? how do I give Lantus on lower pre shot numbers?

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by cataphraz, Mar 1, 2018.

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  1. cataphraz

    cataphraz Member

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    Feb 25, 2018
    Mookie's numbers started to come down and dropped drastically last night to 6.3mmol/L. In the past I followed a sliding scale given to me by the vets at the shelter where I got Mookie. I would give a 1/2 dose under 7.2mmol/L and no shot under 4.5mmol/L. Doing this, I was able to keep his numbers low (until I tried to decrease his insulin) but I was never able to achieve a consistent dose am and pm.

    Following tight regulation, it is suggested to give no shot under 8.3mmol/L. How do I keep the am and pm dosing consistent without risking hypoglycemia?
     
  2. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    bump
     
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  3. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Dec 31, 2009
    TR requires at least one mid cycle test for each cycle.

    The key to safely giving insulin at lower numbers is to first become “data ready”.
     
  4. cataphraz

    cataphraz Member

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    Feb 25, 2018
    Thank you for the link! How many days is a cycle? How often do you test on a testing day - every 2 hours, every 3 hours or every 4 hours? Do you test overnight if that's when the nadir usually happens?
     
  5. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Feb 14, 2011
    There are two 12-hour cycles per day; each cycle begins when you shoot. There should be one nadir per cycle, so two nadirs per day. Unfortunately, as others have said here, nadirs can be a moving target - some kitties nadir early in the cycle; others nadir late; others nadir any time they please on any given day!

    We always encourage at least 4 tests per day (every day) - a test before each shot to be sure it's safe to give insulin, and at least one test per 12-hour cycle. If the BGs are low or dropping, it maybe necessary to test more than that. Yep, if the numbers warrant it, testing happens overnight as well. A before-bed test is always recommended, and if necessary more testing during the night.
     
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  6. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Dec 31, 2009
    Every day is a testing day...

    I recommend you read this for important basic information on learning how your cat responds to insulin.

    ‘Know Thy Cat’
    It’s the cornerstone for success in safely treating FD.
     
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