2/6 Oktober OTJ +26 numbers up to 137 Should I Give Insulin? (now up to 149)

BirdAndTobikat

BirdAndTobikat

Member Since 2020
We tried no insulin today after doing 3 days of "some" insulin, or "one drop" of insulin. She did great with "some"! So last shot was last night at 10:00pm, today her numbers steadily increased and I'm wondering if I should just go ahead and give her some for the night (it's almost 1am here), or if we should try to ride this out?

As a side note: I'm unable to do another curve due to work schedule, but I try to get at least one test in when I can during the day.



Edit to add: tested another time and her number went up again to 149. I gave her "some" insulin at 1:30am. We will have to try OTJ another day. I'm going to bed, very tired, in case anyone wonders why I am not responding.
 
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I'm going to go ahead and give her "some" insulin, I really need to get some sleep. *fingers crossed* We will have to try OTJ another time, I think!
 
Good Morning - you're safe to shoot - and you can remove your 911 - that's for emergencies.

Which protocol are you following? TR or SLGS

Also, in order to really achieve a good remission you will want to take a longer time to work through the OTJ process; here's the steps for next time.


OTJ trial instructions:
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. 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!
 
I removed the 911. (We use that for medical emergencies.)

I'm not entirely sure what you decided to do. Your spreadsheet indicates one thing but your post says something else.

Do you happen to know if October got into some contraband?
 
Sue and Luci said:
Good Morning - you're safe to shoot - and you can remove your 911 - that's for emergencies.

Which protocol are you following? TR or SLGS

Also, in order to really achieve a good remission you will want to take a longer time to work through the OTJ process; here's the steps for next time.
Click to expand...

We are SLGS. And also, thank you so much for the OTJ steps, that makes me feel a lot better!
 
Sienne and Gabby (GA) said:
I removed the 911. (We use that for medical emergencies.)

I'm not entirely sure what you decided to do. Your spreadsheet indicates one thing but your post says something else.

Do you happen to know if October got into some contraband?
Click to expand...

Thank you for removing the 911, I went to bed without removing it. She did not get into any contraband, her living area is tightly monitored and separated from the other cats.

I'm still not 100% sure how to use the spreadsheet so there's a large chance that I didn't do it correctly. I apologize. I gave her a shot at +27 from her last shot.
 
I'm not sure what +27 means except possibly a day + a few hours? There's nothing on your SS for 2/6 so I can't be sure.

Also, we don't dose based on pre-shot numbers, but on the mid-cycle or nadir (the lowest number reached during the mid cycle)...typically pre-shot numbers are the highest of the day - and Levemir and Lantus are depot drugs - meaning they tend to build up over time and that's what the protocols are all about as far as when you should increase, decrease or hold the dose.

Please add 'SLGS' to your signature so it helps us not to ask you the same questions repeatedly. You can also add that info to the top of your SS so that it's easily seen by anyone looking at your SS.

Levemir likes consistency - so you will want to give the same amount of insulin for 14 cycles since you're on SLGS - unless kitty goes below 90 - at which time you'd take a dose reduction.

Calipers will help you measure extremely small doses as it appears that Oktober is a low dose kitty. Please try to get as many mid cycle tests as you can - they're the most telling of insulin needs.
 
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