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 / Basaglar (glargine) and Levemir (detemir)' started by Chubba (GA), Mar 7, 2018.

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  1. Chubba (GA)

    Chubba (GA) Well-Known Member

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    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

    carfurby Well-Known Member

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    Feb 19, 2012
    Good luck with the Lev. tonight. I hope Gizmo slides down and surfs today.
     
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  3. MyTitan

    MyTitan Well-Known Member

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    Jul 20, 2017
    Paws crossed for a successful switch .
     
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  4. Bronx's dad

    Bronx's dad Well-Known Member

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    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
     
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  5. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

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    Good Luck with the Lev.
     
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  6. MJW

    MJW Well-Known Member

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

    Chubba (GA) Well-Known Member

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    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

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    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.
     
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  9. Chubba (GA)

    Chubba (GA) Well-Known Member

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    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

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    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

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    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.
     
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  12. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Paws crossed, nice and easy buddy
     
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  13. Bronx's dad

    Bronx's dad Well-Known Member

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    Nov 30, 2016
    Good luck with the switch, I hope Gizmo likes the Lev as much as Bronx does...
     
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  14. Wendy&Neko

    Wendy&Neko Well-Known Member

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    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.
     
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  15. LizzieInTexas

    LizzieInTexas Well-Known Member

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    Jul 25, 2016
    Good luck with the switch:bighug:! Go Gizmo :cat:
     
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  16. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Love the flatness so far. Neko's second cycle on Lev was all blue. I fell in love. :cool:
     
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  17. Stacy & Asia

    Stacy & Asia Well-Known Member

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    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:
     
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  18. Chubba (GA)

    Chubba (GA) Well-Known Member

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    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

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

    Chubba (GA) Well-Known Member

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

    Stacy & Asia Well-Known Member

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    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!
     
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  22. Chubba (GA)

    Chubba (GA) Well-Known Member

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    I completely agree. Hope everything goes well for your daughter tomorrow.
     
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  23. Chubba (GA)

    Chubba (GA) Well-Known Member

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

    Chubba (GA) Well-Known Member

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    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

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    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.
     
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  26. Chubba (GA)

    Chubba (GA) Well-Known Member

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    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

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    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.
     
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  28. Chubba (GA)

    Chubba (GA) Well-Known Member

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    Apr 30, 2017
    +6.5 = 88
    Gave some LC

    Hopefully he will surf now.
     
  29. Wendy&Neko

    Wendy&Neko Well-Known Member

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    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.
     
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