9/7 Monty: AMPS 119, +3 67, +3.5 56, +4 63, +4.5 92, PMPS 126

92@AM+4.5, I may have shot the BG higher than intended with the high calorie food, but better high than low.
 
So I'm considering an OTJ trial.

Monty is getting as low as 50s on a dose of one drop so soon after two skips AND he's on a higher carb diet for the last 3 days. It's possible his >100 PS are consistent minor bounces from not requiring any insulin.

I'd like to try no insulin for some time and see how he reacts. I expect a minor bounce tonight and possibly tomorrow from his dip into the 50s today so won't use the next two readings as an indicator for success or failure of OTJ.

What are the thoughts about beginning an OTJ trial this evening?
 
Monty should be showing green AM and PM pre-shots before you begin a trial. Try to feed the curve until he gives you more solid AM/PM pre-shots...avoid those drops if you can with more food if he'll eat it.
 
Hi. Why do you have him on a slightly higher carb diet? What percent carbs? Many find a +9 snack at night will bring tge amps down.
 
I've raised his carbohydrates from 0% to 2% as for a few cats that has helped lower their BG. It's an experiment I'm trying atm
 
Oh. That’s true and a minor increase. I wasn’t sure the %Have you tried the +9 snack at night?
 
Yeah, he's been having a +9 snack for the last few weeks but he only eats it ~50% of the time.

I feed him 0% carb wet food for 80% of his calories, he gets 20% of his calories from 12% carb dry food as a +9 snack.
 
It must be nerve wracking to be so close. Hang in a little longer. The ones with mostly greens have the best chance for a successful remission.
 
Tom & Monty said:
I feed him 0% carb wet food for 80% of his calories, he gets 20% of his calories from 12% carb dry food as a +9 snack.
Click to expand...

As an experiment, I would feed him the higher carb food at the beginning of the cycle to prevent the diving at onset rather than at the end of the cycle when insulin action is at the lowest - carbs post the nadir can reduce duration.

ETA: 12% carbs would be an MC meal. Not sure if averaging carb% works across meals. He would get quite a food spike from a 12% carb meal.
 
Last edited:
I could try that however the motivation for giving the dry food at +9 was to encourage him to eat the +9 snack. He LOVES kibble so I was trying to use it to incentivise him to eat at +9.
 
Tom & Monty said:
I could try that however the motivation for giving the dry food at +9 was to encourage him to eat the +9 snack. He LOVES kibble so I was trying to use it to incentivise him to eat at +9.
Click to expand...

Yes, I remember this. I was going to mention that in my reply but was too lazy - typing on my phone! :-)
 
I'm going to withhold insulin for the time being.

I was lucky to catch Monty diving today and on a dose of only one drop so soon after two skips. He could feasibly have gotten into the 40s had I not intervened.

The risk of attempting an OTJ is minor compared with more opportunities for a hypo. I'm suspicious that any insulin at all is causing Monty to have minor bounces, raising his average BG.

I'm going to withold insulin for 2-3 days and observe his BG as normal. If he doesn't fall or begins to rise on average I will resume insulin. If after 2-3 days he's lower on average then I will begin an OTJ trial.

The next 2-3 cycles could be misleading due to a bounce, unless the numbers are ridiculous these will not be considered noteworthy.
 
OTJ trials start with a green preshot. He's not there yet. He didn't drop below 50 and he hasn't had a week in solid green. You might be interested in this discussion: Reminder: *earning* reductions and starting OTJ trials This quote from Jill is key "Prior to starting an OTJ trial, one wants to see kitty mostly in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range." Monty hasn't spend much time below 80, much less the majority of his time. The reason for this guidelines is that we want strong remissions. We want this to stick.
 
You must log in or register to reply here.
Back
Top