? NEED DOSING ADVICE SHOULD I GO BACK TO SHOOTING 0.25

Discussion in 'Lantus / Levemir / Biosimilars' started by Diane Tyler's Mom, Apr 22, 2020.

  1. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Hi guys if you would look at Tyler's SS he was really having a good run of greens every now and then
    All of a sudden his pre shots have been rising to blues
    Even though they were blue he still dropped to good numbers during each cycle, so obviously the 0.10 dose has been working

    The lantus pen expires 4-2021 and I started the pen on 12-30-2019
    So let's say it's coming up on almost 4 months I have been using it, am I correct

    Since all of these blue pre shots have been showing up do you think I should go back to shooting 0.25 , that is the dose he started with when I switched to lantus, SLGS
    Then on 1-2-2020 he earned a reduction and starting shooting the 0.10

    Started TR on 1-6-2020

    Any thoughts or should I just stuck it out for awhile and stay with the 0.10

    Do you think 0.25 may make him drop too low only because

    On 4-15-2020 he dropped to 65 day cycle and 63 during the night cycle
    Then 65 on 4-17-2020 day cycle these were all shooting the 0.10 dose

    By the way I totally forgot where 0.25 is on the syringes half markings
    Would it be in between the 0 line and the 0.5 mark



    Just tested tonight 4-22-2020 it was 66@+4.5 so the lantus is still good obviously, now wondering if I were to shoot the 0.25 he would have dropped lower,is that correct

    Thanks guys
    @Marje and Gracie

    @Deb & Wink

    @Wendy&Neko

    @Bron and Sheba (GA)

    @Chris & China (GA)

    @Nan & Amber (GA)

    @carfurby
     
    Last edited: Apr 23, 2020
  2. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    First a question for you, I noticed your feeding times are different most days. Is there a reason for that?
     
  3. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Hi Wendy, Tyler doesn't have set feeding times during the cycles
    If I decide to test him @+3 then I'll feed him some FF Pate, then I'll wait until he may beg to eat

    Are there usually set times that people feed their cats
    Would appreciate your advice
    Should it be something like @+3 then @+6 . and then @+9 (+9 would be at 5:30 pm)
    Then from @+9 make him wait until pre shot PMPS at 8:30

    Tonight @+ 4.5 he was 66 how, wondering how low would he have dropped if I
    Shot 0.25. Thank you Wendy
     
    Last edited: Apr 23, 2020
  4. Beth 73

    Beth 73 Well-Known Member

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  5. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Thanks for the Bump
     
  6. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
  7. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    Dec 28, 2009
    I tend to think that our kitties are creatures of habit. Setting a feeding schedule may help. I'd also suggest seeing if feeding Tyler later in the cycle causes his pancreas to kick in and produce it's own insulin and thereby lower the pre-shot numbers. When kitties are doing as well as Tyler, it's likely that his pancreas is waking up so food may end up lowering numbers vs raising them.
     
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  8. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    I can try a feeding schedule, but sometimes hesy just not hungry
    So you wouldn't suggest raising his dose @Sienne and Gabby (GA)
     
  9. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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  10. carfurby (GA)

    carfurby (GA) Well-Known Member

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    I think what Sienne was saying is try feeding a small snack about +9 each cycle and see if it brings his PS numbers down before you try changing the dose. This sometimes works if the cat's pancreas is starting to work.
     
  11. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    OK will try his +9 day cycle is 5:30 pm
    And his +9 at night cycle is 5:30 am
    So obviously do both sorry just saw you said both cycles @carfurby
     
  12. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    Diane, you could increase the dose to 0.25U again, but you might need to do a reduction again quickly if Tyler gets another low number.

    Try the food change first, with that +9 feeding at both cycles, before you increase the insulin dose.
    Changing too many factors at once, makes it difficult to know which change made the difference.
     
  13. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @Deb & Wink ok I'll try the food change first, what's going to be a killer is that 5:30 am feeding which is @+9, but will set the alarm. What you mean is that 0.25 may drop him to low is that correct Thanks Deb
     
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  14. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    The reason I asked asked about a feeding schedule is that I had noticed a couple times when you fed later that his AMPS was green. You do a good job taking notes on his feedings. Good luck with the experiment. Do you have an autofeeder that can do the PM+9 feeds?
     
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  15. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    hey Wendy ok I see what you are saying, no auto feeder but he wakes me up through the wee hours of the morning anyway, I will set my alarm to make sure he eats
    If he's not waking me up it's his brother, both are pain in the butt, but going to try it and hopefully it might work

    It's just weird that I wasn't doing anything different when he was having a good run of green, going to look over his SS again. Thank you
     
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  16. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @Deb & Wink
    @Wendy&Neko
    Just had to post this AMPS was 102
    @+4 it was 84 was hungry gave FF Pate
    @+7 it was 103 was hungry gave FF Pate
    It just irks me lol
     
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  17. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Thanks for replying back Sienne
     
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  18. Deb & Wink

    Deb & Wink Well-Known Member

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    Yes, Diane. I meant that the increase back to 0.25U could cause Tyler to drop too low again. If it did, you would simply need to drop the dose back to 0.1U.
     
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  19. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Thank you Deb:cat:
     
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  20. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @Deb & Wink
    @Sienne and Gabby (GA)

    @Wendy&Neko
    @carfurby

    Hey guys I did what you all suggested try feeding Tyler @+9 for both cycles to see if I can get his pre shot numbers green

    Well I started doing this on 4-23-2020 night cycle and so far all green pre shots for both cycles, just had one high BG on 4-24-2020 on the night cycle @+3 which was 105 other than that all green pre shots
    I just hope it continues
    I can't thank you all enough for suggesting I try that
    Take a look at his SS starting on 4-23-2020 night cycle and my remarks that are there
    Thanks again keep your fingers crossed it keeps up:bighug::cat:
     
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  21. Deb & Wink

    Deb & Wink Well-Known Member

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    All paws crossed here that Tyler keeps up those green numbers.
     
  22. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Thanks Again Deb:cat:
     
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  23. Susan & Claudio

    Susan & Claudio Member

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    Now I'm confused,as usual, lol.
    I thought I had read that you're not supposed to feed in the last part of the cycle.
    It supposed to raise the bgs.
     
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  24. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    H
    Hey Susan take a look at #7 and #10 Sienne and Carla explained this
     
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  25. Susan & Claudio

    Susan & Claudio Member

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    Sep 20, 2019
    Oh okay thanks Diane.
    Guess I gotta wait until my boy's pancreas decides to wake up to try that.
    Stay dry tomorrow.
     
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  26. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    That's what I got out of it, not going anywhere tomorrow, stay dry yourself:cat:
     
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  27. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    The +9 feeding isn't something we suggest until it's obvious the pancreas is sputtering, which means their dose is down around 0.1 units.
     
  28. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @Wendy&Neko Thanks again Wendy for suggesting this to me for Tyler, keeping my fingers crossed it keeps up:cat:
     
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  29. Susan & Claudio

    Susan & Claudio Member

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    Sep 20, 2019
    Thanks Wendy.
    Guess we have a looong way to go before Claudio gets to that point.
     
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  30. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    @Deb & Wink
    @Wendy&Neko
    @Sienne and Gabby (GA)

    @carfurby

    Hey Guys I got busy this afternoon and forgot to feed Tyler @+9 this afternoon 4-26-20
    His PMPS was 132
    This may prove that he needs to be fed @+9 in order to keep getting these green pre shots because so far it's been working
    I guess I will find out when I feed him @+9 tonight 4-26-20 and see what his AMPS turns out to be, should be interesting

    Well back to green AMPS 81. 4-27-20 and PMPS- 84
    Guess it proves he needs to be fed at +9 both cycles

    @Sienne and Gabby (GA)
    @Deb & Wink

    @Wendy&Neko
    @carfurby



    Well
     
    Last edited: Apr 27, 2020

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