Increased fat mobi Dabei wird nichts umgerechnet! Continue reading >>, Why has my veterinarian prescribed this medicine? Other drugs commonly used in cats that are also strongly protein bound include the injectable long-acting penicillins, long-acting cephalexin, and Rx Propofol, an injectable anesthetic. The problem often lies in knowing how to find the insulin inexpensively. This study's goal was to determine and compare the likelihood of remission in cats with newly diagnosed diabetes mellitus when treated with glargine insulin, protamine zinc insulin (PZI), or Lente insulin given subcutaneously twice a day. Some are designed for human use but can be useful in pets, while others have been developed specifically for animal use. Patients with T2DM: Lantus ® dosing. Insulin muss immer vor direkter Wärme und Licht geschützt werden. Lantus (insulin glargine) is a man-made form of a hormone (insulin) that is produced in the body. Allow the medication to come to room temperature before injecting. As Detemir is strongly protein bound, there is the potential for drug interactions. An overdose could seriously harm your cat. It does not matter about meal-feeding cats, as they do not get the post-prandial glucose spike (ref: The Cat as Model for Human Obesity and Diabetes; Hoenig) – because they are digesting protein and balancing out the glucose release after it has been deconstructed from protein in the liver. Nevertheless, Marshall and Rand think it is a risk worth taking. Insulin ist ein Medikament, das für Diabetiker lebenswichtig ist. The bottles are 10 ml and fairly expensive. Zum Inhalt. Its incidence appears to be increasing, probably due to an increase in obesity in the cat population. Type 2 diabetes, the most common form of DM in cats, is characterised by variable loss of insulin secretory capacity and insulin resistance. Continue reading >>, indications for Lantus Lantus is a brand of insulin used to treat diabetes mellitus. “Most of my remissions have come by using Lantus. Lantus ist ein menschliches lang wirkendes Insulin. Dosage Typically eliciting a much stronger reaction from dogs than from cats, the dosage will typically start out much lower than with other types of insulin, roughly .1 unit/kg twice a day. Better glycaemic control is achieved with twice daily dosing rather than once daily More accurate dosing may be achieved using 0.3ml U-100 insulin syringes Indications for starting glargine All newly diagnosed diabetic cats (to increase chance of remission) Poorly controlled or unstable diabetic cats (glargine’s long duration of action is likely to benefit these cats) When SID dosing is desired or demanded (glycaemic control and remission rates are higher if glargine is dosed BID) Ketoacidosis – replaces regular insulin and can be used IM or IV When corticosteroid administration is required in cats at high risk of developing clinical signs of diabetes or cats in remission. Also, it is often easier to give the injection while your cat is eating. Lantus (sometimes misspelled "Lantis") is a synthetic or analog insulin manufactured by Sanofi-Aventis. Nach unserer Erfahrung ist der Insulinbedarf mit ProZinc etwas höher als mit Lantus oder Levemir. The average age at diagnosis is 10 years and the peak incidence is between 9 and 13 years. Das vorhergehende Insulin … We’re going to try ProZinc." For initial insulin dose, BG > 20mmol/L à start with 0.5U/kg ideal body weight twice daily (BID) BG < 20mmol/L à start with 0.25U/kg ideal body weight BID Blood glucose should be sampled every 3-4hrs for several days, either at home or in hospital. Read the label carefully. In combination with an appropriate diet (canned cat food with less than 7% carbohydrates), glargine has the best chance of inducing a remission, meaning that the cat will no longer require insulin. If for some reason you must use a U-40 syringe for a U-100 insulin, or vice versa, use our conversion chart. I have one particular owner who has told me he absolutely can’t afford to use it any longer. In both dogs and cats, DM is caused by loss or dysfunction of pancreatic beta cells. Lantus releases insulin slowly in the body, which helps minimize the number of injections required to maintain healthy glucose levels. All cats were fed an Lantus enthält Insulin glargin, ein Insulinana-logon mit einer lang anhaltenden Wirkdauer. How do I give this medication? In this nonrandomized, prospective study, 24 cats in which diabetes mellitus had been diagnosed within the preceding 24 hours were enrolled. Es wirkt nicht nur lange, sondern auch sanfter als z.B. Like other kinds of injectable insulin, it provides the body with the hormones necessary to help lower the amount of glucose in the bloodstream. If your cat is having trouble with vomiting, be very careful and watch for possible hypoglycemic episodes. Each animal needs individualized, frequent reassessment, and treatment may be modified based on response. The glargine product information for human use recommends replacing the vial every 28 days, but if kept refrigerated, the insulin is effective for cats for at least three Diabetes mellitus, known commonly as type II or sugar diabetes, is a serious disease affecting a growing number of cats. Each cat's fructosamine concentration was also determined. ProZinc wird zweimal täglich mittels subkutaner Injektion in den Nacken oder die Seite der Katze … “All of my diabetics are on it,” said Dr. William Folger, a board-certified feline specialist in Houston. (The hints I give also apply to Levemir, another human insulin often used by diabetic cats.) Insulin Glargine Pens: Lantus SoloStar Pen: The needle should remain in the skin for at least 10 seconds to ensure complete delivery of the insulin dose (the patient should slowly count to … PZI is still used some although it is being phased out. Because of cats' faster metabolism, long-acting insulins like Lantus (and perhaps Levemir) are gaining a good reputation in veterinary research for regulating cats for a full 12 hours at a time, often better than some of their shorter-acting cousins. This will insure that the cat has food in her stomach (and rising blood glucose levels as a result) to counteract the action of the insulin. Type 1 diabetes, resulting from immune-mediated destruction of beta cells, appears to be quite rare in cats. After giving the cat insulin, the process to stabilise Fluffy at home, usually starts at 1 or 2 units of either kind of insulin twice a day. Continue reading >>, Renee Rucinsky, DVM, ABVP (Feline) (Chair) | Audrey Cook, BVM&:S, MRCVS, Diplomate ACVIM-SAIM, Diplomate ECVIM-CA | Steve Haley, DVM | Richard Nelson, DVM, Diplomate ACVIM | Debra L. Zoran, DVM, PhD, Diplomate ACVIM | Melanie Poundstone, DVM, ABVP - Download PDF - Introduction Diabetes mellitus (DM) is a treatable condition that requires a committed effort by veterinarian and client. Your vet gave you a prescription that probably read “U100 Glargine/Lantus 10ml vial.” Lantus is the brand name for the generic insulin Glargine. The company Sanofi makes Lantus, and no other companies currently make a generic Glargine because Sanofi still has an international patent on the insulin. This will help determine when something is wrong. – Guidelines For Newly Diagnosed Diabetes Patients, 6 Things to Consider When Working With Clients With Type 2 Diabetes. • talk to your vet regularly about your cat's progress • see your vet immediately if your cat develops additional problems (e.g. 0h [before morning insulin], 4h, 8h and 12h after morning insulin) Dose changes should be made based on pre-insulin glucose concentration, nadir (lowest) glucose concentration, daily water drunk, and urine glucose concentration. Detemir appears to be better tolerated than Levemir in some cats, and may have less variability. * Bei Katzen … Die Dosis ist jeweils gleichzeitig mit oder kurz nach dem Füttern zu verabreichen. Reversing Diabetes 101: The Truth About Carbs, Blood Sugar and Reversing Type 2 Diabetes, 101 Registered Dietitians & Experts Answer 3 Diabetes Diet Questions, American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes, Leeds diabetes clinical champion raises awareness of gestational diabetes for World Diabetes Day. Try not to miss giving any doses. “It’s the insulin I reach for when there's a diabetic cat,” Mihlfried said. Several risk factors for DM have been identified: age, obesity, neutering and gender. Insulin types made for human use match the natural human insulin, and may not always be as effective in pets. How did I get fat? Rx Detemir = Levemir: The Detemir insulin is strongly protein bound (that is, albumin bound) and slowly released. With any insulin, the goal of treatment is to safely reduce or eliminate the symptoms of diabetes (weight loss with excessive thirst, urination and appetite). Be aware of your pet's normal behavior. Ich habe meine Katze aus dem Tierheim geholt und die Verantwortung übernommen. One box contains 5 x 3 ml vials. In some cats it can be used once daily. Lantus® 100 Einheiten/ml 10 ml für nur € 57,83 bei Ihrer Online Apotheke für Deutschland kaufen. Lantus … You need to get the owners to bring the cat in after a couple of days to measure its blood glucose 3 hours after their insulin dose and breakfast. Regardless of the underlying etiology, diabetic dogs and cats are hyperglycemic and glycosuric, which leads to the classic clinical signs of polyuria, polydipsia (PU/PD), polyphagia, and weight loss. It is more natural for a cat to graze-feed anyway, so if that is what the cat wants to do, th Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE), How insulin and glucagon work to regulate blood sugar levels, Betalin Aims To End Insulin Injections By Treating Type 1 Diabetes With Cell Transplants, Effects of Insulin Plus Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) in Treating Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis, Metabolic surgery for treating type 2 diabetes mellitus: Now supported by the world's leading diabetes organizations. Continue reading >>, Home Story 6 important factors Blood glucose values The future? • the majority of cats do very well on this protocol, some cats do not (generally these are hard-to-regulate cats) • it is more time-consuming than most other protocols, but still definitely doable if you work a regular full-time work week • it is more expensive than most other protocols, but costs can be reduced by e.g. Seitdem Insulin zum ersten Mal im Jahr 1921 durch Banting und Best aus den Langerhans-Inseln eines Hundes extrahiert wurde, sind schon fast 100 Jahre vergangen. At $200/vial, that is a price of $.20/unit. Wenn die Katze vorher eine andere Sorte Insulin erhalten hat, sollte man bei der Wahl der Startdosis diese Infos zur Kenntnis nehmen und möglicherweise eine niedrigere oder höhere Startdosis wählen. Lantus: Lantus ist das am längsten wirkende Insulin was heute für Katzen erhältlich ist. Lantus sollte im Kühlschrank (2°-8°C, nicht gefrieren!) Learning more about how this product works, including precautions and guidelines for its use, can help cat owners select the right treatment method for their diabetic pet. This medication does not need shaking or swirling. Refrigeration prolongs its shelf-life and allows opened vials to be used for up to 6 months. aufbewahrt werden. There are a variety of types of insulin available. I am often amazed by the question because of the “good” insulins for diabetic cats, Lantus can be the least expensive per unit. Eine Studie von 2005 die Lantus, PZI und Lente Insulin … Der Gummipropfen für den Pen ist etwas härter als bei der Durchstechflasche, lässt sich aber mit einer Spritze auch gut handhaben. To give the proper dose, the syringes you use must match the concentration of the insulin. Measure the dose with reasonable care. This article is about the naturally occurring D-form of glucose. Lantus 100 E/ml Injektionslösung i.e.Pat, 10 x 3 ml, Sanofi-Aventis Deutschland GmbH, jetzt günstig bei der Versandapotheke DocMorris bestellen die Position des Gummipropfens der Spritze in Relation zum Rand des Strichs auf der Spritze. Genetics may play a role in some breeds (e.g., Burmese cats in Australia). Bei Patienten mit Typ-2-Diabetes kann Lantus It would cost less each day to give your cat its life-saving medicine that to buy a soda from a vending machine. Continue reading >>, November 2, 2013-- How do I get Lantus Insulin Less Expensively? Do Type 1 Diabetics Have To Take Insulin? Im Moment bekommt er zweimal 1,5 IE pro Tag, wobei wir davon ausgehen, dass wir mittelfristig bei zweimal 2 oder 2,5 IE pro Tag landen werden. Pets taking digoxin should have their potassium levels monitored. Lantus is an insulin for humans and is only available from a human pharmacy (although some vets do hold some in stock). Die Lösung ist klar und braucht nicht gemischt zu werden. General. It has since been published in the Journal of Feline Medicine and Surgery. It is a good idea to keep two vials of insulin on hand, just in case one is broken or you run out over a weekend or holiday. Do not give the pet more insulin than directed and do not give more often than directed. Double-check the dose in the syringe. Do not use Lantus … Vorsicht bei Trübung oder Flockenbildung, das Insulin ist dann verdorben. Lantus injections may help regulate the disease by lowering blood sugar levels in diabetic cats. How Long Can Novolog Be Kept Out Of The Refrigerator. Many veterinary internal medicine specialists recommend glargine (Lantus®, made by Sanofi Aventis) as a first-line choice. 2. Hence the ultra-long-acting human insulins, Glargine Lantus or Detemir Levemir, work best for these cats. If your cat gets 2 units of insulin twice a day, that is $.80/day for its insulin (if you could completely use a vial of Lantus insulin). Adverse reactions associated with insulin glargine (the active ingredient contained in Lantus) include … Since the brain requires glucose for fuel at every ... Portable Insulin Cooler Box MINI Fridge Insulin 2 Internal Batteries Car Adapter Portable Insulin Cooler Box MINI Fridg... Tweet Insulin is a hormone which plays a key role in the regulation of blood glucose levels. Neu sind synthetische Human-Insuline, die für den Menschen sehr gut verträglich sind. Diabetes in young cats is extremely rare. Lantus (glargine) and Levemir (detemir) are increasingly common insulins prescribed by veterinarians with current knowledge of feline diabetes. DCIN receives this question a few times a week from US caregivers of diabetic cats. Secondary forms of diabetes can develop wit How did I get so unhealthy? Continue reading >>, At more than $200 a 10-ml vial, the world’s most prescribed insulin is priced at or beyond the threshold of what many cat owners are able or willing to pay. Diabetic cats respond differently to treatments. An insulin glargine -- a type of insulin that is structurally identical to, but not, human produced insulin -- Lantus is designed to be longer lasting than other insulins, lasting up to 24 hours (however, in dogs it typically does not last more than 16 hours). The cats usually only end up needing 1 – 4 units of either kind of insulin twice a day – the Glargine especially seems to keep them stable at 2 units twice a day. Use with anabolic steroids, adrenergic blockers, MAOIs, aspirin (or other salicylates), phenylbutazone, or tetracycline might increase the effects of Lantus, and should be monitored, while DOBUTamine, EPINEPHrine, furosemide, thiazide, progesterone, glucocorticoids, and estrogen, may decrease the effects. Wenn Sie ein … This document provides current recommendations for the treatment of diabetes in dogs and cats. Then it went to $116 and $128. A 10ml vial of U100 insulin holds 1000 units of insulin. The initial dose is 1 to 2 IU/cat twice a day. Die Wirkung von Lantus ist abhängig von seinem pH Wert - deshalb darf es nicht mit anderen Insulinen gemischt oder mit Wasser verdünnt werden. The resulting high glucose levels can lead to complications like damaged kidneys, muscles and nerves. It costs around $40 for a 400-unit, 10-ml vial. Continue reading >>. For the L-form, see L-Glucose. Links Guestbook About this site Disclaimer • see your vet and get his or her approval of this protocol before you start!!! Now it’s being sold at Walgreen How do I store this medicine? Autorin: Barbara mit Zorro Continue reading >>, Most diabetic cats will require insulin therapy as part of their treatment. If it is almost time for the next dose, skip the missed dose, and continue with the regular schedule. The manufacturer however recommends discarding opened vials after 4 weeks When performing a blood glucose curve, samples probably only need to be taken every 4hrs over 12 hr in many cats (ie. Auf den Demi-Spritzen sind 0,5 IE und 1 IE noch markiert, alles dazwischen ist ziemlich ungenau. eBay Kleinanzeigen: Insulin, eBay Kleinanzeigen: über 52.000 Haustiere - Welpen, Hunde, Katzen, Pferde, Vögel, Tierbetreuung, Reitbeteiligung und mehr. Der Gummipropfen ist beweglich und kann bei Überdruck heraus fallen. "An overdose could seriously harm your cat." “It was $82 a bottle when it came out, roughly a decade ago. In combination with an appropriate diet (canned cat food with less than 7% carbohydrates), glargine has the best chance of inducing a remission, meaning that the cat will no longer require insulin. buying glucose test strips from online pharmacies or reputable sellers at eBay • members of the German Diabetes-Katzen Forum buy 3 ml Lantus/Levemir cartridges, refrigerate them after opening and routinely use them for 6 months or more - when refrigerated, opened cartridges of these insulins are extraordinarily stable • you will need to test the blood glucose levels of your cat multiple times per day • you will need to know about hypoglycemia and be prepared to deal with it • you will need to test for ketones regularly to start with and know about ketoacidosis, but be aware that ketones don't occur once a cat is (and remains) properly regulated • you will need a brand-name glucometer made for human diabetics that measures whole blood (not plasma-equivalent) and which uses 0.6 µL of blood per test or less • you will need to use syringes which allow yo Initial assessment included performing a physical examination, serum chemistry profile, urinalysis, and urine bacterial culture. Datum: Juli 2005 (überarbeitet November 2013 Petra und Schorschi). In the cat, loss or dysfunction of beta cells is the result of insulin resistance, islet amyloidosis, or chronic lymphoplasmacytic pancreatitis.2 Risk factors for both dogs and cats include insulin resistance caused by obesity, other diseases (e.g., acromegaly in cats, hyperadrenocorticism in dogs), or medications (e.g., steroids, progestins). Some veterinarians find that Lantus, approved by the U.S. Food and Drug Administration (FDA) for use in humans, works best in their diabetic feline patients. It is a small glass bottle with a rubber stopper at the end that you pierce with a syringe. The recommended starting dose of Lantus ® in patients with type 2 diabetes who are not currently treated with insulin is 0.2 Units/kg or up to 10 Units … Glucose is a simple suga... Tweet When you are injecting insulin, you should aim to inject into the fatty tissue just underneath the skin. Insulin glargine is a long-acting insulin … Owners should always consult with a veterinarian regarding specific dosage recommendations and instructions. Dose reductions can be made (based on the blood glucose parameters in T Taking with burdock (a plant with diuretic and blood purifying properties) may have a hypoglycemic effect, and the dosage of insulin may need to be adjusted accordingly. The natural insulins produced by cat and dog pancreatic cells have slightly different structures than the natural insulin produced by human pancreatic cells. Vetsulin is not the best choice for your cat. Continue reading >>, Lantus glargine by Aventis long-acting analog U100 Special, pH 4 Line new molecular entity Also known as Glargine (generic) Similar to Levemir, PZI[1] ultralente, Ultratard (duration) Action in cats varies by animal onset variable, asymmetric peak 5-14h (4-20 h as per Nelson)[2] duration 9-24h (10-16 h as per Nelson)[3] Action in dogs onset inconsistent, peak 0.5 to 6 hours, inconsistent, duration about 13hr but inconsistent-beef/pork PZI has longer duration (10-16 h as per Nelson)[4][5][6] Use and Handling Type clear Shelf Life refrigerate, until date on package When opened 28 days at room temp, up to 6 months when stored in the refrigerator (2C to 8C)[7] In pen 28 days at room temp Notes protect from light and heat do not mix with other insulins do not dilute do not prefill syringe discard if precipitate or cloudiness discard if frozen Do not use intravenously[8] Do not use intramuscularly[9] Lantus is the brand name for insulin glargine, an insulin analog made by Aventis[10].
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