? 2/4 Meme PMPS 99 +3 42 ( Need advice to start OTJ trial)

Discussion in 'Lantus (Glargine) / Levemir (Detemir)' started by rawia, Mar 4, 2018.

  1. rawia

    rawia Member

    Aug 24, 2017

    Meme is dropping again and need advice if she is ready or not, there is still some blue and i want her to be little longer on insulin but you are the expert!!!

    I was out of town yesterday and this morning so she did not get her shot and no body was there to test.

    I will be happy to hear your openion because i want her to be ready this time :bighug:.
  2. Doodles & Karen

    Doodles & Karen Well-Known Member

    Jun 2, 2015
    If she were my cat I would try the OTJ trial. With 2 missed shots and her getting into the 40’s tonight think it’s worth the try.
  3. tiffmaxee

    tiffmaxee Well-Known Member

    Nov 15, 2013
    I agree with Karen.
    rawia likes this.
  4. Wendy&Neko

    Wendy&Neko Well-Known Member

    Feb 28, 2012
    Marje, Stacy and I also think you should go for it. Here are the OTJ trial instructions. Good luck! :D

    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!
    rawia likes this.
  5. rawia

    rawia Member

    Aug 24, 2017
    Hi Karen :bighug::bighug:
    It has been a long time, thank you for checking on us as always .
  6. rawia

    rawia Member

    Aug 24, 2017
    I saw the post late and already shot this morning ( different timing here:D).

    I think i will start tomorrow and hope for the best.

    I prefer to see her more between 50 and 80 not 90’s but it is worth to try as all of you said.

    Thank you all, tomorrow is the big day:bighug:.
  7. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Jun 15, 2015
    Good luck with the trail!
  8. Stacy & Asia

    Stacy & Asia Well-Known Member

    Oct 2, 2017
    So excited for you and Meme! :bighug::bighug::bighug:
  9. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

    Jun 17, 2017
    How exciting! Good Luck!! :bighug:
  10. Nan & Amber

    Nan & Amber Well-Known Member

    Mar 19, 2016
    Good luck tomorrow! Go Meme!
  11. Doodles & Karen

    Doodles & Karen Well-Known Member

    Jun 2, 2015
    Just remember, Meme doesn't know the difference between 50 and 90.....green is green :D:D;) Good luck, I'll be watching :joyful:
  12. LeeAnn (Lannie)& Freckles

    LeeAnn (Lannie)& Freckles Member

    Jan 12, 2018
    How exciting! Good luck!
  13. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

    Jul 18, 2011
    Don't forget to post each day so we can cheer you along! Go Meme!
    Stacy & Asia likes this.

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