BG 167 so I did not give Lantus...

[Will&Laura]

Kenzo's BG was 167 this morning at 645am so I did not give any Lantus. Should I give him half a unit tonight to keep up the "reserve" if it is still under 200 on Relion Confirm meter (which runs considerably lower than AT meter at vet)? I know the vet is going to think I'm non-compliant when I take him on Saturday because she told me to give him 2 units twice daily and I have cut back to one because I'm so afraid of him going Hypo. Any suggestions?

 

[Larry and Kitties]

Based on your limited BG data I would not give any insulin. Depending upon this evening PS BG, 1/2 unit may be in order

 

[Will&Laura]

Kenzo got 1 unit last night and his BG was 165 again this morning at 615am. If it is in the 160's again tomorrow morning should I go ahead and give 1/2 unit. I am only concerned because I will not be home to monitor him if he goes hypo...

 

[Larry and Kitties]

Yes, I would reduce dose to 1/2 unit especially since yo can test between shots.

 

[Will&Laura]

Would you suggest staying with 1 unit at night if his PMPS is over 280 and just doing 1/2u if in AM if AMPS is around 160ish range like it has been?

 

[Larry and Kitties]

It is best with Lantus/Levemir to use same dose AM and PM since those insulins ae depot insulins and build up in the body. I myself sometimes use small differences in AM and PM dosing like 0.2 form my Patches II with a dose of about1 1/2 units

 

[Critter Mom]

I myself sometimes use small differences in AM and PM dosing like 0.2 form my Patches II with a dose of about1 1/2 units

Very interested to hear this, Larry. Do you give the slightly higher dose on the higher cycle?


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[Larry and Kitties]

Sometimes, like this evening, Patches II was 45 so no full dose tonight. That happens not infrequently.

 

[Will&Laura]

I'm so confused by all of this. I think as your said @Larry and Kitties it may be best for me to give 1/2 unit AM and 1/2 unit PM (provided that his numbers are in a safe shooting range) to see if his levels will be closer to range instead of doing 1 unit and him being lower in the AM and me skipping dose because I'm afraid to shoot. Also we are going out of town in a few weeks on a Friday afternoon and do not have anyone I can trust to check his sugar and give him his insulin for 36 hours. Is this going to totally mess up any progress we make with his dosing?

 

[Critter Mom]

Sometimes, like this evening, Patches II was 45 so no full dose tonight. That happens not infrequently.

Thanks for the reply, Larry. What sort of effects do you see in the depot as a consequence of using slightly variable dosing? (Very, very interested in this because I'm struggling to give Saoirse insulin consistently at the moment due to my own poor health so I'm trying to find some way to minimise the impact of my shortcomings on Saoirse's treatment.)


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