Julius #'s are all over the place

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Kitties Momma

Kitties Momma

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Hello all
Julius seems to be doing quite well, however his #'s are all over and I was hoping for some general feedback. I have not had time to figure out the template so bear with me: here is just the last few days
3/6
7:38am 165 gave .5u lantus
7:13pm 218 gave 1u
3/7
7:38am 215 gave 1u
7:31pm 264 gave 1u
3/8
7:23 64
gave no insulin
my vet said that if he is over 200 give him 1u and if he is between 150 and 200 give.5 if he is under 150 no insulin. We have only been on insulin about a month now. Considering he got 2u total yesterday I am not totally surprised his #'s were so low.... he has not been over 300 in a while. He seems to bounce between 160's to 260's. At this stage is that normal? Do you give your shots based on the glucose reading and not just an arbitrary schedule? up until Saturday we were doing 1u in the AM and .5u in the PM. But on Friday morning he was 100 and I didn't think it was a good idea to give him his shot, so I called the vet and the concurred. I have been testing him before he eats, however I started testing after because for his PM shot I was testing at 4:30pm and he was getting his shot at 7:30pm. The vet asked me to test closer to his shot, so for consistency I feed him, test him then give his shot based on his results and in the PM do the same thing.... what do you think?
 
All your questions can be answered in the stickies on the Lantus forum and the forum are really the best source for dosing advice.

As you read the stickies, you'll see that Lantus needs to be given at the same dose for a week or so before changing. Because it builds up a shed, it doesn't work well to use a dosing chart and change the dose often. Lantus dosing is based on nadirs - so you have to get in some mid cycle numbers to really see what is happening with the insulin. viewforum.php?f=9

It's test, feed and shoot. If you feed before testing, you run the risk of getting a number that has risen because of the food and may be higher than it would be without food. Then you can overshoot. Any reason you can't give him a meal at 3pm, then test at 7 and feed him again and give the shot?
 
With the insulin dose bouncing all over, its going to be difficult to regulate him.

Lantus builds up in the body, so the 2 units you gave may come home to roost in a hypoglycemic episode. Please monitor him carefully.

The Lantus stickies will tell you more than you ever thought you needed to know ... but most importantly, the insulin is given 2 times a day, as close to 12 hours apart as possible, and the dose is held stable until and unless blood testing shows the need to adjust the dose or a complication such as ketoacidosis or hypoglycemia dictates a dose change.
 
Its a thought, but maybe the vet did it as 1 and 0.5 because there aren't any lines in between, so exact measurement is iffy.
That is the position of medical professionals (I just took a class on doseage calculations).

That said, folks here routinely measure between the lines and try to be consistent with the amount of space between the plunger and the line - so you could aim for 0.75 by putting the plunger halfway between the line edges for 0.5 and 1.0 units.

Just be sure enough food is out if you're going to be gone and you think he might be going low. Wet food will be OK 8 - 12 hours, especially if refrigerated or frozen first, and not placed near a heat vent or appliance exhaust.
 
funny you would say that! I was thinking that last nite! I am going to go by the vet today to pick up some of the raw diet they have (I rotate the different raw food/canned tuna etc.) so they don't get bored... and mention this!
I will keep you all posted! thanks again!
 
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