04/10/20 Thomas J. AMBG 75, +7.5 73, PMBG 70, +5 74 OTJ Trial: Day 1

04/09/20
First day of OTJ trial. It's like he knew he didn't have to be exactly on time this morning for a shot and wouldn't come out from bed so that I could test him.
He was sleeping with my brother in his room so it took forever for him to come and eat his breakfast and be tested.
Still in normal range. I heard that it takes 3 days for the depot to empty so should I still grab a nadir the next 3 days?
Hope everyone has a great Friday!

 

Since the AM and PM are typically the highest of the day, as long as he's hitting those greens at those times, you won't need to test again during the day...

You are so lucky! Congrats on beginning the OTJ trial!!!! Go Thomas, Go!!

 

Happy Day 1 Brittany and Thomas J.!!!!! Go Thomas!!!

 

Yay!!! Go Thomas J!!! (I agree.....lucky & blessed!)

 

I don't think he'll have much depot left, but you can test as often as you'd like during the trial. It is a weirdly hard habit to let go of, anyway!

Go Thomas J.!

 

Great day 1 Thomas.

 

Happy Day 1!

You don't need to test again until PMPS if he has a green AMPS. Here the the OTJ trial instructions.

Instructions for starting the OTJ trial
Start the trial on the next green pre shot.
If he/she is green at your normal test times, no need to test further until the next "PS" time; just feed small meals and go about your day. If he/she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his/her number is lower 3-4 hours after a meal, then the pancreas is working!
Post every day so we can monitor your progress and see if any tweaks are needed. He/she may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.
After 14 days of no insulin, we have a party!!
Sometimes the trial doesn't work the first time and we have to give a little more support in the form of resuming insulin. It's not the end of the world if that happens; we just give him/her the support needed. Our goal is a strong remission and it's better to take our time to get that than to rush into remission just to have it fail later on.
Good luck with the trial!!!
Once he/she is through the trial successfully, you enter a new phase. Your cat is still diabetic but has now become diet-controlled. Continue feeding low carb food in the manner successful for your kitty. If you decide to change his/her feeding schedule, let your meter be your guide to the best times to feed. Avoid medications with sugar in them and steroid medications unless they are medically essential. Continue testing blood glucose weekly for the first month and then monthly forever. It's a good idea to weigh him/her monthly. Weight should remain stable. If he/she seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test his/her blood glucose right away. Keep the teeth and gums clean and healthy; dental issues can bring a cat out of remission. If you see rising blood glucose numbers, it's time for a visit to the vet!

 

I'm sending a pm with details!

 

Woohoo! Nice to see another great trial start.