? Should I give Lantus at a PMPS of 207?

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JMBartone said:
should I give her the 1 U Lantus she's been getting?
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If you have all the supplies you might need (high carb food, Karo/honey/syrup, plenty of test strips) and can test as often as you might need to tonight, then SHOOT!!!

Get a +1 and +2 so IF you need to intervene, you can do it early
 
We haven't lived through a hypoglycemic episode yet...and I'm not looking forward to it. I have all of the above, but am reluctant to dose because, well, I will need to sleep at some point! Will it level out through the night? Or, if I catch it before it goes too low, then I can level it out for her, yes?

XOXO
 
JMBartone said:
if I catch it before it goes too low, then I can level it out for her, yes?
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The reason we test is so we can intervene early if we need to!!

In the years I've been here, I haven't seen a cat that had to go to the ER due to shooting unless the person wasn't testing or accidentally gave a wrong dose. We're almost always able to handle it at home if we are prepared!!
 
That all being said, is there any way you can get some mid-cycle tests on the AM cycle? Lantus is dosed based on how LOW it takes them, not the Pre-Shot numbers

It's also very important to get tests on the PM cycle....at least a "before bed" test to make sure they're safe while you sleep.

Most cats go lower at night, so getting tests on the PM cycle is very important. You don't have to stay up all night (usually ;))
 
Excellent information! Thank you for it. I will get a couple of tests tonight, along with a before bed test tonight, but I've decided not to dose her tonight. I will also get a few tests in the AM and PM tomorrow after her AM dose - I'm sure she'll be running in the 300s by the AM, as she has been when I don't dose in the PM.

I'm so new at this, with very little vet guidance...my vet has not been too concerned and I think it's because when we started she was in the 400s, AND now my vet is ill, so not very accessible. I'm switching to a new vet next week, so should have better access and guidance moving forward the next few weeks.

I appreciate the information! GRATEFUL!
Joanne + Tiny Sole
 
I'd really suggest you go ahead and shoot tonight

Once you've learned to home test and are over here in the Lantus forum, we usually say to shoot anything over 150

As you gain more confidence and gather more data, you gradually learn to shoot lower and lower numbers.....those of us with enough data will shoot anything over 50 (68 on the Alpha Trak)

Lantus does it's best work when it's given at lower numbers....it isn't great at pulling down high numbers, but it can do wonderful things at lower ones!!

I know it seems scary....that if you gave 1U when they were at 400 and they dropped to 250, it seems crazy to give 1U if they're only at 150....that would drop them to zero!! NO...doesn't work that way!! Usually, at the lower numbers, you'll get a flatter cycle....like only dropping 30 points instead of 150

Look at other people's spreadsheets....it can be really helpful!
 
I'm new to Lantus, but are you sure about not dosing tonight? From what I understand, missing a dose isn't a good idea since they need consistency to build a depot. There are more qualified people here than me, but I shot at a 183 recently. Please don't do anything on my word, but maybe see what others say?
 
The information I'm getting here is great. I missed my window to dose tonight, so will keep all this in mind moving forward.

I want to get it right for Tiny, and do no harm. Like I mentioned (somewhere) not getting as much vet support as I would like - vet is I'll, so have not had a ton of guidance until coming here...and there is a lot to process!
 
If it's only been an hour since her normal shot time, you could go ahead and shoot now

In the morning, you'd just adjust by 15 minutes per cycle or 30 minutes per day to get back on the schedule you prefer.

Your vet may be wonderful....there are some out there...but the sad truth is that vets just don't have the time to stay up to date on the latest treatments for every disease in every type of animal they see. If they tried, they'd never have time to see any patients!!

The people here have the time to research and stay up to date on the treatment of diabetes (and the complications that tend to come with it)....as well as truly wanting to help every cat live as long as possible!!

My own cat hasn't been back to the vet since she was originally diagnosed.....I drank the FDMB Kool-Aid early....LOL

I know it's really hard to trust a bunch of crazy cat ladies on the internet (especially when so many vets tell us to stay away from the internet and Dr. Google!) but having real life experience in treating this disease makes the people here have a lot of experience that even the oldest vet never has time to get

Of course if you are really uncomfortable shooting, it won't hurt things too much.....it's just we don't want to disrupt the depot forming any more than we have to so we get the best results we can
 
Chris & China said:
I'd really suggest you go ahead and shoot tonight

Once you've learned to home test and are over here in the Lantus forum, we usually say to shoot anything over 150

As you gain more confidence and gather more data, you gradually learn to shoot lower and lower numbers.....those of us with enough data will shoot anything over 50 (68 on the Alpha Trak)

Lantus does it's best work when it's given at lower numbers....it isn't great at pulling down high numbers, but it can do wonderful things at lower ones!!

I know it seems scary....that if you gave 1U when they were at 400 and they dropped to 250, it seems crazy to give 1U if they're only at 150....that would drop them to zero!! NO...doesn't work that way!! Usually, at the lower numbers, you'll get a flatter cycle....like only dropping 30 points instead of 150

Look at other people's spreadsheets....it can be really helpful!
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So, the goal is to get and keep them in the green?
 
Yeah, some of it is confidence, but more of it is not wanting to harm her.

I just looked at China's spreadsheets - isn't she considered to be in remission with consistently low numbers like hers?
 
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Good to know. Ill try my best not to be scared sh**less, then moving forward! As i learn more, I'll do better. Thanks for the insights...so much to learn and understand.
 
I missed Grandpa's shot time by quite a bit last night. I couldn't find a sitter to come by and give his shot and got home late. We still gave him some food and his shot. He had better numbers this morning than he has in awhile. Coincidence I'm sure, but I was glad we had given the shot even though it was late.
 
JMBartone said:
You feel I can still give the shot now?
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So if it's 9pm now, can you adjust tomorrow morning to 8:30?

Then 8:30 tomorrow night, 8am Wednesday morning (at 30 minutes per day)

OR

At 15 minutes per cycle, it'd be 8:45am/8:30pm Tuesday

Wednesday 8:15am/8:00pm

Adjusting 15 minutes per cycle is less likely to cause any problems but 30 minutes per day is acceptable too
 
Let us know where she's at

I should be up for a few more hours (at least) so I can try to keep an eye on you when you get some more tests.

Just FYI....on your spreadsheet, if you shoot now, THAT number is your PMPS.....in the PMPS cell, you'd put ### @ +14.....that tells us that you shot 2 hours late, but keeps the "+ cells" so they continue to correspond to the number of hours since the shot.

In the +11 cell, you'd put 207 @ +12 to indicate where she was at her "regular" shot time

You will have to manually color code the cells yourself
 
ok, she's holding steady, now at 208. I'm going to dose her with 1 unit, going to leave a snack out for her and I'm heading to sleep. Thanks again for your help. I'll post her AM numbers...in the AM!

Edit: I feel confident that she is going to do well overnight. We'll see what AM numbers bring and I'll post them on the spreadsheet then try to test at least a couple of times - once after her AM dose and once before her PM dose, then again once or twice in the evening. I don't work from home, so it can be a challenge, unless it's a weekend.

Are you always getting the blood for testing from the ears?
 
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