Thoughts on curve that increases

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lucretia

Member Since 2014
I am afraid we have not kept up with our spreadsheet and I will do my best to get back on track in the coming weeks.
My cat Lily is on Lantus, 1.5 units twice a day. She was pretty regulated but now her numbers are absolutely all over the place. The morning is generally 250-350 but the evening is sometimes under 100 but sometimes just as high.

The last curve that I did looked like this
219 0 (+food)
289 +4
271 +6
189 +8
121 +11
150 +12

Our regular vet moved away so I talked to the other vet at the same practice. She says that it's not strange to see a lag in the amount of time it took to get a nadir, she isn't fond of Lantus, says that it stays in the system after 12 hours but she couldn't explain why we see an increase in blood glucose. In fact if it continues to work past the 12 hour mark wouldn't we see low values that keep going lower? The vet wants to change the insulin to Caninsulin and insists on doing the curves in house. I don't understand why we are having problems when we weren't before and am hesitant to switch.

We are hoping to see another vet shortly but I was wondering if you guys had any thoughts. I am feeling very overwhelmed and defeated.
 
there are some people active on the Lantus forum, perhaps you should post your q there. has anything changed that might be affecting Lily? ie stress, infection, food... would it be possible to contact your old vet for their opinion?
sorry you're feeling overwhelmed. don't let a vet bully you, they don't know your fur baby as well as you do. hope you are able to get Lily regulated again :bighug:
cheers, dhana
 
Well, some of us are happy that Lantus and Levemir stay in the system more than 12 hours. It helps buffer their dosage over time, and it also means they are getting insulin absorption in a more regulated fashion.

It is not that unusual for nadir to occur at 11 or 12 hours. Heck, our Leo pretty much has that as his normal nadir (on Levemir).
 
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