Input on Marvin's SS (Lantus users)

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Marvin

Member Since 2012
Hi everyone,

I recently joined this forum and already have been seeing some great results with Marvin, thanks to the advice I have received including eliminating all dry food from his diet. So thanks to everyone who has helped us so far!

I am still struggling with the dosage and maybe not quite grasping the concept of the lower numbers. Here are Marvin's test results from the last couple of days: https://docs.google.com/spreadsheet/ccc ... yMnc#gid=1

As you can see, I changed his dose from 1 to 0.5 units as I was taking the dry food away and have been told that his levels would drop immediately after.

What I am having trouble with is whenever he is below 10, I opt to skip the shot because I am afraid of a hypo situation but then gradually, his levels rise until it's time for the next shot. Any advice on how to treat those lower numbers so that we avoid the spikes would be great!

Thanks so much,
Carolyn

p.s. - Here is a bit of Marvin's history if it helps: Our cat seven year old cat Marvin was diagnosed with diabetes in May. We realized that he had diabetes because his water intake and urine output had increased dramatically as well as some weight loss. Once we found out he was diabetic, we switched him to DM canned food (half can in the morning, half can at night) and an 1/8 cup of DM dry food as treats. The insulin we give him is Lantus. We started with 0.5 units twice a day and have progressively increased to 2 units. We were instructed by the vet to always test before giving the shot and if his level is 10 mmol or lower, do not give the shot in case he goes hypoglycemic.
 
Marvin said:
Hi everyone,

I recently joined this forum and already have been seeing some great results with Marvin, thanks to the advice I have received including eliminating all dry food from his diet. So thanks to everyone who has helped us so far!

I am still struggling with the dosage and maybe not quite grasping the concept of the lower numbers. Here are Marvin's test results from the last couple of days: https://docs.google.com/spreadsheet/ccc ... yMnc#gid=1

As you can see, I changed his dose from 1 to 0.5 units as I was taking the dry food away and have been told that his levels would drop immediately after.

What I am having trouble with is whenever he is below 10, I opt to skip the shot because I am afraid of a hypo situation but then gradually, his levels rise until it's time for the next shot. Any advice on how to treat those lower numbers so that we avoid the spikes would be great!

Thanks so much,
Carolyn

p.s. - Here is a bit of Marvin's history if it helps: Our cat seven year old cat Marvin was diagnosed with diabetes in May. We realized that he had diabetes because his water intake and urine output had increased dramatically as well as some weight loss. Once we found out he was diabetic, we switched him to DM canned food (half can in the morning, half can at night) and an 1/8 cup of DM dry food as treats. The insulin we give him is Lantus. We started with 0.5 units twice a day and have progressively increased to 2 units. We were instructed by the vet to always test before giving the shot and if his level is 10 mmol or lower, do not give the shot in case he goes hypoglycemic.
Click to expand...

Try this link if the above link doesn't work: https://docs.google.com/spreadsheet/ccc ... TVJZ1hyMnc
 
Hi,
I think I would stick with the .5u dose for two or three days, and as much as possible, try to get a test around six hours after the shots as well as at shot time.

I noticed that Marvin's number dropped between +9 and PMPS. Did he eat around the time of the +9 or just before that?


Carl
 
That 356 could either be a bounce off the 108 or a food spike if Marvin ate around +9, as Carl asks about.

Hopefully someone better at interpreting SS data than me will stop by.
 
Thanks guys. I do feed Marvin smaller meals throughout the day as other members have suggested so those spikes might be due to that. I should make note of that going forward. Thanks again, Carolyn
 
Actually, what I was hoping is that he ate right after the +9, and the drop was caused by his pancreas trying to help out a little. That would be a positive sign.

There's nothing wrong with feeding many times a day, small meals or snacks. It can help spread the carb load more evenly. We usually suggest keeping food out of the picture in the two hours or so leading up to the preshot tests, so that the numbers are not food related. As long as you keep track of when he eats, and maybe note in on your spreadsheet "comments", then it will help you long term in understanding the test results you get during the cycles.

Carl
 
Carl & Bob in SC said:
Actually, what I was hoping is that he ate right after the +9, and the drop was caused by his pancreas trying to help out a little. That would be a positive sign.

There's nothing wrong with feeding many times a day, small meals or snacks. It can help spread the carb load more evenly. We usually suggest keeping food out of the picture in the two hours or so leading up to the preshot tests, so that the numbers are not food related. As long as you keep track of when he eats, and maybe note in on your spreadsheet "comments", then it will help you long term in understanding the test results you get during the cycles.

Carl
Click to expand...

Thanks Carl! Is it okay to feed immediately before the pre-shot? He's so hungry in the morning that he doesn't sit still for the test unless he's had a bite to eat.
 
Yes, as long as you are testing right after feeding, the food won't show up in the numbers. It might even eliminate some stress.
Carl
 
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