911 2/4 Rocky BG 43 Any advise????

Discussion in 'Lantus / Levemir / Biosimilars' started by Karen Mulholland, Feb 4, 2018.

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  1. Karen Mulholland

    Karen Mulholland Member

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    Dec 26, 2017
    AMPS was 267 gave .25 units +4 70, + 6 44 I have given some HC FF am I doing something wrong with the dosing?
     
  2. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    Please test again in 30 minutes to make sure he is not going lower.
     
  3. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    Lantus dosing isn't based on the Pre-shot numbers and you need to hold each dose for at least 6 cycles before making any changes (unless they drop below 50)

    Since you skipped the PM shot on 2/2, that "cycle clock" should have started over on 2/3's AM cycle.

    You need to drop back down to .1 (which you earned anyway by dropping below 50) and hold that dose for at least 8-10 cycles

    INCREASING THE DOSE:
    • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
      • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
      • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
    • After 3 days (6 consecutive cycles)... if nadirs are greater than 200, but less than 300 increase the dose by 0.25 unit.
    • After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit.
     
  4. Karen Mulholland

    Karen Mulholland Member

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    Dec 26, 2017
    65 thank God!! That's with HC food. I will continue to test. Thanks
     
  5. Karen Mulholland

    Karen Mulholland Member

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    Dec 26, 2017
     
  6. Karen Mulholland

    Karen Mulholland Member

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    Dec 26, 2017
    Thank you Chris. I will do as advised.
     
  7. Karen Mulholland

    Karen Mulholland Member

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    Dec 26, 2017
    So the dose is based on the Nadir of the previous cycle?
     
  8. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    Yes, you look at the nadir of the previous cycle. Unless he drops below 50, you hold the dose for 3 days (6 cycles) before making any changes.

    I'm glad Rocky came up for you today.
     
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