I'm not going to give him the insulin, we're past his normal dosing window and based on yesterday when I gave the 0.5 it lowered it by 100 points. Do you think I should check his BG before his normal pm dose
Yes, I'd get a couple of tests. These would be good info on how he does for himself without insulin - maybe a +4 and a +8?
Such good news!
Looking really good but I think it might be a bit early. Let's see what his PMPS is tonight and, if no shot tonight, what his AMPS is tomorrow.
It's hard to say. It can depend on how flat he stays at a dose - ie., flatter = ability to give a larger micro dose. You'd also want to be home to monitor. Like a lot of this FD stuff, it's trial and error.
If he was mine I'd only experiment with shooting on a lower PS (for the first time) if I can definitely monitor up to at least +6. To be safe you can skip tonight and see where he is tomorrow AM. If he's above 200 (yellows) tomorrow AM give 0.5 u again. If below 200 you might have to skip again if you can't be there.
You're a life saver, thanks!!
Excellent! No shot this AM because you won’t be there to test.126 this morning!! WHOO HOO. I'm loving these numbers based on where he started in early February.
Sounds good, and I'm sure he'll appreciate one less poke.
LOL not bossy at all! Thank you for catching that, I've updated. I just talked to my vet about his progress and he asked how much fiber was in Fancy Feast, do you by chance know? If not, no worries. After this question, I'll start a new thread.Two things:
I'm bossy, aren't !?
- you missed putting "NS" for last night on your SS
- time to start a new thread because this one is long.
My guess is little to no fibre because it's a low carb wet food so protein, fat, low amount of carbs and moisture would be the main ingredients. Why does your vet want to know fiber content? Old school thinking was the high fiber kibble was best for diabetics because it slowed carb absorption or something along those lines (lower glycemic index I think). Newer thinking is low carb wet food.LOL not bossy at all! Thank you for catching that, I've updated. I just talked to my vet about his progress and he asked how much fiber was in Fancy Feast, do you by chance know? If not, no worries. After this question, I'll start a new thread.
He didn't say why, but he's gonna call me back later so we can look at the ss together. I'll definitely ask but if I had to guess it's the old school way of thinking.
It would be great if your vet works collaboratively with you and trusts that you can handle the FD treatment yourself. Some vets with egos that are a bit bigger than they should be are a little harder to deal with when they see an owner doing things without vet's guidance. I hope yours is the first type. I'm very lucky to have one who's like that.
BG tonight at PMPS was 148, NS.
This is the part where, if you're in the office with the vet, you just smile and nod politely.
Lol, love it!This is the part where, if you're in the office with the vet, you just smile and nod politely.
Me too!! I wasn't sure what number I would receive this morning, he was a little grumpy today Lol!Look at that wonderful green after no insulin for several cycles! So happy you’re seeing such great numbers!
!!!! Look at that 78 that he did all by himself! Sure looks like his pancreas is working. If so, he's a diet-controlled diabetic and needs to stay on a strictly low carb diet.
I know, I was so excited to see that 78!!! He's doing so good. I know I've said it before in this thread but you Kris have been a lifesaver literally for Diago and I.
I'm so glad to have been able to help and what a success!I know, I was so excited to see that 78!!! He's doing so good. I know I've said it before in this thread but you Kris have been a lifesaver literally for Diago and I.
Couple of follow up questions:
- Do you think I should continue testing twice daily for two weeks or do you think one week is sufficient?
- Also, is fancy feast ok to stay on long term as long as he continues to eat it?
- Once we stop testing daily, how frequently should I test just to make sure his pancreas is still working as expected?
I think different people do different things. If it was my kitty, I'd do twice daily for a week and then decide if I feel the need to do twice daily for another week or drop to once daily for that week.
Yes, it's absolutely fine to feed long term because it's nutritionally complete. Just make sure it's the low carb versions.
Again, I think it varies with the owner. I'd do a once a week test for quite a while then maybe drop to every 2 weeks. If anything arises that could threaten his BG status - eg. any sort of infection, dental issues, high carb contraband, etc. - you should increase the testing to see if he's holding in good numbers. If he starts to slip you'll catch it and might be able to turn it around faster. If luck is on your side this remission will stick. Kitties do come out of remission, though, sometimes after a few weeks or months or even several years. Don't think about that right now though. Happy thoughts only!
!
Ok, that sounds good. I'll be sure to do it twice daily for another week, see his progress and go from there to either continue twice daily or once.
Perfect! He's really liking the FF classics. And so are my other two kitties.
This made me laugh!
Let's hope it sticks but if not, you and Dyana have provided some much knowledge I'll know what to do.Kitties do come out of remission, though, sometimes after a few weeks or months or even several years. don't think about that right now though. Happy thoughts only!
Is remission only considered if they are a diet controlled diabetic? Thank you again for following along with our progress and recommendations. I've been so happy with his numbers over the last 3 days.Beautiful numbers today! Congratulations are in order
I would test twice a day for about 2 weeks, to see how it goes. And then test at least once a day for another two weeks, and then maybe every other day as long as he is seeming normal. Eventually, you can go to testing about once a week, but that is about a month or so off. If he ever seems "off" or doesn't eat or is lethargic or throwing up, I would test immediately, and several times that day, and for a couple days to make sure he is still in remission. Also, keep ketone test strips handy. They last for 6 months? after opening the bottle. I would test for ketones if he ever seems off, as well. Best Of Luck to you and Diago. Remember, he is still diabetic, just in remission, so will still need low carb food only.
Yes, remission means a diet controlled diabetic. The kitty is forever a diabetic but the pancreas has healed enough to supply enough insulin unless forced to deal with too high a carb load or some other health issue raises BG.Is remission only considered if they are a diet controlled diabetic? Thank you again for following along with our progress and recommendations. I've been so happy with his numbers over the last 3 days.
Ah, gotcha. I didn't realize that.