? Lantus Dosage / New Pen ???

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Jeff D / Sketch

Member Since 2017
Hi all. I have a question regarding dosage when starting a new Lantus pen. The first pen I have been using is about 60 days old so I am wondering if its safe to use the same dose that I have been using on Sketch (1.5 units) when opening a fresh pen? I dose using a syringe filled from the pen and we are using the SLGS protocol. His BG numbers are still high (SS attached) but seemed to have stabilized in the mid to low 300s with the 1.5 units. Actually I am thinking about bumping up to 1.75 pretty soon but don't want to do an increase with a dose from the new pen if by chance the 60 day old Lantus has lost some of its potency.
Any input or experience with this????
 
Chances are good that the old Lantus was still fine if it has been stored in the fridge. I assume you are starting a new pen because the old one is depleted rather than because you noticed a decreased effect in Sketch's BG. That said, it never hurts to be cautious so I'd stick with 1.5u at least for the 1st dose out of the new pen just to be on the safe side and then if it seems to be giving the same results as the old insulin, increase as you were planning.

One housekeeping note. I cannot see Sketch's spreadsheet. Tells me I need to ask permission for access so you need to change your share settings to make the SS viewable by folks with the link. If you need a assistance to do that, just holler. :)
 
Chances are good that the old Lantus was still fine if it has been stored in the fridge. I assume you are starting a new pen because the old one is depleted rather than because you noticed a decreased effect in Sketch's BG. That said, it never hurts to be cautious so I'd stick with 1.5u at least for the 1st dose out of the new pen just to be on the safe side and then if it seems to be giving the same results as the old insulin, increase as you were planning.

One housekeeping note. I cannot see Sketch's spreadsheet. Tells me I need to ask permission for access so you need to change your share settings to make the SS viewable by folks with the link. If you need a assistance to do that, just holler. :)

Thanks, and as to the spreadsheet...I thought it was viewable. I must have screwed something up. I can view it is there a link that I should share it to???
 
No. The link is not likely the problem. It's the share setting. Give me a second and I'll peak at mine to see where you make the change. BRB
 
Go to your SS and in the upper right corner of the screen under your Google user name, there should be a blue button that says "Share" (has an icon with a little head sitting on a chain link). Click on that and in the top box you need to select "anyone with the link can view" and then select done. I think that should fix it.
 
Thanks, and as to the spreadsheet...I thought it was viewable.

I can see it fine, so whatever you did worked!!

It's also important that you be testing before each shot (the AMPS and PMPS....AM Pre-shot and PM Pre-shot)....that's the only way to know that it's safe to give insulin at all.

I also suggest you start getting some tests on the PM cycle.....most cats go lower at night, so grabbing a "before bed" test is really important in keeping them safe. Also, if you only test on the AM cycle, you're only seeing half the picture.

I'd hold the 1.5 for a couple cycles when switching to a new pen, but it will really help if you'll try to get at least 3-4 tests per day in....the two Pre-shot tests and (if possible) a mid-cycle on the AM cycle and a "before bed" on the PM cycle
 
I can see it fine, so whatever you did worked!!

It's also important that you be testing before each shot (the AMPS and PMPS....AM Pre-shot and PM Pre-shot)....that's the only way to know that it's safe to give insulin at all.

I also suggest you start getting some tests on the PM cycle.....most cats go lower at night, so grabbing a "before bed" test is really important in keeping them safe. Also, if you only test on the AM cycle, you're only seeing half the picture.

I'd hold the 1.5 for a couple cycles when switching to a new pen, but it will really help if you'll try to get at least 3-4 tests per day in....the two Pre-shot tests and (if possible) a mid-cycle on the AM cycle and a "before bed" on the PM cycle

Thanks for the info...I think the 1.5U sounds good for a couple days to be safe. I'm aware in a perfect world with a cooperative feline :banghead: more testing would be ideal....but 3 or 4 times a day isn't going to be a reality with Sketch. He is a difficult cat, plus indoor outdoor cat so he may not be available. My thoughts have been to try to test somewhere mid cycle to attempt to estimate what his lowest number on a current dose is. As his numbers come down a bit more and hopefully he warms up to more testing the pre meal tests will be my next adventure with him to try to make sure he is safe and doesn't have a hypo event.
Just noticed his SS is missing...not sure what I did will try to sort it out tomorrow...
 
Just noticed his SS is missing

It's still in your signature....I can see it fine

Here's something I wrote up for others that needed help with testing...maybe it'll help you too! I was so lucky that China didn't give me a real hard time about testing!!

It can be really helpful to establish a routine with testing. Pick one spot that you want your "testing spot" to be (I like the kitchen counter because it's got good light and it's at a good height....it also already blocked 2 escape routes due to the wall and the backsplash) It can be anywhere though...a rug on the floor, a table, a particular spot on the couch...wherever is good for you. Take him there as many times a day as you can and just give his ears a quick rub and then he gets a yummy (low carb) treat. Most cats aren't objecting so much with the poking..it's the fooling with their ears they don't like, but once they're desensitized to it and learn to associate a certain place with the treats, they usually start to come when they're called! Or even when they hear us opening the test kit!

You also have to remember...you're not poking him to hurt him...you're testing him to keep him safe and understand what's going on inside his body. There's just nothing better than truly understanding what's going on inside your kitty's body and with this disease, the more knowledge you have, the more power you have against it. The edges of the ears have very few pain receptors, so it really doesn't hurt them. Also, if you're nervous and tense, it's going to make your kitty nervous and tense too. As silly as it might seem, try singing! It forces you to use a different part of your brain!

It's also important to make sure his ear is warm. A small sock filled with a little rice and microwaved or a small pill bottle filled with warm water (check temp against your wrist like you would a baby bottle) works well.

When you're first starting, it's also important to use a lower gauge lancet, like 25-28 gauge. Most of the "lancet devices" come with 33 gauge lancets and they are just too tiny to start with. The bigger lancets (that are lower numbers) make a bigger "hole". As you poke more and more, the ears will grow new capillaries and will be easier and easier to get blood from...we call it "learning to bleed"

Finding the right "treat" will be a great help too! Freeze dried chicken, bonito flakes, little pieces of baked chicken...whatever low carb treat you can find that he really enjoys will help him to associate the testing with the treat! China's Achilles heel was baked chicken, so I'd bake a piece, chop it into bite sized pieces, put some in the refrigerator and freeze the rest to use as needed. It didn't take long for her to come any time I picked up the meter!
 
Jeff, if you want the SS to show in your signature as "Sketch SS", the way it was before, do the following.

  1. Highlight the URL for the SS and copy it.
  2. Select "Sketchs SS" in your signature.
  3. Click on the chain link in the tool bar and paste in the URL and click on "Insert".
  4. Delete the long version of the SS URL as it should now be accessible through "Sketchs SS".
 
Jeff, if you want the SS to show in your signature as "Sketch SS", the way it was before, do the following.

  1. Highlight the URL for the SS and copy it.
  2. Select "Sketchs SS" in your signature.
  3. Click on the chain link in the tool bar and paste in the URL and click on "Insert".
  4. Delete the long version of the SS URL as it should now be accessible through "Sketchs SS".

Seems I cant eliminate the long portion and shorten to just "Sketchs SS". without loosing the link. I'll go back to the spreadsheet instructions and give it another try. Thanks!
 
Jeff, if you want the SS to show in your signature as "Sketch SS", the way it was before, do the following.

  1. Highlight the URL for the SS and copy it.
  2. Select "Sketchs SS" in your signature.
  3. Click on the chain link in the tool bar and paste in the URL and click on "Insert".
  4. Delete the long version of the SS URL as it should now be accessible through "Sketchs SS".

By the way let me know if you can view with the long link in place. Thanks again
 
Hi Jeff! I can see Sketch's SS. Good job.

To echo the others, I would hold the dose for the first few cycles with the new pen as the new pen can be a bit more potent. Also, I agree that another reason to hold the dose for now so that you can get some more test in the PM cycle to see how low the insulin is taking him during the night to see if the AMBG is a bounce. You don't want to miss your dose. If after you get some more test in the PM for a few nights and he is still running high, then increase.
 
Hi Jeff! I can see Sketch's SS. Good job.

To echo the others, I would hold the dose for the first few cycles with the new pen as the new pen can be a bit more potent. Also, I agree that another reason to hold the dose for now so that you can get some more test in the PM cycle to see how low the insulin is taking him during the night to see if the AMBG is a bounce. You don't want to miss your dose. If after you get some more test in the PM for a few nights and he is still running high, then increase.

Glad the sheet is now shareable with the group. I was thinking the samething about the new pen being more potent than a 60 day old pen. Good point about the evening or night testing. May forego the mid morning a couple days and try testing him when he comes in at night before I give him his night meal. Thanks!
 
Glad the sheet is now shareable with the group. I was thinking the samething about the new pen being more potent than a 60 day old pen. Good point about the evening or night testing. May forego the mid morning a couple days and try testing him when he comes in at night before I give him his night meal. Thanks!
It's really hard with a kitty that isn't cooperating with the testing. The most important test to always get are AMBG and PMBG to know if it is safe to shoot and somewhere around +4 -+7 each cycle to see how low the insulin is taking him. The tips Chris gave you are good ones and with Bubba, a pokey treat really helped as he is very food driven.
 
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