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  1. piri

    piri Member

    Joined:
    Apr 4, 2016
    Hallo, my cat's name is satina.
    She has diabethis since december.
    she is actually taking caninsulin 2 units twice a day.
    Vet said to increase the dose.
    but it was to high.
    Another vet to change to lantus,
    But I am afraid to start lantus, afraid of hypoglicemia,
    and to stress her again,
    she is already stressed.
    don't know how to start. her weight is 4,2 kilos
    she is 13 years old
    she is taking 2 units twice a day of caninsulin
    any suggestion?

    i am making her fluids, with stimufloss,
    i live in italy, if you have any suggestion for the b vitamin supplement.


    do you think lantus would be better?
    thank you all
     
  2. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Welcome. Can you give us a little more information? How old is your cat? Does she have any other health issues? You mention fluids and b vitamins so I wonder if she has kidney disease. What are you feeding, canned or dry food? Are you testing her glucose at home and if so using a human or pet meter? All this makes a difference in what choices you have.

    That being said, many cats go into remission if eating canned food and on lantus.
     
  3. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Are you testing Satins's blood sugars at home? Testing yourself will help you make sure you are on a good dose. My Neko started on Caninsulin and was much happier on Lantus. If you are home testing, you are less likely to have symptomatic hypos on Lantus. It's a much gentler insulin.
     
  4. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Hi there Piri

    Welcome:bighug::bighug::bighug:

    If you could give us a little more info as Elise said it would help, if you have any numbers for her Blood glucose level, how have you been getting on with the home testing, getting blood from the ear gets easier after a while. Are you warming the ear before you test?
    here is your post from welcome to the group
    http://www.felinediabetes.com/FDMB/threads/satina.155659/
    and your other post on feline health
    http://www.felinediabetes.com/FDMB/threads/satina.155660/

    Just wanted to ask, you are making food for Satina at home due to her problems with her not tolerating foods, are you adding nutritional supplements to Satinas food?? Just asking because of the problems she is having with her legs. Usually fish or meat on it's own won't have all the nutrients to keep Satina healthy, I don't make food for George, perhaps some of those that do will explain better.

    Just a little patience and we will get there:bighug::bighug::bighug:
     
  5. piri

    piri Member

    Joined:
    Apr 4, 2016
    she is sati, 13 years old.
    diabethis since december.
    started caninsulin in january
    3 units twice a day.
    bad glucose curve, 560,502,303,37,43,50
    so we gave her 1,5 units twice a day,
    505,343,429,436,466
    then 2 units twice a day
    500,456,361,358,444.
    one vet suggested to increase the dose,
    but after a day in which it was nearly good
    7.53 393
    12.50 191
    5 p. 323
    the day after was this
    8.00 415
    2 pm 133
    8 pm 152
    ONE VET TOLD ME IT IS NOT GOOD THIS CURVE
    ANOTHER TELLS ME IT IS GOOD!!!!!
    what do you think???
    thank you
     
  6. piri

    piri Member

    Joined:
    Apr 4, 2016
    i am using a human meter.
    it is not easy to catch the blood drop.
     
  7. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Most of the people here use a common spreadsheet template to record our blood glucose values. Here are the instructions on how to set it up. It helps us help you if the numbers are in a spreadsheet.
     
  8. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Hi Piri
    If you are having problems with the spreadsheet instructions that Wendy gave you the link to just let us know, someone can help you with that.

    If you can get all the blood glucose numbers onto the spread sheet it will really help, at them moment it is just a bit confusing to everyone looking at the numbers you wrote in your post. So it's difficult to help, and we would love to help you with Satina and her diabetes:bighug::bighug::bighug:

    eta
    amps is the morning BG just before you give insulin
    pmps is the evening BG just before you give insulin
    amps and pmps are 12 hours apart
    +1 would be one hour after insulin
    +2 would be 2 hours after insulin and so on.

    so if you give insulin at 8.00 then +1 would be 9.00am +5 would be 12.00 +7 would be 14.00 and so on.
     
    Last edited: Apr 14, 2016
  9. piri

    piri Member

    Joined:
    Apr 4, 2016
    dears, i went to the vet.
    he said caninsulin is not good.
    her average in 4 months is 400 of glicemia.
    she said to start one unit once a day,
    for 15 days, then to measure fructosamine,
    or to measure the urines at home before,
    if still high to increase, one unit twice a day every 12 hours.
    please, what do you think?
    thanks
    she is not good at all
     
  10. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Hi Piri,
    moving over to Lantus may be a good idea for Satina, it certainly a good insulin for cats, a lot of cats achieve good control on this insulin. From what you have written it looks like your vet is suggesting testing urine and doing a fructosamine in 15 days, and not doing blood tests at home.

    If you want some help with dosing from the forum, please, please, get the spread sheet set up. Put the numbers that you have been getting with caninsulin on it.
    Have you decided or has your vet said how you are going to go about dosing?

    Measuring urines at home is not a good indicator of BG levels, and trying to dose insulin by the urine results is not safe, all that will really tell you is if she is over or under the renal threshold a few hours ago, not where your cat's BG actually is at that point in time. I think you said you were home testing but not getting much blood with a glucometer, I would continue using that, at first you might not get much blood, but with time new blood vessels form and it will get easier. If you blood test regularly at home you will not need to do a fructosamine, you will know how well regulated your cat is, so you can save the money for other things;)

    1u might not be a bad dose, but please test her BG before giving.
    If you could read the stickies on the two protocols that we follow on the forum
    Tight Regulation Protocol based on a veterinary study(TR) (must be on an all wet food diet to follow this)
    Start Low Go Slow based on the wealth of experience of this board(SLGS) (if you can't test much, cat is eating dry food or are worried about making the faster changes of TR)
    Ask questions if you are not sure of anything.

    I wouldn't recommend doing 1u for 2 weeks, especially if your vet is suggesting you don't do blood tests at home, you need to be reassessing the dose either every 3 days (TR ) or weekly (SLGS) if 1u keeps Satina in high numbers then glucose toxicity can set in (cat gets used to higher glucose levels and becomes harder to regulate) and it can become much harder to get her regulated, ie you will require more and more insulin. Equally it may take her too low, so you may need to adjust the dose downward, the advice of 1u for two weeks is crazy, dosing is a moving target and you need to keep up with it in order to get your kitty into good numbers and keep her safe.

    None of us shoot insulin without home testing for glucose, think about it, would a mother give her baby an insulin shot without first checking the baby's BG, to make sure it is safe to give the insulin?? I think not.

    Please have a go at getting Statinas numbers on a spreadsheet, how much she weighs, I think you said she is on a home cooked diet (is it low carb?), tell us what you think about the protocols and which one is a better fit for your situation and then we can better tell you whether the dose that your vet is suggesting is a reasonable one.

    What you are asking hasn't got a simple answer there are a lot of factors to take into consideration. Lantus is a good insulin a lot of cats do well on it but it requires careful monitoring and sensible dose adjustments to get a good result, the experience of this board is that vets as a general rule are not familiar enough with the dosing protocol, and so their patients can run into problems.

    When George was diagnosed 5 months ago, I followed the dosing advise from this site, (not my vets, she was much more conservative), and we have had very good experience, I value the opinions of the folk on this site tremendously.

    :):):)

    Look forward to seeing satina's spreadsheet;););)
     
  11. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    If you are having difficulty getting blood, try warming her ear a bit before, here's a link with tips on testing
     
  12. piri

    piri Member

    Joined:
    Apr 4, 2016
    ok, thank you really very much.
    First I don't know where to find the spread sheet set up.
    I would start tomorrow,
    BUT i have only one card for glucose measure...
    I'll order tomorrow, but I think I can have it saturday,
    but really I would start tomorrow.
    I cook for her, she has no carbo in her diet, apart rarely when i give some fish which has a bit of rice,
    wet food.
    as i told you she is intolerant to almost everything.
    I agree, 1 unit once a day to me is not enough.
    if i start 1 unit twice a day would i risk hypo?
    I work and i will be at home at lunch and at dinner tomorrow and saturday.
    Second, the vet said that stimufloss, which is a liquid with Vit B components i should do
    only twice a week not every day.
    while others fluid is good every day.
    do you agree?
    she said that if she doesn't respond well it will start a deadly process...
    she has described it to me...
    too much...
    (she is the love of my life, may be it seems crazy, but she really is)
    i thank you
     
  13. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
  14. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

    Joined:
    Feb 17, 2011
    I see that you are getting some great help on the Main Health board and are going to switch to Lantus. I think you'll be happy with it, and I agree with the comments that some have made that you need to give it every 12 hours, not once a day.

    If you have questions about using the Lantus, just let us know. Everyone here uses either Lantus or Levemir, which are both depot insulins. We have another member in Italy who might be able to help you. @Delia I'll send her a message too.

    You said you're having trouble getting enough blood for the test. It takes about 2 weeks for more capillaries to grow in her ears. After that you will likely get blood all the time.

    Don't lose hope. Diabetes is a very treatable disease!
     
  15. Delia

    Delia Member

    Joined:
    Dec 14, 2014
    I can't read now all the conversation (I'm at work), sorry. I will read as soon as I can.
     
  16. Delia

    Delia Member

    Joined:
    Dec 14, 2014
    Hi Piri, I'm Delia, I'm from Italy and I have a diabetic cat named Cleo from more than a year.
    I'm so grateful to these great people here, because they gave me help and support from the first day. They gave very very good advise.
    So listen to what they suggest you and ask me what you want about everything, even with an italian pm. Some products are not available in Italy, but I learned some good alternatives.

    Listen to Julie, don't lose hope!
     
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  17. piri

    piri Member

    Joined:
    Apr 4, 2016
    dears, ok,
    thank you delia, thank you all
    when i start lantus I'll update you,
    i had to wait to have the glucose cards.
    and then in these days i worked, i didn't feel safe to start
    really thank you
     
  18. piri

    piri Member

    Joined:
    Apr 4, 2016
    well, this morning she was 297 glucose, not so high as usual, but I have decided to start with lantus anyhow.
    One unit.
    I have glucose cards, I'll measure the glucose today, after 3, 9 and pre shot.
    I 'll do 50/60 ml of fluids.
    I'll ask you about supplements for sure, I would love a gentle supplements, since she is old sweet baby and i wouldn't to stress her kidneys.
    I'll tell you after the curve.
    thank you all
     
  19. piri

    piri Member

    Joined:
    Apr 4, 2016
    tried to complete the spreadsheet...something went wrong.
    but, since 2 days she is under lantus, 1+1 unit
    anyhow, if my spreadsheet hasn't been completed correctly, which I suppose,
    here some data.
    STARTED 17.04
    MORNING SHE WAS 295 AFTER CANINSULIN NIGHT BEFORE 2 UNITS
    I GAVE LANTUS 1 UNIT
    +2 395
    +7 406
    +9 399 plus 50 ml fluids
    +11 358

    18.04.2016
    MORNING
    403
    +6 470 plus 50 ml fluids
    +10 461

    not so good..
    what can i do?
     
  20. piri

    piri Member

    Joined:
    Apr 4, 2016
    i'm sorry, I have tried again, it doesn't work.
    can you help me by the data I have given you please?
     
  21. piri

    piri Member

    Joined:
    Apr 4, 2016
    SORRY, I AM GIVING 1+1 UNITS OF LANTUS
     
  22. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Hi Piri,

    Lantus is a depot insulin, so it can take up to 3 days to see the effect of the dose. So for now even though Satina's numbers are high you need to hold the dose for at least three days. If we increase too quickly we can run into trouble because when the depot catches up kitties numbers can fall quite rapidly we typically raise doses by 0.25 u only.

    Lantus has two parts to it, one get's used straight away, the other goes into 'storage' the depot, the depot has to fill, once it's full more lantus starts getting into kitties system, think of it as slow release.

    Are you using a syringe? does it have 0.5u markings? is it a U100 syringe? (the caninsulin syringes are u40 and can't be used with Lantus, well not without converting numbers)

    After three days then you would reassess her dose, unless she shows you some lower numbers sooner.

    Have you decided if you will follow, Start Low to go Slow, SLGS or tight regulation TR? The links I have provided there will explain both dosing methods and how we adjust doses to get our kitties safely and quickly into better numbers and a link to the sticky that explains the depot.

    If you haven't already try and read the stickies at the top of the forum,
    new to the group
    shooting and handling low numbers
    TR on a full time job


    a lot of useful info on there.

    With the ss I can't see it, not sure what may have gone wrong?? I am going to tag @Marje and Gracie perhaps she can help you set it up, sorry I can't help you with that.
     
  23. piri

    piri Member

    Joined:
    Apr 4, 2016
    Thank you so much.
    Tomorrow is the third day.
    I'll leave her quite.
    wednesday i'll measure again and think about what to do.
    I have read the go slow paper but not the other.
    I'll have a look to that, and that I'll consult you too.
    Yes, I am using syringes for lantus.
    I am taking it into thee fridge and vet told me i have to shake gently before.
    uff, so worry, so tired,
    hope in better
     
  24. piri

    piri Member

    Joined:
    Apr 4, 2016
    i have tried again with the spreadsheet. let's see
     
  25. piri

    piri Member

    Joined:
    Apr 4, 2016
    mot again
    :(
     
  26. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    It is better not to shake lantus. It affects how long the insulin will stay good for, it will not last as long if you shake it. The older types of insulin you had to shake, but not lantus.

    PROPER HANDLING OF LANTUS and LEVEMIR:

    • Lantus and Levemir should be visually inspected prior to administration. Use only if the insulin appears clear and colorless.
    • Never shake or roll your vial, cartridge, or pen.
    • In-use and unopened Lantus and Levemir should be stored in the refrigerator between 36 to 46 degrees F (2 to 8 degrees C).
    • Do NOT use Lantus or Levemir if it has been frozen.
    • Do not inject air into cartridges or pens. Cartridges and pens are designed to work on a negative pressure principle.
    • If you draw up too much insulin in the syringe... squirt excess either into the air dramatically like they do on TV or into a paper towel... anywhere but back into vial/cartridge/pen. There is a silicon coating inside the syringe. It may contaminate the insulin vial with silicon.

    Sorry I cant help with the ss. We'll see if someone can help.
     
  27. Marje and Gracie

    Marje and Gracie Senior Member Moderator

    Joined:
    May 30, 2010
    I'm going to send you a private message so we can get your SS sorted out. Look in the top right corner and click on inbox and you'll see a message from me in just a few minutes.
     
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  28. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

    Joined:
    Feb 17, 2011
    Hang in there - we can help you get it sorted out. Marje doesn't mind helping with your spreadsheet, and that will make things easier.

    Here is a video on how to draw up a dose of Lantus. Take a look and see if that helps. You don't want to contaminate the insulin with the lubricant inside the syringe, so make sure you're not moving the insulin into the syringe and back to the vial. We call that "see-sawing", meaning to send it one way and then the other way. Always draw the insulin into the syringe and if you have too much, just waste it by squirting it out into the air or the sink. Don't put it back into your vial.

    By the way, we call glucose cards "strips." They are like little strips of paper.

    You're on the way now. Keep posting and we'll keep helping you.
     
    piri likes this.
  29. piri

    piri Member

    Joined:
    Apr 4, 2016
    thank you.
     
  30. piri

    piri Member

    Joined:
    Apr 4, 2016
    MORNING SHE WAS 295 AFTER CANINSULIN NIGHT BEFORE 2 UNITS
    I GAVE LANTUS 1 UNIT
    +2 395
    +7 406
    +9 399 plus 50 ml fluids
    +11 358

    18.04.2016
    MORNING
    403
    +6 470 plus 50 ml fluids
    +10 461

    this is the THIRD DAY
    GAVE 1 UNIT LANTUS AT 8
    AT 13 SHE HAS 501!!!
    what can i do?
    i made her some fluids,
    thank you
     
  31. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Hello Piri ~ I understand your concern with the higher number. The depot takes a about one week to fill. My guess is that each day, you will see her numbers coming down a bit. Try not to be too upset. She had some numbers in the black while she was on Caninsulin also. It will just take time. :bighug: Sending you a hug.
     
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  32. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Yay!! the Spread sheet is working!!

    So today at amps(this is the test you get just before you give the insulin) (8am) what was her blood glucose??
    and at +5 (13.00 ) she was 501.

    Have you read up about TR and SLGS (the links I gave you). Depending on which one you want to follow will depend on what you do next.
    Just want to confirm that Satina does not have any dry food, you make all her food don't you? There can be no dry food if you want to follow TR.

    Looking at the BG tests you are doing a great job testing, but to be safe you need to take tests at some other times. (if you do that you are testing enough for TR)
    1) always take tests before you give insulin in the morning (and put that result in the amps column) and in the evening (and put that in the pmps column)
    2) with lantus it is important to try and keep the insulin shot times as close to 12 hours apart as possible,(within 20-30min) (if you shoot earlier it can act as a dose increase and late as a dose decrease),
    3) You should know that at night time cats blood glucose can be lower than their daytime cycle, so if you can get some tests done in the evening cycle, that would be great, maybe start by getting a test just before you go bed +3 /+4 . The reason for this is that it is possible that Satinas numbers can drop low over night and then bounce high by morning, getting a test before bed can give us an indication if this is happening, if you don't get any tests done in the evening cycle then there is no way of knowing if that is what Satina is doing at night, and it becomes very difficult to make a dosing decision. Dosing is based on how low the insulin takes Satinas numbers in both cycles.

    For now without the data in the evening cycle I would keep the 1u BID and get some evening tests in before you make a decision, just to be on the safe side.
    Could you tell us how much Satina weighs? and if that is a good weight for her, if she is overweight could you tell us her ideal weight. The reason I am asking is that it will give us an idea if the starting dose was OK for her.

    Just going to tag @julie & punkin (ga) who posted earlier see what she thinks, she's one of the more experienced members, perhaps some others will pop in.


    Has Satina got any other health problems other than the diabetes and her food in tolerances?

    On your spreadsheet in the purple column (U) is where you put the dose of insulin you give Satina. The first purple column being for the morning dose the second purple column for the evening dose.
    +1 column would be 1 hour after test
    +2 column would be 2 hour after test and so on

    Don't be too discouraged by the high numbers, when George was diagnosed in october 2015 he spent about 6 weeks in high numbers, it drove me crazy, have a look at his spread sheet (SS) it was a sea of red /pink and black, till we worked our way to his magic dose (we followed TR), once he got into good numbers (blues and greens) and he started to heal we reduced dose and he is now on no insulin doing his 2 week trial before we can officially say he is in remission:D:D (Off the Juice OTJ), so don't loose hope, Treating Feline Diabetes is a marathon not a sprint.

    some:bighug::bighug::bighug::bighug: because we know how frustrating and worrying it is to see those high numbers.

    Gill
     
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  33. Marlena

    Marlena Well-Known Member

    Joined:
    Nov 25, 2015
    Dear Piri,
    do not despair, do not worry too much please.
    When you start insulin it takes time to see how your cat reacts to it and often you see the numbers which don't make much sense but keep going and it will get better. Giving your cat insulin from outside her body (by injecting it) is a new thing for her and her system so she needs to get used to it. After a short time on Vetsulin you now use Lantus which is new for her so you sort of start from the beginning and the numbers might be all over. Giving her a dose of insulin to lower her blood sugar might not give you the result you expect straight away, it will take time for her system to deal with it. And one day you will see that you get lower numbers and another day with the same dose you have different result. This is how it works with most cats and if you look at other people's spread sheets you will see how "strange" it can be so we advise you to be patient.
    Now you are in good hands on Lantus (L/L) forum and there are lots of very experienced people to help you.
    Thinking of you and your dear Satina and sending prayers.
    Marlena
     
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  34. piri

    piri Member

    Joined:
    Apr 4, 2016
    ok, so what should you suggest me to do.
    to wait or to increase?
    and if so, how much?
    and when? morning?
    thank you to all,
     
  35. piri

    piri Member

    Joined:
    Apr 4, 2016
    I', so happy your cat is doing well!
    Satina is 4 kilos.
    At the moment she has values of liver a bit high.
    no dry food.
    tomorrow morning i'll measure and then try also evening.
    now sweet she is sleeping so quietly, sweet baby, she is the best heart i have ever known.
     
  36. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Thank you Piri,

    I think you need to get a little more data and wait to see what that tells you.

    1u is a good starting dose for the TR protocol for a 4 kg cat.

    Have you decided what protocol you would like to follow? Depending on your choice, depends what you do next.

    Even getting just one test in the evening before you go to bed will be very useful, but remember to always get a test before giving the insulin:)

    :bighug::bighug:

    PS remember to keep your numbers up to date on your spreadsheet
    :eek::oops: that reminds me I need to do mine:)
     
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  37. piri

    piri Member

    Joined:
    Apr 4, 2016
    ok, now she is 427, +4,5 hours
    she drinks a lot :(
     
  38. piri

    piri Member

    Joined:
    Apr 4, 2016
    to update the spreadsheet do i have just to open it from here and add the new values?
    i don't know what to do next...
    do i have always to test the glycemic before insulin?
    thinking about her ears...
     
  39. piri

    piri Member

    Joined:
    Apr 4, 2016
    thank you.
    love and need prayers so much
    thank you
     
  40. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Yes always before she eats her AM and PM meals, 12 hours apart, you need to test her to see what her number is and add it to the Spread Sheet( SS) . So the routine would be test, feed, and shoot . And like Gill said any other test you can get through each cycle helps to show what her patterns are.
    Good tests to get are mid cycle and +2 or 2 hours after the injection to see how active the cycle will be. If you were to get the same number as the preshoot or close to it, it could be an active cycle and would cue you to test more through out to keep her safe. Keep asking questions as that is how we all learned. We are here to help you.
     
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  41. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Yes always is best, you need to be sure that it is safe for you to give the insulin.

    To keep Satinas ears comfortable
    1) gently apply pressure with a tissue after taking a reading, this helps reduce bruising.
    2) you can use a cool wet cotton pad/or tissue to apply pressure that will also help.

    But I would say as much as I test George, he doesn't mind and his ears look fine.

    I sign into my google account and then click on google sheets and make changes from there. I think that is probably what you have to do. (not good with technical issues, let us know if that does not work and we will find someone to explain better)

    keep asking:bighug::bighug:
     
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  42. piri

    piri Member

    Joined:
    Apr 4, 2016
    please check my spreadsheet, any suggestion?
    thanks
     
  43. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Hi Piri

    I see that you have figured out how to get the results onto the spread sheet.:)

    Are you having trouble testing?
    Are you out at work all day?
    Just wondering why you have not got any numbers for the middle of the day???

    It is very difficult to recommend what to do without more numbers for Satina, with Lantus the dose is based on how low the insulin is taking Satina, and this typically (but not always) happens somewhere around +5/+6/+7 and you have no tests done either then or anywhere else midcycle really.




    I just want to perhaps recommend a daily testing schedule, (it will help you figure out Satinas cycles and enable you to adjust dose confidently)

    1. Always amps
    2. get a +1/+2 or +3
    3. if you are home a +5/+6 or+7 (this is usually where we would find the low numbers in Lantus but it can be different from one cat to another and cycles can change for a given cat. It is important to know how low Satina is going, as decisions on dosing are based on how low the lantus takes Satinas numbers)
    4. If you are home before the next +10/or +11
    5. Always pmps
    6. get a+1/ or +2 (at least one of these daily)
    7. get a test just before you go bed +4 or +5(whatever time you go to bed)
    You want to try to build up a picture of Satinas cycles over time. As a minimum I would try to get the tests highlighted in red but more is better.
    Like most of us you will be worried about Satinas ears, but honestly, they will be ok, and if you are giving her a little treat and lots of love when you are doing it, she will soon be coming to you to remind you it's time to test her ears.:)

    Do you think that it's something you could fit in to your schedule? if it's not possible then getting tests in when you can will be a great help.

    For example a test just before you head out the door to work, another as soon as you get back. And then at the weekend (day off) you would try to run a curve once a week (testing every three hours over an 18 hour period/ or every 2hours over a 12 hour period)

    What do you think ??

    Sorry I can't really answer your question on what to do with the dose, not comfortable making any suggestions other than sticking with the dose and getting some more tests in.
    Sorry I realise that is probably not what you want to hear.




    :bighug::bighug::bighug:
     
  44. Marlena

    Marlena Well-Known Member

    Joined:
    Nov 25, 2015
    Dear Piri,
    you are doing a great job, keep testing.
    With this insulin the time when the blood sugar is at its lowest point is usually between 6 and 8 hours since the dose of insulin and this number is very important so you want to test at this time.
    So if you give insulin at 7 in the morning you at least should be testing at about +7 which is 2 o'clock in the afternoon (7 hours after the shot).
    I can't advise you on the dose (more experienced people will do that) but I think that when you start the Lantus protocol the dose is smaller and then gradually is increased when needed.
    There are very experienced members here and they will advise you.
    Good luck with your effort.
    Marlena :cat:
     
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  45. piri

    piri Member

    Joined:
    Apr 4, 2016
    you people are so lovely, and i love you.
    thank you. tomorrow i'll try to do better.
    please tell also to these experienced people what would be better to do.
    many thanks
     
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  46. Marlena

    Marlena Well-Known Member

    Joined:
    Nov 25, 2015
    You're very welcome dear Piri.
    I will start new post for you on this forum.
    You are a wonderful mum to your kitty.
    :cat::cat::cat:
     
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  47. Marlena

    Marlena Well-Known Member

    Joined:
    Nov 25, 2015
    Dear Piri,
    I have just started a new thread for you on Lantus forum so check it out.
    The title is 20th April. Please help Piri - new to Lantus.
    You might want to check the responses and post under that title.
    Hugs to you my darling.
    Marlena:bighug:
     
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  48. piri

    piri Member

    Joined:
    Apr 4, 2016
    Thank you.
    this morning 7 a.m she is 375.
    vet told me to give her food, and then give her insulin.
    so at 8.00 i'll give her 1 unit.
    is it the right method?
    thank you
     
  49. piri

    piri Member

    Joined:
    Apr 4, 2016
    thanks again, new measure. after 6 hours 464
    then, i use to give her at lunch a bit of food, a small snack.
    no carb
    do you too?
    is it right?
     
  50. piri

    piri Member

    Joined:
    Apr 4, 2016
    ok, after 8 hours she is 429.
    i think tomorrow morning i'll increase 1,25 only in the morning what do you think?
    thank you
     
  51. piri

    piri Member

    Joined:
    Apr 4, 2016
    well guys.
    i have updated the ss.
    i have to increase.
    slow.
    so, i'll try to increase half of half in the morning and at night.
    don't know really how to find half of half!!!!
    anyhow...
    do you agree?
    increase of 0.25+o.25 seems too much
     
  52. piri

    piri Member

    Joined:
    Apr 4, 2016
    sorry, i haven't understood something.
    the start slow go slow says to increase of 0.25 unit.
    what does it mean?
    o.25 is the second small line in the syringes?
    half of one unit?
    and it means to add 0.25 every 12 hours?
    while the tight regulation with my values would suggest to add 0.5
    it means what one unit more every 12 hours?
    thank you
     
  53. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    upload_2016-4-22_15-29-26.png
    Here is a picture of what .25 looks like. Hope this helps.
     
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  54. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014

    You do not change doses every 12 hours. You change the dose and hold the new dose and wait 3 days for the tight regulation or a minimum 5 days for the start low go slow method, to see how the dose change affects the glucose levels.
     
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  55. piri

    piri Member

    Joined:
    Apr 4, 2016
    23 april
    well, i have updated the ss
    increased this morning the dose.
    not many changes,
    she still drinks a lot,
    very weak in the front legs,
    glicemie up to 400.
    let's hope.
    ciao
     
  56. piri

    piri Member

    Joined:
    Apr 4, 2016
    25.04.2016
    hallo, have updated ss.
    she is bad...
    she has more difficulties to walk, please, can't see her like this.
    what better to do?
    thanks
     
  57. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Hello Piri,~ It looks like this is then 5th cycle at the dose of 1.25. If you are following TR you would hold this dose through cycle 6 and the next cycle you could increase. As far as the difficulty to walk, it sounds like she has neuropathy from the diabetes. Some here use Zobaline 1 pill/day-each pill is 3 mg crush and put in food. I know it is hard to see her feeling so badly. Keep in mind that she has only been on the Lantus for 9 days and it does take a while to find the right dose. By holding the dose for 6 cycle or 3 days it helps to get to that dose.
     
  58. piri

    piri Member

    Joined:
    Apr 4, 2016
    Ok, thank you for your support
     
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