? Smokey BG Curve Done: Increase Dose?

Discussion in 'Lantus (Glargine) / Levemir (Detemir)' started by Rusty & Smokey, Mar 4, 2018.

  1. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    Did a curve on Smokey on Friday. Missed the last two readings because we lost power, but I got the nadir.

    Spreadsheet with curve marked is in my signature. Should we increase his dose of Lantus? He's on 1 IU twice daily.
     
  2. Wendy&Neko

    Wendy&Neko Well-Known Member

    Joined:
    Feb 28, 2012
    The SLGS dosing method says to hold the dose if you are seeing some numbers below 150, which you are are. I would stay at 1.0 unit, and try to get some night time tests. Cats often go lower at night. A test just before going to bed can be very informative on how a dose is doing. I wouldn't be surprised if he is seeing some lower numbers at night. And please, for Smokey's safety, get a test before every shot. Power is not needed for tests. Meters are battery operated, so are flashlights. Been there, done that.
     
  3. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    What do you recommend for warming his ears? We were using a rice filled sock that we stuck in the microwave.

    Thanks for the fast reply and the advice! :)
     
  4. Wendy&Neko

    Wendy&Neko Well-Known Member

    Joined:
    Feb 28, 2012
    Is the rice sock not working? I used to fill a pill bottle or old film canister with warm/hot water, just not too hot.
     
  5. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    It's working great, but we still have no power so can't microwave it. We could probably use a pill bottle with hot water.
     
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  6. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    I also found gently rubbing the ear helped.
     
  7. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    His PMPS number was 54, and he was very slightly disoriented, but he's gobbling his food and tried sampling his brother's wet food as well! Should I worry too much? We will recheck his BG in an hour or so, and he is not getting his shot tonight.
     
  8. Wendy&Neko

    Wendy&Neko Well-Known Member

    Joined:
    Feb 28, 2012
    Good thing you tested tonight! :eek: Smokey earned a reduction. His dose tomorrow morning should be 0.75 units.

    Testing in an hour is a good plan..
     
  9. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    Good morning!

    I'm hesitant to reduce his dose, as his AMPS was 411. Advice?
     
  10. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    Update: Forgot to add that his +2 reading last night was 167.

    Gave him 0.75 IU just now, since we'd rather have him run a little high today than have another hypo episode. :)
     
  11. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Good decision. Cats often bounce after going lower than they are used to being. It can take a few cycles to see how long a bounce will last and how they do on the new dose. Around here you need patience pants, lol.
     

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