TR or SLSL

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MamaLovesMomo

MamaLovesMomo

Member Since 2020
@Nan & Amber (GA),
@jt and trouble (GA) ,

Hello to all,

Good morning, someone asked me if I am following TR or SLSL. Honestly= not sure which one I am following. And upon reading, I don’t see much difference.
I like the TR but really needs close supervision. I am off since Monday through Wednesday, so I was able to watch MM closely for these past days and was able to increase her to 1.25 since 6 cycles had passed and she was high ( I guess due to my mistakes of empty syringe and giving her the freeze dried raw meat). So, yesterday= I watched her closely- but now having a problem, confused If I have to shoot her or not. I waited couple of hours, but the time kept moving at a later time, and I am going back to work on Thursday, and I don’t know how can I manage the time.
Sorry to bother you- what is the best thing for me to do? I appreciate any advice that can be given to my confused mind.

Thanks...
 
Difference between SLGS and TR:

TR: more testing needed (minimum 4xday, pre-shots and at least one mid-cycle test), SLGS just pre-shots (though more is encouraged) and a weekly curve

TR increases faster. On SLGS you only increase after assessing your weekly curve. On TR, you can potentially increase every three days.

TR lets the cat go lower before decreasing dose. On SLGS, you decrease any time the cat goes below 90, on TR you wait until the cat goes below 50 to decrease.

If you are feeding any dry food, you must use SLGS, TR does not allow dry.

In general, SLGS is more conservative and builds in a bigger safety margin because it doesn't assume the frequent testing that TR does (most people on TR test a lot more than 4Xday).

If there are a lot of days when you will be working and not able to test at all mid-cycle, SLGS may be a better fit, although people have been able to make TR work with difficult schedules (it requires being able to get at least an out-the-door test in the morning, and doing a lot of testing at night).
 
In terms of what to do this morning, looks like you skipped two shots yesterday, but I don't see a pre-shot test this morning?

If you are really off-schedule, it might be best to skip again, but it would be good to see where she is right now (BG test).

No matter what, she has earned a reduction back down to 1.0U when (if?) you shoot tonight!
 
Wait, I'm confused now-- in the comments for yesterday it sounds like you "dosed" and gave insulin, but I don't see anything about the amounts on the spreadsheet?

Looks like maybe you shot 2hrs late in the morning, and either 13 or 15 hrs after the morning shot in the evening?

If you did shoot some insulin yesterday and she was in blue numbers overnight, I think it's an even better option to skip this morning to help you get back on schedule tonight before going back to work.
 
Nan & Amber (GA) said:
In terms of what to do this morning, looks like you skipped two shots yesterday, but I don't see a pre-shot test this morning?

If you are really off-schedule, it might be best to skip again, but it would be good to see where she is right now (BG test).

No matter what, she has earned a reduction back down to 1.0U when (if?) you shoot tonight!
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@Nan & Amber (GA) ,
Hi Nan...
I actually did not skip doses yesterday. It just moved the time back- coz I was waiting for her BG to go up, I dosed her at Am1.25u@her Bg -221 (+14), and her Pm@+15 when she was @250.1.25u.
That is my problem- not sure if I need to dose.. since she was low, I kept waiting until her numbers go up.. but I am going back to work soon... and timing may not be good if I kept moving the time of dosing at a later time due to low numbers.Thanks
 
Nan & Amber (GA) said:
Wait, I'm confused now-- in the comments for yesterday it sounds like you "dosed" and gave insulin, but I don't see anything about the amounts on the spreadsheet?

Looks like maybe you shot 2hrs late in the morning, and either 13 or 15 hrs after the morning shot in the evening?

If you did shoot some insulin yesterday and she was in blue numbers overnight, I think it's an even better option to skip this morning to help you get back on schedule tonight before going back to work.
Click to expand...
Sorry- we might have crossed our messages. Thanks a lot for giving your time here to help us.
 
OK!

Skip this morning, and then shoot 1.0U tonight (if she's high enough) at your preferred time.

I think it would be a good idea to get a test at what would be +11 (an hour before you want to shoot) tonight. If she's 150 or below, post here for more advice before shooting. I think it's looking like Momo wants less insulin and we want to keep her safe :).
 
Nan & Amber (GA) said:
In terms of what to do this morning, looks like you skipped two shots yesterday, but I don't see a pre-shot test this morning?

If you are really off-schedule, it might be best to skip again, but it would be good to see where she is right now (BG test).

No matter what, she has earned a reduction back down to 1.0U when (if?) you shoot tonight!
Click to expand...
@Nan & Amber (GA),

I think SLGS- is also a combination of what Kristen mentioned in “Tilly Diabetes”, because she also mentioned like holding the dose for at least a week if the cat stays under 100mg/dl... please correct me if I am wrong..
I also noticed that Momo’s nadir always almost at the end of the cycle.. and upon reading- that is what Lantus really does. So is it safe to shoot her at +12(even her number is at a normal cat range- like in 100-120?), because the dose you will shoot will not affect the cat until later (like after 6 hours)? Thanks
 
Nan & Amber (GA) said:
OK!

Skip this morning, and then shoot 1.0U tonight (if she's high enough) at your preferred time.

I think it would be a good idea to get a test at what would be +11 (an hour before you want to shoot) tonight. If she's 150 or below, post here for more advice before shooting. I think it's looking like Momo wants less insulin and we want to keep her safe :).
Click to expand...
@Nan & Amber (GA)
Sorry- we crossed our message again. Ok- I will try what you told me.

Thanks
 
Nan & Amber (GA) said:
OK!

Skip this morning, and then shoot 1.0U tonight (if she's high enough) at your preferred time.

I think it would be a good idea to get a test at what would be +11 (an hour before you want to shoot) tonight. If she's 150 or below, post here for more advice before shooting. I think it's looking like Momo wants less insulin and we want to keep her safe :).
Click to expand...
@Nan & Amber (GA) ,

I tested her@+17= 485- so high then dosed her.


Thanks
 
tiffmaxee said:
Have you tested since 7/21? Given insulin? Your ss is not updated. Hope all is good.
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@tiffmaxee,
Hello.. yes, I just updated her ss just now. I am sorry. She was always high at 1 unit, so I gave her 1.25 this morning, and she get low numbers. As of this time@+15, I am testing her and watching her closely. She had already 2 meals too. Thanks... I am still looking at her numbers if I have to dose her. I don’t want to skip her shot either because I know If i skipped her, she will go back to 400+-500+. I will wait... and if her number rise, I will dose her..

Thank you...
 
If you give a late shot you won’t be able to shoot again for 12 hours. Can you be off by that much? She earned a reduction by dropping below 68 on the AT meter. Her new dose is 1 unit. I don’t think you should shoot tonight.
 
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tiffmaxee said:
If you give a late shot you won’t be able to shoot again for 12 hours. Can you be off by that much? She earned a reduction by dropping below 68 on the AT meter. Her new dose is 1 unit. I don’t think you should shoot tonight.
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@tiffmaxee
Hello, yes.. I can go home and shoot her after 12 hours, my office is 15 mins drive, about 5-6 miles away from my house.
I just tested her +17, still low... I will test her in 2 hrs, I will take a little nap, and have my son watch her while I am sleeping. Then.. I will see if her numbers rise... I know her already... whenever I skip her dose, the next pre shot... her numbers are skyrocketed in high 400-500+.. Thanks..a lot...
 
tiffmaxee said:
Okay but will you reduce the dose? 68 on a pet meter calls for a reduction. Good luck.
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@tiffmaxee,

Hello, yes.. I will consider reducing her dose to 1u. I am not sure why her numbers has not risen.. thinking she already ate 3 small meals... before, once she ate even once- her numbers go so high. Maybe it has something to do with her foods? Not sure.. I always gave her Purina DM (small portion, like 1/8 of a can- plus ground boiled chicken ( I cooked).. but as soon as she eats that, her numbers get so high.
Today- I started to eliminate the Dm Purina ( i have been reading it is not really good. It has carageenan (causes cancer, has soy (no good), and has syntethic Vit K. So- I only have her the chicken I cooked and the new Stella and chewy that just arrived today (only 2 pieces soaked with water), per meal.. This one has no fruits (unlike the first one I got that has papaya,’pineapple.. etc), but I will see what’s her Bg In couple of hours.
Thank you...
 
tiffmaxee said:
DM is high carb. The diet change to low carb is why she’s not going up. When under 68 we recommend mc at the end of the cycle and otherwise if early hc.
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@tiffmaxee,

Hello, maybe too late for you now- she is at 117 on her +18. I will test her again in another hour, and see how she goes. I did not dose her yet too. Also, I thought DM can wet food is low in carbs? Her vet gave it. And what is Mc? And Hc? What it means Mc At end of cycle and early hc? Thanks you

Thanks
 
Hc is high carb. and mc is middle carb. Yes vets often tell you to feed DM but it’s higher carb while fancy feast classics are around 7% if I remember correctly. Look at Lisa Pierson’s food chart on the main forum. Really I’d skip tonight. You will likely see a bounce from dropping that low. Tgen you can dose whenever you want in the morning.
 
Good morning,

Hello @tiffmaxee,
She was @266 on her +20, dosed her 1unit... thank you so much for really confirming with me that Dm Purina is high. I have been noticing the spike on her BG after she eats that, that's why slowly I started to lessen the amount I am giving her, and cooked boiled chicken and mix with her food, put some vit B12, and litte taurine.
But yesterday, the Stella & Chewy came (chick and chick - no fruits), and I mixed the chicken with 3 pieces of it. She eats every 2-3 hours (but always little portion).
Then - so surprised, her numbers kept low... Thank God and thank you.. now I have an idea, and tomorrow is Saturday, so I can keep an eye on her...
According to the carbs calculators - DM is 4%, per Lisa = 6%, but I think more than that... because there was a time she was at 200+ (in May- and as soon as she ate, she went up to 500+).
Does it mean - If i continue feeding her this diet (Stella + boiled chicken I made), it means less insulin for her? Wow, thank you so much--- really I am so happy I am getting answers and results with all these hard work.
So- maybe other pet owners here, can also give Stella & Chewy + boiled chicken if these is really making my MM's BG stay at low numbers?....not sure, just an idea (Each cat is Different, though)..
I appreciate your time and kindness to really on top of what is going on with my MM, and of course to all of you like @Nan & Amber (GA), @jt&trouble.. and to everyone here...
 
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MamaLovesMomo said:
@tiffmaxee ,

Yes... thank you so much.. Oh I just saw, you are giving Feline Natural ( I tried that to her, and ate few pieces and never touched it again. She is very choosy too.
Thank you...
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Max did get some Feline Natural but I’m not feeding that to my three year olds. They get Primal and Small Batch, mostly frozen raw but their protein treats as well. I wouldn’t use Feline Natural now. At the time it was recommended. I’m not crazy about what I’ve read about Stella & Chewy’s either.

I used to buy human freeze dried chicken and turkey to give to Max as treats. You can also just give plain baked chicken or any of the 100% protein treats. Pure Bites is one brand.
 
tiffmaxee said:
Max did get some Feline Natural but I’m not feeding that to my three year olds. They get Primal and Small Batch, mostly frozen raw but their protein treats as well. I wouldn’t use Feline Natural now. At the time it was recommended. I’m not crazy about what I’ve read about Stella & Chewy’s either.

I used to buy human freeze dried chicken and turkey to give to Max as treats. You can also just give plain baked chicken or any of the 100% protein treats. Pure Bites is one brand.
Click to expand...
@tiffmaxee
Hello.. sorry to bother you.. what have you read about Stella & Chewy? Is it ok with you to share with me, please... I used to give MM single ingredient CAT MAN DO chicken and salmon treat, but I stopped giving her all those things.
Thanks..
 
I read Susan Thixton’s column and get her food list every year. She took Stella’s off her recommended list a few years ago. She has also removed Primal but she won’t say why when she removes a manufacturer. One of my girls has two different kinds of skin allergies that could be protein related so I am still feeding her Primal as she gets venison right now. They make it in freeze dried but it’s so hard I wouldn’t recommend it.
 
tiffmaxee said:
I read Susan Thixton’s column and get her food list every year. She took Stella’s off her recommended list a few years ago. She has also removed Primal but she won’t say why when she removes a manufacturer. One of my girls has two different kinds of skin allergies that could be protein related so I am still feeding her Primal as she gets venison right now. They make it in freeze dried but it’s so hard I wouldn’t recommend it.
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@tiffmaxee
Hello,

Oh really.. let me google that article then... thank you so much.. Take care.
I just saw, is that the truthaboutpetfood.com

I will buy it tonight after work.

Thanks
 
tiffmaxee said:
Yes. That’s it. She is on top of the food manufacturers and requires a lot to put on her list. I subscribe to her free newsletter but might start getting a year subscription.
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@tiffmaxee, thanks you so much. I also came home, - MM was sleeping, woke her up, tested her 256@(+12), dosed her 1unit. The only thing she ate was the Purina Dm (I gave her since she was at 62). She went to sleep after she ate the DM. It is really high in carbs.
Thanks
 
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