Ella & Rusty & Stu(GA)
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Lantus: much higher BG at AMPS than PMPS
Post by Ella » Sat Jan 23, 2010 10:04 am
Dear Lantus people and cats,
I was advised to post this on the Lantus board (I originally posted it on the general diabetes board this morning: Sat. 23 Jan). My original post follows, but I must add that today his AMPS was 409, his BG at +6 was 68, his PMPS was 334. I am new to testing and I am more confused than ever! Am I giving too much insulin? too little insulin?? Here is what I posted this morning:
I want to thank everyone for responding to my original post of 14 January. My cat, Stu (diabetic since Jan. 2006), who had been switched to Lantus from Idexx PZI Vet (5 units bid of PZI Vet) in early November, had been on 7 units of Lantus bid since early December because his BG level at +5 (at the vet's) had been in the high 300s (the vet had started him at 4 units bid in early Nov., raised him to 5 units, and then from 5 units to 7 units in early December). In early January (still on 7 units) BG had dropped to 78 at +5 at the vet's. I was worried at the precipitous drop and joined this message board! I received many messages of concern that 7 units were too much insulin, so I cut the dose at first to 6 units bid, and several days later (on 19 Jan.) to 5 units bid. On 21 Jan. I cut it to 4.5 units bid. I have been home testing 3 times a day (AMPS at 7 A.M., +6 at 1 P.M., PMPS at 7 P.M.) since 19 January (doing OK, but it is still not easy for Stu or for me!). I find that his AMPS numbers are consistently around 400, but his PMPS numbers have been between 100 and 225. At +6 his numbers have been between 83 and 89 except for 21 January, when the +6 number was 176. After reading other people's posts and a lot of the literature on feline diabetes, I suspect that I am dealing with carryover or overlap and the "storage shed". I would welcome your comments and advice. I have been giving 4.5 units bid for the past 2 days and also this morning (Sat., 23 Jan.) Should I lower the Lantus dose to 4 units bid beginning this evening? Stu is 12 years old, a large domestic shorthair and, except for diabetes, in excellent health. He weighs 15.8 lbs. He eats 4/5ths of a can of EVO turkey & chicken a day, spread out over 4 feedings (7 A.M., 12 P.M., 7 P.M., 11 P.M.) He gets about 1/4 cup of EVO high protein/lo carb dry food per day available for snacking. Thanks for your help.
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Lantus: much higher BG at AMPS than PMPS
Post by Ella » Sat Jan 23, 2010 10:04 am
Dear Lantus people and cats,
I was advised to post this on the Lantus board (I originally posted it on the general diabetes board this morning: Sat. 23 Jan). My original post follows, but I must add that today his AMPS was 409, his BG at +6 was 68, his PMPS was 334. I am new to testing and I am more confused than ever! Am I giving too much insulin? too little insulin?? Here is what I posted this morning:
I want to thank everyone for responding to my original post of 14 January. My cat, Stu (diabetic since Jan. 2006), who had been switched to Lantus from Idexx PZI Vet (5 units bid of PZI Vet) in early November, had been on 7 units of Lantus bid since early December because his BG level at +5 (at the vet's) had been in the high 300s (the vet had started him at 4 units bid in early Nov., raised him to 5 units, and then from 5 units to 7 units in early December). In early January (still on 7 units) BG had dropped to 78 at +5 at the vet's. I was worried at the precipitous drop and joined this message board! I received many messages of concern that 7 units were too much insulin, so I cut the dose at first to 6 units bid, and several days later (on 19 Jan.) to 5 units bid. On 21 Jan. I cut it to 4.5 units bid. I have been home testing 3 times a day (AMPS at 7 A.M., +6 at 1 P.M., PMPS at 7 P.M.) since 19 January (doing OK, but it is still not easy for Stu or for me!). I find that his AMPS numbers are consistently around 400, but his PMPS numbers have been between 100 and 225. At +6 his numbers have been between 83 and 89 except for 21 January, when the +6 number was 176. After reading other people's posts and a lot of the literature on feline diabetes, I suspect that I am dealing with carryover or overlap and the "storage shed". I would welcome your comments and advice. I have been giving 4.5 units bid for the past 2 days and also this morning (Sat., 23 Jan.) Should I lower the Lantus dose to 4 units bid beginning this evening? Stu is 12 years old, a large domestic shorthair and, except for diabetes, in excellent health. He weighs 15.8 lbs. He eats 4/5ths of a can of EVO turkey & chicken a day, spread out over 4 feedings (7 A.M., 12 P.M., 7 P.M., 11 P.M.) He gets about 1/4 cup of EVO high protein/lo carb dry food per day available for snacking. Thanks for your help.
