Mishu, dosing help, new to this

Discussion in 'Lantus / Levemir / Biosimilars' started by Madalina & Mishu, Jan 14, 2021.

  1. Madalina & Mishu

    Madalina & Mishu Member

    Joined:
    May 22, 2020
    Haven't got to tell you about the last nightmare. After changeing vets the new one said to change to caninsulin. Don't want to, so i will change the vet again. Going tuesday to another. Talked to the new vet (not the caninsulin one) and she said to do 2, but i asked to do 1.5 because i am scared. I ended up doing 1ui so we could both get some sleep. What do you guys think? 2ui? 1.5ui? Or should i stick to 1ui untill tuesday? Wainting for .5 mark syringes, should be here today or monday.


    https://docs.google.com/spreadsheet...FX8WA7ZPVtc0TjORFdxez9GgI6U/edit?usp=drivesdk
     
  2. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    Last edited: Jan 14, 2021
  3. Madalina & Mishu

    Madalina & Mishu Member

    Joined:
    May 22, 2020
  4. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    You are welcome :cat:
     
  5. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Here's the link to your previous post here, for continuity: https://felinediabetes.com/FDMB/threads/lantus-solo-star-pen-needles.241465/

    Since you've just started the 1 unit twice a day, the depot still has to build. I'd hold this dose for a couple more days yet to see what sort of numbers you get with the depot built up. You will likely need an increase though, but let's see. It would also be good for you to look at the Sticky Note on Dosing Methods and decide which one you'd like to follow. When you increase differs between the two, and we'll be able to help you better once we know which dosing method you are following.

    Are you testing regularly for urinary ketones?
     
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  6. Bandit's Mom

    Bandit's Mom Well-Known Member

    Joined:
    Oct 18, 2019
    Hi Madalina

    Linking your previous post here
    https://www.felinediabetes.com/FDMB/threads/lantus-solo-star-pen-needles.241465/

    Have you been on Lantus from the time Mishu was diagnosed? If yes, is there a reason why the dose was reduced from 2U to 1U on Jan 13th?

    This is a list of low carb foods available in the UK. Can you check if any of these are available in Romania? I am tagging @Monica-Poppy who is also in Romania and she could also help you with LC food options available

    A switch to a low carb diet will benefit Mishu tremendously.
     
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  7. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Thank you @Wendy&Neko
     
  8. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
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  9. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    @Bandit's Mom She went from 2 units once a day, to 1 unit twice a day.
     
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  10. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Oct 18, 2019
    Wow. I can't believe I missed that! :banghead:
     
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  11. Madalina & Mishu

    Madalina & Mishu Member

    Joined:
    May 22, 2020
    Sorry, yes, Wendy is right from 2ui once a day we changed to 1ui twice per day. The foods are not available here in Ro, only Porta is the lowest carb over here.

    Not testing for ketones ... There is so much to do, i feel very overwhelmed ...

    I'm thinking of investing in microfeeders but it's expensive and might take a while to find them.

    I'm getting lost in the forum, if you are talking about the SLGS or TR i don't know which to do. TR is impossible, so i think i'll stick with the SLGS for a while untill i can find a way to find and afford those feeders.... I can't live like this, or my cats....
    Got the wet is ok for Mishu part, trying my best. Is there any way i can keep him on what i have for a couple of weeks so i can try to microcip them all and find the feeders? It seems like the only way to keep them all safe and happy and healthy.
     
  12. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Oct 18, 2019
    I know it is very overwhelming and your bad experience with the vets has made it worse. Just take deep breaths and let's take it slow and easy. Start with SLGS for now and take it as it comes :)

    Testing for ketones is a simple test that can be done at home. You buy ketone testing strips (ketostix) and test Mishu once a month or so.
     
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  13. Madalina & Mishu

    Madalina & Mishu Member

    Joined:
    May 22, 2020
    Made it worse is a light way to put it ... Will try to find the ketostix. For now i am trying to get in touch with my first vet because he is the one nearest me for microciping, and with a site to see if they can deliver the feeders. Going to try to get financial help from my family for the feeders and buy some low carb food only for Mishu so i can make him better. It's the only way out of this for me. Maybe Monica van help me out with the low carb foid available here and tuesday we're going to the new vet to see what she wants to test and find out if there is anything else wrong with Mishu or only diabetes.

    Thank you for your help!
     
  14. Bandit's Mom

    Bandit's Mom Well-Known Member

    Joined:
    Oct 18, 2019
    Keep us updated with the vet visit. Do not let him/her convince you to change the insulin or increase the dose by entire units. Or get him to eat any prescription foods because they are invariably high carb. Most of us hear what the vet has to say and then just keep doing what we are doing here. :)

    For now, hold the 1U dose BID for 1 week and let's see if he needs more after that. If it helps, you don't need to test as much. One or two tests per cycle in addition to the pre-shot ones is enough. More tests will be necessary when gets closer to normal numbers.
     
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  15. Madalina & Mishu

    Madalina & Mishu Member

    Joined:
    May 22, 2020
    Yes, it helps ... At least we can sleep for 5 hours a night ... Thank you, thanky you! Will keep you updated!
     
  16. Bandit's Mom

    Bandit's Mom Well-Known Member

    Joined:
    Oct 18, 2019
    One mid cycle test today (AM cycle) around +6 might be enough.
     
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