Hi Julia you can go to the Lantus Forum and read about the dosing methods.I checked both glossaries and did not see it listed. I don't think it stands for transcendental resuscitation. Thank you,
Julia

Hi Julia you can go to the Lantus Forum and read about the dosing methods.
I was looking at Peppers spreadsheet, I see you only test the pre shots, no testing after the AM shot or the PM shot.Testing afterwards will tell you how the lantus is working for Pepper.![]()
TR is Tight Regulation. I'm not sure exactly how it works but its about how and when you dose insulin.
Hey Julia, I think you might have me confused with someone else, I always tell members to always test during each cycle.Thank you so much, Diane. I only did what you suggested once a couple of days ago. I'm concerned that the insulin is losing its efficacy after having it for over 2 months. His numbers only went down by 6 points about an hour after his injection. Do you think I should wait longer than an hour next time? I hate to keep pricking him. I wonder if I should buy a new vial of insulin even though I have a lot left in the original. I'll look at the Lantus forum. Thanks again for your help.
Hey Julia, I think you might have me confused with someone else, I always tell members to always test during each cycle.
That's so we can see how the insulin is affecting Pepper.
You might not see a big drop after one hour because Lantus usually doesn't kick in until 2 hours later.
Your vial is probably still good
I would test him @+3 ( 3 hours after giving insulin)
Then @+6 depending what his numbers are when you test will tell you whether he's too low and how the insulin is working.
Whether you have to increase or decrease his dose
Other days you can scatter the tests say @+2
Then @+5 etc
So we can get a good picture of his BG
Do you have any numbers that you can fill in in his spreadsheet?
If not I would start to test during both cycles to see what his numbers are and enter them on his spreadsheet.
If you ever need any help with Pepper the members here would have to see his spreadsheet in order to give you any advice.
Are you using syringes with the half unit markings?
I know it must be overwhelming I still feel like that sometimes
Just keep asking questions.
Pepper is a very handsome boy
Hi Julia good job, what was his pre shot for today the AM one, its not filled inHi Diane,
I started testing after giving injections and can already see that the insulin doesn't seem to be doing anything to lower Pepper's BG. I will continue testing after injections. Thanks.
Hi Julia good job, what was his pre shot for today the AM one, its not filled in
Try to get one more test in before his PMPS test. He might be ready for an increase, I will take some more experienced members to see what they think ok.
You will have to monitor him more often in the beginning to see how its working, both AM and PM. Cats usually drop lower at night. Just make sure you put the pre shot numbers in
@Deb & Wink
@Wendy&Neko
@Bron and Sheba (GA)
@Sienne and Gabby (GA)
Thanks in advance ladies, I was thinking its time for Julia to increase Peppers lantus.
I was explaining to her #6 that she should be testing durning every cycle
What do you think about the increase
Hi Julia good job, what was his pre shot for today the AM one, its not filled in
Try to get one more test in before his PMPS test. He might be ready for an increase, I will take some more experienced members to see what they think ok.
You will have to monitor him more often in the beginning to see how its working, both AM and PM. Cats usually drop lower at night. Just make sure you put the pre shot numbers in
@Deb & Wink
@Wendy&Neko
@Bron and Sheba (GA)
@Sienne and Gabby (GA)
Thanks in advance ladies, I was thinking its time for Julia to increase Peppers lantus.
I was explaining to her #6 that she should be testing durning every cycle
What do you think about the increase
Hi Julia good job, what was his pre shot for today the AM one, its not filled in
Try to get one more test in before his PMPS test. He might be ready for an increase, I will take some more experienced members to see what they think ok.
You will have to monitor him more often in the beginning to see how its working, both AM and PM. Cats usually drop lower at night. Just make sure you put the pre shot numbers in
@Deb & Wink
@Wendy&Neko
@Bron and Sheba (GA)
@Sienne and Gabby (GA)
Thanks in advance ladies, I was thinking its time for Julia to increase Peppers lantus.
I was explaining to her #6 that she should be testing durning every cycle
What do you think about the increase
How old is the lantus. Are you using the vial or the pen?I can't thank you all enough for your suggestions and support. I don't know what happened to this morning's pre-shot reading. I took it, saw the little line on the reader indicating it had accepted the blood, and put it aside. Going through it later to document his BG on his spreadsheet, I realized the meter didn't record the number. I will check his BG again before giving his nightly injection. Regarding increasing his dose, could it be that the insulin is exhausted and I need to purchase a new bottle? Thanks again. I am truly grateful for your help.
Sorry, I forgot about the 'like' feature.How old is the lantus. Are you using the vial or the pen?
Some of the members I tagged for their advice should be on shortly
One thing after you read what we reply back with ,can you please just hit the word like just so we know you read it, Thanks Julia
And I'm using the vial.Sorry, I forgot about the 'like' feature.
I filled the Lantus Rx on 4/27.
Thanks again.
So you started using it on 4/27 it still should be good, do you see any white floaties in it, if not it should be good for about 4-5 months. You keep it in the fridge rightSorry, I forgot about the 'like' feature.
I filled the Lantus Rx on 4/27.
Thanks again.
I actually tested him late and am using that number for the pre test. I give him his shot between 9 and 10 pm. I can't be more consistent than that because of my work schedule. I work 9-5 on Sundays and 1:30-9:30 all other days. I feed him Fancy feast canned wet food with between 1 and 6 mgs of carbs. I do keep the Lantus in the refrigerator, and I don't see any white floats in it. I'll test him again before I go to bed tonight, at around 11:00.So you started using it on 4/27 it still should be good, do you see any white floaties in it, if not it should be good for about 4-5 months. You keep it in the fridge right
I see your last test , he hasn't moved much at all.
What time do you have to shoot his PM shot?
I forgot to ask what wet food are you feeding
OK you can be off 30 minutes with lantus, half hour early or half hour late that's per dayI actually tested him late and am using that number for the pre test. I give him his shot between 9 and 10 pm. I can't be more consistent than that because of my work schedule. I work 9-5 on Sundays and 1:30-9:30 all other days. I feed him Fancy feast canned wet food with between 1 and 6 mgs of carbs. I do keep the Lantus in the refrigerator, and I don't see any white floats in it. I'll test him again before I go to bed tonight, at around 11:00.
I will be off this coming Wednesday, Thurs, Fri and Sat. and could do the every two hour testing on those days.OK you can be off 30 minutes with lantus, half hour early or half hour late that's per day
The Fancy Feast Classics are good
I don't want to tell you to increase his dose right yet until some other members reply back., only because would want you to test him at least a couple of times if you increased just to make sure he's safe
Usually we would want you to do a curve test once
You take his morning test ,feed , then shoot
Then you would test him every 2 hours for 12 hours
You would test @+2 from the time you injected the insulin to see how the insulin is working and where would his lowest BG fall
If you can't do it , then test as much as you can so we can get an idea
Someone still might answer tonight about whether or not to increase his dose yet, so keep checking in this ok
What time is it where you live now I just googled it , same time as me 9:42
Just fill in the pre shot number on the SS
That will be great, then if you go ahead and increase you can monitor Pepper to see how he's doing, don't forget to fill in the units you gave tonight. I'm going to tag @Deb & Wink again about the increaseI will be off this coming Wednesday, Thurs, Fri and Sat. and could do the every two hour testing on those days.
@Deb & Wink thanks so much I will make sure Julia see's this. What a night huh?Curve on one day, not every day that Julia is off.
Need to see a few more mid-cycle tests, before we know if those yellows that Pepper got today, 7/11/20 were part of a bounce or were because the dose is not high enough.
Yes, I see the 1U has been since 5/15/20. But both SLGS and TR dose lantus based on the nadir. We have very few nadirs to go on, for a dose change.
I don't think the insulin is bad. Sounds like Julia has been storing it properly.


Would the times he's eating matter? I feed him whenever he requests a meal, including overnight when he wakes me up or I'd never get any sleep. The vet had originally instructed me to only feed Pepper once every 12 hours before each dose but I became sleep deprived as Pepper kept me up all night long. Someone here advised that I don't have to follow such a strict feeding regimen and that I could feed Pepper whenever he is hungry.Curve on one day, not every day that Julia is off.
Need to see a few more mid-cycle tests, before we know if those yellows that Pepper got today, 7/11/20 were part of a bounce or were because the dose is not high enough.
Yes, I see the 1U has been since 5/15/20. But both SLGS and TR dose lantus based on the nadir. We have very few nadirs to go on, for a dose change.
I don't think the insulin is bad. Sounds like Julia has been storing it properly.
Thank you so much for your support.Curve on one day, not every day that Julia is off.
Need to see a few more mid-cycle tests, before we know if those yellows that Pepper got today, 7/11/20 were part of a bounce or were because the dose is not high enough.
Yes, I see the 1U has been since 5/15/20. But both SLGS and TR dose lantus based on the nadir. We have very few nadirs to go on, for a dose change.
I don't think the insulin is bad. Sounds like Julia has been storing it properly.
Thank you Deb, I bookmarked for myself

The morning is the most difficult time. He wakes me up before dawn and won't stop meowing until I feed him. I'll try to withstand it. Can I give him a tablespoon of chicken breast to tide him over until 9? I just tested and he's down to 267.Julia what ever day you do the curve you can feed him low carb food when ever you want.Ya know just don't let him pig out lol
Just don't feed 2 hours before his AM pre shot. You can add in the remarks column on the spreadsheet what times you fed him
Example @+3 FF Pate
Thank you Diane. Have a good night, and thanks again for your help.Learn how YOUR kitty is responding to insulin:
- Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
- Peak/Nadir - the lowest point in the cycle
- Duration - the length of time insulin continues to lower blood glucose
Just in case Julia I wanted to add this
Deb gave a link for Lantus in #29 you can read about it
Tyler does the same thing to me, he will meow and meow, then starts to knock things over, jumps up on an end table and trys to knock the lamp off, they are relentless!The morning is the most difficult time. He wakes me up before dawn and won't stop meowing until I feed him. I'll try to withstand it. Can I give him a tablespoon of chicken breast to tide him over until 9? I just tested and he's down to 267.
Thanks again. Have a good night, all.
Thank you Diane!Tyler does the same thing to me, he will meow and meow, then starts to knock things over, jumps up on an end table and trys to knock the lamp off, they are relentless!
You can give him a little something just not 2 hours before 9:00 Am
Give him it around 6:30 AM
You will test, feed , then shoot at 9:00 AM when you do the curve
Then your first test will be at 11:00 AM
Then1:00 PM
3:00 PM
5:00 PM
7:00PM
9:00PM Which would be his PMPS pre- shot
Good night Julia have a good day tomorrow

Hi Julia, I'm going to tag a few members to see if you have enough data to determine if an increase is needed,Hi Diane,
I checked Pepper's BG throughout the day today, but had to run out a couple of times so it wasn't exactly every two hours. I'm wondering if I need to do it again tomorrow. Here are the times I checked his numbers today:
10:07am (pre-shot)
12:08pm
2:07pm
4:41pm
7:36pm
9:58pm (pre-shot)
What do you think? His numbers were higher today than they've been since I started checking. Could the stress of me pricking his ear make his BG go up? He doesn't seem freaked out when I do it, but he doesn't love it.
I hope you are well.
Thanks so much Deb, truly appreciate itPepper. Curve. Dose change.
Tests every 2-3 hours, that is close to a curve, Julia to give us an idea of what is happening. Life happens, and you have to grocery shop, do the laundry, go to work, pick up the kids, get dinner ready and all those other life responsibilities.
Yes, I think that Pepper does need a dose increase. So the dose increases that we recommend are usually 0.25U and sometimes 0.5U.
For now, I think you can safely increase Pepper's insulin dose to 1.25U. Start that increase on the next cycle, if you would please.
A little bribe can go a long way, to your kitty's heart and soul and get them to accept the test better. Doesn't have to be food. Could be brushing, or pets, or playtime or something else you cat loves to do.
A few random tests, when you work schedule allows are always helpful. Think of the pre-shot tests as the bookends. But what is between those bookends? That is what some of those other tests that Diane has mentioned will help you find out. The nadir, the onset, the duration. Those are the books, between the bookends that we want to be able to read. Change it up on the testing times, when possible. Doesn't have to be the same time every day. The nadir can move around a bit.
p.s. @Diane Tyler's Mom Haven't crashed yet, but I'm getting very close to calling it more than a full day.My eyes are starting to slowly slide down and need to listen to and obey that sleep urge.
![]()
Thank you so much, Diane.Hi Julia, I'm going to tag a few members to see if you have enough data to determine if an increase is needed,
I know you said that you work 9-5 on Sundays and 1:30-9:30 all other days.
You have Thurs, Fri Sat and Sun, please get some tests in during the night cycle since you have off and when you go back to work due what ever you can when you get home so we have more data.
I'm going to tag @Deb & Wink since I see she also commented here.
She may have gotten off already , if she did I'm sure she will respond tomorrow
I don't think his BG went up because of stress pricking his ears
@Deb & Wink
Hey Deb can you please look at #21 we were discussing if Pepper needed an increase.
Julia did the curve today and put the numbers on her SS
Julia when exactly do you give Pepper his shots
What do you think
Thank you Deb
Pepper. Curve. Dose change.
Tests every 2-3 hours, that is close to a curve, Julia to give us an idea of what is happening. Life happens, and you have to grocery shop, do the laundry, go to work, pick up the kids, get dinner ready and all those other life responsibilities.
Yes, I think that Pepper does need a dose increase. So the dose increases that we recommend are usually 0.25U and sometimes 0.5U.
For now, I think you can safely increase Pepper's insulin dose to 1.25U. Start that increase on the next cycle, if you would please.
A little bribe can go a long way, to your kitty's heart and soul and get them to accept the test better. Doesn't have to be food. Could be brushing, or pets, or playtime or something else you cat loves to do.
A few random tests, when you work schedule allows are always helpful. Think of the pre-shot tests as the bookends. But what is between those bookends? That is what some of those other tests that Diane has mentioned will help you find out. The nadir, the onset, the duration. Those are the books, between the bookends that we want to be able to read. Change it up on the testing times, when possible. Doesn't have to be the same time every day. The nadir can move around a bit.
p.s. @Diane Tyler's Mom Haven't crashed yet, but I'm getting very close to calling it more than a full day.My eyes are starting to slowly slide down and need to listen to and obey that sleep urge.
![]()
Hi Julia, I'm going to tag a few members to see if you have enough data to determine if an increase is needed,
I know you said that you work 9-5 on Sundays and 1:30-9:30 all other days.
You have Thurs, Fri Sat and Sun, please get some tests in during the night cycle since you have off and when you go back to work due what ever you can when you get home so we have more data.
I'm going to tag @Deb & Wink since I see she also commented here.
She may have gotten off already , if she did I'm sure she will respond tomorrow
I don't think his BG went up because of stress pricking his ears
@Deb & Wink
Hey Deb can you please look at #21 we were discussing if Pepper needed an increase.
Julia did the curve today and put the numbers on her SS
Julia when exactly do you give Pepper his shots
What do you think
Thank you Deb
Thank you, Deb. I really appreciate your support and advice. Because of my work schedule, I have been giving Pepper his insulin at 8:30am and 9pm on Sundays and 10am and 10pm all other days. I hope this is ok. Can you please tell me what BG numbers I'm looking for? And I will go to the glossary to find out what nadir means. Thank you again. Have a good sleep. Julia ps/ I will start giving 1.25 units tomorrow morning.