Cosmo's new thread

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I think that you should consider Cosmo as having started his OTJ trial, back on 3/6/21 PM cycle.
So today would be day 4 for the trial. You may not have seen these before, so here are some generic instructions for the OTJ trial. Focus in on the sections that talk about your own insulin, and skip over the parts that talk about a different insulin than the one you use.

OTJ Trial Guidelines (These are the criteria we use when following an OTJ Trial.)

Here are the instructions for an OTJ trial: If on Lantus or Levimir, depot has to drain first before trial starts, about 3 days or 6 cycles. No depot with in and out type insulins (NPH, Vetsulin/Caninsulin, Prozinc). The trial starts when numbers are in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range. Start the trial on the next green pre shot.

If you are posting in the Lantus/Levimir forum, please start a new thread each day which says ‘[Cat name] OTJ trial Day 1 BG xx’ (where xx is the BG reading for that cycle PM), then day2,3 etc. If you are posting in the Main Forum, we don’t require you or need you to do that separate post for each day. In fact, if you have never posted before over in the Lantus/Levimir forum or use a different insulin, you are fine staying in the Feline Health (Welcome & Main Forum). Or in the specific ISG (Insulin Support Group) for your insulin. We’ll cheer you on!

1. Test at your normal AMPS and PMPS times. Remember, you want a 2 hour fast before those AMPS and PMPS test times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas). The morning test is now called the AMBG. The evening test is now called the PMBG.

2. If your cat is green (0-99 mg/dL human meter, 0-130 mg/dL pet meter, 0-5.5 mmol/L) 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 the numbers are blue or higher (100-199 human meter, 130-230 petmeter, 5.5-11 mmol/L), feed a small meal and test again after about 3 hours. Food raises BG's. So if the number is lower 3-4 hours after a meal, then the pancreas is working!

3. Your cat may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.

4. After 2 weeks, 14 full days, if everything is looking good, we have a party!

Sometimes, the trial doesn't work the first time and we have to give a little more support by starting the cat with a tiny dose of insulin again. I had to do that with Wink. We simply start the cat back on a tiny dose of insulin to support the pancreas with healing for a bit longer. Our goal is a strong remission and it's better to be safe now then sorry later that you rushed it. With just a little more time we will probably get that strong remission we are looking for.

Got all that?
 
Deb & Wink said:
I think that you should consider Cosmo as having started his OTJ trial, back on 3/6/21 PM cycle.
So today would be day 4 for the trial. You may not have seen these before, so here are some generic instructions for the OTJ trial. Focus in on the sections that talk about your own insulin, and skip over the parts that talk about a different insulin than the one you use.

OTJ Trial Guidelines (These are the criteria we use when following an OTJ Trial.)

Here are the instructions for an OTJ trial: If on Lantus or Levimir, depot has to drain first before trial starts, about 3 days or 6 cycles. No depot with in and out type insulins (NPH, Vetsulin/Caninsulin, Prozinc). The trial starts when numbers are in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range. Start the trial on the next green pre shot.

If you are posting in the Lantus/Levimir forum, please start a new thread each day which says ‘[Cat name] OTJ trial Day 1 BG xx’ (where xx is the BG reading for that cycle PM), then day2,3 etc. If you are posting in the Main Forum, we don’t require you or need you to do that separate post for each day. In fact, if you have never posted before over in the Lantus/Levimir forum or use a different insulin, you are fine staying in the Feline Health (Welcome & Main Forum). Or in the specific ISG (Insulin Support Group) for your insulin. We’ll cheer you on!

1. Test at your normal AMPS and PMPS times. Remember, you want a 2 hour fast before those AMPS and PMPS test times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas). The morning test is now called the AMBG. The evening test is now called the PMBG.

2. If your cat is green (0-99 mg/dL human meter, 0-130 mg/dL pet meter, 0-5.5 mmol/L) 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 the numbers are blue or higher (100-199 human meter, 130-230 petmeter, 5.5-11 mmol/L), feed a small meal and test again after about 3 hours. Food raises BG's. So if the number is lower 3-4 hours after a meal, then the pancreas is working!

3. Your cat may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.

4. After 2 weeks, 14 full days, if everything is looking good, we have a party!

Sometimes, the trial doesn't work the first time and we have to give a little more support by starting the cat with a tiny dose of insulin again. I had to do that with Wink. We simply start the cat back on a tiny dose of insulin to support the pancreas with healing for a bit longer. Our goal is a strong remission and it's better to be safe now then sorry later that you rushed it. With just a little more time we will probably get that strong remission we are looking for.

Got all that?
Click to expand...
TOTALLY! Got it. how exciting!!
 
Day 4 cheering funny from me.

OTJ day 4 ocean theme.jpg
 

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HOT! Cosmo is on a hot streak of low numbers. Day 5 of OTJ trial.

OTJ day 5 number.jpg
 

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Cosmo said:
Cosmo saw the vet today for his 2 week checkin after diagnosis. They were AMAZED! Said they have NEVER had a cat regulate/go into remission SO QUICKLY!
Click to expand...
Yeah COSMO!!!!

We've seen a few here go diet controlled quickly, but it is a bit unusual that it happens this fast.

If you are NOT home in time to get the reading at what would normally be your pre-shot time, it's ok to get the test later, and put it in the appropriate column on the SS. So if it's 1 hour later than what used to be your pre-shot test time, put the test in the +1 column.

Cosmo is halfway through the OTJ trial. Lucky 7!
OTJ day 7 lucky 7 on fire.jpg
 

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WOW! Day 14 of OTJ trial is here and it looks like it's party time!!:otj::bighug::woot:

so what now? random blood testing? how often? can I sell the insulin/needles?
 
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 myself vary the testing times
Also fix the date on your spreadsheet you have 2-20 instead of 3-20 :cat:
 
Diane Tyler's Mom said:
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 myself vary the testing times
Also fix the date on your spreadsheet you have 2-20 instead of 3-20 :cat:
Click to expand...

Thank you Diane!
I will follow the above advice (I like the random testing idea too!) and charge ahead with his current diet etc.

and thnk you for fixing the date - brain like a sieve these days!
 
Cosmo said:
Thank you Diane!
I will follow the above advice (I like the random testing idea too!) and charge ahead with his current diet etc.

and thnk you for fixing the date - brain like a sieve these days!
Click to expand...
You are welcome Sara, Tyler just went into remission on 1-24-21
Wishing you and Cosmo the very best :bighug::cat:
 
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