8/22 Chase AMPS:146,+1/160,+3/100,+4/116,PMPS:164,+1/160,+2/101,+3/72,+5/119,+6/104

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Sandi & Chase in AZ

Sandi & Chase in AZ

Member Since 2017
http://www.felinediabetes.com/FDMB/...82-1-209-2-158-3-94-4-97.182684/#post-2026174

I'm thinking about switching Chase to Levemir. I have another month before I will need to get more insulin He has been on Lantus since the beginning (Feb 2017). Went into remission for 2 months, then back onto insulin again.

Mr. Chase has always been a nose diving kitty (almost exclusively in the mornings). Have been trying to flatten him out with food.

If there is anyone who is well versed with reading SS, I would love to know what you think. :) I just recently started combining his food and will try to get his numbers to flatten out that way.We have about a month's worth of Lantus left. He is on a very small dose: 0.1u

Thanks for reading. :)
 
I have no expertise, Sandi , but praying you will have extra wisdom as to how to proceed with Chase :). I know those with knowledge of Levemir will have much advice for you :)
 
Sandi, I'm not on much but here is my 2 cents about switching Chase to Levemir. I'm not sure it's a good idea for a few reasons.

  • Your Lantus vial is old and could be losing potency. 6 months is usually the cut off....give or take.
  • His dose is currently .1u. When we switch from Lantus to Levemir the typical starting dose is 30% less of the current Lantus dose. I don't see how that is feasible when your current dose is .1.
  • There is a learning curve when switching to Levemir. You need to learn his patterns all over again. Typical onset is around +4 and typical nadirs are anywhere between +8 and preshot or even beyond. Of course there are earlier and later onset/ nadirs with some kitties so again it's quite a learning curve. Not sure you can manage this with your work schedule.

Like @Wendy&Neko suggested yesterday I might try some Friskies which has a few 10%-11% options this way you're not trying to guess with mixing. Also, I really think your Lantus vial is too old and it would be a good idea to start a new one.
 
Thank you @Doodles & Karen . I didn't know that the Lantus went bad before the expiration date (Marje probably told me that in the beginning, but I don't remember). I can't afford to get Lantus right now. Today.... in 2 hours... Chase's BG still went down significantly... even with the higher carb food. I know I can't expect things to happen immediately but I get so anxious. I just need to remain grateful that he is doing really well, under the circumstances. The main thing I'm hoping for, right now, is that the nose dives get less and less and that he GET OFF OF THAT TRAMPOLILNE! LOL :cat:

The only Friskies I see, on Dr. Lisa's food chart, that is close to 1401% is the Beef & Liver with Cheese Pate. Chase is allergic to beef and fish. :banghead: LOL.

Why are most of the low carb foods higher in calories... or am I just seeing things? LOL

He's eaten FF ever since being diagnosed. I'm going to try and do combinations and just use trial and error.

I know that Chase is on such a small dose and that his numbers aren't horrible. It's the dive and bounce that has me concerned. I need to figure out how to get that under control. I'm not sure when I will have the money to get a new vial of Lantus. :(

Thank you for posting, Karen. It's nice to see/hear from you. :bighug:
 
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Sandi & Chase in AZ said:
I didn't know that the Lantus went bad before the expiration date
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It doesn't appear to be "bad" but sometimes it may start slowly petering out.

Sandi & Chase in AZ said:
It's the dive and bounce that has me concerned. I need to figure out how to get that under control.
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Good luck. You can only do what you can do. We all wish to "control" dives and bounces but sometimes it's not realistic. Insulin is a hormone and Chase is a cat ;)
 
Bronx's dad said:
Well, the 30% less rule is just to be safe since a kitty might react very differently to a new insulin.
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I'm not sure that's the reason why since when switching from other insulin to either Lantus or Levemir many times it's an even dose switch.

There's something specific about going from Lantus to Levemir that this typically applies. We also look at data etc. I don't have all the facts so will leave it there.

Micro dose kitties like Chase are also special in their own way. It's just my 2 cents specific to Chase as stated above.
 
Bronx's dad said:
Well, the 30% less rule is just to be safe since a kitty might react very differently to a new insulin.
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Makes perfect sense, Paul. :) I just wish that they could get different dosages of insulin. Chase always goes low in the morning, but not typically in the evening. It's pretty consistent, too. I'm sure there are other kitties that do the same thing, but I'm not sure I understand how that happens. If dosage and food are the same, why would a cat nose dive at +3 in the a.m. but not in the p.m? And it's almost every day. I don't feel confident that Chase will ever go OTJ again, but it would be nice if I could leave him in the morning and not worry. My boss doesn't like me taking my lunch bread at 9:30 in the morning, so eventually... that will have to stop. And it scares me. :(
 
:smuggrin:
Doodles & Karen said:
I'm not sure that's the reason why since when switching from other insulin to either Lantus or Levemir many times it's an even dose switch.

There's something specific about going from Lantus to Levemir that this typically applies. We also look at data etc. I don't have all the facts so will leave it there.

Micro dose kitties like Chase are also special in their own way. It's just my 2 cents specific to Chase as stated above.
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Special how, Karen? Well... other than the obvious. LOL. He is QUITE handsome AND he acts more like a person than a cat.
 
Hi Sandi.
Sandi & Chase in AZ said:
If dosage and food are the same, why would a cat nose dive at +3 in the a.m. but not in the p.m? And it's almost every day
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Remember, insulin is a hormone, and as such is influenced by other hormonal interactions. George, tended to dive at night ( except when he didn't:rolleyes:) even though dose and feeds were the same, am and pm.

Also just taking a quick look at his SS I do see a number of dives in the pm cycle;)
 
Gill & George said:
Hi Sandi.


Remember, insulin is a hormone, and as such is influenced by other hormonal interactions. George, tended to dive at night ( except when he didn't:rolleyes:) even though dose and feeds were the same, am and pm.

Also just taking a quick look at his SS I do see a number of dives in the pm cycle;)
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Hi @Gill & George !!!!! It's so nice to see you. Yeah... I thought of that after I posted. I know, from my own experience, how unpredictable hormones can be. LOL. :eek: LOL... I love how you said "except when he didn't". That is SO true. I know that Chase has some dives in the p.m., but his morning nose dives have happened ever since the beginning, and happen almost every day. Maybe I'm just paying more attention to the mornings since expect it. o_O

How are you guys doing?
 
Carol & Murphy said:
Sounds like Chase is doing pretty well after the pancreatitis episode, Sandi?
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Hi Carol. Yes... yes he is. :D He had some pretty bad sneezing for a few days but I gave him Zyrtec and it's pretty much gone. As of last night, I changed his food. It's so odd that with higher carb content, his 'BG levels are evening out and staying in the blue . ;) My intent was to get his numbers up a little bit with HC food and then up his insulin. :) For now i jf
 
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