Forgot to give AM Lantus....7 hours later, glucose almost 500

[MsBliss]

An unusual chaos happened and I forgot to give the AM lantus dose of 1.25 units. When I realized 7 hours later what happened, I checked her glucose to verify whether she had gotten her shot and it was almost 500. In panic, I gave her .5 skinny units at 7.5 hours as her glucose continued to go up. Now, I'm not sure what to do when her regular shot time arrives in 4 hours. I had finally got her fairly regulated, and this happens.....does anyone know how to get them back on course?

 

[Chris & China (GA)]

Unfortunately, by giving that shot at +7.5, you've locked yourself into a new shooting schedule and would want to work your way back 15 minutes per cycle or 30 minutes per day

If something like that happens again, just call it a furshot and wait until the next shot time.....You could have shot maybe at +10 or +11 and only had an hour or two to adjust to instead of over 7 hours. We ALL occasionally do a furshot...and while we don't like it (or the numbers we might see), it's best to just wait and shoot at your normal time

Without seeing a spreadsheet, I can't even attempt to advise you on when you might be able to shoot next other than waiting for at least 11 1/2 hours to shoot again now

 

[MsBliss]

Unfortunately, by giving that shot at +7.5, you've locked yourself into a new shooting schedule and would want to work your way back 15 minutes per cycle or 30 minutes per day

If something like that happens again, just call it a furshot and wait until the next shot time.....You could have shot maybe at +10 or +11 and only had an hour or two to adjust to instead of over 7 hours. We ALL occasionally do a furshot...and while we don't like it (or the numbers we might see), it's best to just wait and shoot at your normal time

Without seeing a spreadsheet, I can't even attempt to advise you on when you might be able to shoot next other than waiting for at least 11 1/2 hours to shoot again now

Thank you so much for this info....wow, I really blew it, but now I understand it.

I just gave a tiny portion of the normal dose, so I'm really up a creek about getting back on schedule.

 

[MsBliss]

Unfortunately, by giving that shot at +7.5, you've locked yourself into a new shooting schedule and would want to work your way back 15 minutes per cycle or 30 minutes per day

If something like that happens again, just call it a furshot and wait until the next shot time.....You could have shot maybe at +10 or +11 and only had an hour or two to adjust to instead of over 7 hours. We ALL occasionally do a furshot...and while we don't like it (or the numbers we might see), it's best to just wait and shoot at your normal time

Without seeing a spreadsheet, I can't even attempt to advise you on when you might be able to shoot next other than waiting for at least 11 1/2 hours to shoot again now

Part 2: I forgot to mention I couldn't get the spreadsheet up and going. I literally have hundreds of pages of notes and med schedules for all my cats, so I keep very good notes. But when I did curves, my vet wasn't happy with the data and said the numbers were fluctuating too much. I finally just lowered her dose until I got shooting numbers that were in the mid to high 200's and that led to the current dose of 1.25 units twice a day. She has mobility issues so she doesn't move very much and that makes her more difficult to regulate. It's a nightmare because she has kidney disease and I have two cats that are like this, except the second one is very mobile.

 

[Chris & China (GA)]

I forgot to mention I couldn't get the spreadsheet up and going

I'd be happy to set it up for you....Just click on my name and choose "Start Conversation" to send me a private message. I'll need a little information to do it.

It only takes about 30 seconds once I have the info (but it'll be sometime tomorrow before I get it done...It's going on 2am here)