Max's Lantus curve-- need advice

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tremblant

Member Since 2013
Max, our 13 yr. old grey-and-white short-hair cat was diagnosed with diabetes at the beginning of April and we are trying to regulate him. Max also has a history of uti's and bladder crystals. His weight has ranged from 13-22 lbs. since he was fully grown. His weight dropped from 19 lbs. to about 16 just prior to the diabetes diagnosis. Since he's been on insulin he has continued to lose weight at a lower rate and now weighs about 15.5 lbs. Prior to the diagnosis, he had dry food out at all times (different UTI formulas), a spoonful of Wysong wet mixed with water and an ounce or two of 2% milk each day. Since then we've switched him to two cans of
Weruva and/or Wellness (and sometimes Purina DM) and stopped giving him dry food (though he prefers dry food).

Max's ketone tests today show "small" (15 mg-dl) of glucose in his urine. His bg readings generally range from mid-400s to mid-200s. His bg history is attached. (We test at home using a ReliOn Confirm meter.) Max has been getting 1.5 units of Lantus 2x a day for the past week (in a progression from 1 to 1.25 since early April). His bg test results don't seem to be improving even as his insulin dosage increases. We've uploaded/attached an Excel file with Max's bg history.

Any advice the board may have would be most welcome!
 

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Hello and welcome to the board

Does max currently have a UTI? It's good you stopped the dry, when approximately was that? Can you mark it on the sheet?
Also if you could colour code the sheet that would help too (I can give you our sheet link if that helps)

A quick glance it does look like he is responding to the insulin, however it would be good to get a few mid night cycle tests in to see how low he is dropping, you might be surprised since many cats drop low at night. Maybe get a before bed test and set the alarm for somewhere between +5 and + 7?

Lastly I would strongly recommend you pop over to the lantus tight regulation board (whether you follow protocol or not) because there are a lot of experienced dosing eyes over there that can help. Post "newbie" or something with your question in the subject line and they will welcome you. Many people post there daily so the advisors can help advise when and how much to change dose.. http://felinediabetes.com/FDMB/viewforum.php?f=9

Wendy
 
Hi, Tremblant ~

It's Mary Kay - please post to the ISG - Insulin Support Groups (Lantus - tight regulation). these folks are familiar with Max and they know Lantus. Try another post to that group, please.

viewforum.php?f=5

xox

mk
 
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