I'm so glad we can be a glimmer of light at the end of a long, dark tunnel.

He was at 1 unit about a month and his sugar was still too high so they upped it to 2.
I just got the AlphaTrak and am going to look at a video on how to do it. I also bought a scale and I weighed him today and he's 6 lbs 9 oz. but at the vet the other day he was 6-11 but they're two different scales so I'll have to be sure to keep track of his weight on my scale and let the vet know the difference between the two.
As of right now he's only eating 1 can of m/d a day. It's Science Hills for diabetes.
In going through this webiste (
http://www.felinediabetes.com/pzi.htm), I learned that there is PZI bovine insulin which is specifically for pets. I'm not sure why the vet would put him on human insulin rather than pet insulin. I sent her an email but with it being the weekend, I don't expect to hear back from her until Monday.
As for testing, in your opinions, is it easiest to test from the ear or the pads?
Where can I get the spreadsheet you're referring to?
Just to clarify:
- He started at 1 u of Lantus. How long was he at that dose and was the dose increased to 2 u in one jump?
- It sounds like you're just now getting around to testing BG at home. Am I correct?
- He's eating only canned m/d food right now, no dry. Do you know whether the m/d is a low carb high protein food?
Here's where I'm coming from until I get more info. Others will chime in I'm sure and offer their take on it:
- If he was on 1 u of Lantus for several weeks and stayed in high BG numbers he might have built up some insulin resistance because of the toxic effect that excessive glucose has on cells.
- If his dose was increased by a whole unit from 1 u to 2 u you might have missed the good dose if it's somewhere in between. We generally recommend increasing in 0.25 u increments.
- If his BG is still high at a 2 u dose it can mean that the dose is too low OR it can mean it's too high. If it's too high the cat's body reacts by overcompensating and dumping more glucose into the blood. We call it "bouncing'.
- Testing BG at home is essential to track your kitty's progress. Otherwise, you're shooting insulin blind. The regimen we use here is to test AM and PM (no food at least 2 hours before hand) to see if the dose you're about to give is too high and test at least once between shots near the middle of the 12 hour interval to see how low the dose takes the BG. Extra testing can be done on days off.
- We have a spreadsheet here that we recommend you use for your BG data. It's viewable by all members so they can see what's going on before offering advice.
I'm glad you now have a pet meter. The AlphaTrak2 is a great meter but its strips are very expensive. For that reason most people use a human meter and the Lantus dosing "rules" are built on that foundation.