How long does it take to see a dosage change?

Darwin H.

Member Since 2018
Simba was bouncing all over the place with 2U 2x. Then changed to .5 2x for a week. That was too little. Now 1 U in the AM and .5 in the PM and his numbers are still in the 400's or "High" for 3 days running. At least now he is consistent. I feel rushed and anxious to get him out of harms way . . .
 
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You will get the best results with Basaglar insulin when you dose consistently night and morning with the same dose. Giving a different dose night and morning will stuff up the depot and you will get numbers all over the place.
I would choose a dose and give it night and morning, check bsl before every shot and at least once mid cycle to see what is happening.
When you go up and down do it in 0.25 unit increments.
I would give 0.75 unit night and morning, testing as I have said above and see how that goes. If he needs more go up in 0.25 increments but you need to hold the dose for 5 to 7 days on SLGS. Try and get more mid cycle tests both day and night.

I would test for ketones while his bsls are that high.
 
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Here is the link to your last post here http://www.felinediabetes.com/FDMB/threads/no-numbers-meter-just-read-high.208124/
We include those so people can follow the history.

We determine the Lantus dose primarily based on how low it takes your kitty, not the preshots. Those lows are typically somewhere in the middle of the cycle, hence the importance of getting tests then. The before bed test is a really good one to get, as many kitties go lower at night and our dosing methods need to find those lows. Without mid cycle tests, we don’t know if Simba is diving really low during the middle of the cycle, then bouncing back up. Or if the dose is just not high enough. My Neko earned her first reduction, going under 50, starting the cycle at 430, diving down, then bouncing back up by end of day.

As Bron suggested, 1.0 units is too much insulin and here we find it easier to figure out a good dose if you shoot the same amount in the AM and PM. Otherwise you are constantly disrupting the depot.

SLGS really does work, but you have to follow the guidelines to find a safe dose that gives you good numbers. Patience is key, give the insulin time to work. Rushing increases, as you have done without testing to know what is happening, could push Simba up to too high a dose, risking a hypo. Simba will get there. Feline diabetes is a marathon, not a sprint.
 
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