? 5/27 Taco - Second cycle on Lantus

Brandi & Taco

Brandi & Taco

Member Since 2020
I posted yesterday, saying I received our Lantus in the mail. Yay!
Decided to give his first dose last night - only 1U. He stayed in the 300's. :(
Upped dose to 2U this morning and he did a bit better.
Should I hold it at this for a good week or so or up it to 2.5 already (which is what his Novolin dose was)? I know it takes a bit to start seeing differences.
(Also, I am aware that I need to start testing in the AM. My husband didn't wake me this morning and gave him his shot like he normally did when he was on Novolin - his numbers were so stupid high I wasn't worried about hypo. But yes! AMPS testing will begin tomorrow!)
 
I agree with Elise. You saw some movement today. It will get better as the depot starts to build.

You should take a look at our Sticky Note on Dosing Methods. It describes the two dosing methods we use here. Once you decide which one will work for your life style, we be able to help you better with dosing suggestion. How long you hold the dose varies between the two methods.
 
Hold the 2U dose for 5-7 days unless he drops too low.

You do need to start thinking about whether you want to do Tight Regulation or Start Low, Go Slow. They are different dosing methods we use with Lantus.

TR gives the best chance at remission but requires more testing. Reductions are earned when they drop below 50 on a human meter. After the first 5-7 days, you can increase the dose as often as every 3 days if you're not getting the results you want.

SLGS has also had some cats got OTJ but reductions are earned when they drop below 90. Doses are held for 7 days and then you need to run a curve (test every 2 hours for 12 hours). The bad part is even if your cat is running too high, you have to hold the dose but it doesn't require as many tests and is a little less nerve wracking on new caretakers.
 
It looks like you were not getting pre-shot tests. It's very important that you test before. you give insulin. Without that information, you have no idea whether it's safe to give a shot. I know you're planning on getting an AMPS test. It's important to test at PMPS, as well.
 
Chris & China (GA) said:
Hold the 2U dose for 5-7 days unless he drops too low.

You do need to start thinking about whether you want to do Tight Regulation or Start Low, Go Slow. They are different dosing methods we use with Lantus.

TR gives the best chance at remission but requires more testing. Reductions are earned when they drop below 50 on a human meter. After the first 5-7 days, you can increase the dose as often as every 3 days if you're not getting the results you want.

SLGS has also had some cats got OTJ but reductions are earned when they drop below 90. Doses are held for 7 days and then you need to run a curve (test every 2 hours for 12 hours). The bad part is even if your cat is running too high, you have to hold the dose but it doesn't require as many tests and is a little less nerve wracking on new caretakers.
Click to expand...
I've been reading up on the different methods. I don't mind testing so I think I'm going to go the TR route. :)
 
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Sienne and Gabby (GA) said:
It looks like you were not getting pre-shot tests. It's very important that you test before. you give insulin. Without that information, you have no idea whether it's safe to give a shot. I know you're planning on getting an AMPS test. It's important to test at PMPS, as well.
Click to expand...
Yep, I will definitely start AM testing! :) I need to slowly adjust his shot time so that it's more convenient for my sleep schedule (my husband has been giving AM shot). As far as PMPS goes, with Novolin it's extremely important for them to eat an hour before shot time. So you test, feed and then shoot. So the PM test is actually at +11 instead of +12. At least that's what I've understood. I'm glad to have a gentler insulin now so I'm sure that +12 column will start filling out now.
 
Brandi2022 said:
I don't mind testing so I think I'm going to go the TR route. :)
Click to expand...

OK....Add TR to your signature so we know when you need advice.

Brandi2022 said:
As far as PMPS goes, with Novolin it's extremely important for them to eat an hour before shot time. So you test, feed and then shoot. So the PM test is actually at +11 instead of +12. At least that's what I've understood. I'm glad to have a gentler insulin now so I'm sure that +12 column will start filling out now.
Click to expand...

With Lantus, you don't want him eating for the 2 hours immediately before shot times so that when you test, you get a number that's not influenced by food. Since lantus doesn't usually "kick in" for 2-3 hours after it's given, most of us Test/Feed/Shoot all within 5-10 minutes.

You Test (to make sure he's high enough for insulin), Feed (to make sure he's at least willing to eat) and Shoot.
 
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