My question has to do with feline diabetes. My 7 year old male probably got diabetes from being overweight. At one point he was 22 pounds and now is down to 17 pounds. Getting him regulated continues to be a problem. He was diagnosed in December of 2015 and is on his third type of insulin now, Lantus (glargine), which has the most flat curves. I have kept a detailed glucose log for him, indicating dates, times, glucometer readings, insulin units given, and what food he was given, and type it into a Word table weekly from the written notebook which I email to my vets. I do a 12 hour curves on him every weekend.
The traditional vet is the one prescribing and dosing the glargine, and one day his glucose went very low and I had to feed him extra food and not give him any insulin and then he seems to go into smogoyi effect. After reading the German protocol, I believe the traditional vet had him going up too fast, about a unit per week, which might be OK for Prozinc, but not for Lantus. The German protocol would only recommend going up by 1/4 or 1/2 a unit, but they say you can do it in 5 days time. The internal medicine vet wanted 10 days or more per dose before raising the dose.
This time I waited nearly 3 weeks to raise his dose by a half unit since the numbers of his last curve were mainly in the upper 300’s. His glucose dropped to 45. I didn’t give him any insulin that evening and called the vet first thing in the morning (by then his glucose was over 535) and we went back to his old dose. There are 2 other possible reasons for the drop besides raising his dose. I was at the bottom of the vial of Lantus. I read that Lantus shouldn’t be rolled or disturbed much and is a clear liquid that doesn’t seem to settle like the Prozinc and Novolin N did. Perhaps the Lantus in that vial did settle and was more concentrated at the bottom. I did look on lantus.com website to find instructions for humans with the vial, not the Solostar pen, and it doesn’t say to roll it.
I can email you the entire glucose log for my cat if you let me know how to get it to you since I can’t attach a file in Delta’s Ask the Vet. It is 51 pages long so far.
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