27/11 MEME starting OTJ trial (AT) Day#5, AMBG 118, PMBG 132

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rawia

rawia

Member Since 2017
Hi and hope all of you and your little furs are doing well:bighug:.

I decided to start the OTJ trial with Meme as she was doing very good on drop dose except her little high AM.

I did not post because i was afraid that it will not work but since she hold it to day 5 i think it is good.

I am using the Alpha Track on her trial because i want to see the accurate numbers.

Hope we can make it to day 14 with no surprises.
 
Wonderful!!!
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Are you feeding a snack at +9? That can help to bring the PS numbers down.

Just to make it official, here are the instructions:

Start the trial on the next green pre shot.

If 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 she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If 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. 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 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 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 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 her monthly. Weight should remain stable. If she seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test 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!

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Go Meme! Go Meme! Go Meme! Go Meme! Go Meme!
 
Tricia Cinco(GA) & Harvey said:
Are you feeding a snack at +9? That can help to bring the PS numbers down.

Just to make it official, here are the instructions:

Start the trial on the next green pre shot.

If 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 she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If 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. 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 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 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 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 her monthly. Weight should remain stable. If she seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test 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!

c23_rah.gif
c23_rah.gif
c23_rah.gif
c23_rah.gif
c23_rah.gif

Go Meme! Go Meme! Go Meme! Go Meme! Go Meme!
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I always feed her at +9 but her am BG never goes down and do not know why but to make sure i test after 3 or 4 hours and number always lower .

Since she is off insulin i thought if i control her feeding schedule would be better??

She is free feeding and always ate small amount and sometimes 2 hours before her test maybe that is why her BG is high?

Any feeding advise?
 
rawia said:
She is free feeding and always ate small amount and sometimes 2 hours before her test maybe that is why her BG is high?
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Yes, if she is eating less than two hours before her shot time, that could affect the PS reading. Is there any way you can pull her food two hours before shot time?
 
I don’t mean to throw cold water on this and I do hope she succeeds but I think you jumped the gun. Her SS did not look to me like a cat ready for a trial.

Even with the AT that you’ve switched back to, you should be seeing mostly green numbers.
 
Marje and Gracie said:
I don’t mean to throw cold water on this and I do hope she succeeds but I think you jumped the gun. Her SS did not look to me like a cat ready for a trial.

Even with the AT that you’ve switched back to, you should be seeing mostly green numbers.
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She drop to 50 many times on drop dose and i think if she can drop little high numbers to green then she is ready, i saw many SS here and many cats start morning with blue and success to drop to green with no insulin. Mark SS encurage me to start the trial as his numbers on AT same Meme's numbers. I will give it a try nothing will harm and hope she can do it.
 
And for AT most cats stay in blue and high green it is not like human meter. For example whem MeMe is 130 on AT it is 85 on human meter i always double check so i think it is just the meter what make different.
 
I don't think there's anything wrong with starting a trial as long as you're conscientious about it, and I know you'll be keeping a careful eye on her! If she needs more insulin, you can always re-start.

Maybe grab a couple of extra readings at different times of day during the trial? While still on insulin, she was generally higher at pre-shot times than in the middle of a cycle, so she may be spending more of the day in greens than you know. It's not something that's part of the OTJ trial instructions, but having those numbers would make it easier to get a sense of what her pancreas is doing without the insulin support, and whether you should be worried.
 
Nan & Amber said:
I don't think there's anything wrong with starting a trial as long as you're conscientious about it, and I know you'll be keeping a careful eye on her! If she needs more insulin, you can always re-start.

Maybe grab a couple of extra readings at different times of day during the trial? While still on insulin, she was generally higher at pre-shot times than in the middle of a cycle, so she may be spending more of the day in greens than you know. It's not something that's part of the OTJ trial instructions, but having those numbers would make it easier to get a sense of what her pancreas is doing without the insulin support, and whether you should be worried.
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Yes i start this trial and i know it might not success from the first time. What i mean that many of those numbers are green on human meter but i picked the AT on the trial to be able to see the real numbers and the instruction is written with human meter. I will take more readings at the cycle and see where we are.

Thank you:bighug:
 
I think that i have to control her feeding because it will effect her BG with no insulin.
 
rawia said:
And for AT most cats stay in blue and high green it is not like human meter. For example whem MeMe is 130 on AT it is 85 on human meter i always double check so i think it is just the meter what make different.
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With my long term experience with both meters and on the board, I can tell you that a 130 on an AT is not always 85 on a human meter.

There are other approaches we can take when a cat doesn’t look quite ready for an OTJ trial but drops below 50 with just a drop dose. Mark’s numbers actually look better than MeMe’s but we don’t compare one cat to the other when determining who is ready for a trial.

Our goal is that once they are in remission, they stay there. It is harder to get them back into remission the second or subsequent times.

It’s your decision. Yes, you can restart insulin if the trial fails but when I’ve seen trials started too soon before and the kitty had to go back on insulin, the dose had to go up higher.

Nan & Amber said:
I don't think there's anything wrong with starting a trial as long as you're conscientious about it, and I know you'll be keeping a careful eye on her! If she needs more insulin, you can always re-start.

Maybe grab a couple of extra readings at different times of day during the trial? While still on insulin, she was generally higher at pre-shot times than in the middle of a cycle, so she may be spending more of the day in greens than you know. It's not something that's part of the OTJ trial instructions, but having those numbers would make it easier to get a sense of what her pancreas is doing without the insulin support, and whether you should be worried.
Click to expand...
True...anyone can start a trial when they want. But the goal is to keep the cat in remission. It’s best for the member’s kitty to go into a trial looking as strong as possible. MeMe doesn’t. She didn’t even earn a reduction from the drop dose.
 
Marje and Gracie said:
With my long term experience with both meters and on the board, I can tell you that a 130 on an AT is not always 85 on a human meter.

There are other approaches we can take when a cat doesn’t look quite ready for an OTJ trial but drops below 50 with just a drop dose. Mark’s numbers actually look better than MeMe’s but we don’t compare one cat to the other when determining who is ready for a trial.

Our goal is that once they are in remission, they stay there. It is harder to get them back into remission the second or subsequent times.

It’s your decision. Yes, you can restart insulin if the trial fails but when I’ve seen trials started too soon before and the kitty had to go back on insulin, the dose had to go up higher.


True...anyone can start a trial when they want. But the goal is to keep the cat in remission. It’s best for the member’s kitty to go into a trial looking as strong as possible. MeMe doesn’t. She didn’t even earn a reduction from the drop dose.
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I know that but no diabetic cat is safe even if they went in strong remisson. Specially old cats, a simple teeth infection can bring them diabetic again and specially cat with panceriatitis can any time back to insulin and my bet has susspesion that this cause her diabeties even if it is mild. There is no safe or strong remission, any small infection can take them back. I felt that she is ready and i know even with strong remission there is a chance for her to be diabetic again.
 
rawia said:
I know that but no diabetic cat is safe even if they went in strong remisson. Specially old cats, a simple teeth infection can bring them diabetic again and specially cat with panceriatitis can any time back to insulin and my bet has susspesion that this cause her diabeties even if it is mild. There is no safe or strong remission, any small infection can take them back. I felt that she is ready and i know even with strong remission there is a chance for her to be diabetic again.
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Ok. As I said, it’s your decision.
 
Marje and Gracie said:
With my long term experience with both meters and on the board, I can tell you that a 130 on an AT is not always 85 on a human meter.

There are other approaches we can take when a cat doesn’t look quite ready for an OTJ trial but drops below 50 with just a drop dose. Mark’s numbers actually look better than MeMe’s but we don’t compare one cat to the other when determining who is ready for a trial.

Our goal is that once they are in remission, they stay there. It is harder to get them back into remission the second or subsequent times.

It’s your decision. Yes, you can restart insulin if the trial fails but when I’ve seen trials started too soon before and the kitty had to go back on insulin, the dose had to go up higher.


True...anyone can start a trial when they want. But the goal is to keep the cat in remission. It’s best for the member’s kitty to go into a trial looking as strong as possible. MeMe doesn’t. She didn’t even earn a reduction from the drop dose.
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Ok i thought she might be ready. I respect your openion as expert and sure i want strong remission. I will post and see what others say and if all agree i will back to insulin.
 
rawia said:
Ok i thought she might be ready. I respect your openion as expert and sure i want strong remission. I will post and see what others say and if all agree i will back to insulin.
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I’ve asked a few other very experienced members to give you their thoughts if they have time to pop in.

Thanks for considering my thoughts.
 
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