will be new to lantus soon! yay! hello.

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IloveLarry

IloveLarry

Member Since 2014
hi every1. wanted to say hi. i am pam, and my sugarbaby is larry. we hope to join u soon :) we have been using humulin N, but r going to get to see the vet and switch to lantus.
wanted to share the excitement. i do not know exactly which day we will see the vet and get our lantus, but very excited. hope to meet new ppl, and make friends here!
have a great day. :)
 
Welcome! My sugarkitty is Sammy, who will be 15 in about a month. We are 4 + months into our FD journey, and are down to a drop of Levemir now (we were on Lantus to begin with, but it was too hard acting for her as her dose got very low, and would cause too many hard bounces).

This is a great group, and you will have fun here as well as receive tremendous support.

Linda
 
Welcome Pam and extra sweet Larry

I'm Mel and my sugarcats are Maxwell 15 years old OTJ 3+ years. Autumn 18 years old down to a drop of Levemir and Casey my foster boy of 8 years old and on .75 Levemir. The Fur Gang consists of 16 cats and a large drooler.

If you have any questions just ask.

Mel and The Fur Gang
 
Calculating the starting dose of Lantus:
Take the lower of his ideal weight or his current weight
In kilograms (pounds divided by 2.2)
Multiply by 0.25
Round down to nearest quarter unit (we eyeball 0.25 and 0.75 unit marks)

Test, feed, and shoot within 15 minutes.
Lantus is a depot insulin and can take 5 days on the initial dose to know how well it is working. After that, you can make a determination after 3 full days.
Test between +5 to +7 whenever possible, to see how low he's going. You want him to stay above 50 mg/dL.
Your 'no shot' number to start is 200 mg/dL. You can gradually move it down by 10 mg/dL each week that you have nadir numbers.
 
bj, what if i just say larry is around 14.2, or i think has gained to 16! since dx. big big boy. at any rate, we will find his current weight monday! yay!! and my guess is he needs to be at 11 lbs. huge frame on him.
based on being around 15 lbs now and 11 lbs ideally, can u calculate that math? lol i need a calculator. no good at decimals and fractions.
and ty......arienne!
 
Starting dose if current weight of 11 lb is ideal or is lower than ideal weight.
11 / 2.2 * 0.25 = 1.25 units to start.

Pre-test, food, and shot all within 15 minutes.
For 1st week, must be at or above 200 mg/dL to shoot.
 
nice, bj, thanks. in my head i had just imagined 1U. will be interesting to see what the vet says. i have seen so many cats go low, and hypo on it, i am happy to SLGS. hypo scares me! on fb they were talking abt how lantus burns going in. any comments on that? hopefully not true.
i cant wait til monday!
 
It does sting as it has an acidic base but most cats don't notice it at their small doses. My Autumn just isn't most cats she noticed which is why she was switched to Levemir which has a neutral base.

Mel and The Fur Gang
 
well, darnit. hopefully that is rare. larry is a huge scaredy for sure. hes afraid of everything, ad until abt 2 wks ago would sit straight up when the needle went in like he felt it. now he jst lays on the table, doesnt mind at all, so i will know if theres a difference.
just curious, why is lantus seemingly preferred to levemir? i notice most use lantus? i think.
 
oh, ok, bj.
if one wants to change the time back an hr. and larry is already 438 and shot not due for 2 and a half hrs, would it be ok to do things 1 hr early and then stay on that new scheduled time?
i dont remember the answer if someone has told me.
 
Edited to add: this is in regards to Lantus, as Venita notes in the next post. It can cause some issues in shorter acting insulins from a similar perspective - overlap - but tends to be less problematic.

Generally not.

If you do:
Shooting early is like a dose increase because there is more overlap.
Shooting late is like a dose decrease because there is less overlap.

And you better be prepared to stay up all night testing to make sure he doesn't go too low.

Usually, only change time 30 minutes total per day - either one 30 min jump or two 15 minute jumps, depending on how sensitive your cat is.

Be sure to make a note on your spreadsheet when you switched to Lantus (I see the blank row)
 
oh wow ok!
in the early stages, 1 night i did 2 hrs early or so bc he was high and i needed to get in bed early. good thing i asked.
yes when i switch, i will make it clear :)
 
IloveLarry said:
oh, ok, bj.
if one wants to change the time back an hr. and larry is already 438 and shot not due for 2 and a half hrs, would it be ok to do things 1 hr early and then stay on that new scheduled time?
i dont remember the answer if someone has told me.
Click to expand...

I think you might be asking this question in relation to the N that Larry is presently on. Some people will shoot N three times/day, or every 8 hours, because it is a short-lived insulin in a cat's body.

BJM wrote:

Generally not.

If you do:
Shooting early is like a dose increase because there is more overlap.
Shooting late is like a dose decrease because there is less overlap.

And you better be prepared to stay up all night testing to make sure he doesn't go too low.
Click to expand...

I am guessing (although I may be wrong) that BJM gave that guidance in relation to Lantus.

I don't see a problem with shooting N more frequently than every 12 hours if the cat's BG levels are high enough for a shot and you are around to observe and test. N is an "in-and-out" insulin and there is no overlap between shots.
 
Yes, my previous post was in regards to Lantus - thought you were there already. With N, frequently you can shoot what you see when you see it. Overlap issues are less likely, though not impossible.

Figure about 6 to 8 hours coverage from N. If you're at +6 and the cat is up in the 300s or higher, you can shoot ... just know you may need to do that again in another 6 hours, depending on the cat.
 
Hi Pam and sweet Larry and welcome! I'm Holly. My cat Max started on Lantus in December, so we're pretty new to it too. I've gotten lots of great advice and support from this forum, which I feel has made all the difference in the world in helping me keep Max healthy and safe. I think you'll like Lantus. Generally, it's longer lasting and more gentle, so hopefully over time you can keep the overall numbers lower.
 
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