Alyce & Elkie
Member
Hi all, firstly sorry if this is written poorly and lacks detail, it's 2am and I'm tired. My boy was diagnosed on the 12th of December 2025, he's been mostly high since then averaging around 15 nmol, I home test. I just got him back from the vets earlier after spending 3 nights there in DKA. He never threw up, he just hadn't been eating well for a week so I got ketone strips and he tested high. He's usually on 2 units of Lantus, although I missed his evening then morning dose a couple weeks ago when I attended a wedding and forgot to set my morning alarm. He was lower at 11 with no dose than I'd seen him in a while (I'd been getting between 13 and 16) so I halved his dose to 1 unit (not yet using syringes but about to transition to them). He stayed around 11-13 then I put him back up to 2 units around 3 days later as his levels were rising again. I'm not sure if his eating issues started before or after all this.
Anyway the vet had him on fast-acting insulin and managed to get him back down to 11 as he'd been much higher there over the last few days. After taking him off and not giving him anything for a few hours his glucose raised to 33. She gave him 4 units of Lantus at 3pm (terrible time but I guess necessary) and instructed me to give another 4 at 3am and to continue with the 4 units. My concern is 4 units will be too much, as it's double his usual dose. I've spoken with others in the Facebook group for this forum and they agree, and suggested no more than 2 units. I tested him at 5:34pm and he was 27.6, then again at 10:55pm around 8 hours after the dose and got 21.8. Just tested him again at 1:29am and he's 22.0. Is it then dangerous to only give 2 units if these numbers remain this high at pre-shot? 4 units makes me nervous as when they first dosed him in December they did 2 units with a U40 syringe as they didn't have a U100, which is closer to 5 units. He dropped to around 3.2 so I had to skip his next dose. His current numbers also make me nervous, and his appetite hasn't properly returned. He ate a bit earlier, but is still ignoring most of his food. I'll have to buy some more chicken tomorrow as it seems to be all he really wants to eat.
I'm also unsure if it's best to move the dose forwards or backwards in 15 minute increments. The vet said to do an hour at a time, as in 4am tomorrow, 5am the next day until reaching his usual 9am and 9pm shot time, but I've been informed that's too big a length and to do no more than 30 minute changes a day. It's difficult for me as I work full-time. Dosing 15 minutes earlier each time is easier on my sleep schedule as I'm usually awake until 2am anyway, although may be more difficult with work as I start at 10am and will be rushing home on early breaks. Is dosing 15 minutes early worse for him than dosing 15 minutes late? Thanks!
Anyway the vet had him on fast-acting insulin and managed to get him back down to 11 as he'd been much higher there over the last few days. After taking him off and not giving him anything for a few hours his glucose raised to 33. She gave him 4 units of Lantus at 3pm (terrible time but I guess necessary) and instructed me to give another 4 at 3am and to continue with the 4 units. My concern is 4 units will be too much, as it's double his usual dose. I've spoken with others in the Facebook group for this forum and they agree, and suggested no more than 2 units. I tested him at 5:34pm and he was 27.6, then again at 10:55pm around 8 hours after the dose and got 21.8. Just tested him again at 1:29am and he's 22.0. Is it then dangerous to only give 2 units if these numbers remain this high at pre-shot? 4 units makes me nervous as when they first dosed him in December they did 2 units with a U40 syringe as they didn't have a U100, which is closer to 5 units. He dropped to around 3.2 so I had to skip his next dose. His current numbers also make me nervous, and his appetite hasn't properly returned. He ate a bit earlier, but is still ignoring most of his food. I'll have to buy some more chicken tomorrow as it seems to be all he really wants to eat.
I'm also unsure if it's best to move the dose forwards or backwards in 15 minute increments. The vet said to do an hour at a time, as in 4am tomorrow, 5am the next day until reaching his usual 9am and 9pm shot time, but I've been informed that's too big a length and to do no more than 30 minute changes a day. It's difficult for me as I work full-time. Dosing 15 minutes earlier each time is easier on my sleep schedule as I'm usually awake until 2am anyway, although may be more difficult with work as I start at 10am and will be rushing home on early breaks. Is dosing 15 minutes early worse for him than dosing 15 minutes late? Thanks!
