? 29/11 Need an expert openion, should i continue MEME's trial or not?

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rawia

rawia

Member Since 2017
Hi all and thank you for all the support that you gave me from beginning to know.

Now i have some suspension about MEME trial @Marje and Gracie gave me an expert openion and she think that Meme is not ready yet.

http://www.felinediabetes.com/FDMB/...-otj-trial-at-day-5-ambg-118-pmbg-132.187239/

You are experts and i am not so i need second openion. I know that i can go back if things does not goes well but she told me that it would be harder at the second time and at the same time i know that even a tiny tooth infection can take her back to insulin, nothing is guaranteed. Could you please help me in this decision.

Thank you @Marje and Gracie for your help and openion that i appreciated and wish that other experts gave me their openion too.

I am still at the beginning of the trial and i can go back to insulin if you all think that she is not ready.


Thank you all
 
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I agree with Marje....I don't think she's quite ready yet

Even using the AT, we'd like to see her at least in very low blues at Pre-shot times

Using a human meter, we like to have them between 50-120 with most of the numbers under 100...an occasional blip into 100-120 is OK, but the majority should be green

If she were mine, I'd go back on the drop of insulin and hang in there awhile longer...if she's really heading for remission, she'll get there!! Better to take it slower and have it stick than rush it and have to try for a 2nd time!
 
If you look at this post on earning reductions and starting OTJ trials, it recommends mostly under 80 before starting a trial.

Prior to starting an OTJ trial, one wants to see kitty mostly in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range.
Click to expand...
Getting a few mid cycle tests, as well as the odd test with a human meter could tell you how she's doing on that now. She wasn't meeting the criteria for a trial when the trial started.

It's always possible a trial would stick, but there's nothing so disappointing as someone returning with their cat out of remission.
 
I agree with the others, the numbers on the human meter prior to starting the trial, were overall a bit high.

The tests you've been getting on the AT are also on the high side.

If meme were my cat I'd restart the drop dose, and wait till she goes all green, with numbers mostly in the 50-80 range

If you look at George's chart, you can see what you are looking for he went OTJ in April 2016, you can see how I waited for him to get mostly in that range before starting a trial. I was really determined to try and give him the best chance at a strong remission. I still test him daily, every morning and he is still OTJ.
 
Before i back to insulin, have some question please.

I think that timing effect the BG, what i mean that i uesd to give her the shot at 5 am and pm but with no insulin she always go lower after that time. Does that make difference or not?

She always lower at 6 or 7. Maybe if i changed the time her ps will be lower or you think that there is no relation between time and insulin??

Maybe very early morning some cats go higher.
 
As long as you are shooting 12 hours apart and not feeding 2 hours before shot time, the time of day you shoot shouldn't make a difference in PS numbers.

I also agree with the others...Meme looks to be close to possibly being ready for a trial, but isn't quite there yet. Hopefully support with insulin for a little bit longer will get her to a trial...I would go back to a drop as well.
 
rawia said:
Before i back to insulin, have some question please.

I think that timing effect the BG, what i mean that i uesd to give her the shot at 5 am and pm but with no insulin she always go lower after that time. Does that make difference or not?

She always lower at 6 or 7. Maybe if i changed the time her ps will be lower or you think that there is no relation between time and insulin??

Maybe very early morning some cats go higher.
Click to expand...
I agree with Amy...as long as you give it roughly 12 hours apart, it doesn’t matter what time you shoot.

Remember that when you give insulin, it has a specific onset. If you aren’t giving insulin, her BG is related to how much insulin her own pancreas can make and when it gets it to the blood to uptake the glucose.

I’m glad you restarted. Good luck!!! :):)
 
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