5/20 Grey AMBG 103 (OTJ Day 4) AT meter

Discussion in 'Lantus / Levemir / Biosimilars' started by JennRoss86, May 20, 2018.

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  1. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    Is this okay to be blue, or do we start over?
     
  2. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    I would keep testing today and see what the rest looks like
    This is what TR says

    REMISSION:
    From Tilly's Diabetes Homepage, Phase 5: Remission

    14 days without insulin and normal blood glucose values. Most remission cats are able to stay in the normal range all of the time (50 to 80 mg/dl), although there are a few cases of sporadic higher and lower BGs. Don't stop feeding low-carb and try to avoid cortisone if possible.

    Test the cat's BGs once per month.Approximately 25% cats that achieved remission using this protocol relapsed and required insulin again (frequent causes are hyperthyroidism or bouts of pancreatitis). Therefore, it is important to keep your diabetes kit up-to-date. Then you can react immediately by giving insulin and home testing. Importantly, the sooner you react to a relapse (i.e. preventing hyperglycemia and initiating other necessary veterinary treatment), the more likely a second remission will become.

    The longer a cat has had diabetes, the less likely it will go into remission. Many long-term diabetics get stuck in Phase 3 or 4. Yet there is a benefit of using this method for such a cat as well: keeping the cat's BG levels as normal as possible is much healthier for it long term. Insulin requirements will often decrease to very low levels too."
     
  3. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Did he just eat
    i think a sporadic higher number is ok
     
  4. Mandy & Rex (GA)

    Mandy & Rex (GA) Well-Known Member

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    Mar 22, 2017
    When you get a blue PS, you test again at +3 if possible to see if the pancreas kicked in after the cat ate. 103 is darn good!

    :D:D:D
     
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  5. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    I just fed him myself at 11 when I checked his BG. But I know that my boyfriend gets home late from work so it’s likely he fed him sometime after 4am... maybe that’s causing it? I haven’t been feeding him after his PMBGs, so that’s the only thing I can think of that would cause a higher number. 103 is still great, I’m not complaining!
     
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  6. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    Thank you! I’ll definitely get a +3 and update!
     
  7. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    Taking a :cat: cap with Grey now :):)
     

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  8. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Soooooooo sweet I just wanna :bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
     
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  9. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    Right!?
     
  10. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    Happy Day 4! :D:D:D:D

    Did anyone post the OTJ Trial instructions? Here they are in case they didn't.

    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!
     
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  11. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    Thank you, I do remember reading those, but forgot what it said about the blue AM/PM BGs - so yay! He went back down to 93!
     
  12. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Jun 2, 2015
    That 103 is fine on an Alpha Trak meter. I wouldn’t test again unless he starts giving you numbers over 120 ish
     
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  13. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    They in fact do better, because it's easier on the pancreas, with small regular meals throughout the day.

    FWIW in the two years BFG was in remission he had main meal at ambg and pmbg, with snacks at +3 +6 +9 am and pm, I use an autofeeder so I don't have to be on his beck and call. What I did notice is that if for any reason he missed his +9 snack he was more often than not higher and his BG check, counter intuitively if he ate his +9 he would be lower at ambg.

    Glad he came down happy day 4
     
  14. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Jun 2, 2015
    @JennRoss86 add AT to your title so people realize you're using an AT meter. 103 is a perfect number :)
     
  15. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    People here are so used to human meter numbers that we sometimes forget to check the signature to see which meter you're using.

    103 on the AT is still pretty "green"!!

    Congratulations on Day 4!!
    [​IMG][​IMG][​IMG][​IMG]
     
  16. JennRoss86

    JennRoss86 Member

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    May 2, 2018
    Thank you, Karen. I just got so sad seeing your In memory post. RIP Doodles. It's the hardest part, and I don't know if I'll ever be ready when Grey's time comes. But they are lucky to have beans like us!! So many people have told me to just put Grey down cause it's a waste of money. That is the LAST thing on my mind. I would go broke to make him better. I wish everyone felt that way.
     
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  17. Sue and Luci

    Sue and Luci Well-Known Member

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    Nov 3, 2017
    Congratulations! Beautiful field of greens there on that SS! I'm showing Luci! :D:D:D
     
  18. Steph & Quintus & L & O

    Steph & Quintus & L & O Well-Known Member

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    Dec 9, 2017
    Don't fret about blue too much on an AT meter. We tend to get a little colour-obsessed, but remember that if you were testing with a human meter that number would be green :)
     
  19. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    Wonderful number for the AT.

    @Chris & China love the giraffes. I'm a giraffe person!!
     
  20. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Jun 2, 2015
    You're very kind, thank you. :bighug::bighug:
     
  21. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Still can't get over that Mr. Grey was on 9 units at one point. :eek: This dose seems to suit him just fine. :D Looking good Grey.
     
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