12/29 Biscuit 216 AMPS +3.5 49 +5 69

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by ShannonandBiscuit, Dec 29, 2019.

  1. ShannonandBiscuit

    ShannonandBiscuit Member

    Joined:
    Aug 25, 2019
    Yesterday

    Hope everyone has a great day today. Trying to see if Biscuit is gonna come down on this reduced dose or not. It’s so hard to measure 0.1u but it’s a great problem to have.
     
  2. Sonia & Leo

    Sonia & Leo Well-Known Member

    Joined:
    May 24, 2018
    Good luck Shannon!! Come on Biscuit, work that teeny weeny little dose!! :)
     
  3. carfurby

    carfurby Well-Known Member

    Joined:
    Feb 19, 2012
    I hope Biscuit comes down for you today.
     
  4. ShannonandBiscuit

    ShannonandBiscuit Member

    Joined:
    Aug 25, 2019
    Oh my cats are crazy creatures.... @carfurby @Sonia & Leo Apparently he heard you and got the memo... just too well. Biscuit decided to dive for greener waters... :banghead::D:facepalm: Just a reminder for me.. try to always get the +2....
     
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  5. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    Hope you gave Biscuit a teaspoon or two of high carb.

    Shannon - the 49 is generally a dose reduction. The way to draw up "some" insulin is to put as much pressure as you can on the plunger of the syringe and then release the pressure once you insert the syringe in the vial.

    The issue at hand is that Biscuit's numbers are good but your kitty isn't quite ready for an OTJ trial. One thing to consider is feeding a variety of food that's a little higher in carbs so it's tougher for Biscuit to earn a dose reduction. A different alternative is to hold this dose until Biscuit drops below 50 on three separate cycles. (Actually, you can do both.)
     
  6. ShannonandBiscuit

    ShannonandBiscuit Member

    Joined:
    Aug 25, 2019
    Not quite a reduction yet as he’s not newly diabetic. As I understand it though the next step will be “some” - like actually on the 0 line vs just a hair below it as we’re doing now per the pictures. I did give him some HC with his lunch to bring him back up. At home, I usually test more often (we work from home) and try to control his numbers a bit better to help him hold a dose longer but hadn’t considered just mixing in a bit of higher carb food to help stave off his early Nadir dip. We are at a convention and he’s up in the room here. With his numbers yesterday and his 216 this morning I really thought he’d stay up there and so didn’t rush to make it up for the +2. Oh well...
     
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  7. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    I saw the second diagnosis date. Sorry!

    You could add a bit of HC to Biscuit's food. I'd just wonder if the carbs would be the same if you're mixing on your own. Try it and see if it works and if not, find a food that's a couple of percentage points higher than the FF you're feeding Biscuit.
     
  8. ShannonandBiscuit

    ShannonandBiscuit Member

    Joined:
    Aug 25, 2019
    Ah yes... that wouldn’t ensure consistency. So right now we stay under 5%. Would you suggest a 10% or as far as 15%? for say breakfast. He usually eats at AMPS, +3 or +4, +8, PMPS, and sometimes +3PM
     
  9. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Depending on the carb sensitive of the cat, sometimes a 8-9% carb food makes a difference.
     
  10. Judy and Freckles

    Judy and Freckles Well-Known Member

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    Oct 20, 2019
    Just wondering... is Biscuit not ready for an OTJ trial because the of +200 numbers?
     
  11. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
  12. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    @Judy and Freckles - Like Wendy said, the majority of numbers need to be normal range. A fair portion of the pre-shot numbers are not in normal range. This essentially means that without benefit of insulin, the numbers are rising as the Lantus is at the end or its duration. For a cat to have a successful OTJ trial, you want to see everything under 120.

    Shannon - I agree with what Wendy posted above in #9.
     
  13. Judy and Freckles

    Judy and Freckles Well-Known Member

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    Oct 20, 2019
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  14. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    Oh Biscuit...stop the bouncing...and you could stop the juice! Nice low end numbers...just gotta shake off those lemons :)

    Have a good evening Shannon!
     
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  15. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    A bit higher carbs may allow Shannon to keep the higher dose without earning reductions, and yes, flatten the curve.
     
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