More Lantus?

[Hosanna]

If anyone has looked at Martha's spreadsheet lately, can you venture an opinion as to why she now is consistently in the 200's? Do we need to increase her insulin? There have been no changes in food, she is still on Fancy Feast and Friskies.

 

[Sienne and Gabby (GA)]

I am not comfortable offering you a suggestion about changing dose. Lantus dosing is based on the nadir -- the lowest point in the cycle. Dose changes are not based on the pre-shot numbers. I would hate to recommend an increase and find that Martha's numbers went critically low. Without having any spot checks during either the AM or PM cycle, it would be irresponsible and/or dangerous to suggest a dose change. Please see Jill's post on this topic.