01/18/23 HELP with change from ProZinc to Lantus

https://felinediabetes.com/FDMB/thr...anging-insulin-to-lantus.273132/#post-3036432

I was hoping for some advice. I am leaving for a week in 4 weeks from today. I wanted to change Kaia from ProZinc to Lantus. I've been wanting to do the change for a while but I am gone often and I worry about the change process.
I won't be home to monitor Kaia. My sister will be feeding and giving her insulin but she won't be able to do any after injection checks as she works.

Her glucose is still kinda high and she is having issues with her eyes. Not sure if she is losing her sight... I'm just worried about not being here to help her transition to a new insulin. Should I wait? Any advice??
@Chrispooky12
@Angela & Cleo

 

Tagging
@Suzanne & Darcy

@FrostD

Since they are familiar with Prozinc

 

I'm probably not the best person to give you advice on this. I switched to Lantus from prozinc on 4-30-22 hoping that would change my boy from being stuck at a dose that he was on for quite awhile. We moved at the end of Dec 2021 & bam Panzer ended up with a UTI that ended up lasting for 4 months! Once I started Panzer on Lantus his numbers were fairly good. Then we had a long stretch of high numbers, then good numbers. He's actually done pretty well on Lantus but his dose just kept getting higher & higher, than he started dropping & was getting reductions. Here recently he had another UTI & will be getting rechecked in a couple of days to see if it's gone. His dose continues to climb but that doesn't mean it will continue to but who knows. Anyways, I'm thinking about switching Panzer back to prozinc as he seems to have done better on it. I'm not sure yet though, I thought about doing it awhile back but changed my mind. I would definitely wait until you are back to monitor him as Lantus is a depot insulin & prozinc isn't. I guess every cat is different & you have to be patient. I know it's hard because I'm having a hard time having patience myself. I think I need some patience pants LOL whatever you decide good luck to you & your kitty.

 

I'm sorry to hear about Panzer UTIs. I'm having Kaia checked for one tomorrow. I need a pair of patience pants myself! I'm trying hard to understand the Depot insulin. That part makes me nervous as I'm away from home often.

 

Post on the Lantus forum: https://felinediabetes.com/FDMB/threads/1-17-23-was-thinking-of-changing-insulin-to-lantus.273132/

As an aside, since you are feeding dry, the Prozinc Start Low Go Slow dosing method would have you reduce the dose to 1.75 units, as she is seeing some nadirs below 90 on 2.0 units.

 

I hope she doesn't have one & I hope Panzer's is gone. It's heart breaking to see are babies don't feel well on top of being diabetic we definitely both need some patient pants @Diane Tyler's Mom

 

I haven't been giving her dry food. Maybe 5 crunchies to get her to eat her wet food. Does that still matter?

 

Yes I think it does , I would reduce the dose to 1.75 units like Wendy said
Have you resad the dosing methods for prozinc?
https://felinediabetes.com/FDMB/threads/prozinc-dosing-methods.225629/
For now if you are still going to use prozinc I would put what method you are going to follow
SLGS Method
You can get rid of the kibble and crumble some freeze dried treats on the wet food to get her to eat


As for treats

You can give any freeze dried treats they are all low carb
Tap on this blue link and read post #64 the post numbers are to the right of each post and you can read about the freeze dried treats I listed

https://felinediabetes.com/FDMB/threads/new-to-this-i-need-advice.269452/#post-3007388

You can even give plain boiled chicken pieces

 

@Suzanne & Darcy

@FrostD

 

Ok. Thank you!!

 

Tap on your name up top then tap on signature' add SLGS then tap save

 

I get confused with the SLGS when she reads so high. I do worry about dropping it. It's not very often she gets below 100. It's so overwhelming. She's been a diabetic for 5 years and the last year has been so frustrating and stressful!!

 

Let me tag Wendy for you
@Wendy&Neko

 

More information on the dosing methods in this file:
PROZINC DOSING METHODS

We determine what dose to give based on how low the dose is taking the cat. We ignore the higher numbers that are the results of bounces.