I'm driving my vet crazy!

[FluffBunny]

My vet has decided that she should get hazardous duty pay for dealing with me. I can't bring myself to follow her directions. I gave Oliver 1U of Lantus this morning and his BG went down to 61 at +8. It is now back up to a pre-injection reading of 148. My vet told me to give him the insulin if his BG was above 75, but I can't bring myself to do it. His BG tends to spike over night, but I think that is because I give him prednisolone at night. I am going to skip the pred tonight to see if it has an impact. I'll give it to him in the morning so I can see if there is a spike during the day.

I know I should follow my vet's instructions, but I am all alone here and have no one to help me (or even give me moral support) if he goes hypo.

 

[BJM]

If 1 unit of Lantus drops him into the 60s on the first dose, the dose is likely too high. I say that because the effects of Lantus build up over the 1st 5 days and strengthen. Perhaps drop the dose to 0.5 units and test around +5 to +7 hours after the shot to see how low that takes him.

We advise new folks not to shoot below 200 until you have data showing it is safe.

 

[FluffBunny]

This isn't his first day on Lantus. I have been giving him injections for 10 days now. I started out at 2 U and am now down to 1U every 12 hours. However, for the last couple of days, I have not given him his 2nd injection because his pre-injection number was below 200.

 

[BJM]

Ah - I was on my phone which doesn't always let me see the spreadsheets.

You want a dose you can give safely twice a day, so it seems the current dose is too high. You might try dropping it by units (we eyeball quarter units here, or use callipers)