Increasing lantus dose?

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Priss

Priss

Member Since 2012
Hello,

Our vet originally wanted us to increase the dose a second time from 1.5 unit to 2 but when I let her know Priss was under 100 and got to 50 once she said not to. However sometimes there are large numbers followed by much lower ones by the time for the next shot. We're missing some tests but could someone look at what we have in her sheet and have any advise?

She usually only gets fed before her shot in the morning and more frequently at night when I'm off work. She's been asking for food nonstop but no excessive urinating/drinking. I'm wondering if we should be weighing her food and having a more uniform routing?

Thank you,

Elizabeth
 
Hi Elizabeth,

I'm not a lantus expert or even a lantus user. But looking at your spread sheet, it could be that the dose is too high rather than too low. The "right" dose would allow you to shoot the same amount every twelve hours. Priss's number are obviously too low to give her a shot some days (like this morning for instance). Let me see if I can find somebody that knows more about Lantus than I do. But I wouldn't increase her dose right now.

I personally don't believe you need to go to the extent of weighing her food to make sure she's getting uniform amounts. Do you have other cats that would take her food if you were to leave it out when you go to work?

No excessive drinking or peeing sounds like a good sign!
 
Hi Carl,

She's the only cat but if I leave her food out she will eat all of it within 20 minutes or so, even a whole 5 ounce can. She had her dose increased in December the same week she got DKA, because the fructose test was in the 400s.

Thank you,

Elizabeth
 
She has also started biting things and digging in the trash unless I feed her more, she wants to eat 1.75-2 5 ounce cans of food a day.
 
Excessive appetite is normal for a diabetic... but what's her current weight? Does she need to gain any, lose any?
 
Also, have you tried freezing cubes of food that she'll eat as they thaw? Or would she try to eat them frozen? Or maybe a timed feeder?
 
I would not increase her dose without more tests. It can be dangerous to shoot insulin without a preshot test every time.

We will typically not advise dose increases without spot checks every cycle.
 
I haven't weighed her to check her weight, but I think she'd try to eat the frozen food anyways. I can try it though I didn't think of that.
 
I am looking at your SS, I wouldn't increase the dose either. You are still seeing greens every few days, and those are the ones you are catching.

I would try and get some more tests in because she might be dropping even lower. For example you got an 80 at amps April 1st.. I wonder if she was lower at a point before or after that. You can't assume you always catch and test the lowest number...

And instead if you catch her going under 50... Which is likely given these numbers... She would get a dose decrease instead!!!
 
Thanks for the advice Wendy, I'm concerned to skip the shots when she is less than 200 in the morning which has happened a few times. Lately she is drinking more water, and we're having peeing issues. Nowhere near as bad as before but I don't want her to get ketones again. I noticed after the skipped shots she went up to about 250. Next weekend I'm off work so will try to do more tests in one day.
 
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