Need help in Hawaii

[Dunkin in Hawaii]

Aloha all,
Hope I can find some answers here. My boy Dunkin is 15, diagnosed a year ago. Has been on lantus, which has been tweaked from a starting dose of 1 unit, to 2 units, then back down to 1.5 (while initial glucose curves were being done). In the last 2 months a new vet bumped it up to 2 units gain since is fructosamine results were 450. Seems that ever since then, hes been gradually losing muscle mass , more noticeably in his shoulders and hips. I have him on the lantus solostar pen at 2 units twice a day. Eating fancy feast classic, one can before each shot. He also has zero carb Young Again kibble that he can free feed on.

At his latest vet visit on friday, his BG was 250, and that was after not giving him his morning insulin shot...so it was 18 hours since his last shot. His fructosamine was 368. Ketones 2+ in his urine. (all of the previous fructosamine results were in the high 400's)

His appetite is normal, water consumption just a tad more than normal. Demeanor and activity level normal.

My concern is that he is wasting away by losing muscle tone and mass. =(.

Any ideas..? anyone? Too much insulin? Too little?

Sending much aloha from Hawaii =)

 

[Chris & China (GA)]

Are you home testing or just doing occasional curves at the vet?....or just doing fructosamine tests at the vet occasionally to determine dose?

Without knowing how low the Lantus is taking Dunkin, it's hard to say if he's getting too much or too little insulin

The last fructosamine is a good level, but Dunkin could still be going from (for example) 400 to 40 and back to 400 on the same cycle. The fructosamine only gives an average number for the last 2-3 weeks but can't give you the details that are important to know

 

[Dunkin in Hawaii]

Just started home testing today. Preshot BG was 306 tonight. We shall see how the numbers look over the next few days. I have an appointment with the vet on monday. Will spot check him to get a curve over the weekend.