Karamelle new to group

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JoM

JoM

Member Since 2023
Hi, Im Jo and my cat is Karamelle. She was disgnosed on 12-22-23. Karamelle started Lantus on 12-28-23 (1 unit once a day), on 1-6-24 I started testing. And on 1-7-24, I added 0.5 units pm. Today Karamelle had a vet visit and we did a test on my meter and theirs and they came out pretty close so thats great. The vet wants me to go to 1 unit am and 1 unit pm and in a week do a curve where I test every 2 hours for the day. The vet was very happy with her numbers. Heres her chart. I think Im filling it in right. What do you guys think? This is my first cat with diabetes.
https://docs.google.com/spreadsheets/d/1H0ic32ZkalWCcSdMpkhI0sxY0RbWJ5OSun03SV_y6Vw/edit?usp=sharing
 
Welcome and thank you for setting up your spreadsheet!

can you create your signature and link the spreadsheet there? Here is the helping us to help you link where you can find the instruction for the signature. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. By linking it in your signature, we can follow along and provide feedback should you need the help.

Lantus is a great insulin. You don’t have a lot of data just yet but going up to 1 unit twice a day should be okay given the numbers you’ve captured. It does work better with consistency and when you give the same dose twice a day since it only lasts for 12 hours. We suggest at least 4 tests a day. It would be great if you could do a midday test every day and also a +2 every night. Do you think you can do that? Her numbers are pretty good for a recently diagnosed cat, but the goal is to have them be in the normal range for as long as possible, which is 50-120 on a human meter, so there’s room for improvement.

what are you feeding Karamelle right now and how often? She’s such a cutie!
 
Also, I just wanted to say that you can test, feed and shoot right after. No need to wait 20-30 minutes after you feed go shoot with Lantus since it’s a gentler longer lasting insulin and it takes about 2 hours to start to work :)
 
Welcome Jo and Karamelle
Good jib setting up your SS already, one thing you should test Karamelle's AMPS and PMPG at the same times , for instance on 1-8 you tested the AMPS at 9:00 AM and tested the PMPS at 10:00 PM
As Ale said no need to wait 20 to 30 minutes to give Lantus.
I also agree with Ale to get a test in @+2 every night, if you can get any other test after the+2 would be even better .

Have you read the 2 dosing methods for Lantus
When you decide on which one you want to follow you can add it to your signature when you set it up. I see Ale gave you the blue link above
Each dosing method will let you know when an increase or decrease is needed . You can also add the dosing method you will follow on your SS above your meter
 
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Hi Jo! Happy to see you over here from the Facebook group! The FDMB has been helping diabetic cat caretakers for over 25 years (before Facebook was even a thing) and there are tons of pages of information collected over the years here.

Don't let yourself get overwhelmed though. One step at a time will get you there and the people here will help any way they can!
 
Diane Tyler's Mom said:
Welcome Jo and Karamelle
Good jib setting up your SS already, one thing you should test Karamelle's AMPS and PMPG at the same times , for instance on 1-8 you tested the AMPS at 9:00 AM and tested the PMPS at 10:00 PM
As Ale said no need to wait 20 to 30 minutes to give Lantus.
I also agree with Ale to get a test in @+2 every night, if you can get any other test after the+2 would be even better .

Have you read the 2 dosing methods for Lantus
When you decide on which one you want to follow you can add it to your signature when you set it up. I see Ale gave you the blue link above
Each dosing method will let you know when an increase or decrease is needed . You can also add the dosing method you will follow on your SS above your meter
Click to expand...
Im using the Lantus pens and U-100 insulin syringes. I got the syringes with half units on them, but since im doing 1 unit 2x, I really dont need those. but they do have a bit longer needle than the other ones i got, so i like that better. Im not sure what the Lantus dosing methods are, i will look for that. Im just pulling off the cap and sticking the needle into the little rubber ball and pulling out the insulin. Ive watched some videos on how to do it. its working out pretty well.
 
Hi Jo glad you have the syringes with the half unit markings, sooner or later you will need to use them since we adjust the doses by 0.25 units at a time.
Here are the 2 dosing methods
https://felinediabetes.com/FDMB/thr...-low-go-slow-slgs-tight-regulation-tr.210110/
I see Ale also gave you the link to read all about Lantus , please read all the yellow sticky notes

Did you read my post #4 above about setting up your signature, it's information we need about Karamelle , it's at the end of everyone's post in gray, do you see mine ?
@JoM
 
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JoM said:
I wanted to delete this comment but not sure how.
Click to expand...
Hi @JoM
What comment did you want to delete?
If you mean what you just wrote here below what you wrote there is a word that says delete, so just tap on that,then delete
When you say you're feeding combo what wet food are you feeding is it low carb? What dry food are you feeding?
Thanks for setting up your signature and dosing method . Can you also add SLGS to your spreadsheet about where you put what meter you are using .

Since you're following SLGS can you do a curve tomorrow since it's been 7 days you started testing on 1-6? ,Sunday the latest?

After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours. Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet.The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
  • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
You can always ask if you're not sure what to do :cat:

A small favor can you tap on the like word that's to the right when someone replies to your posts just so we know you read them :cat:
 
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Diane Tyler's Mom said:
Hi @JoM
What comment did you want to delete?
If you mean what you just wrote here below what you wrote there is a word that says delete, so just tap on that,then delete
When you say you're feeding combo what wet food are you feeding is it low carb? What dry food are you feeding?
Thanks for setting up your signature and dosing method . Can you also add SLGS to your spreadsheet about where you put what meter you are using .

Since you're following SLGS can you do a curve tomorrow since it's been 7 days you started testing on 1-6? ,Sunday the latest?

After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours. Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet.The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
  • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
You can always ask if you're not sure what to do :cat:

A small favor can you tap on the like word that's to the right when someone replies to your posts just so we know you read them :cat:
Click to expand...
The vet just raised the dose to 1 unit am - 1 unit pm. I was doing 0.5 unit pm. I started last night. The vet told me to wait a week before doing the curve.
The thing I wanted to delete was in that message, i just wrote that instead. I asked about something to do with the signature, someone told me how to do it so I wanted to remove the question, but when I hit delete, it asked if i wanted to remove the post. Not sure if it was talking about the whole thread or just that post. Sorry, this forum is new to me.
I forgot to mention, i feed her Fancy Feast classics wet and Young Again Mature Adult dry.
 
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Welcome to FDMB!

It sounds like you were planning on reviewing the sticky notes at the top of the Lantus board. There's a huge volume of information there so let me try to underscore a few of the high points especially since I want to suggest making a few changes to what you've been doing.

I would check the carb counts on the Young Again variety you're feeding Karamelle. The variety that we suggest is Young Again Zero. They do have a Mature Zero so if it's that version, it's likely to be fine. If it's a "zero" formula, would you mind adding that to your signature so we don't pester you about feeding your cat a low carb diet?

Lantus likes consistency. The reason is that it is a depot type of insulin. (There's a sticky note describing the depot on the Lantus board.) One aspect of consistency is shot time. It's recommended to give your AM and PM doses as close to 12 hours apart as possible. It's best to stay within a 30 minute window of that 12 hour shot. The reason is that an early shot acts like a dose increase and a late shot acts like a dose reduction. Those variations have an effect on the depot so the amount of insulin is inconsistent.

The other area for consistency is the dose. Lantus works best if the AM and PM doses are the same. Again, this is due to the depot. If you give different amounts of insulin at each shot time, the depot never stabilizes and you end up with wonky numbers.

The reason we suggest syringes with half unit markings is that we adjust doses in 0.25u increments. Making dose changes in small amounts means you don't go sailing past what may be an effective dose for your cat. It's also a bit easier on the caregiver's nervous system since it lowers the risk for a cat to drop into low numbers.

@Diane Tyler's Mom - Not to contradict Diane but please don't "like" all of the posts. It swamps our Alert box. For those of us who are checking in on a lot of members, I'd never be able to get through all of the alerts in a timely way.
 
Sienne and Gabby (GA) said:
Welcome to FDMB!

It sounds like you were planning on reviewing the sticky notes at the top of the Lantus board. There's a huge volume of information there so let me try to underscore a few of the high points especially since I want to suggest making a few changes to what you've been doing.

I would check the carb counts on the Young Again variety you're feeding Karamelle. The variety that we suggest is Young Again Zero. They do have a Mature Zero so if it's that version, it's likely to be fine. If it's a "zero" formula, would you mind adding that to your signature so we don't pester you about feeding your cat a low carb diet?

Lantus likes consistency. The reason is that it is a depot type of insulin. (There's a sticky note describing the depot on the Lantus board.) One aspect of consistency is shot time. It's recommended to give your AM and PM doses as close to 12 hours apart as possible. It's best to stay within a 30 minute window of that 12 hour shot. The reason is that an early shot acts like a dose increase and a late shot acts like a dose reduction. Those variations have an effect on the depot so the amount of insulin is inconsistent.

The other area for consistency is the dose. Lantus works best if the AM and PM doses are the same. Again, this is due to the depot. If you give different amounts of insulin at each shot time, the depot never stabilizes and you end up with wonky numbers.

The reason we suggest syringes with half unit markings is that we adjust doses in 0.25u increments. Making dose changes in small amounts means you don't go sailing past what may be an effective dose for your cat. It's also a bit easier on the caregiver's nervous system since it lowers the risk for a cat to drop into low numbers.

@Diane Tyler's Mom - Not to contradict Diane but please don't "like" all of the posts. It swamps our Alert box. For those of us who are checking in on a lot of members, I'd never be able to get through all of the alerts in a timely way.
Click to expand...

Yes, she is getting the Mature Zero Young Again, Sorry, that was omitted by mistake. I will add it to my signature.
I am getting much more consistent with my times now, if you look at the chart. I takes a minute to get into a routine.
I am now giving 1 unit am and 1 unit pm. I wasnt aware that the different doses were an issue, but when I was giving 1 u am and 0.5 u pm, her numbers were pretty consistent.
I have never "liked" any of the posts but I will keep that in mind.
Thanks for all this info. I really appreciate it.

Jo
 
There's a lot of information to synthesize and taking it a step or two at a time usually minimizes information overload. Please let us know if you have questions or how we can help. The members here are very generous with their knowledge and their time.
 
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