Re: New - adopted an ill cat. * When to start Lantus?
hey - great job! glad the testing went easy. i want to encourage you to do some reading - the yellow starred stickies at the top of the lantus forum. you don't need to remember all of it, but at least reading through it there will be parts that will stay with you. i've reread them a ton of times and i still pick up a little bit.
especially read the one on taking care of lantus - it's expensive enough you want to know how to take care of it so it lasts as long as possible. also the one on the Tight Regulation Protocol - although that one is best with someone helping explain.
the one thing about your shot schedule to consider - lantus dosing is based upon the lowest point that a cat gets to in a cycle. we try to catch that lowest point. in general, cats go lowest mid-cycle, around 5-7 hours after the shot, although every cat is different. i test my cat preshot and 3 hours after his shot (+3) and either +5 or +6. from collecting data I know that's when he goes the lowest.
the routine that works best is to test, then feed, then shoot the insulin while scooter's face is in his bowl. at the beginning it might take you a half hour to do that routine, but as you get experience it'll just take a couple of minutes. the reason i'm mentioning it is because if you feed then test, the BG # will be higher because of the food.
so test, feed & shoot in that order.
it's also most likely to see numbers that need attention in the first half of the cycle. so if you are shooting at 11/11, you will still want to get at least one test after the evening shot if at all possible. many (most?) cats go lower at night. just something to consider with the schedule and how late you can stay up to monitor. sometimes i've done 6am/6pm, and that lets me check punkin easily until 11pm - so 5 hours after his evening shot.
1 unit is a good starting dose for most cats. even though the protocol says to hold the dose for the first 5-7 days, you do still want to be testing. some cats are very responsive to insulin and you don't want to be giving insulin without testing, imo.
i'd encourage you to begin posting in the Lantus Tight Reg forum tomorrow so we can help you learn how Lantus works and interpret how scooter's body reacts to the insulin. great job getting going! WOOT!
Lantus Tight Regulation Protocol Insulin Support Group