Need help from Lantus levimer expets. experts only please

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Ken and Sneakers

Member Since 2010
I am working with a cat that treats lantus and levimar like humilin N. This cat can drop 400 points on a unit and can rise 400 points in the last hour before the next shot. Tries slgs and worked up. Tried lowering the dose and now trying scaled dosing to try and find some consistency in the numbers. The person claims the diet is correct--no dry under 10% carbs
Is it possible that a faster acting insulin like prozinc or caninsulin can act 'slower' on a cat that treats long acting as fast acting?
I know Lantus cannot be diluted can levimier be diluted??

If you are a real expert and want the chart please email me and I will send it to you. I cannot post it as i leave it open for anyone to edit.
For people that don't know me I have been doing this for over 10 years with many cats so I do have expertise and the normal protocol does not work here
 
Re: Need help from Lantus levimer expets. experts only pleas

Ken and Sneakers said:
I am working with a cat that treats lantus and levimar like humilin N. This cat can drop 400 points on a unit and can rise 400 points in the last hour before the next shot. Tries slgs and worked up. Tried lowering the dose and now trying scaled dosing to try and find some consistency in the numbers. The person claims the diet is correct--no dry under 10% carbs
Is it possible that a faster acting insulin like prozinc or caninsulin can act 'slower' on a cat that treats long acting as fast acting?
I know Lantus cannot be diluted can levimier be diluted??

If you are a real expert and want the chart please email me and I will send it to you. I cannot post it as i leave it open for anyone to edit.
For people that don't know me I have been doing this for over 10 years with many cats so I do have expertise and the normal protocol does not work here
Click to expand...

hi ken. long time no see.

there are no "experts" here... just some a little more experienced than others.

since we prefer to keep things on the board, please share at least the last couple weeks of data with us here.

neither lantus or levemir is supposed to be diluted. however, if memory serves me, there was someone who did dilute levemir several years ago. don't remember if they were successful.

your question about prozinc or caninsulin acting slower in regard to this particular cat...
there's no way of knowing without trying. ECID.
 
Re: Need help from Lantus levimer expets. experts only pleas

Hi Ken,
If you set up the SS as the instructions in the Tech Support forum specify, the data would be viewable to all but only you would be able to edit it.

I used pzi, and I've seen some people dose TID with it , but haven't seen anyone be able to get get lantus/lev duration or close to it since I've been around. But that's only 18 months or so.

There is a user in the UK who is using Hypurin PZI currently. She getting remarkably long duration with it, and having to shoot SID at times. But I am not sure if it is available outside the UK.

Carl
 
Re: Need help from Lantus levimer expets. experts only pleas

Has the cat been tested for acromegaly? IAAA? Cushings? that forum has info on when to test, and where to send it.

DebH and XuXu had some similar problems with Lantus. Based on a suggestion from a pharmacist friend, she did try diluting with sterile water at first (wrong pH - 7), then with sterile saline (pH near 4ish, close to the Lantus pH). Results were iffy at best. She eventually switched over to Levemir - you might go take a look and see how she is doing.

Here is a table I constructed for Insulin dosing options. There are some other pages to that spreadsheet which may provide food for thought, plus a TID spreadsheet, should you choose to do that.
 
Re: Need help from Lantus levimer expets. experts only pleas

ken, i've been giving your request some thought.
it would really be better on so many levels and for all concerned if you asked the caregiver to register on the FDMB and post.
it's how things work around here... one caregiver giving their time to help another.
 
Re: Need help from Lantus levimer expets. experts only pleas

Jill,
I think that's a perfect solution.
While our advice is "free", and we all love nothing more than helping new beans and new sugarkitties with this "dance", it's all founded upon giving that advise "in house" and "in public".
We'd be thrilled to help out in solving this puzzle.

Carl
 
Re: Need help from Lantus levimer expets. experts only pleas

Jill & Alex said:
ken, i've been giving your request some thought.
it would really be better on so many levels and for all concerned if you asked the caregiver to register on the FDMB and post.
it's how things work around here... one caregiver giving their time to help another.
Click to expand...
Thanks, Jill, this was my thought too. I'm not comfortable communicating through a third party. I need to be able to explain my thoughts directly to the caregiver and ask questions to be sure they are understanding, or to respond to them directly if they have other input or concerns.
 
Re: Need help from Lantus levimer expets. experts only pleas

Hello Ken, It's been quite a while. I agree with everyone else - get them to sign up.

I too have been helping friends with their cat for the last few weeks. (Janet and Callie). I nagged them until they joined the board. I don't know if treating Tritone for so long makes me an "expert" - I know I didn't feel comfortable being the only one with eyes on Callie.

The purpose of the group is to work together to help each person learn to treat their own cat, and its the group discussion, input - and even occasional disagreement - that helps everyone get a handle on this elusive issue.

I hope your friend signs up!
 
Re: Need help from Lantus levimer expets. experts only pleas

Hi
Jill glad to see you are still around

A few responses and reasons about this thread

I understand that on this board I am a polarizing figure
There are reasons the spreadsheet is set up this way. I at one time a few years ago posted one of these spreadsheets and one of your fine members intentionally defaced the sheet for the purpose of upsetting me and of course it was upsetting to the cat owners so hence I cannot post the spreadsheet.
There are reasons i left the board and went out on my own to help people

Bottom line for this cat
This person is older and not interested in joining any group. She has been told of this place

In any event, It has only been 2 months and I am not ready to give up on this cat as I have some different ideas on how to proceed

I do things a bit differently then the board does. For example,I don't need anywhere close to half as many spotchecks as required here for tight regulation. I don't have to deal with other strong personalities like myself ;-) and, the caregiver doesn't have to deal with conflicting opinions (which yes, are good sometimes :smile: )
For me, doing it this way I don't have to put anything above the cat. The cat comes first. Not the vet Not the board and not anyone else's feelings. That unfortunately is what I need and whether accepted here or not, what many caregivers need.
Some people function better in a group, some funtion better one on one

Of course there is always going to be aberations and things that I cannot do,cats that I cannot help, Last time I had a cat that was an aberation what worked was scaled dosing which if I remember was an absolute here that Lantus doesn't work that way. Well it can for a few
Anyway, when I have too many people to handle or I cannot do it or have run out of ideas on how to proceed I ask for help or yes send people here for help cause I know in some cases many eyes are better then a few.
I understand the 'boards' priorities and principles. Our goals are always the same but our priorites or ways to go about it may be different
All this said and with all I have been through on here, I love this board. I have come to love many people who are on this board and i am forever grateful for finding it and being able to help my cat way back in 2003 and then learn and pay it foward. Keep doing what you are doing and the best to everyone and their furry friends
 
Re: Need help from Lantus levimer expets. experts only pleas

at one time, I dosed wheezer TID (lev). I just took his normal dose and divided it into 3. that kept him pretty steady until he got down to .02. still cannot get the little booger OTJ.
i also found at times that I would shoot and wait til insulin started to onset and then feed. this took care of his very sensitive food spikes.

just a few things I did and may not even be appropriate for this kitty

good luck
 
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