? Should I increase dose

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

  1. Scdal

    Scdal Member

    Joined:
    Mar 10, 2020
    All this week, Phoenix has remained in the low to high 200 range. This is good because before this he was bouncing a lot.

    I usually increase his doseage on Sundays so I am asking in advance. Should I increase his dose by .25? Your opinions would be greatly appreciated. Thanks
     
  2. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    If nothing happens between now and then, yes, it would be time to go up.

    Since he's already at 6.5, you could go up to 7
     
  3. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    When cats get to 6.0 units and above, we suggest getting them tested for a couple secondary conditions that can mean higher doses are needed. The two conditions are called acromegaly and IAA or insulin auto antibodies. My girl had both those conditions. One in four diabetic cats has acromegaly, a condition caused by a benign tumour on the pituitary that sends out excess growth hormone. IAA is somewhat like an allergy to injected insulin - I'm simplifying it. For testing those conditions, your vet does a blood draw and has it send to Michigan State University.
     
  4. Scdal

    Scdal Member

    Joined:
    Mar 10, 2020
    Thank you, I will increase to 7 units on Sunday.
     
  5. Scdal

    Scdal Member

    Joined:
    Mar 10, 2020
    I have a conference with Phoenix's vet next Friday so I will mention this to him. I am not taking Phoenix with me as he gets very stressed by vet visits and I don't want to upset his glucose readings. Phoenix weighs 38 pounds and is very hard to handle at the vet. He is strong especially when he is upset. They can vaccinate him without a problem but he will not hold still to draw blood. The vet has to sedate him to do this. Phoenix had an attack of pancreatitis in March and lost a lot of weight. He was very ill and also developed pneumonia. He regained most of his weight and is doing excellent so I hesitate to upset him for a blood test. I will mention it to the vet and see if we should have this test done. I really appreciate your concern.
     
  6. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    Hi Susan did you say Phoenix weighs 38 pounds, holy cow,
     
  7. Scdal

    Scdal Member

    Joined:
    Mar 10, 2020
     
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  8. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    He’s a big Texas boy! Acromegaly, at least in humans, is often associated with large people. It’s the excess growth hormone.

    Things you can do to try calming him down for vet visits are spraying the inside of the carrier with Feliway, giving him some Rescue Remedy for Pets a couple hours before, or maybe the vet would prescribe some gabapentin to give before hand. Neko wasn’t fond of blood draws with her regular vet either. Though she was fine when I was there if her acupuncture vet did the draw and I heard she was OK with her internal medicine vet. I was using Feliway and Rescue Remedy by that point.
     
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  9. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    He must be nice to cuddle with, do you have a pic of him
     

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