Remission?

Discussion in 'Lantus / Levemir / Biosimilars' started by Sarah Gamm, Jan 8, 2021.

  1. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
  2. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    I would say Charlie is getting close. :D Here is a post on when you know a cat is ready to go OTJ. Reminder: *earning* reductions and starting OTJ trials I see you haven't been getting any mid cycle tests lately. Would you have time to do that tomorrow? We do like to see a spreadsheet where a cat is all green for a week before going to the formal OTJ trial. Maybe if after this weekend you can get the odd spot check mid cycle and he's still green, you could start a trial on Monday.
     
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  3. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Yea I work from home so I can def get mid-cycle readings. I stopped doing them bc he was always stable mid-day and the strips and so expensive in Canada. It I can def do it tomorrow so get a curve.
     
  4. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    A curve tomorrow is probably more than you need, maybe a spot check somewhere between +4 and +7 tomorrow and Sunday. I'm in Canada - so I know the cost of strips!
     
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  5. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Ok sounds good I use the Bravo meter ($40 for 100) but still add up.

    Thank you!
     
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  6. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    So I’ve done a couple mid cycle tests. Other than the day he got into his brothers Hills MD food, he hasn’t gone above 5.5 (100) since I stopped insulin on January 7
     
  7. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    I don't know if you've seen them yet, but we have some instructions for OTJ trials. Charlie's looking good. :D

    Here are the instructions, consider yourself in day 5 of 14:
    —If he 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 is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his 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 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 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.

    Once he is through the trial successfully, you enter a new phase. Tyler 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 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 monthly. Weight should remain stable. If he seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test his 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! Good luck with the trial!!!
     
  8. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Thank you for that info.

    I definitely don’t wanna jinx anything but I’m just gonna keep doing what I’m doing and we really hope see green . I was really excited to see him regulate after those blue numbers the other day
     
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  9. Sarah Gamm

    Sarah Gamm Member

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    Sep 4, 2020
    Party time!!
    14 days no insulin!

    I’m going to have a very hard time testing only weekly LOL. I might test every 2 to 3 days to start.

    so “weekly” for a month and then monthly testing after that?
     
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  10. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    Congrats. Charlie is OTJ!:D
     
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  11. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Woohoo! Well done you two. :D
     
  12. Mariette

    Mariette Member

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    Nov 15, 2020
    That's great! Congratulations to you and Charlie! :cat:
     
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  13. Hercule's mum

    Hercule's mum Well-Known Member

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    Jul 27, 2020
    Congratulations! Wonderful news!
     
    Sarah Gamm likes this.

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