24March2020/Maxi/AMPS417/ NEED HELP with Lantus Increase + R

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by bambinaki, Mar 25, 2020.

  1. bambinaki

    bambinaki Member

    Joined:
    Jan 22, 2010
    Last thread: http://www.felinediabetes.com/FDMB/...cing-humulin-r-questions.227464/#post-2547857

    Hello-

    I have introduced R into Maxi's treatment. It doesn't seem to be doing the trick and I guess the dose should be increased.

    With the introduction of R, I didn't increase his Lantus after 6 cycles, even though I should have this AM per the TR protocol.
    He's in his 7th cycle of the 5 unit dose right now.

    I should increase his Lantus dose this PM.

    I need help, please.

    Thank you

    @Wendy&Neko @Sandy and Black Kitty
     
    Sonia & Leo likes this.
  2. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Go ahead and increase the Lantus to 5.5 units tonight. That will mean no R tonight. We try to avoid giving R on the same cycle as the L increase, in case there is a strong reaction to the increase.

    Let me chat with Sandy and see what she thinks about the R dose for tomorrow, based on what you've seen to date. Since this is the first 0.5 R cycle during the day, get a test in the +6 to +8 range, so we can see if there is any impact on the Lantus cycle later on.
     
  3. bambinaki

    bambinaki Member

    Joined:
    Jan 22, 2010

    Understood.
    Will do.
    Maxi is on test overload. Please let me know the minimum test schedule that must be done this PM with the Lantus increase.
    Thank you!
     
    Last edited: Mar 25, 2020
  4. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Ugh, sorry about the bucketload of pink. :( Good luck with the L increase tonight. Since you aren't doing R tonight, you could probably get a +3 or +4 and decide from there if you need more tests.

    Sandy and I were thinking trying 0.75 units R tomorrow morning, if over 300. And you can probably stop the +1 R tests, as he doesn't seem to be doing anything until +2.
     
  5. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

    Joined:
    Nov 30, 2016
    Good luck with R Karen. It was the catalyst that got Bronx out of the reds & pinks and a great addition to your toolbox. You can see on Bronx's 2017 spreadsheet how R helped so much.
     
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  6. bambinaki

    bambinaki Member

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    Jan 22, 2010
    OK.

    Thanks a lot!
     
  7. bambinaki

    bambinaki Member

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    Jan 22, 2010
    Thank you, Bronx's dad.

    I previously looked through some of your posts having seen Bronx had acromegaly. He was a very beautiful boy. I like his name. (My dad grew up in the Bronx.) I hope you're ok up there in NJ.
     
  8. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Nov 30, 2016
    Thanks Karen. He got his name because that's where I found him as a kitten. He hitched a ride up on top of the spare tire underneath my work van. He was my bud :)
     
  9. bambinaki

    bambinaki Member

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    Jan 22, 2010
    What an adventurous beginning to his life with you!
     
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  10. bambinaki

    bambinaki Member

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    Jan 22, 2010
    OK, when I *really* didn't need something else to worry about (or something more to bother you with), I have given my first (and hopefully last) flippin' fur shot. I can't say how much I got in him but I know quite a bit did not get in. I'll look around for what to do. I think I remember reading to do nothing but wait until the next dose time. But since I now have R, I was thinking maybe I should use that. @Wendy&Neko @Sandy and Black Kitty ?
     
    Last edited: Mar 25, 2020
  11. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Nov 30, 2016
    I would say yes to some R only if you can do some tests throughout the night.
     
  12. bambinaki

    bambinaki Member

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    Jan 22, 2010
    I can do tests tonight
     
  13. bambinaki

    bambinaki Member

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    Jan 22, 2010
    EDIT: I have found that I should not re-shoot, so I won't, FYI. However I would like guidance on giving R now. Where are my gurus @Wendy&Neko and @Sandy and Black Kitty ?
     
  14. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

    Joined:
    Dec 31, 2009
    Go ahead and shoot. .75u R
     
  15. bambinaki

    bambinaki Member

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    Jan 22, 2010

    Hi Sandy!

    OK, I will. Thank you! What about testing? How often / When?
     
    Last edited: Mar 25, 2020
  16. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Dec 31, 2009
    Grab an R+1 and we’ll take it from there.
     
  17. bambinaki

    bambinaki Member

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    Jan 22, 2010
    OK

    Thanks
     
  18. Judy and Freckles

    Judy and Freckles Well-Known Member

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    Oct 20, 2019
    Was Maxi squirmy and that caused the FS?
     
  19. bambinaki

    bambinaki Member

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    Jan 22, 2010
    Yes.
    He pulled away. He's started doing that. I think the Lantus hurts :-(
     
  20. bambinaki

    bambinaki Member

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    Jan 22, 2010

    +1: 343
     
  21. Judy and Freckles

    Judy and Freckles Well-Known Member

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    Oct 20, 2019
    Freckles was squirmy the odd time. With Levemir, she doesn't move at all. You've got enough new things going on right now, but something to put on the shelf for now.
     
  22. bambinaki

    bambinaki Member

    Joined:
    Jan 22, 2010
    I just started a new pen of Lantus, and 5 more just arrived in the mail $$$ but I do want to get Levemir because I don't want to hurt Maxi.
     
    Judy and Freckles likes this.
  23. bambinaki

    bambinaki Member

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    Jan 22, 2010
    +2.5: 319
     
  24. bambinaki

    bambinaki Member

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    Jan 22, 2010
  25. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

    Joined:
    Dec 31, 2009
    Interesting :cool:
    Yes his AM Lantus shot should be 5.5u.
    Although it will be the first cycle of an increase in this case you may need some R for damage control while the depot rebuilds.
     
  26. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

    Joined:
    Dec 31, 2009
    Grab a +5 or +6 to see where he goes from here.

    If AMPS is 350 or above you can give .75u R along with 5.5u L. If between 300 and 350 you can give .5u R
    In either case get a +2.
     

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