? 7/2 Luna AMPS 139 stall, +2 143, +5 124, +10 209, PMPS 187

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Tatiwen, Jul 2, 2020.

  1. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020
    Hi Community,

    After a disappointing visit to the vet on Monday where he told me to continue only a shoot per day, yesterday I asked for advice in this community.

    Originally Luna was only receiving one injection a day of 0.76U. Base on the consultation I did in this community, the suggestion was to start with 0.5U twice a day.

    Last night 7:30 pm (PMPS), it was her first second shoot of the day. Before the shoot, her BG was 198. I injected 0.5U and fed her.

    As usual at 4:30 AM today I got up to feed all the cats, including Luna. At this time I did not do the BG test because it was so early, but she ate her food with a great appetite and I did not observe any signs of hypo on her, she acted as usual. Since we started this journey with diabetes and due to her neuropathy, I serve her food in her bed. :)

    This morning, 7:20 am (AMPS), before her morning shoot her BG was 139 so I decided not to give the injection. I offered him food as usual, but this time she didn't want to eat. I guess she was still satisfied with her 4:30 am meal.

    At this point, I don't know what to do. Should I re-measure her BG and if it is above 200 apply insulin or in any case just monitor her BG and only apply insulin when the next cycle comes at 7:30 pm today?

    For general information, she was diagnosed 3 weeks ago, the first week she was eating Glucose Support from Hill´s as per vet recommendation. Starting on week 2 I began to feed her wet food, but still giving her the dry food as her first meal of the day. But with all the research I did in this community I move to only wet food since last Saturday. She is eating a combination of Nature´s Logic Chicken, Instinct Rabbit, and Friskies canned food.

    You can see how her number has behaved since she started with insulin.

    I will appreciate your suggestion on what should I do.

    Thanks,

    Tati and Luna
     
    Last edited: Jul 2, 2020
  2. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    I’m glad you found us as Lantus needs to be dosed every 12 hours. The dose is also based upon the lowest bg in the cycle and you don’t have any mid cycle tests at night. You need at least a before bed test. The food change away from dry sometimes quickly helps bring cats into remission. Can you monitor as long as needed today? Do you have some high carb food like gravy lovers or karro or honey should Luna drop lower? Since she didn’t eat that is good. Get another test without food and post results. Then we can decide what to do this morning.
     
  3. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020

    Yes I have honey and also the dry food she uses to eat ( Prey from Taste of the Wild) plus another medical paste prescribe by the vet ( I don't remember the name, I will check). I will test her as soon as I finish a work call I'm in and inform back in here.
     
  4. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    If you haven’t injected and haven’t fed I suggest you test and decide as you are going to be off schedule.
     
  5. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020
    I have just tested her and is 143. I offer food again and she didn't want it!! Should I inject her now?
     
  6. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Is it unusual for her to not eat? Lantus won’t kick in for at least an hour and usually two but if she won’t eat I’d be concerned.
     
  7. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020
    Before she was diagnosed she use to eat at 4:30 am, 7-7:30 am, 12 md, 5pm and 7-7:30 pm. The last few days she has been eating less, if she eats a good meal at 4:30 am, she is rejecting to eat at 7:30 am but she start asking for food before 12md.
    What do you mean "if she won't eat I'd be concerned."? Remember she ate with great appetite this morning at 4:30am.
     
  8. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Then as long as you can monitor and alter your schedule you can shoot. You will need to shoot an hour later tonight. I’d leave some food out now for her.
     
  9. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020
    I'm working from home, so I can monitor her as frequent as I want.. I just left her food next to her bed and will check-in 30 min if she ate.
     
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  10. Tatiwen

    Tatiwen Member

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    Jun 16, 2020
    At +5 (noon) she was on 124. She refused to eat during the morning, but at noon she ate 1/3 of her canned food with great appetite.!!
     
  11. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    Nice cycle for her. I’m glad you didn’t skip.
     
  12. Tatiwen

    Tatiwen Member

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    Jun 16, 2020
    At +10 she was 209 and 187 PMPS and I decided to move with shot. Hope everything goes fine with her.
     
  13. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    It’s good you shot but was it early? Has it been 12 hours? Please get a +1 and +2 if yiu shoot early as if less than 12 hours it can act like as increase. Eating ok?
     
  14. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020
    Yeap I forgot to delay the shot 1 hour.
    About eating, at 5pm she refuse to eat, she tried just some little bites. But at 7pm she ate. I put a little of chicken broth to estimulate her to eat. I hope it is ok to put the broth on her food, i did not put any seasoning when cooking the chicken, just water.
     
  15. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    The broth is fine. Plain cooked or freeze dried chicken is fine too.
     
  16. Tatiwen

    Tatiwen Member

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    Jun 16, 2020
    Thanks you!!
     
  17. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    You need to get tests at night or it will be impossible for anyone here to give dosing advice. At least a before bed test is necessary. Read the dosing methods also to see which one you will follow. Having a vet giving once a day dosing advice means that vet doesn’t understand how Lantus works so you can’t rely on your vet.
     
  18. Tatiwen

    Tatiwen Member

    Joined:
    Jun 16, 2020
    I know I need to start testing her at night also. Do you think testing her on +9 after her PM shot it ok or it would be better on +2. The issue is I'm giving her PM shot at 7 pm approx. and I go to bed at 8:30 pm because I wake up at 4:30 am to feed the cats and then go to the gym.? Or I should wake up at midnight to measure her BG?

    Luna is getting so stressed any time I need to poke her ear that I was hoping that testing her only before her shots will be enough but I will do what it is better for her. Thanks in advance....
     
  19. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    If you can possibly get a +2 at night it will alert you as to whether it might be an active cycle. If she has dropped or is the same as the PMPS you would expect her to possibly go low during the cycle. If active another test at midnight might help figure her out and other times you can just test at +9. It sounds like she’s not food oriented but a treat after each poke if you can find something special might help. Either freeze dried chicken, shrimp, or any protein she likes or a bite of plain chicken might work. I envy you being able to go to the gym. Covid is preventing me from safely going and I’ve put in the Covid extra 4-5 pounds. :(
     
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  20. Tatiwen

    Tatiwen Member

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    Jun 16, 2020
    I start giving her plain chicken ( cooked) after testing a per reading in one of the post on the Feline Diabetes Fb page, she loves it, If it were for her she will only eat that chicken.
     

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