KittyMom777
Member Since 2014
Okay, I've been reading and posting and getting so confused as people give different advice and my vet gives different advice again. I am going round and round in circles trying to figure out what to do and my own instincts.
I've read the "start low, go slow" regime and it makes sense, however I think I messed that up in the beginning.
My vet told me to start at 1 unit once per day. (I am using U-100 syringe, Lantus insulin and the syringes don't have half units, in fact I found it really hard to get only one unit without any air bubbles but I think I am better that now).
After a week, probably I should not have, I upped him to two units in the morning as his levels were still consistently high at 23 mml/L (I did not at this point know that insulin should be given twice a day and my vet had not mentioned it yet..she did later when I asked and she said we were building up to that). Perhaps I should have at that point, gone to one in am and one in pm. Anyways, after 2 weeks at 2 units a day vet did first glucose curve. The lowest point was two hours after the 2 units insulin given. He went from 23 (obviously I now know that was high because he had not had evening dose so a good 24 hours since last dose). 2 hours after the dose he dropped to 6.1 and hovered between 6 and 8 for the next 6 hours, 8 hours later he was up to 13 and 12 hours later back up to 23.
Therefore my vet said to give him 2 units at night as well. I have had someone post on here to say that that is too much to double the dose and told me about depot, carryover whatever. So I thought I would give just one unit in the evening then test to see what that did - if it dropped right to 6 again or stayed the same. He stayed the same at one unit before. Or, do I split the dose he is currently getting and give one morning and evening - however, on only one unit his levels didn't change in that first week at all. I cant give half units so its either one or two.
I do not know what to do for the best. Vet says 2 and 2, I am not sure.
Please help.
I've read the "start low, go slow" regime and it makes sense, however I think I messed that up in the beginning.
My vet told me to start at 1 unit once per day. (I am using U-100 syringe, Lantus insulin and the syringes don't have half units, in fact I found it really hard to get only one unit without any air bubbles but I think I am better that now).
After a week, probably I should not have, I upped him to two units in the morning as his levels were still consistently high at 23 mml/L (I did not at this point know that insulin should be given twice a day and my vet had not mentioned it yet..she did later when I asked and she said we were building up to that). Perhaps I should have at that point, gone to one in am and one in pm. Anyways, after 2 weeks at 2 units a day vet did first glucose curve. The lowest point was two hours after the 2 units insulin given. He went from 23 (obviously I now know that was high because he had not had evening dose so a good 24 hours since last dose). 2 hours after the dose he dropped to 6.1 and hovered between 6 and 8 for the next 6 hours, 8 hours later he was up to 13 and 12 hours later back up to 23.
Therefore my vet said to give him 2 units at night as well. I have had someone post on here to say that that is too much to double the dose and told me about depot, carryover whatever. So I thought I would give just one unit in the evening then test to see what that did - if it dropped right to 6 again or stayed the same. He stayed the same at one unit before. Or, do I split the dose he is currently getting and give one morning and evening - however, on only one unit his levels didn't change in that first week at all. I cant give half units so its either one or two.
I do not know what to do for the best. Vet says 2 and 2, I am not sure.
Please help.
