Humilin question

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iBkoryD

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About 12 years ago when I was living at home my Dad had a diabetic cat that was on Humilin. He spent 6 months trying to get her regulated but nothing worked. She would not eat, she would urinate all over the place but her box and lost a ton of weight. He had no choice but to put her to sleep.

Was humilin a non effective insulin on cats? Are the current insulins working better to keep cats happy and healthy?

My cat Smokey is on Lantus and I think back and get worried.

Thanks
 
The older insulins were definitely not as good, shorter acting, and harsher. When they are shorter acting, instead of helping the pancreas heal they can tax them more by causing the BGs to plummet at first and then rise during the period on no benefit, then plummet at the next shot again. That makes the kitty feel pretty crappy.

Today's insulins have the benefits of many more years of studies andtesting. Some of the studies for Lantus show a remission rate on newly diagnosed cats as high as 85%. When you consider that some cats have conditions that make remission not possible, I find that rate pretty amazing. I think when you are testing, watching what they eat etc, you are giving yourself one more leg up in the sugar dance.
 
Humulin is a short duration and quick acting insulin. Cats absorb and use insulin twice as fast as dogs or humans do, so an insulin like that hits them even harder and faster, so no, it isn't a good insulin for cats.
Unfortunately, it does get prescribed a good bit. I think that may be due to most vets use it on dogs, so why not for cats? On dogs, the dose is determined by weight of the dog. That doesn't work well for cats, and what we usually see is a "high" starting dose based on how much the cat weighs. Consider that most of the time, a cat when diagnosed is on the heavy side of normal.

Lantus is a "human" insulin as well, but it works completely differently than humulin does. It builds a reserve in the cat's body, sort of like a refueling station. Here we call it the "shed". After a couple days of doses, that shed is "full", and then the cat's body will "withdraw" some of it to fight off rises in BG levels. When you shoot the cat with more every 12 hours, you're refilling the shed. Lantus is more gentle, and lasts much longer than humulin does. You don't have huge increases and decreases in blood glucose once you are on a routine dosing schedule.

The thing that was alarming to most with respect to your kitty was that the starting dose was pretty high, which leads me to think maybe your vet determined the dose based on weight? Not sure what the rational was. When you talk to the vet, maybe ask him how he came up with 2.5u? A good safe and generic starting dose is 1 unit, and then you test and collect data for a week or more. At that time, you can make adjustments based on how it is working.

Lantus is a very good insulin, and people here have had terrific success with it. Lots of kitties, if you follow the Lantus protocol, do very very well, and they have a pretty high remission rate.

Hopefully that helps some?

Carl
 
Humulin L and U were good insulins.....N was not....but vets still prescribe it for cats. L and U were discontinued so people switched to IDEXX PZI. That was discontinued but along came Lantus, Levemir and another PZI..ProZinc. Lantus and Levemir are probably the best ones to use for a cat.
 
Thanks for the information everyone! Carl, I will ask my vet where they came up with the 2.5u every 12 hours. I am curious myself after what I have read on this site.
 
Each vet has their own way based on their experience. Some use weight and BG. While that works for dogs it really does not work for cats.
 
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