

Well there's that hair trigger bounce! And empty Depot?

 

[Bobbie And Bubba]

Boing! Why did you have to bounce Chuck?

 

[Nan & Amber (GA)]

Dang, Chuck! That's quite a range you have over a few short hours!

 

[StephG]

PMPS: "HI"... Expected this after his +7 reading...
DH fed him and gave him 8 units.
I'll be home at +2.5 and will take over monitoring.

 

[StephG]

He seems a bit off tonight. Probably from high numbers. I have a urine trap in the litter box to test once he pees. Hurry up and wait!