Too much insulin???

Discussion in 'Welcome to the Group - Post an Introduction Here' started by Rebecca88, Mar 13, 2016.

  1. Rebecca88

    Rebecca88 Member

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    Mar 11, 2016
    Hi. My cat Mercedes was diagnosed about 3 months ago. She was put on Prozinc which worked the first time only dropping her BG from over 400 to in the 80's. That was 3 months ago. Ever since then her readings have been in the 300's. My vet switched her to Lantus about 2 weeks ago. Started out at 5 units am and jumped her up to 10! Nothing pm. Saw him yesterday her BG was 339. Now he wants her on 16 units!!! 8 and 8. I personally think this is way too much. I've changed her diet and have an appt with a new vet on Saturday which was highly recommended. I can't wait! So far she is acting ok. She's eating and was even playing a little last night. The old vet seemed to not want to talk about diet at all and seemed a little annoyed that I was doing research. New vet will teach me to test at home I heard. Thank god! I'm just scared this dosage is way too high! I'm calling her in the morning to see what she thinks. It's all so confusing!
     
  2. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Rebecca,

    Welcome. You've changed the diet and there has been a large dose increase, the glucose level can change drastically and put Mercedes in danger.

    Please consider home testing immediately. There are videos here that can show you. Human meters can be purchased inexpensively. I worry waiting until Saturday could be to long.

    Normally insulin in increased in .25u increments. Your doses are doubled. Please read all the informative stickies here. I will tag some more experienced people.
     
    Last edited: Mar 13, 2016
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  3. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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  4. Robyn and Penny

    Robyn and Penny Member

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    Rebecca...please check all the "stickys" in the main forum and also the Lantus and Levemir forum. We usually start our cats out at 1 unit am and 1 unit PM and work up from there either using the Start Low, Go Slow method or Tight Regulation. I strongly recommend NOT doing Tight Regulation unless you are home testing, though.
     
  5. Gill & George

    Gill & George Well-Known Member

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    Hello and welcome,
    Hope you have had a chance to read the stickies on Lantus, they are full of useful info, I think we are all concerned about the amount of Lantus being given, it is unusual but not unheard of if your cat has a high dose condition.

    How many units of Prozinc was your kitty on? usually when kitties have been on another insulin that is taken into account. Are you home testing or are these numbers just from your vet doing a curve?

    Lantus is usually dosed every 12hours, for most cats this gives the best results. The dose does seem high for a starting dose but if this is similar to what she was on with prozinc it might not necessarily be to high for your kitty, there are some cats here that are high dose cats, has she had any tests for acro, IAA, cushings??

    The best way for us to offer you better more specific advice would be to see her numbers on prozinc, and lantus whatever data you have is useful.

    We usually record our data on spreadsheets most folk use the same one here is a link on how to set one up. Setting up SpreadSheet

    If you need help with that please holler someone can help you set it up.

    Are the numbers you are quoting pre shot numbers? or are they midcycle numbers?
    How often are you testing?
     
  6. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    Quite frankly that sort of dose increase could kill Mercedes, Without home-testing you have no idea how low the insulin is taking her. If she hits too low a number she could go into hypo (insulin shock) and this could be deadly. Tests done at the vet can be higher because of stress and do not show what is happening through the cycle (the time between shots) When a cat hits a lower number very often they will "bounce" up to higher numbers as a protective measure. If the test done at the vets was done during a bounce it would show artificially high numbers. Dosing changes need to be done only when regular monitoring is being done. AND starting out on Lantus at 5 units then 10 then 16 daily within 2 weeks is IMHO nothing short of criminal.
     
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  7. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Gill the vet has increased from 5 to 10 to 16 units daily all within 2 weeks!!!!
     
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  8. Andy & Pimp

    Andy & Pimp Well-Known Member

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    I agree your vet has no idea what he's doing. Normally doses are inceased slowly, definetly not doubled. You can go to wal-mart and get testing supplies (meter, test strips and lancets) for less than $30. Please don't continue to shoot that amount of insulin without any testing. We can teach you to test today.
     
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  9. Gill & George

    Gill & George Well-Known Member

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    Yes But was wondering if the cat was on much higher dose of Prozinc prior to making the swap to Lantus? I agree, if that is not the case it is a dangerous amount of insulin
     
  10. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Even if the cat was on a higher Prozinc dose increasing Lantus that rapidly without proper testing is WRONG!

    ETA Lantus acts differently than Prozinc and when starting it is suggested to hold the initial dose for at least one week before changing. Also one dosing that was suggested was 5 units once a day. That is not how Lantus is dosed for cats
     
    Last edited: Mar 13, 2016
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  11. Gill & George

    Gill & George Well-Known Member

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    Agreed Mary Ann, I wouldn't recommend shooting 1/2 a unit without home testing.
     
  12. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    @Rebecca88

    If you are on please let us know. We are all worried for Mercedes.

    BTW- I have a niece with that name.
     
  13. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Rebecca

    With a change in diet to low carb food, especially if you are changing from dry to all wet low carb, can drop numbers drastically on its own. One person here had their cat go off insulin all together in just over a week by changing from dry to low carb wet. That is how powerful diet changes can be in some cats

    Increasing insulin at that rate without proper monitoring is very dangerous. At this point unless you start home monitoring it could be dangerous to give insulin at all since you have no idea how low it could be taking Mercedes . If you could pick up a glucose monitor and do home testing you will know how the insulin is working. Also if you could see if you could get an earlier appointment with the new vet that would be very helpful.
     
  14. Rebecca88

    Rebecca88 Member

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    Mar 11, 2016
    I'm here. I'm at Walmart now buying everything I need to test her at home
     
  15. Rebecca88

    Rebecca88 Member

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    Mar 11, 2016
    Originally she was on 5 units of Prozinc twice a day
     
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  16. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Thank goodness!!! If you need help with the testing just post. There is LOTS of good information and help to get you started!! :)
     
  17. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Thanks for that information. The dose increases with the Lantus are still far too much and too often. Lantus works different than Prozinc. Prozinc is and "in and out" insulin. You shoot it, it does its work then it is out of the system. Lantus is a "depot" insulin that acts similar to a slow-release medication. It takes about 3 days to build up the "depot". Small amounts of insulin are absorbed throughout the day from the depot. Normally when a cat is started on Lantus they hold the initial dose for 7-10 days so that the cat becomes "climatized" to it, then dose increases are done according the the readings done by monitoring.
     
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  18. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Most US people here use the Relion meter. There are a couple of types but one that uses the smallest amount of blood is best.
     
  19. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    @Rebecca88 The relion micro is good.

    Before you give anymore insulin please try get a test. If you can't please pop on here and ask for advice. The title bar to the very left is a drop down box. Click the ? Then put something like need dose advice all in caps. Maybe an hour before shot time. The next shot should be 12 hrs after the first. I do think 8 u might still be to much.
     
  20. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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  21. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Thanks for stopping by. I am dealing with a sick kitty so I can't guarantee I will be around so if you are able to help if needed that would be great!!
     
  22. Rebecca88

    Rebecca88 Member

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    Thank you. I just bought everything I need. Now I just need to watch a few videos on how to do this and when the best time to test her is.
     
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  23. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Mary Ann who's sick? Yes I'm am around all day & night :(. Depressing isn't it. Smokey not feeling well either today.
     
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  24. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Normally test right before shot time. But I think it's best for today try to get a test 1 hour before. Then you open this thread, edit title bar and enter the reading. As well as the question ? I said earlier. I'm here in and out while doing my taxes.

    Where are you located? What time would you be giving the insulin?
     
  25. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    My sweet kitty is having a pancreatic attack so I am doing cerenia , bupe and syringing food and water and monitoring his levels since I am shooting strange doses based on his food consumption. He had his Sub Q at the vet yesterday but I might have to take him back tomorrow again. Plus I have had maybe 2 hours sleep so just a real yucky day around here. :(

    Glad you will be around to help! :)
     
  26. Rebecca88

    Rebecca88 Member

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    I'm in Tampa and she should receive her next dose at 7
     
  27. Rebecca88

    Rebecca88 Member

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    Now do you think I should stick with the Lantus or go back to the Prozinc?
     
  28. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Hi, Rebecca.

    I was following your thread on Facebook and was asking where you had posted on FDMB.

    I don't want to belabor the information you were getting on FB. There are a number of informational posts at the top of the Lantus and Levemir insulin support group that will help you to better understand the insulin and how it works.

    • Tight Regulation Protocol: This sticky contains the dosing protocol that we use here. There are also links to the more formal versions -- the Tilly Protocol developed by the counterpart of this group in German and the Queensland/Rand protocol developed by Jacqui Rand, DVM and published in one of the top vet journals.
    • Start Low Go Slow: This is a less aggressive approach to dosing that has been used successfully on several of the FDMB boards. It is not backed up by research but, it works!
    • New to the Group: Everything you wanted to know about this forum and more. Info on our slang, FAQs, links to sites on feline nutrition and to food charts containing carb counts, how to do a curve and the components to look for, important aspects of diabetes such as ketones, DKA, and neuropathy, and most important, info on hypoglycemia.
    • Handling Lantus: how to get the maximum use from your insulin and what to not do with it!
    • Lantus depot/shed: This is an important concept for understanding how Lantus works.
    • Lantus & Levemir: Shooting & Handling Low Numbers: What data you need in order to be able to work toward remission or tight regulation as well as what to do if you have an unexpectedly low pre-shot number or numbers are dropping during the cycle.
    First things first, though. Getting a meter, learning to home test, and starting a spreadsheet will allow you to have much greater control over Mercedes diabetes. There's an overwhelming amount of information to wrap your head around but you'll be surprised as how quickly it becomes a routine.

    The people here are wonderful and we will do everything we can to help you and answer your questions.



     
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  29. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    I'm a Lantus user so I'm biased. Regardless of which insulin you decide to use, I think you need to find a vet who knows how to treat feline diabetes. I'm not impressed by the recommendations you've been getting.
     
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  30. Gill & George

    Gill & George Well-Known Member

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    I am glad to see you here Sienne, I am about if I am needed, but I see you have this, I think Rebecca could do with your wealth of experience.
     
  31. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Good I'm in PA so same time zone. I also do 7/7 shots. I would stick with Lantus. Nothing wrong with Prozinc but she already has Lantus on board so stick with it.

    Set your meter up. Even try a reading on yourself. You don't know how Mercedes will act with testing correct? You haven't done it yet.
     
  32. Rebecca88

    Rebecca88 Member

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    I've found a new vet but can't see her till saturday
     
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  33. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Thank you. It's hard for me to link on the kindle.
     
  34. Rebecca88

    Rebecca88 Member

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    Nope. Still reading all this info. It's so much to read and some of it is hard to understand. Especially the testing. When etc
     
  35. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    If it's all reading like Greek, ask questions! We'll translate. Lantus is very different than Prozinc.

    When your kitty was first diagnosed, did the vet tell you what her BG (blood glucose) numbers were? Do you have any idea what they are now?
     
  36. Rebecca88

    Rebecca88 Member

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    She was diagnosed about 3 months ago. Yesterday her reading was 339
     
  37. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    That's okay. Let's just try to get the testing done for now. It is the most important thing before her shot tonight. You do not want to give the 16 or even the 8u right now. Know food from 5 until after her test though.

    Find a spot where you will test regularly. Table, lap, couch, floor etc. Rub her ears, talk to her give her a treat low carb if you have them. Get her use to you touching her ears. Can even warm them using an empty pill bottle with warm water. Some use a sock with rice in it warmed in microwave. Make sure it's not to hot.
     
  38. Rebecca88

    Rebecca88 Member

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    She was started on Prozinc and the first injection went from over 400 to in the 80's. That was the lowest. It then went back to in the 300's. Even after he raised the Prozinc it only came down a little. So a couple weeks ago he switched to Lantus. She was on 10 units only once a day. But I did some research and also noticed her drinking more at night. So we took her last week her BG was 398. That's when he bumped it up to 8 and 8! Yesterday her BG was 339
     
  39. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Poor kitty. Smokey was diagnosed Tuesday with pancreatitis and ibd. I'm just learning. He is not feeling well today. How are giving cerenia? I was told a few days on and few days off. I'm wondering if that's right. Today is an off day but I'm giving it because is definitely nausea.
     
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  40. Rebecca88

    Rebecca88 Member

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    She is very comfortable in the kitchen by the window. She actually jumps up on the table to get her shot
     
  41. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    We use a particular language to describe test times. AMPS and PMPS are your AM and PM Pre-Shot test readings. Any time after a PS time, is referred to as +time. So, 2 hours after shot time is +2, 5 hours after is +5, 6-1/2 hours is +6.5, etc. So the reading yesterday was how many hours after you shot?

    The reason this isn't trivial is that dosing with Lantus is based on the lowest point in the cycle (i.e., the "nadir"). It's going to be important to figure out how your cat is reacting to the quantity of insulin your giving.

    It's not unusual for a cat's numbers to bounce into a high range after you see a low. It's a built in protective mechanism. With Lantus, we wait for a bounce to clear to see how the insulin is working. The issue with the dose is that you can get high numbers both because you're not giving enough insulin and when you're giving too much insulin.
     
  42. Rebecca88

    Rebecca88 Member

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    We saw the vet at 9:30. So 2 1/2 hours after her shot
     
  43. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Generally, your +2 number (with Lantus) is around the same as your pre-shot number. Numbers should drop until nadir and then begin to rise back up. If numbers drop low, drop fast, or there's a big difference in your numbers, it can trigger a bounce. If the only time you test is at pre-shot times, all you may see are the highs.

    For example, Gabby was known to start a cycle in the 400s, drop to the 40s, and bounce back to the 400s by her next shot time. The drop into the 40s signals a dose reduction. If I hadn't been testing, I would have increased her dose. This is one of the reasons it's important to get those spot checks in.

    When do you think you'll be able to get a meter?
     
  44. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Sienne, would you be able to help her with the dosage? Going from prozinc to 10u of lantus, I'm not sure where the dose should be at for tonight.
     
  45. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    She just picked up a meter.
     
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  46. Rebecca88

    Rebecca88 Member

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    I already got one. Just got back. I'm trying to find a video on how to test on the ear. Unless it ok to test from her pad. All these reading times are very confusing. I'm trying to keep up with all the info.
     
  47. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    You can test paw pad.

    Everything is overwhelming right now. You are doing great. I think you need to concentrate on getting the home testing done now so you don't give to much insulin tonight. The rest we will talk you through step by step as you need. I will try to find the ear link for you.
     
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  48. Rebecca88

    Rebecca88 Member

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    Ok. That makes me feel more at ease. Now when should I test her? She had her shot at 7 this morning.
     
  49. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Look through the links in this post on home testing for videos, etc.

    See if you can get a reading now. What the heck! You've got to start sometime.
     
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  50. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    If your ready, now is good, practice makes perfect.
     
  51. Rebecca88

    Rebecca88 Member

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    Ok I just set up the meter
     
  52. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Then your ready for a practice run. Try it on yourself first, then try it on Mercedes. Will be waiting to see how you do.
     
  53. Rebecca88

    Rebecca88 Member

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    Ok. I'm good. I just did myself. I got 111. So now I do her pad after I clean with alcohol?
     
  54. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    I guess you don't need insulin. Hehe. I use warm water. Alcohol in my opinion makes the stick sting.

    I push the strip halfway in the meter before (just short of making meter turn on). Then stick, push strip in rest of way, grab that drop of blood.
     
  55. Andy & Pimp

    Andy & Pimp Well-Known Member

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    You don't need to clean the test site. If you do, make sure it dries completely before testing. Wetness especially from alcohol can skew test results.
     
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  56. Rebecca88

    Rebecca88 Member

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    Yay! I did it. It reads 231
     
  57. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Well done. Okay then for his 7pm test this is what to do.

    Pick up any food at 5PM. Test him at 6. Post here the reading. Do you remember what I said about changing the title bar? Put ? In front, type Dose advice needed (all caps).

    Some really experienced people with dosing knowledge will pop on to help. In the meantime. Relax, grab a drink, chocolate or in my case a smoke. Pat yourself on the back Mercedes will be safe tonight. That dose is just way to high to start with.

    Read the info on Lantus and the 2 protocols. In the help, tech thread is how to do a ss. It is in Google sheets, not excel and is very helpful to you and anyone who helps you.

    I'm here and will be checking frequently. I'm getting my tax stuff together.
     
  58. Andy & Pimp

    Andy & Pimp Well-Known Member

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    @Rebecca222 how about starting a new thread on the lantus/levemir board? There are a lot more experienced eyes there that can help you out tonight.

    edit to add: Here are the spreadsheet instructions
     
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  59. Gill & George

    Gill & George Well-Known Member

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    Good job on getting your first test!!:)

    Nice to see what she looks like, love the Avatar.
     
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  60. Rebecca88

    Rebecca88 Member

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    I will definitely post it on here as well as the other site. Thank you so so much!!!! She didn't even flinch. I had to stick her 3 times because I didn't get enough blood but what a trooper she is! She's actually laying beside me now.
     
  61. Gill & George

    Gill & George Well-Known Member

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  62. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Wouldn't it be better to stay here until tomorrow? That way people can see her first post right off. I know you can link but think it would be better to wait until after the PM advice/dose is given.
     
  63. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    She is gorgeous. Rebecca you learned a lot already. Well done.
     
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  64. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Congratulations!! One think that may not be immediately apparent is that it's very likely that your cat's numbers are lower at home than at the vet's office. Vet stress can artificially elevate a cat's numbers. The vet then prescribes more insulin which your cat doesn't really need since the numbers are lower when she's in familiar surroundings.

    It's usually best to stay on the Health board until you have a few tests under your belt and you have your spreadsheet up and running. A bit of advice re. testing -- treats! No matter whether a test is successful or not, give Mercedes a treat. She will associate testing with treats and before you know it, she'll be waiting for you to test her.

    You may also want to do some reading about food. I think you mentioned on the FB page that you've been doing this. Dr. Lisa (Lisa Pierson, DVM) had a wonderful site all about feline nutrition. It will help you with transitioning to a canned food diet.



     
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  65. Nancy and Scotty

    Nancy and Scotty Member

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    I am wondering if when the vet switched to Lantus did he give you U100 syringes instead of the U40 syringes you had been using with the Prozinc ?
     
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  66. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Very good question. That could make a huge difference.
     
  67. Rebecca88

    Rebecca88 Member

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    He actually gave me a bunch of different sizes. I have 2 bags of u100 but I don't like them cause the needle is too long. My other ones are smaller in size but I'm not sure of what size they are.
     
  68. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Lantus is a U100 insulin vs Prozinc which is a U40 insulin. This means that the concentration of the two insulins in different. You need to use a syringe which matches the concentration of the insulin. In other words, you need a U100 syringe with Lantus.

    I can't believe your vet didn't tell you specifically to change syringes.

    From the sticky on syringes and how to handle Lantus:
     
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  69. Nancy and Scotty

    Nancy and Scotty Member

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    This has got to be the worst vet we have seen in a while, maybe ever.
     
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  70. Rebecca88

    Rebecca88 Member

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    Ok. Just did her again. I got 213. So she's supposed to get a shot at 7. ?? And I have u100. And no he didn't say anything. That's why I'm going somewhere else
     
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  71. Rebecca88

    Rebecca88 Member

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    I just got a 213 on her
     
  72. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Very good. Now can you update your title with the ? Let's see who comes on to help with dose amount.

    By the way. Do you have karo syrup, honey or pure maple syrup (not sugar free) in house?
     
  73. Nancy and Scotty

    Nancy and Scotty Member

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    If she has been giving her cat 10 units of Lantus with a U40 syringe how many units would that be on a U100 syringe?
     
  74. Rebecca88

    Rebecca88 Member

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    I just posted on the Lantus thread. Was that right? And yes I have all that here. I did the ? and dosing advise
     
  75. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Yes that's right. I'll go over there.
     
  76. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    I posted a link for this thread on the lantus post, so anyone looking can get up to speed.
     
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  77. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
  78. Rebecca88

    Rebecca88 Member

    Joined:
    Mar 11, 2016
  79. Rebecca88

    Rebecca88 Member

    Joined:
    Mar 11, 2016
    Ok. I just did a test and it said 53. Did it a second time and it said 46. Wth? Is that bad???
     
  80. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    How long since the shot is that reading?
     
  81. Rebecca88

    Rebecca88 Member

    Joined:
    Mar 11, 2016
    About 4 hours. 2 units
     
  82. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    OK I was reading back and forth between the two posts

    It looks like you shot 2 units with a preshot of 213..is that correct? And now at +4 she is 53/46?
     
  83. Rebecca88

    Rebecca88 Member

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    Mar 11, 2016
    Yes
     
  84. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    Do you have any high carb wet food such as friskies or ff with gravy? If so then squeeze some of the sauce which has the most carbs and give her some of that. The numbers are not at a danger point but you would eant to keep her at 50 or above and we don't know yet how much more she will drop on the Lantus. Then test again in about 20 minutes and post back. Great job of testing!!!
     
  85. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    If you have honey or karo or maple syrup you could also put few drops of that in the food to bring her up faster.
     
  86. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    With having just switched from dry food to all wet low carb, that can cause a big drop in glucose numbers, which is why there was so much concern about the doses your vet wanted you to give. With your home testing you will get a real picture of what the insulin is doing. Good job!!!
     
  87. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
  88. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    From the other post:

    Are you using a human meter? If you are, 53 is still OK, but if she drops below 50, you'll want to give her something high carb, like a teaspoon or two of Fancy Feast Gravy Lovers, or a few drops of Karo/honey/syrup with a teaspoon of her regular food

    Retest in 20-30 minutes

    Here's the info on How to Treat a Hypo ....You should print it out and keep it handy

    Pop the top on a Gravy lovers food, put it back and "squeeze" the gravy into another bowl....the gravy has most of the carbs. A teaspoon or two is usually enough and we don't want them to "fill up" on a lot of food in case we need them to eat again later
     
  89. RenaRF

    RenaRF Member

    Joined:
    May 22, 2011
    Ok - good. I was grabbing the Hypo sticky and trying to remember my password (which my browser forgot), but I can see Chris has given you the high level overview. Rebecca, just read the link she gave you above, take a deep breath, and be sure you are testing frequently.

    In your other post, everyone talked about the general value of getting an idea of when a kitty's lowest reading is and what that low reading is (nadir). A reading of 53 four hours after the shot (+4) when preshot was 213 tells you that 2U is too high a dose. She shouldn't drop that far that fast, frankly. Like Chris said, on a human meter, if she stays at 50 or above she should be ok, but that means you have to test overnight for her safety and you have to have your tools (gravy food, etc.) ready just in case.

    You're doing GREAT Rebecca. Don't freak out - just test frequently, read through the link on hypos, and post updates please.
     
  90. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

    Joined:
    Feb 17, 2011
    Looks like she's dropped to the 40's. Go ahead and give her some high carbs now - a teaspoon or so of gravy, or a couple of drops of karo/honey/pancake syrup on one teaspoon of her regular food. Retest in about 20 minutes.

    I'm not going to intervene because I don't want you overwhelmed by too many people helping.

    With each test, please edit your subject line (look for thread tools at the top right of this page) with the latest numbers. People will watch for you.
     
  91. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

    Joined:
    Feb 17, 2011
    I'm sorry, I've developed a fever tonight and am not thinking clearly. This could be a serious overdose. The previous dose's depot is still involved.

    I think you should scoop up Mercedes and head to the nearest ER. Take your meter and karo with you. Hopefully someone else can drive you. A hypo on Lantus can last as long as 18 hours.

    Please go to the vet. You may need a glucose drip for Mercedes.

    When you can, please update us.
     
  92. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Sep 6, 2015
    Following along here.
     
  93. Love-Paula aka Woodsywife

    Love-Paula aka Woodsywife Well-Known Member

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    Sep 6, 2015
  94. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
  95. Rebecca88

    Rebecca88 Member

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    Mar 11, 2016
    She just ate ff tuna with gravy
     
  96. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    Have you tested since you fed the high carb?...or since she got the 46?
     
  97. Rebecca88

    Rebecca88 Member

    Joined:
    Mar 11, 2016
    She ate some ff tuna with gravy and right now she's hiding from me because she's pissed off because I tried her ear first which didn't work and she didn't like AT ALL! So did the pad again. Wasn't too happy after that
     
  98. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    Just to butt in...what was your last reading

    Also how long ago was her last shot before this one and what dose did she get>?
     
  99. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    She'll get over it but for now, it's very important that you continue to test and let us know what numbers you're getting (I understand she's not making it easy, but you may want to put her in a bathroom or someplace she can't run from you)

    Since she got 8 units this morning, and has been getting 8/8 for awhile, she could be seriously overdosed and even though you reduced tonight, she may be in trouble
     
  100. Rebecca88

    Rebecca88 Member

    Joined:
    Mar 11, 2016
    Not yet. I have to get her out from behind the chair
     
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