Insulin glargine for cats
Common Questions and Answers about Insulin glargine for cats
lantus
I would continue to use insulin glargine, a recombinent insulin analogue (Lantus) without concern. This was the recommendation in the British Journal Lancet Vol 1, 374 issue 9649 p511-513 15 August 2009. The media has produced some fear based upon five studies that I have read, and used some statistical manipulation that would have failed me in "statistics one" in the eighth grade. The experimental protocols were pretty crummy.
Examples are insulin zinc suspension, protamine zinc insulin, and the insulin analogues insulin glargine and insulin detemir. The latter two insulins are now the most widely used long-acting insulins.
* Biphasic insulins: mixtures of short-acting and intermediate-acting insulins in different proportions, such as 30/70, 50/50. Examples are NovoMix 30, Humulin M3, Insuman comb and Humalog Mix25.
Hi Dawn,
Pizza can be tough to estimate, more because the carb content can vary so much from slice to slice and pizza to pizza. But although I'm just a mom like you, and not a doctor, it sounds like it's not just pizza causing high blood sugar.
You didn't say what sort of long-lasting insulin she's on-- is it Novalin? Or Lantus/glargine? If you haven't tried Lantus (aka glargine) yet, I would strongly recommend talking to your endo about it.
She complained of polidypsia, dry mouth, weight loss. Insulinotherapy was initiated with glargine, ten units at bedtime (glycemic value before aministration was 169) after reiceiving 6 units of aspart imediately (7 pm). Next day a fasting value of 140 mg/dl. Bedtime value (2 hours postprandial ) 269. After 10 U glargine, fasting value 120 mg/dl. Glycemic variation are very important and depend on the thyroid status.
What is your opnion?
com
If you click on the Message board for Lantus glargine insulin, it will bring you to the message board on Lantus. I'm getting ready to take my kitty to the Vet for a dental, so won't have too much more time here. I'll try and get this other link directly to Lantus message board. I give Maggie Lantus every 12 hours,
The links are hard for me to figure out how to post here, but here it is:
http://www.felinediabetes.com/FDMB/viewforum.php?
The doctor thinks it is too high and gave Recombinant Insulin Glargine Injection and my mother does 15 unit injection every night. But blood sugar is still like 7.3~8.3 mmol/L before meal and 9-10 mmol/L after meal.
Is this often to see among diabetes type 2 patients?
Can some one give me any advice about how to improve my mother's condition?
Sincerely thanks.
Cinnabon,
It's another good question that you ask. We're not physicians here, so please do run our opinions by your endo.
Assuming that you're having dinner at normal dinner time (somewhere 5pm -9pm) and that you're bolusing correctly for your carbos (do you know your insulin/carbo ratios?), then my best guess is that it's the shot of N that's causing it.
Montefiori Medical Center (Bronx, New York) performed an in-depth study of 240 women receiveing Lantus (insulin glargine) during pregnancy. The results were published in the Journal of Reproductive Medicine, April, 2009 (4) 208-10. They found the drug to be well-tolerated and advised continuing the use of Lantus during pregnancy. PubMed has no studies whatsoever that substantiate an adverse affect on pregnancy.
Have you asked your doctors about the insulin pump. It allows you to set a basal rate of insulin using fast acting insulins (Humalog) for very specific time periods. This will allow you to adjust dosages based on your very specific needs. I have had great success using it. Prior to using the pump I also had difficult time with overnight and morning blood glucose levels. My last A1C was 5.9 it really workds!!!
Lantus (insulin Glargine) is a very SLOW release insulin, a so-called "24-hour" insulin. Because it does not rapidly alter glucose levels it is safe to use when driving. It isn't adviseable to increase the dose of Metformin. Other insulins have the tendency to rapidly (comparatively) alter levels of conscious and situational awareness. It is often prescribed together with Metformin and Glipozide. I would also hazard a guess that weight control is an issue.
50% in the amount of insulin required in 8 of 9 cats in one study. In another study, complete cessation of insulin administration was reported for one-third of the cats.
Update on Feline Diabetes Mellitus, Dr. Claudia Reusch (WSAVA 2006):
In previous years, when we did not limit the type of food our remission rate was 15%-25%. We were able to increase the remission rate to 50-70% by using a low-carbohydrate high-protein diet. (Remission refers to no further need for insulin.
Your veterinarian will help you with a game plan for regulating her diabetes. Some cats need insulin, others can do just as well on special diets. Many veterinarians are now recommending trying to keep the cat on a grain free canned diet, but not all cats are accepting of that type of food.
Beyond the information you might get here, I would recommend asking questions in our Ask the Vet expert forums here on MedHelp. Another good resource is caninediabetes.org.
I have a cat who was previously diagnosed as diabetic and was on various doses of insulin for about 18 months. About 2 years ago insulin was stopped and the cat is well and healthy. I still give him Hills M/D food partly as a precaution and because he strangely won't eat anything else. He won't even eat fish or meat! I understand that it is possible for cats to become non-diabetic (A phenomenon unique to cats)
Anyway my question is how likely is my cat to develop cataracts?
s been on insulin for about a month now, and I do not feel like she is doing so good on this insulin. I 1st gave her 1 unit 2/day, and after a curve in Drs office, she decreased it to .5 unit 2/day. She's loosing body mass as I can feel her bones. I don't think she is eating as much as she should. Does her insulin need to be adjusted, or do you think she even needs it? I also switched her to canned food only.
Hello...I am so sorry for your loss. I was frightened for the first time going to sleep last night because I was running low and my fiance just got a new job, so he won't be here during the night. I remembered your post. I think your post helped me to realize to be more careful. It's scary, but I did find a way to face the fear and eventually get to sleep (at around 3:30am). I have nine cats. We usually keep them out of the bedroom, but I let them in last night.
I have been a diabetic 40 years (Type 1), and started on Lantis about a year ago, replacing NPH for my basal insulin (I also take Humalog with a pen). I injected Lantis with a syringe, and as I never had a problem with NPH when it sometimes entered a vessel, I did not draw back before injecting.
The result, when I hit a vessel in my leg, was a drop in blood suger from 180 to 30 in 1/2 hour!
Like 2dawn said always consult your doctor
another old discussion here.
http://www.medhelp.org/posts/Hepatitis-C/HR--mixing-ALA-and-R--ALA-dangerous/show/1292687
I wouldn't consider taking this myself especially during a new treatment.
http://en.wikipedia.org/wiki/Lipoic_acid
This article needs more medical references for verification or relies too heavily on primary sources.
This section does not cite any references or sources.
Recommended
