5/15 Mr. Sluggo AMPS: 99, 69@3.0, 89@6.0, PMPS:112, 93@3.0,90@6.0

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Sandman

AM Shot delayed 30 minutes for green. Looking good. Go pancreas!
 
Ruined the purrfect record. Popped a blue by only a bit. Still, I smell a <50 bg reduction coming... Maybe as soon as mid-cycle in 5-6 hrs?? His sugars are sagging slowly day-by-day on this dose.
 
He's spent all day in normal numbers - that's a mighty good day. Everything 50-120 on a human glucometer is considered normal for a diabetic cat.

Not all cats get all of their reductions by going below 50. Some cats end up reducing their dose by remaining in all normal numbers for 7 days at any given dose. Today was one. Take a look at the blue highlighted part below from the Tight Regulation Protocol guidelines:

Reducing the dose:
  • If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit. See additional notes in the next paragraph about drops into the 20s and 30s. Alternatively, at each newly reduced dose... try to make sure kitty maintains numbers in the normal range for seven days before reducing the dose further.

    Please do not let yourself become complacent or blasé about drops into the 20s or 30s.
    • If kitty drops into the 20s, a full reduction of 0.25u (or 0.5u if kitty is on a higher dose) is strongly recommended.

    • If your cat drops into the 30s, a full reduction of 0.25u is recommended. There are very few exceptions given for caregivers who have collected years of data and KNOW their cat's response to the combination of insulin and food backwards, forwards, and inside out.

    • Caregivers whose kitties have "High Dose" conditions may find the need to reduce in whole units or more.
      Please ask for advice.
 
Hopefully there's something/enough left to be healed. I've been doing some reading and for a second remission, the odds aren't quite 86%... The "experts" aren't so encouraging. I will say it hasn't been the easy "romp" it was a couple years ago... I'm kicking myself now for screwing around with prozinc for as long as I did. Seems like I finished the "hard part" right around the time my local vet abandoned ship and washed his hands. At least it now seems pretty "boring".

Starting to feel like Mr. Sluggo is playing the "Hunger Games" of feline diabetes...
 
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PM +3 number is exactly the same as last night to the digit.

This is like "groundhog day"...:smuggrin:
 
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Be sure you read your post on Think Tank as Jill and I posted some info for you there about cats coming back from remission.
 
Well, he finishes up the day with a euglycemic extremely flat curve. Pancreas should be healing, but it don't want to make him hypo, I guess. Must be very burned out. Very safe, but no chance to wean. Try again tomorrow.

And for this, my vet "fired me", said the protocol was foreign and something they would never recommend for a patient... LOL.

Looks like his best chance for a wean may actually be to just go through the paces of a very boring seven days & try yanking a quarter unit... Quite right. Is this common with cats that have relapsed? What does it say about his chances? I can't say I've seen many curves like this so soon after starting lantus. Anybody know of any and what the outcome was?

Thanks y'all. Have a nice night!
 
Hi there :cool:
Sandman said:
Looks like his best chance for a wean may actually be to just go through the paces of a very boring seven days & try yanking a quarter unit..
Click to expand...
During the final 2 months of our journey down the dosing ladder, (the 'home stretch') all reductions were by virtue of throwing all normal numbers for 7 days (or more) until the syringe had to be pried from my hand. For me, those decreases were as nerve jangling as the 'free fall' phase.
Sandman said:
I can't say I've seen many curves like this so soon after starting lantus. Anybody know of any and what the outcome was?
Click to expand...
Flat is good.

Sandman, although you landed at the very best place a diabetic kitty can be, there is no telling how it's gonna go.
We'll do our best to help you avoid mis-steps however ultimately it's Mr. Sluggo that is leading this dance. :cool:



 
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