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KittyMom777

Member Since 2014
Hi. First post in this group. I'm currently using Lantus 2u am and pm with the pm dosing just started this weekend. My vet is coming around to my suggestions I've picked up from the forum.

Someone posted on one of my posts a list of numbers ie lowest no shot number for beginners, etc and I can't find it. My SS is slowly gathering data but I would love to know how to interpret what's good and what to aim for.
 
When just starting out you don't want to shoot if they are below 200 at preshot. As you collect data you will slowly reduce that No Shoot number but we'll help you as you get there. :-D

Eventually your target range will be finding a dose that holds Silver in the 40-120 range as much of the day as possible. But right now you want him to run a little higher so his body can get use to the feel of the lower numbers and so you have a little more wiggle room until you know exactly how low a particular dose is going to take him.

If at any point when you are testing that he drops below 50 as a newly dxed diabetic (less than 1 year on insulin) he immediately earns himself a .25 reduction in dose.

Now I'll go take a peek at his spreadsheet and tell you what I see. But wanted to give you the numbers information first.

Mel and The Fur Gang
 
This is very helpful thank you. You know I wanted to ask someone, I am seriously doubting my vet's glucose curve. I have NEVER seen him in "blue" numbers before. I can't think that it can have been accurate? She (vet) was concerned about his quick drop from 28 pre shot to 6.2 2 hrs later. I've never seen that before or since. I asked her about the Somogyi effect that I'd read about and she said he'd have to have dropped lower for that. I should have asked if he was bouncing?

I know there's little data. Hard to test when I work full time and live alone.

As an aside, none of my friends in Canada (I immigrated from Scotland ten years ago) have cats and they don't understand my love for my babies. They have been my sole companions for 8 years and yet well meaning people think I should be euthanizing and moving on.
 
For a kitty just starting out on Lantus he's getting a really good response early on. Lantus is a depot insulin so each shot builds on the next. Right now 2u twice a day doesn't look too bad, except that most cats don't respond this quickly because it takes about 3-5 days in the beginning for the shed or depot under the skin to build up. So there is a chance as it forms that the same dose may take him much lower than it is now. But that is where testing comes in handy, because it will tell you if he needs more or less insulin as you collect data.

Now to kind of explain what a shed is and how it works.

Think of a funnel and you're trying to fill it so the water stays level at the top of the funnel, the only problem is you haven't put a cork in the little bottom hole so the water is pouring out the bottom as you try to fill it to the top. The water you are pouring in is the dose you are shooting, if you pour too fast or too much the water over flows the top of the funnel (hypo), but if you don't pour enough or fast enough the level at the top of the funnel sinks, (hyper). So you have pour just the right amount at the right speed to keep the level at the top of the funnel even that matches the amount coming out the bottom that what is going in the top replaces. The water that is in the funnel it like the insulin shed. What you pour into the top isn't the same as what is coming out the bottom, what's coming out the bottom is what was already in the funnel before you poured the next dose in the top. Which is why we hold a dose for several days when we change it before looking to see if we need to change it again. It takes a couple days every time you change doses for that shed to readjust to the new dose.

Make sense?

Mel and The Fur Gang
 
welcome Juliet and Silver.
you have come to the right place. we totally understand your love for your kitty babies and we feel the same. this forum will help you care for your sweet sugar cat. they can live long and normal lives so very glad you have joined us here. i look forward to seeing your baby get better.
WELCOME
Nadine & Tibbs
 
tibbs5 said:
welcome Juliet and Silver.
you have come to the right place. we totally understand your love for your kitty babies and we feel the same. this forum will help you care for your sweet sugar cat. they can live long and normal lives so very glad you have joined us here. i look forward to seeing your baby get better.
WELCOME
Nadine & Tibbs

Thank you Nadine.

Mel, I only found out about using an SS this weekend so previous info not there which maybe you can decipher.

Silver started on one unit once per day. After a week I tested and noticed no change so I decided to up it to two without vet advice (this was before I discovered the forum or knew that Lantus should be twice daily). I told the vet I'd upped it to two and she said to keep him at that for two weeks and bring him in for a curve. The curve results are what's posted in the first row of my chart.

After I emailed her the results of my two evening tests at +10 and +12 vet told me to start giving two units at night as well. I had read posts on here re start low so I was nervous about doubling the dose so I did nothing all week til this weekend when you can see what I did from the chart.

Ok there's the background. Also, I gave one 5,000 mcg methyl b12 capsule yesterday and today but someone main forum said to cut it open and add to five teaspoons water. Then after mixing it give three teaspoons in his food so he gets 3000 mcg instead. Does that sound right? Need confirmation from this group.

Thanks. Glad to be in the group.
 
Just FYI - here is a link to feline nutrition. These folks showed me why cats should not have dry food ( even the DM dry from the vet)
Also, once they are on wet food, you have to be careful about too much insulin because changing them off of the high carb dry food
can drop their numbers over 100 points sometimes over night.

so sorry, i don't know about the B12 but i'm sure someone else here has experience with that

http://catinfo.org/
 
Thanks. I'm gradually reducing the dry but he's so hungry when I don't give it (I mix it in with his fancy feast). He literally grabs my food out of my hand on his ravenous days.
 
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