7/21 Tibby - warm Lantus

Amy&Tibby

Member Since 2020
Hello. I ordered Lantus from Marks Marine in Canada. It arrived, and it looks like the ice packs had thawed out. The temperature marker was almost all red. Has that happened to anyone here before? I've put in a call to them, but it will be a while before they are at work.
 
I'm about to switch to Lantus from Prozinc, and the vet has me going from 2.5 units of Prozinc to 2 units of Lantus. Does that seem odd? I assume he's being cautious to not overdose on a new insulin.

Also, I'm very new to this whole SLGS method, but I'm going to start it with the Lantus. Until now I've been just going by what the vet prescribes, but he recommended this forum to me for more info and options. I read that the numbers on the FAQ sheets are for human meters, but I use the AT2. Is that a problem?
 
OK, the box says not to refrigerate the Lantus once you start using it. And everything I saw when I googled it said not to refrigerate once you start using it. What's up with that?
 
Hello and welcome! Refrigerate the Lantus right away. Those instructions are not for cats! The pen needle mechanism (used by humans) doesn't work well if in the fridge, but since you are using U-100 syringes (I presume), that's not an issue for you. Lantus pens should be able to be used to the last drop if kept in the fridge. Humans at their doses use up Lantus before it would go bad if kept out of the fridge.

As for the AT, since we don't know how to convert AT to human meter numbers, we just use the same numbers at face value for SLGS. SLGS was developed back in the day, not so long ago, when AT's didn't exist and everyone used human meters.

As for dose, I think you absolutely can go to 2.5 units of Lantus. We take the existing dose of insulin in mind when switching from other insulins, and 2.5 of Prozinc wasn't getting Tibby anywhere dangerous. Some cats have a stronger reaction to a new insulin, and if you were seeing blues or greens on 2.5 units of Prozinc, I'd be more cautious.
 
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