?? Headed toward OTJ?

Btwinny

Btwinny

Member Since 2019
Looking at scouts SS..... I did not dose last night or this morning because she was very nicely under 150. Should I be providing her with just a drop? Is there a specific BG level she is under to stop dosing completely? How do I know when it's time to stop insulin? (I'm going to cross posted in the main forum as well)
 
Hmmmm....looks like Jenna might have been right about the "drop"! :D Definitely get that +2 this morning. Let's see what Scout is doing on her own. Then yes, I think this evening it might be worth giving a micro-dose (either 0.25u or 0.1u (just to the first line), or a drop) since the numbers aren't quite where you want them for going off of the insulin completely. It would be better to see some more green before you start an OTJ trial.

As for which of the three tiny doses to try, I think it will depend on what Scout does today on her own. Let's see if she gives you another flat blue cycle like yesterday (then try 0.1u), rises (try 0.25u), or drops (either "drop" or skip) from here. It can take some trial and error at this point in the journey to figure out just how much work her pancreas is doing on it's own, and how much help it still needs.
 
The +2 will take place in an hour. I'll do a curve and see where that takes us. Should I keep posting in this thread or go back to the one Jenna posted in?
 
I think you can stay on this thread, and just tag her to join you over here @Jenna Josie. You don't really need to do a curve today since you didn't give insulin, unless you just want to see what happens through the full non-insulin cycle. But in general curves are done to see the impact of the insulin. I'm heading to work and will be offline all day today, so I'll peek in later this evening and see how that +2 turned out. :)
 
Well good to hear about the curve..... I've got a bunch of errands to run. Lol. I'll do the +2, a +6 and a +10. Her behavior has been great too. More upbeat and playful.

Thanks for all your input
 
I’ll try to check in on you too. I should be home by then but if not I’ll check when I do get in. That way hopefully someone will be around for it. :)
 
Sorry I'm late :) Loooong day at work today.

I think the 0.25u was a good decision. She had a bit of a rise at +2 today, which may indicate she's not quite ready to go it alone yet. Time will tell how she does with the small dose tonight, and that data will help to know the next step. One cycle at a time right now.

How many hours between shot and bedtime?
 
Djamila said:
Sorry I'm late :) Loooong day at work today.

I think the 0.25u was a good decision. She had a bit of a rise at +2 today, which may indicate she's not quite ready to go it alone yet. Time will tell how she does with the small dose tonight, and that data will help to know the next step. One cycle at a time right now.

How many hours between shot and bedtime?
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I think the majority of that rise at +2 was b cause she ate... A lot. Lol Every other test was more steady.

Who's bedtime.... Mine or hers? Lol Her +2 will be in 1 hour and if it drops a lot I'm more prepared tonight. ;)
 
Yes, totally agree with Djamila! (who seems to be on the same loooong work schedule as me :) )

I am going to try to find a SS of a cat who went OTJ/Prozinc last summer if I can so that maybe it will show what to expect -- ? @Djamila I wonder if you remember . . . it was kind of funny because the care giver had a vacation (maybe a wedding?) trip planned, and it was a race against time to see if the cat would going into the R-word in time for the trip . . .
 
My syringes aren't marked at the half markings so it may have been a fat .25 but again... I'm prepared.
 
Jenna Josie said:
Yes, totally agree with Djamila! (who seems to be on the same loooong work schedule as me :) )

I am going to try to find a SS of a cat who went OTJ/Prozinc last summer if I can so that maybe it will show what to expect -- ? @Djamila I wonder if you remember . . . it was kind of funny because the care giver had a vacation (maybe a wedding?) trip planned, and it was a race against time to see if the cat would going into the R-word in time for the trip . . .
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I usually have loooong days as well. 5 work days, 50 hours a week.... 3 days are 11 hours. Today was off. So I understand loooong days. :p

Not gonna lie... I've kept in mind the thoughts of what to do on my vacation.
 
Jenna Josie said:
I wonder if you remember . . .
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I do remember that, but no chance I'm going to remember the name! You can look at my spreadsheet to see a quick remission. Go to the tab that says "Dx #1 Prozinc" I started testing before Sam started insulin because I was stubborn and didn't want to believe he was diabetic. So you can ignore the data from before 8/19 (that's the day I finally started him). I certainly won't claim that I was doing it right back then, but you can at least get a sense of how quick it can go. :rolleyes:
 
Djamila said:
I do remember that, but no chance I'm going to remember the name! You can look at my spreadsheet to see a quick remission. Go to the tab that says "Dx #1 Prozinc" I started testing before Sam started insulin because I was stubborn and didn't want to believe he was diabetic. So you can ignore the data from before 8/19 (that's the day I finally started him). I certainly won't claim that I was doing it right back then, but you can at least get a sense of how quick it can go. :rolleyes:
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Wow .. so at over 200 you were only dosing .25?
 
Not bouncing - that's just where she was at when she was first diagnosed. The first week or so was insufficient insulin and a very sick pancreas. But you can see how quickly it healed with the diet change and insulin support.
 
Btwinny said:
My syringes aren't marked at the half markings so it may have been a fat .25 but again... I'm prepared.
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Okay, so double-check with Djamila on this, but I really think it may be worth a quick trip to the pharmacy to get some U100s with half-marking may be worth it. You may be wanting to make very tiny steps down the dosing scale -- 0.2, 0.1, "drop" -- and those extra lines will be indispensable in being able to know where those doses are. I don't know if Michigan requires a prescription for syringes? (I went to undergrad in Kalamazoo, btw, right next to where you are!)

Re: Tootsie . . . I don't remember if maybe there was a food change? I do remember the threads created. It was very informative . . . and very exciting! You may want to read through them. Josie had just been diagnosed, and I learned a ton from people while I was surreptitiously watching on Tootsie's progress.
 
Djamila said:
Not bouncing - that's just where she was at when she was first diagnosed. The first week or so was insufficient insulin and a very sick pancreas. But you can see how quickly it healed with the diet change and insulin support.
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Gotcha. Which if I compare to scout, I feel like her body is doing great and adapting so well.
 
Btwinny said:
Wow .. so at over 200 you were only dosing .25?
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Ah, great catch! Yes. The reason was that we were trying to get the PMPS numbers to be a little higher so I could shoot without him going too low. The AM cycle at that point could have handled more insulin, but the PM cycle couldn't. So it was an attempt to balance the two cycles. Of course Sam decided to just take himself OTJ before we got there. Because he's a cat. :cat:

And again, I wasn't doing it exactly right at that point. I really really hated testing, so any excuse to skip a shot, I jumped at. Even when I shouldn't have. Thankfully Sam was one of those cats that was going to go OTJ no matter how badly I did my job. o_O
 
Jenna Josie said:
Okay, so double-check with Djamila on this, but I really think it may be worth a quick trip to the pharmacy to get some U100s with half-marking may be worth it. You may be wanting to make very tiny steps down the dosing scale -- 0.2, 0.1, "drop" -- and those extra lines will be indispensable in being able to know where those doses are. I don't know if Michigan requires a prescription for syringes? (I went to undergrad in Kalamazoo, btw, right next to where you are!)

Re: Tootsie . . . I don't remember if maybe there was a food change? I do remember the threads created. It was very informative . . . and very exciting! You may want to read through them. Josie had just been diagnosed, and I learned a ton from people while I was surreptitiously watching on Tootsie's progress.
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Hahaha!!! Are you a Bronco?! I'm a Chip!!!
 
Djamila said:
Ah, great catch! Yes. The reason was that we were trying to get the PMPS numbers to be a little higher so I could shoot without him going too low. The AM cycle at that point could have handled more insulin, but the PM cycle couldn't. So it was an attempt to balance the two cycles. Of course Sam decided to just take himself OTJ before we got there. Because he's a cat. :cat:

And again, I wasn't doing it exactly right at that point. I really really hated testing, so any excuse to skip a shot, I jumped at. Even when I shouldn't have. Thankfully Sam was one of those cats that was going to go OTJ no matter how badly I did my job. o_O
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I feel like scout is ready to be done with this too. She hissed at me yesterday when I picked her ear and has been fighting me today. She has sooooo much more energy and is playing with with fishing poles like a kitten .lol
 
The u100's do make it easier to be consistent with the micro-doses. You can do it with u40's though if you're careful. Try checking where the bottom of the plunger lines up when you're trying to draw a small dose. Sometimes it will land right at the top of a number or soemthing and you can use that to keep it consistent. Or use one of the syringes as "ruler" - draw some colored water in to what you think is 0.25u (juice, tea, food coloring, whatever), and when you draw the real dose, you can compare it with the colored-liquid syringe to make sure you're keeping it consistent.

And what you're describing is exactly what Sam was doing at the end. He was pretty clear with me that he was done. And at about the same time the numbers started to show that too. The thing is though that you don't want to take them off too early, even if they are getting feisty. I'm really hoping with you that Scout is getting close though!
 
Djamila said:
The u100's do make it easier to be consistent with the micro-doses. You can do it with u40's though if you're careful. Try checking where the bottom of the plunger lines up when you're trying to draw a small dose. Sometimes it will land right at the top of a number or soemthing and you can use that to keep it consistent. Or use one of the syringes as "ruler" - draw some colored water in to what you think is 0.25u (juice, tea, food coloring, whatever), and when you draw the real dose, you can compare it with the colored-liquid syringe to make sure you're keeping it consistent.

And what you're describing is exactly what Sam was doing at the end. He was pretty clear with me that he was done. And at about the same time the numbers started to show that too. The thing is though that you don't want to take them off too early, even if they are getting feisty. I'm really hoping with you that Scout is getting close though!
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You and me both. Lol. I'll check with the pharmacies and see if I can get u100 or maybe my vet.
 
Btwinny said:
I think the majority of that rise at +2 was b cause she ate... A lot. Lol Every other test was more steady.
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Sorry -- I missed this one in the flurry of posting! Her +2 this am was very good (and I'll just go ahead and confess it: I'm a little jealous! ;) ), but I think that a fully-functioning pancreas would keep it essentially flat from the PS or even lower it. That is, the body takes on food, and the pancreas sends out the insulin to break down the glucose, so any post-meal rise would be negligible.

I could be wrong about that! And in any case, 128 and 145 are more or less the same number with meter variation . . . It's very, very good, and with some luck and a tiny more insulin support, hopefully she'll get there!
 
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Btwinny said:
You and me both. Lol. I'll check with the pharmacies and see if I can get u100 or maybe my vet.
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If you can't, PM me. There was this weird period where my syringes kept getting stuck in The Bronx (no, really!), and then the company would send me another box, and then the original shipment would show up, and so now I have pretty much a closet shelf full of syringes. It's not good for my reputation. :D
 
These are the ones you’ll need
 

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Hmmm...I'm torn. I was going to say skip and get a +2, but then I saw the spreadsheet and that you gave a 0.5u this morning which is likely the cause of the 97. I think I'd probably go with 0.25u.
 
Djamila said:
Hmmm...I'm torn. I was going to say skip and get a +2, but then I saw the spreadsheet and that you gave a 0.5u this morning which is likely the cause of the 97. I think I'd probably go with 0.25u.
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I was thinking about that as well. Just one of those things I need to see what someone else would do. If it's .25 that wouldn't result in a big drop would it?
 
I really hate giving you this answer, but....time will tell.

Last night on 0.25, she ended up with a higher AMPS, and your cycle today didn't indicate that even 0.5u was too much. So my best guess is that she will be just fine. Hopefully green, but more of a surfing green than a diving green. However, I can't guarantee that since her pancreas might be waking up.
 
One thing we say around here a lot is "you hold the syringe". At the end of the day, you have to make the choice you're comfortable with. So if shooting makes you nervous, it will be okay to skip and start again in the morning. Shooting on a green can be super scary.
 
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