How's the dose?

[Melissa Martin]

Relion meter, Lantus

I'm happy with his numbers, looking for opinions on whether to keep the dose at .25U or bump up to .375U.

https://drive.google.com/file/d/1nQTC_ABshdZXl_Cy9Fp7RFmNSo39vdkI/view?usp=drivesdk

 

[Wendy&Neko]

Are you following SLGS or TR for dosing? Putting TR or SLGS in your signature will help us help you. The dose question depends on that answer. With SLGS you would hold the dose, with TR you would increase to 0.5 units. You are missing tests at night, so I guess you are following SLGS? Cats typically go lower at night, and since we determine the dose by those low points, getting a before bed test each night is a good idea. If you can’t test at night, and not everyone can, then following SLGS for safety is a good idea.

Here is the link to your last post here for continuity http://www.felinediabetes.com/FDMB/threads/lantus-dose-w-o-food.212103/

 

[Chris & China (GA)]

Hi Melissa!!

Have you read through the different dosing methods here? Tight Regulation and Start Low, Go Slow?

The advice we give may differ depending on which dosing method you're using.

Any time you skip a shot, the number of cycles you count will start over... on TR, that means you'd hold the .25 for at least 6 cycles (unless he drops below 50)

With Lantus, the rule about making sure they eat before giving insulin is different. Lantus is a gentle insulin that doesn't usually start to "kick in" for 2-3 hours after the shot, so as long as you're pretty sure your kitty will eat in those 2-3 hours, it's usually going to be OK to go ahead and shoot.

 

[Melissa Martin]

Are you following SLGS or TR for dosing? Putting TR or SLGS in your signature will help us help you. The dose question depends on that answer. With SLGS you would hold the dose, with TR you would increase to 0.5 units. You are missing tests at night, so I guess you are following SLGS? Cats typically go lower at night, and since we determine the dose by those low points, getting a before bed test each night is a good idea. If you can’t test at night, and not everyone can, then following SLGS for safety is a good idea.

Here is the link to your last post here for continuity http://www.felinediabetes.com/FDMB/threads/lantus-dose-w-o-food.212103/

Those acronyms are foreign to me, so I will need to look into them.

 

[Melissa Martin]

Those acronyms are foreign to me, so I will need to look into them.

I was told early on, no food---no shot....ive only held a PM shot once...last night, he didnt eat...didnt look well, and vomited shortly after. Trying to follow protocol I was taught but so many ppl have different opinions. Confusing for a newbie.

Those acronyms are foreign to me, so I will need to look into them.

 

[Melissa Martin]

Hi Melissa!!

Have you read through the different dosing methods here? Tight Regulation and Start Low, Go Slow?

The advice we give may differ depending on which dosing method you're using.

Any time you skip a shot, the number of cycles you count will start over... on TR, that means you'd hold the .25 for at least 6 cycles (unless he drops below 50)

With Lantus, the rule about making sure they eat before giving insulin is different. Lantus is a gentle insulin that doesn't usually start to "kick in" for 2-3 hours after the shot, so as long as you're pretty sure your kitty will eat in those 2-3 hours, it's usually going to be OK to go ahead and shoot.

Shot time is supposee to be 8pm, he never ate until

Hi Melissa!!

Have you read through the different dosing methods here? Tight Regulation and Start Low, Go Slow?

The advice we give may differ depending on which dosing method you're using.

Any time you skip a shot, the number of cycles you count will start over... on TR, that means you'd hold the .25 for at least 6 cycles (unless he drops below 50)

With Lantus, the rule about making sure they eat before giving insulin is different. Lantus is a gentle insulin that doesn't usually start to "kick in" for 2-3 hours after the shot, so as long as you're pretty sure your kitty will eat in those 2-3 hours, it's usually going to be OK to go ahead and shoot.

Ya, he didnt eat until 4 hours after his supposed shot.....vomited 2 hours after shot time, ate an hour to hour and a half later...I stayed up w him. I'll read your recommended text. Ty.

 

[Wendy&Neko]

Please read the yellow starred sticky notes at the top of this forum. The acronyms are explained in the Sticky Note on dosing methods.

 

[Chris & China (GA)]

I was told early on, no food---no shot

Some more interesting reading here: "Some bad advice for newbies"

A lot of vets are still pushing that "no food-no insulin" mantra because they're still living in the past when the insulin's that were used were harsher and faster acting than Lantus.