KarenAmelia said:
The reason I stopped testing was the vet told me to stop testing. I just went ahead and did some spot tests anyway. Clearly Terra is having problems: she was doing well for a week and then suddenly , on the same dose, her BG skyrocketed and it wasn't a bounce. It sounds like there is pancreatitis that may be causing this. From observatin over the past two months I can tell pretty well when Terra isn't feeling well and what behaviors tend to correlate with higher BGs. So I was reasonably sure that her BG was staying high even when I wasn't testing. I wasn't sure what to do; one vet refused to work with me , when I went in asking for an fpl test, because of the home testing and the protocol suggested here. And then I just didn't know what vet to turn to. I tried out this next vet and he at least communicates way better than my first vet but he's kind of a control freak and sounds like people here have better advice.
I will ask him about another kind of insulin but I'm not sure what to ask for.
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Can you find out what test was done to determine a pancreatitis diagnosis, what was the test result and finally what treatment was given to treat it?
Pancreatitis is not treated with Zenniquin or any other AB; you should have been given pain meds if the test was positive for p-titis as it is extremely painful, and you should be giving SubQ fluids at home daily. One of my cats who had frequent issues with p-titis has been better since giving her weekly B12 shots at home, but before the B12, I was givin her pepcid AC twice a day, and fluids as needed, plus pain meds buprenex. When you are next at the vet office, pick up copies of the results from any testing and bloodwork done.
Ask any human diabetic: Do you just give yourself an insulin shot and not bother to test your BG first?
The human will look at you like you are crazy. You are playing Russian roulette with your cat by shooting insulin and not knowing if it's safe. If your cat's BG was low, but you did not test, and you just gave the insulin shot, you could force your cat so low that you will have a hypo situation on your hands and may need to rush your cat to vet ER to save the cat.
Test before any shot. Be safe.
Suggesting you to use an insulin like Lente - I have heard of it, but thought it was some kind of ancient insulin not even available anymore, or not used by any animal owners as there are many much better insulins. Even if the vet wanted you to use this Lente as a bolus to help the Lantus, I would think the vet would suggest something faster acting like Humulin R.
http://en.wikipedia.org/wiki/Diabetes_in_cats
below is found in the above wiki site.
Insulin injections
Humans with Type-1 diabetes are often treated with a "basal plus bolus" method, where a long-acting insulin is injected once or twice daily to provide a "basal" insulin level, then shorter-acting insulin is used just before mealtimes.
For cats, a "basal" method is usually employed instead—a single slow-acting dose, twice daily, along with a very low carbohydrate diet, attempts to keep the blood sugar within a recommended range for the entire day. In this case it's important for the pet to avoid large meals or high-carbohydrate food, since they can seriously affect the blood sugar (meals may also be timed to coincide with peak insulin activity). Once-daily doses are not recommended,[16] since insulin usually metabolizes faster in cats than in humans or dogs.[17]
For example, an insulin brand that lasts 24 hours in people may only be effective for about 12 in a cat.[18]
Cats and dogs may be treated with animal insulins (pork-based is most similar to a dog's natural insulin, beef-based for a cat), or with human synthetic insulins. The best choice of insulin brand and type varies between pets and may require some experimentation. One of the popular human synthetic insulins, Humulin N /Novolin N/ NPH, is reasonable for dogs, but is usually a poor choice for cats,[18] since cats' metabolize (most) insulin about twice as fast.
The Lente and Ultralente versions were therefore very popular for feline use until summer 2005, when Eli Lilly and Novo Nordisk both discontinued them.
Until the early 1990s, the most recommended type for pets was beef/pork-derived PZI, but that type was phased out over the 1990s and is now difficult to find in many countries. There are sources in the US and UK, and many vets are now starting to recommend them again for pets, but they have been discontinued by most manufacturers as of 2007-2008. A new synthetic PZI analogue called ProZinc is now available.
Caninsulin, known in the USA as Vetsulin, made by Intervet is a brand of pork-based insulin, which is approved for dogs and cats, and is available both through veterinarians and pharmacies with a veterinarian's prescription, depending on the country. Note, though, that Vetsulin was recently recalled due to inconsistent strength and is no longer used in the USA. According to the manufacturer's website, this insulin's action profile is long and flat in dogs, but in cats very similar to that of NPH insulins, and lowers blood sugar quickly, but for only about 6–8 hours.
Two new ultra-slow time-release synthetic human insulins became available in 2004 and 2005 for improving basal stability, generically known as Insulin Detemir (Levemir) and Insulin Glargine (Lantus). Studies at the University of Queensland, Brisbane, Australia have had remarkable results with Insulin Glargine in cats. Followup research Roomp and Rand, Vet Intern Med 2008, 22 (3):791 shows that Levemir can be used with a similar protocol and that either insulin, on this protocol, leads in most uncomplicated feline cases to remission, with the most success being in cats who start on these protocols as soon as possible after diagnosis.
I would say to stick with the Lantus and follow the protocol to increase the dose to what is needed, and forget about a 2nd insulin in the mix.
" on 2/24. and "Great Vet Phone Call" yesterday 2/29. You may want to look at these threads , what they did, and how one vet has educated himself and come to the table to work with her. 
