Dosing Question

[SusanBaxterJesse]

Hi everyone,

I've been posting on the feline diabetic groups on facebook for a while, and thought I'd also jump over here and introduce myself. Jesse has been on insulin for over a month now, .5 unit of Lantus twice daily. He has never eaten dry food, but he is significantly overweight (we're working on that). He's been eating canned low carb food -- Weruya, Wellness, Evo and Advoderm. His preshot numbers have suddenly increased from the low 200's to high 200's. I thought it was that the Lantus went bad, so bought another one ($$$). That didn't seem to help, but then I caught Jesse on the table eating the other cats non low carb food. I think that he was probably doing that for days before I caught on. Now I've moved the chairs so he can't reach the table anymore, but he's still getting high preshot numbers. His numbers are actually all over the place it seems like. I'm wondering if he needs an increase in dosage? I would appreciate any thoughts that you have. I've included a link to his spreadsheet below, hopefully it works okay.

Thanks!

Susan (and Jesse)

https://docs.google.com/spreadsheet/ccc ... sp=sharing

 

[BJM]

All the cats may do better on low carb food. See Cat Info
There are few low carb dry foods with < 10% calories from carbohydrates:
Young Again 0 Carb
Evo Cat and Kitten
Orijen 90
Stella and Chewey's freeze-dried
BUT - make no food changes unless you are regularly testing his glucose around the nadir, the lowest glucose level post-shot.

Have you done a curve - serial glucose tests from pre-shot test to pre-shot test, every 2 hours? That'll show you if he is going too low and then bouncing. A bounce happens when the glucose drops suddenly or to a number he's not used to. The body reacts and releases stored glucose (glycogen). This pops the glucose level right back up and then some. The bounce can last up to 3 days, give or take, depending on the cat.

We have 2 protocols for using Lantus:
Tight Regulation
Start Low, Go Slow

Either can help regulate your cat; if you're not home much to monitor, you may be more comfortable with the second method.