James – do you have any research articles/studies that support the use of Lantus in dogs? The link you provided from caninediabetes.org was merely the peaks of certain types of insulin but in the information that followed, it only mentioned the use of Lantus in cats. I am trying to understand where you are coming from with your aversion to using nph for diabetes in dogs and why you make statements about it being “impossible” to regulate a dog with nph – that is absolutely not true. Of course, there are dogs that don’t do well on nph but it is by far the most reliable and most prescribed and that is not just my opinion. I looked for some research on using Lantus and all the information I can find doesn’t give a great endorsement for Lantus use in dogs:
http://endocrinevet.blogspot.com/2012/04/treating-diabetic-dogs-with-insulin.html
http://www.uq.edu.au/ccah/index.html?page=43507&pid=0-Comparison
http://images3.wikia.nocookie.net/petdiabetes/images/8/87/2006symposiumproceedings.pdf
(on page 40, Dr. Nelson states: “My experience with insulin glargine in diabetic dogs has been mixed and somewhat disappointing. I currently only use insulin glargine in poorly-controlled diabetic dogs where NPH and lente insulin are ineffective because of problems with short
duration of insulin effect.”)
http://images4.wikia.nocookie.net/diabetesindogs/images/3/3d/2009_V110Diabetes-Western-2010.pdf (on pg 4, Dr. Scott-Moncrieff states “Long acting insulins such as PZI and Glargine
are quite unpredictable in dogs and are not appropriate for the management of most diabetic dogs.”)
The only reason I am posting this is not to change your mind or to try to prove you wrong or even argue for the sake of arguing – I am deeply concerned about people who have newly diagnosed dogs who are desperate for information who might see what you posted and start having doubts about what their vet is doing. I know how scary, confusing, and overwhelming it is to get that diagnosis. Vets don’t usually do a great job of explaining the process to owners or diabetes for that matter and many don’t encourage their clients to test bgs at home.
