? 8/16 Simon AMPS 95, +3 72, PMBG 59

Good morning. Again in normal numbers. You can stall without food to see what he does. I think his pancreas might just be working. @jayla-n-Drevon andI discussed this last night. She said she would not shoot if under 150. I would shoot if over 100. Others might say shoot a .1. I may be wrong but if he were my cat I would feed and test in2-3 hours to see where’s he at. If his pancreas is working he will be under 100. You can get other opinions if you want.
 
tiffmaxee said:
Good morning. Again in normal numbers. You can stall without food to see what he does. I think his pancreas might just be working. @jayla-n-Drevon andI discussed this last night. She said she would not shoot if under 150. I would shoot if over 100. Others might say shoot a .1. I may be wrong but if he were my cat I would feed and test in2-3 hours to see where’s he at. If his pancreas is working he will be under 100. You can get other opinions if you want.
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I am in complete agreement with this! You are the best! :woot: Will post updates in 2-3 hours and see where we are at.
 
I'm tending to agree with above...it IS entirely possible that this fellow has gotten past the steroids and has settled back down into normal ranges...even some low blues here probably wouldn't be enough to send me back to the insulin...

He does however bear close watching...if the AM / PM preshot numbers are still green, I'd back off from the insulin altogether. So many things can cause cats to appear to have higher than normal numbers - illnesses, infections, stress and medications...

Let's see if normal life has brought him out of his need for any help... please continue to post your numbers in your SS..and post here as well if you could. We'll be watching :)
 
a good way to see what the pancreas is up to....feed him and test 30 mins after feeding. Withhold food and test again in an hour. Try to catch the food bump and the decline in #s from the food wearing off. I did this with Ittle while he was going OTJ.
 
Sue and Luci said:
I'm tending to agree with above...it IS entirely possible that this fellow has gotten past the steroids and has settled back down into normal ranges...even some low blues here probably wouldn't be enough to send me back to the insulin...

He does however bear close watching...if the AM / PM preshot numbers are still green, I'd back off from the insulin altogether. So many things can cause cats to appear to have higher than normal numbers - illnesses, infections, stress and medications...

Let's see if normal life has brought him out of his need for any help... please continue to post your numbers in your SS..and post here as well if you could. We'll be watching :)
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Thank you @Sue and Luci !!
 
Briere Fur Mom said:
a good way to see what the pancreas is up to....feed him and test 30 mins after feeding. Withhold food and test again in an hour. Try to catch the food bump and the decline in #s from the food wearing off. I did this with Ittle while he was going OTJ.
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Good idea! I will try that, assuming I can get a sample within 30 minutes, which with my poking skills is not always the case:confused: !
 
You would have ended up at the ER with an active hypo. I’m sure of that. Many of these vets just scare me. Simon likely was stressed at the vet which increased his bg from the beginning. You are a quick learner and have great instincts. What I love about this board is we don’t always agree so each person gets options and has informed at the moment decisions to make.
 
tiffmaxee said:
You would have ended up at the ER with an active hypo. I’m sure of that. Many of these vets just scare me. Simon likely was stressed at the vet which increased his bg from the beginning. You are a quick learner and have great instincts. What I love about this board is we don’t always agree so each person gets options and has informed at the moment decisions to make.
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Agreed. This board is a great resource, and you @tiffmaxee, provide some really great advice!
 
It’s better to give fluids every day IF needed. There are differences of opinion as to when to start. Better to give 50 ml daily to keep him continuously hydrated unless you think the chlorambucil causes him to not eat enough on those days and then every other day makes sense.
 
tiffmaxee said:
It’s better to give fluids every day IF needed. There are differences of opinion as to when to start. Better to give 50 ml daily to keep him continuously hydrated unless you think the chlorambucil causes him to not eat enough on those days and then every other day makes sense.
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How do you determine if the fluid is needed? Also, what was the forum you recommended for IBD/SCL?
 
Kyle & Simon said:
How do you determine if the fluid is needed? Also, what was the forum you recommended for IBD/SCL?
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You can try lifting the skin and seeing if the fur bounces back. You can feel the gums to see if moist which you want or tacky. If he’s not eating well and not drinking it’s probably a good idea for now to give fluids.
 
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:cat:What do you think would be a good testing regimen moving forward? AM/PM daily for a few weeks? Still sort of stunned that this is happening!:cat:
 
There are OTJ trial rules which I don’t have but that’s what you do. If either of those is in the blue range you feed and test in about 3 hours. If the pancreas is working the bg will come down. You do this for 14 days and then there’s a party. Post each day. You start on a green shot so today is day 1.
 
There are OTJ trial rules which I don’t have but that’s what you do. If either of those is in the blue range you feed and test in about 3 hours. If the pancreas is working the bg will come down. You do this for 14 days and then there’s a party. Post each day. You start on a green shot so today is day 1.
 
Here's the OTJ trial info for you to read :)

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!
 
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