Finally Started!

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theruss

Member Since 2012
Hi all,

I'm just checking back in because I finally started 'Diabetes Dandy' on Lantus. I've been snooping around the boards on and off. You guys are THE best resource, hands down. Thank you for your time, and I hope someday I will be able to contribute at the same level.

I decided to switch Dandy to Lantus from ProZinc back in July (due to price, availability, and hopefully results), but also decided to use up the remaining ProZinc (vs. throwing it away). Anyway, last week I decided that we've used enough of the ProZinc, and that I would have time to do some extensive home testing this week, so we started on the Lantus (Pen) on Friday afternoon.

A Little History:
Dandy is a 7 year old, 15lb puss. He was put on the juice (ProZinc) in July 2011.

Prior to July 2012, Dandy was still eating prescription dry and wet food (Purina DM). He was up to 6u BID of ProZinc (over the course of a year). Each subsequent increase of dosage did not seem to be having much effect, so I decided to get him off dry food completely and roll back the dose (based on advice I got here... :)). Over the last few months, I slowly rolled the dose up to 3u BID of Prozinc. We've been getting numbers in the 200s and 300s pretty consistently (very flat curve), with a few 100s and 400s sprinkled in here and there. I also started home testing back in July, and while I have skipped a few days here or there, I've mostly kept up with it.

The Present:
I started administering Lantus on Friday, 10/12/12. Based on the fact that 3u of ProZinc still had him in the 200s and 300s, and since I would be home to monitor him and take frequent BG readings, I decided to start him around 2.5u of Lantus and work from there based on results. (I've been struggling a little bit with the new-to-me half-marked syringes, so in my SS you'll see 2u the first couple doses, then 3u with a bubble. I'm hoping it'll work itself out in a few days.)

Dandy gets fed 2.5-3oz of low carb wet food (Fancy Feast/Friskies Classic Pate) 4-5 times a day, usually at 6 hour intervals. (Breakfast with AM shot, lunch, Dinner with PM shot, midnight snack, maybe an extra treat or snack if he's bothering me extra hard). He's never had a problem with appetite, and will eat anything...

Around the time we switched to Lantus, we also switched BG meters from the ReliOn Confirm to the ReliOn Prime due to the cost of testing strips. The numbers seem to be in the same ballpark.

So far, we seem to be almost exactly where we were with the ProZinc. I'm thinking I'll let it go for another few days, and then maybe notch up the dosage a touch. I was starting to think he might be insulin resistant...but I've done an independent study, and his BGs are definitely higher if I skipped a dose or two. Not sure what that proves...but it at least seems to indicate that insulin has SOME effect on him...

This week, I am working from home, so I will be able to do home testing every 2-3 hours. After that, I will be able to test at AM/PM shots and before any additional feedings, sometimes more on the weekends, if necessary.

I'm happy to accept advice on dosage, strategy, etc...

Extra Dandy Trivia
- Dandy lost 7/8 of his tail and half a fang before we adopted him. Their whereabouts remain a mystery.
- In August 2012, in 3 short weeks or so, Dandy learned to use a human toilet for his own business.
- Dandy has an orange older brother (not blood related), Rhubarb, in Buffalo, NY. We drive up for one week a month to visit him.

Thanks again for all the support!

R & D
(Russ & Dandy)
 
Hi guys and welcome to Lantus Land! Sounds like you've done a lot of research regarding home testing and feeding the low carb wet kitty food .. I don't want to give out dosing advice, I think most of us on here start out around 1.0u, but with you being on prozinc for awhile, and being at such a higher dose at one point, maybe this is a good starting amount .. others will be here to chime in soon I'm sure, I just wanted to give you guys a welcome post! Have a great day!
 
Thanks for the kind welcome! Your work with Mocha stands as a beacon of hope for all sugar lions!
 
Welcome to LL! You are right...this is absolutely the best place ever. Ask as many questions as you need, as often as you need...no doubt someone will have the answer, and lots of moral support, for you!

(Very impressive that Dandy uses the hooman LB....with 6 cats over here, I don't think I'm willing to share - :shock: :lol: !!!)
 
Welcome to Lantus Land!

I would encourage you to stick with your current dose for at least 5 days. Unlike ProZinc, Lantus is a depot-type of medication. You will find that it's important to initially, give enough time for the depot to form and with subsequent dose changes, give sufficient time for the dose to stabilize since the effects of Lantus are cumulative. The hardest part of this switch is going to be your changing your thinking about how insulin works. Lantus is very different. In particular, dosing is based on the nadir, not on your pre-shot numbers.

Please read over the starred sticky notes at the top of the board. There is an overwhelming amount of information in those notes so please ask questions and let us know how we can help.
 
Thanks Sienne and Gabby!

I'll keep that in mind. What you said makes total sense. Looks like the BGs went down a bit today around what I'm assuming is the nadir (AMPS+7), so I'm hoping that means the Lantus is starting to pile up and take effect. I actually had to take 2 reads because I didn't believe he was back in the 100s (168, then 158 immediately after).

Luckily I'm home all week, so I can get lots of reads and watch for hypo symptoms (so far so good).

Thanks,
Russ
 
Hi Russ, Welcome to LL, the best place you never wanted to be! No dosing advice, just a suggestion: since you are home and just starting on Lantus, you may want to consider a fuller curve getting numbers every 2 hoours to give a more complete picture of Dandy's cycle. It was very helpful to see how flat Jasper was on Lantus, especially when he got iffy numbers late at night and sleepy beans were approaching zombie state. I might be a test fiend ;-) but FWIW, I never regretted the data we had, only regretted the data we missed. Have a great day!
 
Hi Leslie,

Thanks for the suggestion on testing every two hours. I've been doing every two or three, depending on when I give food. I noticed for Dandy with ProZinc that a 2 hour after food reading was not helpful because he was still riding high on snackins. I could usually see the food wear off around 3 hours, which was typically a good bit lower than 2 hours after food. Could have been the food, or the ProZinc kicking in... Lantus might not be the same, so that's a good suggestion, and I'll do it moving forward.

Also, another great suggestion with Zombie times. I might have to set a few alarms this week to get some numbers. I keep forgetting that it could be completely different from the daytime...
 
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