? Question: 06 06 Mr.Boo 3.0u

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Sleepykay

Sleepykay

Member Since 2022
Hi! Apologies for not following the posting format, i'm new and I have a question for yall :)
Details:

Mr.Boo
8 years old about 15 lbs, fuzzy boy :)
on Basgalar
3.0u twice a day(10:30am and 10:30pm)
gets 3/4 cup of Purina DM wet food pate kind, twice a day with his shot.

Hes currently got a libre attached for monitoring purposes/curves as we are still adjusting dosage and the alarm is really reassuring :)

This is a common trend i've noticed with his doses: so we will be consistent with the 3.0u twice a day and around day 3 or 4, he will have really low numbers (no hypo symptoms, but we monitor him super close and have high carb food/ corn syrup at the ready if the numbers stay too low for too long) like this morning, he was at 10.3 mmol/L at 8:30 and went down to 4.0 mmol/L by 10:30am so we needed to skip the dose and monitor him really close, I think he was hungry earlier than normal and his sugar went down because of that, this is something new within the last 2 weeks or so we have noticed.

the issue is that when we skip the dose, by the evening he will go up to around 20mmol/L because we have skipped the dose and then it takes a day or 2 for him to go back into a normal range, and then he goes too low.

Its really hard to be consistent when this keeps happening and I wanted to know if anyone has any advice? Its like the build up of the Basgalar over time makes him go low, OR maybe its signs of possible remission/ his body is trying to adapt?

I can post screen shots of his numbers from the Libre app!


***Update, we called our vets just to ask their opinion, which was obviously to lower the dose, so we will do 3.0u morning and 2.5u evening, which we did prior to the 3.0u and 3.0u but last time we did that his numbers were still pretty high.
 
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Welcome to the FDMB. We will definitely be able to help you but first we will need you to copy and paste this over on the main/health forum where you will get help setting up a spreadsheet and signature as we are very data oriented. Once set up you will soon be directed back here. One of the mods will move this but it would be faster if you do as I suggest. It will be helpful for you to read the stickies at tge top of this forum. There’s a lot of info so take that slowly so as not to suffer from information overly.
 
Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help.

You can tap on your name above then tap in signature and add all the information that is asked in the blue link Helping us to help you ,then tap save

I'm going to tag one of our members to help you with the spreadsheet
her name is Bhooma
@Bandit's Mom


Tap on this link I explained how the spreadsheet works ,
https://felinediabetes.com/FDMB/threads/new-member-salem-newly-diagnosed.271043/#post-3018593
Go to post #5. The numbers are to the right of each post
As you can see we don't use times because we are all in different time zones, that's why on the spreadsheets you will see +1. +2. +3 and so on
Take a look at mine it will say Tyler's spreadsheet, he has been in remission since 1-24-21 so you won't see that much testing for 2021 up until 2023. but you can tap on his tests for 2019 the years are listed at the top of the spreadsheets , just tap on the year
I hope this helps
So until Bhooma gets in touch with you and creates the spreadsheet for you she can then enter the BG numbers in for you and explain how you can do it then the members can take a look at it and see what's going on

Also the same dose of insulin should be given twice a day ,
I'm sure once we have your SS set up and see what's going on the experienced members can help you out


Take a look at this spreadsheet , she uses the Libre just to see what it looks like
https://docs.google.com/spreadsheet...BKE6b4OWFvuHtzfQml67lT92fRKXz4IYJ_zD6/pubhtml

We also feed our cats more than twice a day it's easier on the pancreas, that's old thinking feeding your cat only twice a day.
Most of us feed small snacks about 2 teaspoons of wet food @+2 (2 hours after you give the insulin shot) then around +4 during the AM cycle
Some feed maybe 3 snacks

Same when you give the insulin during the night cycle

The Purina DM wet food is 6% carbs which is fine but there is nothing special about it other than being expensive. I mean if Mr Boo likes it it's fine

I'm assuming you are from Canada?
Take a look at our food chart ,you might find some low carb foods on this US chart
I know if you are in Canada you can get Fancy Feast Pates Most of them are 2 , 3, and 6%
Low carbs are under 10% , some feed 4-7 % carbs

You also want some med and high carb food

Such as
Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs

Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Turkey Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Chicken and Beef in Gravy 15% Med Carbs

Good idea to mark the cans with magic marker how many carbs

Or any on the food chart. Doesn't have to be Fancy Feast just an example about the med and high carb foods

https://felinediabetes.com/FDMB/threads/dr-pierson-new-food-

Between 11% and 17% is medium carbs.

18% and over is high carb.

Here is a Canadian food chart also
https://docs.google.com/spreadsheet..._tYNVRaoG_3Dfy64/htmlview?pli=1#gid=964479244
 
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Sleepykay said:
Hi! Apologies for not following the posting format, i'm new and I have a question for yall :)
Details:

Mr.Boo
8 years old about 15 lbs, fuzzy boy :)
on Basgalar
3.0u twice a day(10:30am and 10:30pm)
gets 3/4 cup of Purina DM wet food pate kind, twice a day with his shot.

Hes currently got a libre attached for monitoring purposes/curves as we are still adjusting dosage and the alarm is really reassuring :)

This is a common trend i've noticed with his doses: so we will be consistent with the 3.0u twice a day and around day 3 or 4, he will have really low numbers (no hypo symptoms, but we monitor him super close and have high carb food/ corn syrup at the ready if the numbers stay too low for too long) like this morning, he was at 10.3 mmol/L at 8:30 and went down to 4.0 mmol/L by 10:30am so we needed to skip the dose and monitor him really close, I think he was hungry earlier than normal and his sugar went down because of that, this is something new within the last 2 weeks or so we have noticed.

the issue is that when we skip the dose, by the evening he will go up to around 20mmol/L because we have skipped the dose and then it takes a day or 2 for him to go back into a normal range, and then he goes too low.

Its really hard to be consistent when this keeps happening and I wanted to know if anyone has any advice? Its like the build up of the Basgalar over time makes him go low, OR maybe its signs of possible remission/ his body is trying to adapt?

I can post screen shots of his numbers from the Libre app!


***Update, we called our vets just to ask their opinion, which was obviously to lower the dose, so we will do 3.0u morning and 2.5u evening, which we did prior to the 3.0u and 3.0u but last time we did that his numbers were still pretty high.
Click to expand...
@Suzanne & Darcy
Hi Suzanne I asked Sleepykay for some information as you can see above in my post and tagged Bhooma to get in touch with her to set up the SS
 
Welcome to FDMB.

I'd encourage you to take a look at the sticky notes at the top of the Lantus/Levemir/Biosimilar board. They will provide background on glargine (Basaglar) that you may find helpful. One point worth noting is that a blood glucose of 4.0 mmol/L (72) is still in what is normal range (50 - 120). While it may be a drop from 10.3 (185), it is not a dangerously low number. I would need greater context (like when you would be giving your cat his insulin in relation to the drop in numbers) to know whether it was safe to give your cat his insulin so we'll be better able to offer informed input once you have your spreadsheet set up.

Lowering the dose sounds like a reasonable plan. However, glargine does much better with a consistent dose. It is a depot insulin. What that means is that every time you give a shot, the insulin forms microcrystals that are deposited in fat tissue. Most of those crystal dissolve over the course of the cycle. However, not all of the crystals dissolve which both gives glargine its long duration and allows for overlap between the cycles. In order to get the maximum benefit from a depot insulin, the depot needs to stabilize. In other words, if you change the dose at each shot time, the depot never levels off because it's constantly in flux. The result is wonky numbers. If you look over the sticky notes on dose, doses are typically held for a minimum of 3 days (6 cycles) to allow the depot to catch up with any change in dose. This is my long winded way of saying Mr. Boo's dose should be the same in the AM as in the PM. You can always split the difference and dose 2.75u or stick with 2.5u at AM and PM.
 
Hi and welcome! I see that you are using Basalgar, we do have some dosing methods that we use here that you might want to read

Dosing Methods

Without seeing any data, it will be hard to offer any suggestions with respect to dose, so if you can take even the last two weeks’ worth from your Libre and populate a spreadsheet, that would be very helpful.

Here specifically is a link which explains how to create a spreadsheet

With many kitties on Basalgar, which is a biosimilar to Lantus, feeding a meal at shot, then some smaller snacks during the cycle can often help to flatten out the numbers, since there are new carbs available as the dose onsets (the length of time before insulin reaches the bloodstream & begins lowering blood glucose). With feeding only with shot, he’s only getting his carbs up front, then nothing to help when the insulin kicks in.

Getting a reading of 4 mmol/L (72 mg/dl) is not in and of itself a concern, it is still a safe number using a human meter, but seeing the numbers before and after offer more information. Please ask as many questions as you’d like, there are many members who are happy to help.
 
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