Nutella - Lantus not lasting 12 hours

[Ralba]

I’ve been having a hard time regulating Nutella on lantus, her numbers sometimes are good otherwise not so good, a bit all over the place I get high pre shot numbers and often she gets too low. Vet advised that we get a continuous monitoring device for a full curve, we installed it this Wednesday and I have to say that the results were not what I expected, it seems that lantus is wearing off hours sooner than expected, then her numbers goes to the moon, anyone seen this?

 

[Wendy&Neko]

Do you have any 2024 data for your spreadsheet? It's hard to comment without seeing the data.

I expect that what you saw today was a bounce. Here is the description from the New to the Group Sticky Note:

Bouncing is simply a natural reaction to what the cat's system perceives as a BG value that is "too low". "Too low" is relative. If a cat is used to BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose drops too low and/or too fast.The pancreas, then the liver, release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". *Usually*, a bounce will clear kitty's system within 3 days (6 cycles).