Another traveling buddy from Prozinc

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Yong & Maury GA

Yong & Maury GA

Member Since 2017
Good evening Lantus Land!
I am probably switching to Lantus in a few weeks with Djamila and was wondering if any of the experienced members had a suggestion on Maury's starting dose. I've seen 1:1 ratio for switching but one Vet did suggest I start him at 1.0U. I would probably feel more comfortable starting him at 1.0U BID and plan on following SLGS since Maury does get a little bit of YA dry food *hides*.

Would love some other thoughts :). Thank you in advance!
 
Hi Yong!

Since you have shot as high as 2.25 recently with ProZinc, you might be able to start a bit higher than 1 U. Let's see what other think. I am thinking around 1.5 units to start.

I think you will like having a set method to follow or at least I did. I am one of those peeps that ' if this happens, do that' and so forth.We will be looking for you Yong. Until you make the switch I would read up all the stickies and I especially like the New to the Group one and inside that one is "Where Do I find" Lots of you info in that one.

Also, continue hanging out of here like you've been reading other condos and learning that way too. :)
 
I'd be tempted to go higher than 1.5 units, maybe 1.75u, but it depends how much you can monitor for the few days after you make the switch. Some kitties react strongly to the insulin change, some not so much and it can take several days for the depot to build so you can see what the dose can do. We don't want you starting too low and Maury getting glucose toxicity from hanging in high numbers too long.
 
Thanks Paul. I will try :) while still checking on Prozinc and C/V/N threads too.

So had another question, for anyone. Might have missed the information but don't recall reading about in Shooting low numbers :bookworm:. Say you get a PS of 80, I'll use one of Maury's situations, and after stalling it stays about the same. If you choose to skip the shot, and he was going to drop later, could the depot cause them to go hypo? OR if he was going to rise later (but past 1 hour mark for a shot) will the depot drain and keep him from possibly bouncing as high? Does skipping mess up the depot a lot? Apologies if this scenario is in a sticky, I'm still rummaging through :smuggrin:
 
Hi Yong and Maury,
Welcome to LL.
I'm with Wendy in terms of dose, and would opt for 1.75 especially if you are able to monitor when you make the switch, as Wendy said, some kitties can have a strong reaction to an insulin change.

Yong said:
If you choose to skip the shot, and he was going to drop later, could the depot cause them to go hypo?
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It's possible, that they can continue to drop past that +12, even if you don't shoot, it sort of depends on how full the depot is, and the size of the depot (the larger the dose the larger the depot). eg if someone has failed to take a reduction when kitty has earned one then the depot could be overfull and in that situation I would want to be more cautious.
Usually if you have decided to skip because the PS was to low, you might want to grab a +1 to see if they are indeed on their way up.
It sort of depends on the kitty, as you get to know Maury's response to Lantus you will be able to judge better.

Yong said:
Does skipping mess up the depot a lot?
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Skipping messes with the depot, and again, how much that affects the next cycles is another case of ECID, I would say that generally the better regulated a cat is, the more quickly they seem to recover from a skipped shot.
Ideally you want to avoid to many skips and frequent dose changes, the dosing methods we use on the board work best if you shoot consistently.
Remember with SLGS(as there is still dry in the picture this would be your choice of dosing method), you wouldn't be shooting below 90.
 
Thanks Gill & George. Maury's recent numbers are making me more leery of starting at 1.75U :smuggrin: but I know I still have a couple weeks to see what he's planning on doing.

What would happen if I dosed <90 on Lantus?
 
Yong said:
What would happen if I dosed <90 on Lantus?
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On TR, the no shoot number is 50, but kitty must be on an all wet LC diet, as this is a more 'aggressive' approach to dosing, having kitty on dry food, may skew the cycles as dry takes longer to get out of the system.

On SLGS the no shoot number is 90, as you are trying to keep a larger margin of error in order to keep kitty safe, either because you are not able to monitor as much as necessary, or kitty is still on dry food. You would also take reductions when kitty got below 90 on a human meter for SLGS. Shooting lower than the guidelines, could see kitty run lower than is the intended range for SLGS, and that could prove to be risky.
 
I need a TRGS protocol with a no shoot number of 72 :smuggrin:. Like a nice middle ground of both protocols lol.

More seriously, I understand what you are saying and I will have to learn how Lantus effects him :). I have to do SLGS though with no guaranteed regular income and he still gets some dry.
 
Was just wondering how everyone stores their Lantus pen vials? Should they sit upright or just lay them on their side so it's easier to draw without mixing anything? I keep my Prozinc vial in its box on the door, where most people probably put butter :).

Also, because I'm a worrier, has anyone had an issue with ordering Lantus pens from Canada? Like being taken by customs? :nailbiting:
 
I can't answer the question about ordering from Canada. I have had no problems, but I live here, about 25 minutes drive from Marks. :p Prices are cheaper in other pharmacies so I don't buy there. I have taken Lantus and Levemir across the border with no issues.

I tried to keep my cartridge or pen refill upright in a tall tupperware, and on the main shelf, not the door. The temperature is too variable in the door.
 
Yong said:
Also, because I'm a worrier, has anyone had an issue with ordering Lantus pens from Canada? Like being taken by customs?
Click to expand...

In the hundreds of people that have ordered from Marks, I've heard of 1 time when customs was a problem and Marks sent another pack out that got to that person safely.

Customs really doesn't have time to check every package that comes through and Marks has been shipping medications and insulin to the US for many years so they know how to do it.

You will also get a tracking number so you can track your package.....just in case
 
I store the cartridge I'm currently using inside a plastic snack bag standing upright in a small mug with tissue around it to keep it from getting knocked around. It's at the back of the main shelf in my fridge. The other unopened cartridges are in their box in a plastic sandwich bag lying flat on the top shelf of my fridge.
 
I was thinking flat might be better so you're less likely to mix anything that settles when you turn it upside down to draw from?
 
So Maury and I finally found a new Vet :D. I mentioned to her that I was switching to Lantus in a few weeks and she said I could check back in with her to calculate starting dose. I remembered seeing that here but it was for TR protocol. I know I have already asked for thoughts on his starting dose, and I have heard them and have to consider his recent trends /factors, but wanted to clarify about figuring it from the TR method.

With that, I've heard 1.5U and 1.75U. For TR formula and Vet's implied method of calculating, it's closer to 1.5U. Would anyone be upset with me if I decide to start at 1.5U? :oops: Please be gentle lol. I had a rough weekend!
 
Yong said:
So Maury and I finally found a new Vet :D. I mentioned to her that I was switching to Lantus in a few weeks and she said I could check back in with her to calculate starting dose. I remembered seeing that here but it was for TR protocol. I know I have already asked for thoughts on his starting dose, and I have heard them and have to consider his recent trends /factors, but wanted to clarify about figuring it from the TR method.

With that, I've heard 1.5U and 1.75U. For TR formula and Vet's implied method of calculating, it's closer to 1.5U. Would anyone be upset with me if I decide to start at 1.5U? :oops: Please be gentle lol. I had a rough weekend!
Click to expand...
Yong, you're an experienced and knowledgeable FD parent. Your kitty - your call. :)
 
When switching from one insulin to the other, we take the dose of the previous insulin into consideration. We don't go back to the beginning and figure out a starting dose.

Sending vines for the p'titis to go away.
 
I switched with almost the same dose as prozinc. Went from 8.2 units prozinc to 8 units lantus. BUT Chuck didn't have good numbers like Maury. I think 1.5 would be a good starting point if that is what you feel comfortable with.
 
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