3-7 Gizmo PMPS (+13)=117; +2.5=109; +4=66; +4.5=70; +5=77; +6=68; +6.5=88; +8=99 Shot Lev tonight

Discussion in 'Lantus / Levemir / Biosimilars' started by Chubba (GA), Mar 7, 2018.

Thread Status:
Not open for further replies.
  1. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    Yesterday

    I gave 4 units of lantus this morning ... starting Lev tonight. Thinking 2.5 or 3 units? I’m pretty sure based on Gizmo’s numbers, all the air bubbles in the syringe, and it felt strange when injecting that he didn’t really get 4 units of lantus last night. Of course it could also be that now that he is eating better, 4 units isn’t enough. I guess I’ll see what he does on the 4 unit dose today and decide tonight’s starting dose from there.
     
  2. carfurby (GA)

    carfurby (GA) Well-Known Member

    Joined:
    Feb 19, 2012
    Good luck with the Lev. tonight. I hope Gizmo slides down and surfs today.
     
    Chubba (GA) likes this.
  3. MyTitan (GA)

    MyTitan (GA) Well-Known Member

    Joined:
    Jul 20, 2017
    Paws crossed for a successful switch .
     
    Chubba (GA) likes this.
  4. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

    Joined:
    Nov 30, 2016
    I think 3 will be fine as long as you can monitor closely for the 1st few cycles. And you can fast track back up quicker than the TR 6-cycle protocol if needed
     
    Chubba (GA) likes this.
  5. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

    Joined:
    Jun 17, 2017
    Good Luck with the Lev.
     
    Chubba (GA) likes this.
  6. MJW

    MJW Well-Known Member

    Joined:
    Mar 29, 2017
    Great to see Gizmo is eating better. I hope your acro theory pans out.
     
    Chubba (GA) likes this.
  7. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    Got a +11 =75 on 4 units

    I’m thinking start at 2.5 units lev tonight. Shot will be about an hour late. Had to leave. Went ahead and fed some LC just now.

    @Wendy&Neko
     
  8. Doodles & Karen

    Doodles & Karen Well-Known Member

    Joined:
    Jun 2, 2015
    2.5 or 2.75 is a good idea on the starting dose of Lev. Remember under 5u increases and decreases are done in .25u increments. 70% of 4u Lantus is 2.75 but having a buffer with 2.5 isn’t a bad idea with his appy being iffy and cabergolin in the mix.
     
    Chubba (GA) likes this.
  9. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    +13 = 99 (food influenced for 25 more minutes)

    Worried to shot Levemir. Is anyone going to be around to help if needed tonight? He’s been so unpredictable lately, I’m just worried about what might happen.
     
  10. Doodles & Karen

    Doodles & Karen Well-Known Member

    Joined:
    Jun 2, 2015
    How’s his appy? I assume you have all the tools, hc, strips etc? I can check in tonight for a bit. If you’re tired or stressed it’s ok to skip IMHO and start in the morning. ETA some have a marked response and some don’t.
     
  11. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    He’s eating again. Did another check when food wore off and he went up to 117. Just shot 2.5 units. Fingers crossed for a successful night.
     
  12. Doodles & Karen

    Doodles & Karen Well-Known Member

    Joined:
    Jun 2, 2015
    Paws crossed, nice and easy buddy
     
    Chubba (GA) likes this.
  13. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

    Joined:
    Nov 30, 2016
    Good luck with the switch, I hope Gizmo likes the Lev as much as Bronx does...
     
    Chubba (GA) likes this.
  14. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    I am on the west coast up for probably 5.5 hours. The Lantus depot will be most of what you see this cycle.

    Love the Lev Gizmo.
     
    Chubba (GA) likes this.
  15. LizzieInTexas

    LizzieInTexas Well-Known Member

    Joined:
    Jul 25, 2016
    Good luck with the switch:bighug:! Go Gizmo :cat:
     
    Chubba (GA) likes this.
  16. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Love the flatness so far. Neko's second cycle on Lev was all blue. I fell in love. :cool:
     
    Chubba (GA) and Stacy & Asia like this.
  17. Stacy & Asia

    Stacy & Asia Well-Known Member

    Joined:
    Oct 2, 2017
    Looks like I'll be up with you, and we have the same shot time as well. Excited to see the Lev experience unfold! :cat:
     
    Chubba (GA) likes this.
  18. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    +4 = 66

    Here we go again ... and I was just ready to head to bed for a few hours until +6. :banghead:

    2tsp MC given
     
  19. Stacy & Asia

    Stacy & Asia Well-Known Member

    Joined:
    Oct 2, 2017
    Slow it down, Gizmo!:eek: Hope he comes up a bit for you so you can get a nap!
     
    Chubba (GA) likes this.
  20. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    Me too ... I just remembered that I have an 8:45 meeting in the morning. :(
     
  21. Stacy & Asia

    Stacy & Asia Well-Known Member

    Joined:
    Oct 2, 2017
    I have to leave early too for an appointment for my daughter. They always seem to know when we need to sleep and pick those times for funny business. :rolleyes: A very cat thing to do, if you ask me!
     
    Chubba (GA) likes this.
  22. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    I completely agree. Hope everything goes well for your daughter tomorrow.
     
    Stacy & Asia likes this.
  23. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    +4.5 = 70
    Gave another tsp MC
     
  24. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    +5 = 77

    Do I take a reduction in the morning? Not sure with the switching of insulin.
     
  25. Stacy & Asia

    Stacy & Asia Well-Known Member

    Joined:
    Oct 2, 2017
    That's a tough call since you have both insulins still in the mix, but you can always go back up in dose if the reduction doesn't work out, what you can't do is take away too much insulin. My two cents is to play it safe, especially with all of Gizmo's recent super reduction wackiness.
     
    Chubba (GA) likes this.
  26. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    +6 = 68
    Gave another 2tsp MC

    I have no idea when his nadir will be. :(
     
  27. Stacy & Asia

    Stacy & Asia Well-Known Member

    Joined:
    Oct 2, 2017
    ECID so I have no idea if this will apply to you or not since cats like to foil us when we apply a formula, but Asia had a pm nadir at around +5 on Lantus, her onset was often right away (until she started eating like a pig). Nadir with Lev is around +8 and onset is about +2.5, so I feel like the difference in onset pushed the nadir out by that amount, her new nadir is roughly 2.5 hours later than it was for Lantus.
     
    Chubba (GA) likes this.
  28. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    +6.5 = 88
    Gave some LC

    Hopefully he will surf now.
     
  29. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    I'd see where he is in the morning. The higher Lantus depot is in play, maybe even some influence from the 6 unit shot 5 cycles ago. Plus you could be seeing the "some cats have a strong reaction to the switch" effect. Typically the strong reaction is just an initial reaction. If you consider this a reduction from the 4.0 Lantus depot, that would be 3.75 units of Lantus. 70% of that is 2.6 units of Lev. I think I'd decide to reduce in the morning or not based on ability to monitor and whether he drops any more tonight.

    Neko's Lev onset was a couple hours later than her Lantus one. Typical nadir was 2-3 hours later. She moved her nadir around a lot so it was seldom at the same time each cycle.
     
    Chubba (GA) likes this.
Thread Status:
Not open for further replies.

Share This Page