Re: At what point is another insulin type appropriate?
TheBowHuntress said:
My cat is basically not regulating; he is on Lantus. You may look at his SS and think that he was a few weeks back, but, I was using another meter until 1/7/13, (said meter was tested at the vet's vs. an AlphaTrak--the glucometer was reading much lower). With my new glucometer, starting 1/8/13, he is reading much higher and closer the the vet's AlphaTrak. Is there a point in time when perhaps, a cat can/should be tried on another type of insulin? Levemir? Something else?
A question you can ask yourself is this: How long has your cat been diabetic?
Quite often, owners get a dx of FD, start on insulin, switch up the diet, and expect all the home test numbers to level off nicely, just like getting a round of AB from your dr for a cold or something. I think we all wish for such quick improvements, but it is seldom the case.
Nobody knows how long our cat has been diabetic and for all you know, your cat could have been diabetic for months and months. Looking back, I can see some signs for one of mine that were visible months before I took my cat to the vet.
If your cat has had these high BG numbers for months now, I bet they feel 'right'. Then, you come along and give insulin that forces your cat's numbers into a zone that feels 'very wrong', and your cat pulls back to the 'right' numbers. Some cats respond sooner than others, so give your cat a chance.
Read the comments you have put on your ss each day. Read the first few days again, then jump to more recent days. You are seeing improvements in your cat, and in time, you will see more improvements start to happen in the numbers. YOU don't decide; your cat does.
If you are still seeing the choppy numbers in 6months or so, you may want to revisit thoughts to change insulin because some cats do respond better to Levemir; one of mine did get smoother curves after switching to Levemir, but my other was no different after switching from Lantus to Levemir.
But right now, Lantus has barely had a chance to settle, so give it more time.