Dosing Advice Please

[Kwyn]

Hi,

Marvin and I are back as he is no longer diet controlled. We started Lantus 10/03/2024 1 Unit BID. We are doing TR and after 7 cycles and his nadir not getting below 300 I upped his dose to 1.5 units. We are now at 5.5 cycles at this dose and still not below 300 at nadir. We are surfing the pinks with one yellow and a couple of reds. My questions are:

Should I do tomorrow mornings 6th cycle at 1.5 units or can I increase his dose? While I only have a weeks worth of data I have done a lot of testing to show that an increase is needed. Plus he does have trace ketones.

I know for TR the dose increase for above 300 is 0.5 units but just wanted to double check that that is the amount I should do?

Thank you so much!

 

[tiffmaxee]

After 6 doses if still high please increase to 2.0. What was the highest dose he had when not diet controlled? The only old ss is when he was on 0.10 in 2022. Has he seen the vet? Are his teeth okay? Any medications added or health changes?

 

[Kwyn]

After 6 doses if still high please increase to 2.0. What was the highest dose he had when not diet controlled? The only old ss is when he was on 0.10 in 2022. Has he seen the vet? Are his teeth okay? Any medications added or health changes?

When initially diagnosed he was on 2 units of Vetsulin once a day, made lots of mistakes that first time around which included no testing until he had a kidney injury and almost went hypo. No medications or health changes. He was seen by his vet on 10/03/2024. The vet did mention some dental issues and I will call tomorrow to find out what the severity of it is as I know this can affect BG.