numbers all over the place

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Andrea M.

Andrea M.

Member Since 2016
After 2 hypos in a week the vet lowered Sweet Pea to .5 units of Lantus 2x day. After a week and a half on that her numbers have been staying high. Just spoke with vet and she wants us to give 1 unit in am and .5 in pm since she is usually highest in am. She said at this point it is very unlikely that we will ever be able to get her into remission. I'm so heartbroken.
 
I can't advise on dosing, especially Lantus. We use ProZinc. However, I do know it's often tricky to figure out just the right dose with any insulin. It requires a lot of patience and closely watching those BG numbers. My Hannah was diagnosed over two years ago. At that time, I thought our world had ended. It was a very difficult time. You are not alone at caring for a kitty that might never be able to find remission. It's the same for me... for many of us. However, please don't be heartbroken. You will still likely be able to get some kind of reasonable control over Sweet Pea's diabetes, and she will be able to live quite a normal life. Patience is key. It's hard at first... heck, we still have days or weeks that are difficult, but for the most part, life for Hannah is still very much worth living. This week, we celebrated her 15th birthday. Best of luck to you and Sweet Pea.
 
I'm not a Lantus user, so I'll leave dosing opinions to someone else... but I wouldn't give up hope of remission after just 1 month! Even if she doesn't go into remission, she certainly can get regulated. let the fine folks here advise you.
 
Early on the vet had felt we had a very good chance of getting her into remission. Since then the dosing has gone up and down and now the vet feels she is going to be very difficult to regulate. Seeing her so lethargic all the time is hard. She has already been through so much in her life, I just want her feel better.
 
Hi Andrea ~ first I want to say that since Sweet Pea was just DX in July, she has a wonderful chance of getting into remission. Bubba was just deemed officially OTJ( Off the Juice of insulin) yesterday and he was DX in May of 2015! So, PLEASE don't let your vet discourage you.

With Lanus, consistency with dosing is very important. You want to shoot the same dose 12 hours apart otherwise it confuses the depot. Since you are an AT 2 user the reduction is 68 for following TR and 90 for Start Low Go Slow method. Your signature doesn't indicate which protocol or method you are following. But right now it looks like she could use some more insulin. And that said, I saw in your previous post that you are working to get her off the Purina DM dry which will really help bring those numbers down. So, if you could get keep reducing that dry till she is completely getting only wet low carb food you could see those numbers come down.

If she were my kitty I would take her back to 1 unit and keep up the good work with all the testing and keep working on getting rid of the dry food and I think you will start to see those numbers coming down. One unit will be a good starting place again to consistently dose her and we can move forward from there.

You can post daily on the Lantus forum and that link is right HERE and the peeps there can help you with dosing. I see you are in NY and I am in EST time also. What is your shot times , and I will look for you?
 
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Bobbie And Bubba said:
Hi Andrea ~ first I want to say that since Sweet Pea was just DX in July, she has a wonderful chance of getting into remission. Bubba was just deemed officially OTJ( Off the Juice or insulin) yesterday and he was DX in May of 2015! So, PLEASE don't let your vet discourage you.

With Lanus, consistency with dosing is very important. You want to shoot the same dose 12 hours apart otherwise it confuses the depot. Since you are an AT 2 user the reduction is 68 for following TR and 90 for Start Low Go Slow method. Your signature doesn't indicate which protocol or method you are following. But right now it looks like she could use some more insulin. And that said, I saw in your previous post that you are working to get her off the Purina DM dry which will really help bring those numbers down. So, if you could get keep reducing that dry till she is completely getting only wet low carb food you could see those numbers come down.

If she were my kitty I would take her back to 1 unit and keep up the good work with all the testing and keep working on getting rid of the dry food and I think you will start to see those numbers coming down. One unit will be a good starting place again to consistently dose her and we can move forward from there.

You can post daily on the Lantus forum and that link is right HERE and the peeps there can help you with dosing. I see you are in NY and I am in EST time also. What is your shot times , and I will look for you?
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Thank you! My vet and I discussed the need for consistency with the Lantus. After meeting with the other vets at the practice, about Sweet Pea, they are very concerned about the constant bouncing she was doing at 1 and 2 units. They had hoped dropping her to .5 would at least even her out so we could get an idea of what is going on. I would like her to be on a constant dose but I'm terrified of another hypo. I was hoping her numbers would show some pattern. We have also discussed that she could have an underlying illness that has caused her teeth to rot from the gums up, caused reoccurring ear infections and skin problems, and could also be causing her to not regulate. I'm at a loss. She gets her insulin at 5:50 am and pm. Thanks for the link to the Lantus forum I'll head there with any more questions or problems with her dosing.
 
Key thing with Lantus is, unless going too low, to hold the dose constant for at least 2 days (with high nadirs, using the Tight Regulation protocol) and up to 7 days (using the Start Low, Go Slow method). This is because Lantus has overlap between doses, so an increase or decrease can take a few days to settle into the new level. Switching too fast doesn't let the dose stabilize enough to see how it will work. Both methods require getting mid-cycle tests at various times, depending on the method used, as that is when the glucose is likely to go its lowest and you want the level to be safely at or above 50 mg/dL on a human glucometer.
 
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