8/19 --SINVER... AMPS. 331-- +4 198 PMPS 262,

xelo y sinver

xelo y sinver

Member Since 2023
Hi Sinver, the numbers haven't dropped for a week, tomorrow a curve is scheduled to see if the dose needs to be raised. Being the new mother of a diabetic cat I still have things to learn that thanks to this forum and your help I hope to be able to get good numbers for my cat..
His mood is good, he plays, he purrs, he has a normal appetite, even a little more than normal, he goes to the bathroom normal, he drinks normal water, not excessive water. If someone sees my spreadsheet and wants to make a contribution, everything you are welcome thank you
 
Welcome to the Lantus forum. Zoot! started with lots of pink on his spreadsheet, too. It took a few months to adjust him to the right dosage to get regulated, then we worked on getting to remission using the Tight Regulation protocol (I was home all day to test his blood glucose). Good luck on your journey with Sinver!
 
Cinnie Cole said:
Welcome to the Lantus forum. Zoot! started with lots of pink on his spreadsheet, too. It took a few months to adjust him to the right dosage to get regulated, then we worked on getting to remission using the Tight Regulation protocol (I was home all day to test his blood glucose). Good luck on your journey with Sinver!
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Excuse me, I'm new to the forum and I still don't understand many things, but I'm interested in learning. We've been taking sinver since May, first I was on caninsulin and in June we switched to lantus. I have moments of bewilderment thinking that the dose should not be adjusted so that it is regulated. Sometimes I'm sad to think that I'm not doing it right, what's wrong? I do what I can for my cat to be well. His condition is normal for a healthy cat...
 
Cinnie Cole said:
Welcome to the Lantus forum. Zoot! started with lots of pink on his spreadsheet, too. It took a few months to adjust him to the right dosage to get regulated, then we worked on getting to remission using the Tight Regulation protocol (I was home all day to test his blood glucose). Good luck on your journey with Sinver!
Click to expand...
One question, let's see if you can help me... how do you update the title of the publication that I made in lantus... to add the hours of the other measurements?
 
Hola y bienvenida!

You are doing a great job with testing! usually with SLGS dosing method that we follow here, a dose is held for 7 days, a curve is done after 7 days on a dose to see whether a dose adjustment is needed, but with the testing you are doing, I would say you are going to need an increase after tomorrow, since nadirs from the last 6 days have been higher than 150. May I please ask why you reduced from 1u to 0.75u on August 13th? With SLGS it would be recommended to reduce the dose if you get a number under 90, but I don’t see anything that would have required a decrease.

here is the info page on dosing methods

Please ask as many questions as you’d like, there are many members experienced with Lantus who can help :)
 
Linking your post in Main/Health forum where @Gill & George is helping you:
https://www.felinediabetes.com/FDMB...e-is-xelo-and-my-cat-is-called-sinver.280624/

To add to what Christie said above, if you are feeding only wet food, you want to try Tight Regulation (TR). You are testing enough for it and you can get Sinver to better numbers quickly. This is especially important given his history of DKA.

xelo y sinver said:
One question, let's see if you can help me... how do you update the title of the publication that I made in lantus... to add the hours of the other measurements?
Click to expand...
I didn't understand this question. Are you asking how to add readings to the spreadsheet which are in between hours?
 
Christie & Maverick said:
Hola y bienvenida!

You are doing a great job with testing! usually with SLGS dosing method that we follow here, a dose is held for 7 days, a curve is done after 7 days on a dose to see whether a dose adjustment is needed, but with the testing you are doing, I would say you are going to need an increase after tomorrow, since nadirs from the last 6 days have been higher than 150. May I please ask why you reduced from 1u to 0.75u on August 13th? With SLGS it would be recommended to reduce the dose if you get a number under 90, but I don’t see anything that would have required a decrease.

here is the info page on dosing methods

Please ask as many questions as you’d like, there are many members experienced with Lantus who can help :)
Click to expand...
Hello, I reduced the dose, because it gave me the impression that I was giving more insulin than I should have because it seemed to be bouncing and giving many red numbers, I got scared and lowered the dose to check that he was better. My cat when he is in pink and red numbers feels better than when he is in yellow and blue.
 
Bandit's Mom said:
Linking your post in Main/Health forum where @Gill & George is helping you:
https://www.felinediabetes.com/FDMB...e-is-xelo-and-my-cat-is-called-sinver.280624/

To add to what Christie said above, if you are feeding only wet food, you want to try Tight Regulation (TR). You are testing enough for it and you can get Sinver to better numbers quickly. This is especially important given his history of DKA.


I didn't understand this question. Are you asking how to add readings to the spreadsheet which are in between hours?
Click to expand...

Yes, I was considering following the TR method but I am still not clear about what to do. I have been taking lantus for a short time and I was afraid if my cat had hypoglycemia.
 
Hola Xelo en la pagina principal del foro se explica todo sobre TR puncha aquí

He copiado lo relevante para que pueda valorar TR, y te lo traduzco.

General Guidelines:
  • Hold the initial starting dose for 5 - 7 days (10 - 14 consecutive cycles) unless the numbers tell you otherwise. Kitties experiencing high flat curves or prone to ketones may want to increase the starting dose after 3 days (6 consecutive cycles).
  • Manten la dosis initial 5-7 días (10 a 14 cyclos consecutivos) al menos que los niveles te digan lo contrario. Gatos con niveles persistentes, altos y planos y que esten en riesgo de cetonas quizas tendrán que aumentar dosis después de 3 días
  • Each subsequent dose is held for a minimum of 3 days (6 consecutive cycles) unless kitty earns a reduction (See: Reducing the dose...).
  • Cada incremento de dosis se mantiene un mínimo de 3 días (6 ciclos) al no ser que se que le toque una reducción (a continuación se explica lo de reducción)
  • Adjustments to dose are based on nadirs with only some consideration given to preshot numbers.
  • Los ajustes a dosis se basan en el nadir y los niveles de PS sólo le damos un poco de consideración. El nadir es el nivel más bajo que mides.
Increasing the dose:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
  • Manten dosiscentre 3 a 5 días (6-10 cyclos consecutivos) si los nadirs estan por debajo de los 200 antws de aumentar la dosi en 0.25.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • A lo primero, cuando empezamos a ver nadir por debajo de 200 is recomendable mantener la dosis entre 8-10 cyclos.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
    • Cuando tu gato empieza tener cycles por debajo de 100 las dosis se mantienen un mínimo de 10 cyclos
  • Increase by 0.25 unit after 3 days (6 consecutive cycles) if nadirs are greater than 200, but less than 300.
  • Aumenta dosis en 0.25 después de 3 días (6 ciclos consecutivos) si nadirs están por encima de 200
  • Increase by 0.5 unit after 3 days (6 consecutive cycles) if nadirs are greater than 300.
  • Aumenta en 0.5 después de 3 días (6 ciclos consecutivos) si nadirs están por encima de 300
Reducing the dose:

The TR Protocol is an aggressive method in itself. The modified version of the protocol is slightly more aggressive. Let's keep all our kitties in the Lantus, Levemir, & Biosimilars ISG safe by taking reductions when appropriate.
El protocolo TR is un método de dosificación agresivo, el método modificado incluso un poco más, así que es muy importante que se respete las normas para la reducción de la dosis, que te traduzco a continuación.

  • If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit.
  • Si tu minino baja de los 40 (diabetico reduce más de 12meses) o 50 (nueva d8agnosis/ menos de 12 meses) reduce la dosis 0.25u. Si tu gato tiene un historial de no mantenerse en esas reducciones o si las reducciones se obtienen en proximidad, puedes intentar reducir un poco menos de 0.25
  • Alternatively, attempt a reduction when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.
  • Otra alternativa para reducir es cuando tu gato tiene su nivel más bajo en unos niveles de un gato no diabetico entre 50-80mg/dl mientras se mantiene por debajo de 100mg/dl durante todo el cyclo para un oeriodo de 7 días.
  • Please do not let yourself become complacent or blasé about drops into the 20s or 30s. Please ask for advice immediately.
  • Muy importante de tomarse muy en serio bajones a niveles por debajonde los 40. Ya sean en los treinta tantos o veinte tantos. Pida ayuda, y consejo inmediatamente.
  • If your cat drops into the 30s, a full reduction of 0.25u is recommended. There are few exceptions given to caregivers who have collected years of data and KNOW their cat's response to the combination of insulin and food backwards, forwards, and inside out.
  • Si tu gato baja a los treinta y algo, hay que tomar una reducción entera de 0.25. Hay pocas excepciones a dueños que hayan documentado muchos años de datos de niveles de glucosa y que conozcan la respuesta a la insulina de sus gatos, con los ojos cerrados.
  • Caregivers whose kitties have "High Dose" conditions may find the need to reduce in whole units or more. (Not applicable to sniver at this time)
  • Dueños con gatos que tienen patologia que conyeva a una dosificación alta probablemente tendrán que tomar reducciones en bloques de unidades completas o más (depende de varios factores, esto no es aplicable a sniver en este momento)
  • If an attempted reduction fails, go right back up to the last good dose as soon as you see kitty's numbers trending upwards. You don't have to hold the reduced dose for a certain number of cycles before taking the dose right back up. The guidelines listed under the topic "Increasing the dose" do not apply to a failed reduction. Please use common sense in this situation. The "last good dose" is not the dose that just dropped kitty into the 20s or 30s. You want to resume momentum by finding an in-between the dose.
  • Si una reducción falla, sube la dosis a la ultima dosis que le iba bien en cuanto veas que su glucosa tiene a subir, no hay que mantener la reducción para un Número de ciclos en concreto. Hay que usar el sentido comun, l'a ultima dosis buena' no es la dosis que resulto en un bajón a niveles en los 20 o 30 tantos

  • We've found many kitties benefit from reducing the dose from 0.25u to 0.1u before stopping insulin completely. During a two week OTJ trial, you want to see mostly green numbers (under 100) with only a few random blue numbers between 100 - 120 to help ensure a strong remission. Most kitties will be in the range of a healthy cat (50 - 80 mg/dL) overall.
  • Nuestra experiencia es que muchos gatos se benefician de una microdosis de 0.1u antes de cesar por completo el tratamiento con insulina. Durante una prueba de 14 días sin insulina tenemos que ver niveles en verde (por debajo de 100) con solo un ocasional nivel entre 100 y 120) para asegurarse de una remisión fuerte y duradera. La mayoría de gatos se mantendrán entre 50-80mg/dl , el rango de un gato no diabetico.

Bueno aquí tienes la traducción, de lo que hay que hafer con TR, espero que te ayude. La traducción por Google puede que sea más complicada de entender.


Iwant to remind you of when you need to reset your cycle count for consecutive cycles
Quiero también recordarte, que se resetea la cuenta de ciclos consecutivos
  • Si Cambias la hora de la administración de insulina (demora o adelanto de una hora o más por ejemplo) change of shot time (delay or brought forwards)
  • Si cambias de dosis aunque sea tan solo por un ciclo change of dose even if just for one cycle
  • Si sospechas de un fallo en la administración de insulina (un furshot FS) if you suspect a fur shot

 
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