Curve shows slow results.

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Chuckstenberg

Chuckstenberg

Member Since 2016
My 14 year old male (Ceaser) has been on Lantis insulin since May of 2015. He gets 3 units in the morning and 2 units in the evening. His fructosamine gets checked every 2 to 3 months by the vet. I decided to check his glucosamine at home. Bought a meter yesterday and here are the curve results of have gotten for the day.
7:30am (before injection) - 287
8:15am injection of Lantis 3 units
10:15am - 292
12:15pm - 225
2:15pm - 174
4:15pm - 121
6:15pm - 118
8:15pm - 145
It seems the results from the morning injection is very slow and I'm wondering if anyone can tell me why this might be.
 
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What is he eating? any other medical complications besides diabetes? When does he eat? Free Feed, as needed or a few times a day?
 
He eats Natural Balance brand Chicken & Green Pea formula. He always has food out and eats through out the day and has a good appitite. He takes enelapril for his heart and furosimide for fluid retension. I just checked his 6:15pm glucosamine and it was 115.
 
Welcome to the FDMB!! We'd love to know your name...and of course your sugarcat's!!

It'd be really helpful if you'd start using our spreadsheet to keep track of his blood glucose numbers....it's really a very valuable tool here and we depend on it to see what's been going on before giving much in the way of dose advice

Here's Instructions on getting the FDMB spreadsheet

The other thing is with Lantus, it craves consistency, so the AM and PM dose should be the same. Other, older insulins were dosed more based on the Pre-shot blood glucose, but with Lantus, it's dosed based on how LOW it takes them

It's important to get more testing in to really see how your kitty is doing. We always test before shooting....otherwise there's no way to know if it's safe to give insulin at all!! Then to try to see how well it's working, we like to get at least a mid-cycle test on the AM cycle (if at all possible!) and then a "before bed" test on the PM cycle. Most cats go lower at night, so getting that "before bed" test is really important to see if you might need to set an alarm and get more tests in later on!

It's GREAT that you're learning to test at home!! Cats that are only tested at the vets are missing a lot of data and we've had a lot of people join us after only getting tests at the vet and come home to a cat in a hypoglycemic crisis (or worse)

Cats also respond to vet stress by going higher...up to 200 points!! So your vet tests, see's artificially inflated numbers due to stress and thinks the cat needs more insulin.....then you go home and the cat relaxes and you're overdosing.

I'm not sure about the Natural Balance food you're feeding...the fact that it has "green pea" in the name makes me think it might be a higher carb food (since peas are a type of starch that breaks down into glucose) We recommend feeding a low carb (less than 10%) food to our sugarcats.

Here's a list of foods that are under 8% carbs BUT it's important that you're testing while you're lowering the carbs....decreasing the carbs can bring the blood glucose down a lot too!!

Keep asking questions!! We'll do all we can to help you!!
 
Thank you so much for the insights. I will shop for a different food from the list you provided. I'm wondering how low his next check will be at 8:15 this evening. I've been giving him 2 units in the evening routinly since May of last year. Also, I will start giving him the same amount in evening as morning like you recommended.
 
Hello and welcome to you both.

Can you confirm that you're measuring BG with a human meter? (And kudos for getting home testing down pat in record time! :cool: )

@Chris & China - is there any chance you might make a clarifying suggestion for a suitable Lantus 12/12 dose adjustment? (e.g. would going to 2.5 IU q12 from 3IU/2IU AM/PM be better than going to 3IU q 12?)


Mogs
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@Critter Mom I always think the best idea is to take the total (5 units) and divide by 2....so that would mean trying 2.5 both AM and PM

You can always go up if the 2.5 doesn't work

BEAUTIFUL cat @Chuckstenberg !!!

Could you go ahead and add some information to your signature too? If you look below our comments, you'll see what kind of info we put there...it keeps us from having to ask the same questions over and over again...and when you get your spreadsheet going, that's where the link will go
 
I clicked onto where you said to learn about starting a spreadsheet but could only find spreadsheets that people have started. Thanks again for your help!
 
To add the info to your signature, you just go to the top right and click on your forum name and choose "Signature"...a new box will pop up for you to add the information like:

Your name/cats name, age, date of diagnosis, insulin, type of meter, type of food....any other health problems? Then when you have the link to your spreadsheet, that goes there too....and if you decide to do a Profile page on your furkid(s), it would go there too! We love to learn about our members sugarcats as well as their other furkids!
 
A regular human meter is fine!! All our protocols are written in "human meter" numbers!!

The one thing you need to be concerned with is the price of the strips....a lot of us look for the meter with the cheapest strips that uses the smallest sample size

One of the favorite meters around here are the WalMart Relion Confirm or Micro meters....they're about $15 and the strips are $35.88 per 100

The Bayer Contour is another favorite, especially for our Canadian members who can't get the Relions but the strips are a bit more pricey
 
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