Does the insulin dose ever lessen?

[Mister]

It has been a while since I've posted. I was reading my previous posts and realized that my diabetic cat's (Mister) insulin (Lantus) dose has gone up from 1 unit twice a day to 4 units twice a day :C

Is this common? Is it possible to lower his need for insulin? If so, how?

He is very healthy, bless him. He has put on some healthy weight, is very active and has so much spunk and personality that I can't believe he has been through DKA twice now.

The reason I came on here today though was that I have been increasing his dose slowly because he seems to lose weight without the increase. Today I gave him 5 units and he got a muscle spasm that affected his back and legs. His sugar went too low today and I became terrified. But we fixed it pretty quickly...

Anyway, he eats raw. He has been stable for the last I'd say maybe year and a half...

Thank you for your support and input <3

 

[BJM]

If you gave 5 units and he had a seizure, the dose may be way too high. Are you home testing?

Lantus doses are adjusted based on the nadir, the lowest glucose, often about +5 to +7 hours post-shot. Never increase based on pre-shot numbers. Pre-shot tests may be high due to bouncing. A bounce happens when the glucose drops very fast or drops to an unusual level for the cat, or both. This triggers compensatory hormones which release stored glucose (glycogen), raising the glucose levels up.