23/3 Chico 95@AMPS; 70@4

I would not increase when you're seeing great numbers like these. Why would you want to increase?
Noo, not in a rush to increase for sure, it's just i see an increase in values last 3 cycles and i wanted to know when it's time to consider it is not good enough. I know that @PerfumedCatMom has experience with this so was just curious how does she decide it is time to increase even though Ruby's values look just as good as Chico's :) fishing for information and experience here :D

We wouldn't be increasing any time soon and for sure not now when just 4 cycles ago he seemed to be going under 50 but thank you very much for your care :)
 
I see...

You've got such gorgeous numbers you don't need to worry about increasing as long as you're getting these kinds of beautiful greens :)

I think the next thing you might want to be looking for is an opportunity for a DEcrease.

Chico is going to let you know when that day arrives - because the depot will be full, and his pancreas is going to be working beautifully and those numbers will drop...and then he will have earned a reduction.

Of course, there's another way to earn a reduction as well - 7 days of greens and then you can take him down .25 and see if he continues to hold those greenies...if so, it's because he needs less, not more insulin.

You're doing a fine job of testing! Keep up the excellent work and walk it on down the ladder there Chico! It looks like he's in the best of hands!!! I see great things (like maybe the Falls) in his not too distant future...beautiful!!
 
I see...

You've got such gorgeous numbers you don't need to worry about increasing as long as you're getting these kinds of beautiful greens :)

I think the next thing you might want to be looking for is an opportunity for a DEcrease.

Chico is going to let you know when that day arrives - because the depot will be full, and his pancreas is going to be working beautifully and those numbers will drop...and then he will have earned a reduction.

Of course, there's another way to earn a reduction as well - 7 days of greens and then you can take him down .25 and see if he continues to hold those greenies...if so, it's because he needs less, not more insulin.

You're doing a fine job of testing! Keep up the excellent work and walk it on down the ladder there Chico! It looks like he's in the best of hands!!! I see great things (like maybe the Falls) in his not too distant future...beautiful!!

We really thought the decrease would happen on the 21/3, he started with 67 at PMPS and we didn't push him up with honey but it was too early still :) It's only 3 days when he started seeing constant green preshots, which honestly we never dreamed of just 2 weeks ago :)

Thank you for the support :) we are very happy with his progress and of course it is all our dream for our kitties to get to remission but even if we have to give him insulin shots all his life, we wouldn't mind doing it with these values :)
 
It's a funny thing with these kitties. Once they turn the corner, they turn and make a run for those nice numbers. It's like a light just got switched on.

It has a lot to do with the healing pancreas and how much it's helping now - it's what we all hope for!

Cats have the good fortune of being able to go into remission because their pancreas' can rebuild new cells!!! It's an amazing feature that's built in - and we hoomans don't have that! That's why when humans are diagnosed with diabetes, it's typically for life...not so for kitties! I was astounded to read that! But it's true...and when these kids hit those great numbers they're on the road to remission...

The trick now for you is to pay close attention to those drops in numbers - he'll let you know when he's getting too much help from you (insulin) and he'll drop too low - don't panic...prepare for the bounce...Just prop him up with food and get him thru it...then adjust the dose accordingly...some kitties go up/down for a while before the healing process takes over and the journey can be a longer one for some and shorter for others.

Review the stickies for information (I'm sorry I don't know which one off the top of my head, maybe someone else will add that here)...the road to remission is ahead!
 
Hi Marina,

I recently increased Ruby from .25 to .5 units after we weren't seeing very many dips into the 50s and her preshot values were high, especially the AM preshots. My aim is to get her in normal numbers, mostly in the 50-80 range, with green preshots (though her early morning bowel movements foil these plans for me :p). This way we can be guaranteed a strong remission if and when that will happen. The more time Ruby spends in this range, the more her pancreas has a chance to heal and do its part to regulate her sugar. I am also reducing her only after she drops under 50 three times as we have been at these doses several times already and she does not hold reductions well.

This strategy is fairly aggressive, I think, and the way I'm nudging Ruby is not something I would suggest for someone new to the sugar dance. In fact, many of the more experienced members of the board would not recommend increases if there are any numbers in the 60s, but because I'm pretty experienced at managing her lows I feel comfortable pushing her. These numbers you are seeing from Ruby over the past few days are the best she's ever had in the 6 months I've been managing her diabetes. It's taken us a while to get here. What you've been able to do with Chico in such a short period of time is a marvel and I hope you're able to keep it up. :bighug::bighug::bighug:
 
Hi Marina,

I recently increased Ruby from .25 to .5 units after we weren't seeing very many dips into the 50s and her preshot values were high, especially the AM preshots. My aim is to get her in normal numbers, mostly in the 50-80 range, with green preshots (though her early morning bowel movements foil these plans for me :p). This way we can be guaranteed a strong remission if and when that will happen. The more time Ruby spends in this range, the more her pancreas has a chance to heal and do its part to regulate her sugar. I am also reducing her only after she drops under 50 three times as we have been at these doses several times already and she does not hold reductions well.

This strategy is fairly aggressive, I think, and the way I'm nudging Ruby is not something I would suggest for someone new to the sugar dance. In fact, many of the more experienced members of the board would not recommend increases if there are any numbers in the 60s, but because I'm pretty experienced at managing her lows I feel comfortable pushing her. These numbers you are seeing from Ruby over the past few days are the best she's ever had in the 6 months I've been managing her diabetes. It's taken us a while to get here.

I see now, so what you are trying to do is "push" her numbers more consistently closer to the 50s before granting a reduction. Now looking at her SS i see nadirs being closer to the 70s for most doses (which of course is amazing but probably not enough for a remission). It is pretty "aggressive" but i guess once you learn the pattern and your kitty reaction to insulin you know what is safe and what is not safe to do. 2 weeks ago we thought it was brutal to shoot at a green preshot, now i dread the day when i will see blue one :D

I see that Ruby just like Chico likes her nadirs early in the cycle :D

What you've been able to do with Chico in such a short period of time is a marvel and I hope you're able to keep it up. :bighug::bighug::bighug:

It is incredible how he managed to turn it around :) now let's just hope home office will not end soon, otherwise our ability to monitor him would decrease drastically :D

We hope too this progress will continue, i still look at a lot of SS and try to understand what is a good trend and what is not so i thought Ruby's case was particularly interesting, now i understand the reason behind the dose increase even though at first glance her numbers seem ideal :)
 
Hi Marina and Denis,
Chico is looking Fantastic.

just keep looking at those nadirs, if you see them trend up, then you could consider an increase.
At the moment, as you have already noted with nadirs in the 50's just yesterday there isn't any wiggle room, and he is spending most of his time in the 50-80 range.
If hes stays with this pattern he may earn a reduction by spending a whole week in green. :D
 
Hi Marina and Denis,
Chico is looking Fantastic.

just keep looking at those nadirs, if you see them trend up, then you could consider an increase.
At the moment, as you have already noted with nadirs in the 50's just yesterday there isn't any wiggle room, and he is spending most of his time in the 50-80 range.
If hes stays with this pattern he may earn a reduction by spending a whole week in green. :D
- follow nadir trends
- nadirs in the 50s and
- range 50-80

Got it :) thank you

a reduction after a week in greens would be a stress free reduction :D
 
I see now, so what you are trying to do is "push" her numbers more consistently closer to the 50s before granting a reduction. Now looking at her SS i see nadirs being closer to the 70s for most doses (which of course is amazing but probably not enough for a remission). It is pretty "aggressive" but i guess once you learn the pattern and your kitty reaction to insulin you know what is safe and what is not safe to do. 2 weeks ago we thought it was brutal to shoot at a green preshot, now i dread the day when i will see blue one :D

I see that Ruby just like Chico likes her nadirs early in the cycle :D



It is incredible how he managed to turn it around :) now let's just hope home office will not end soon, otherwise our ability to monitor him would decrease drastically :D

We hope too this progress will continue, i still look at a lot of SS and try to understand what is a good trend and what is not so i thought Ruby's case was particularly interesting, now i understand the reason behind the dose increase even though at first glance her numbers seem ideal :)
Another interesting case is Robert's Henry, @Golf2015, who went quickly down the dosing ladder after being on a relatively high dose. Henry earned a lot of reductions by staying below 100, and now Robert is taking him up again with the doses because his numbers are overall still too high.

Chnoudi went off the juice relatively quickly after her caregiver had to give her a vacation dose around Christmas because family was visiting and then it turns out Chnoudi didn't really need that much insulin anyway. https://docs.google.com/spreadsheet...-oFAIC0vUwQF68i30Du3_hLZkY/edit#gid=361360320
 
Another interesting case is Robert's Henry, @Golf2015, who went quickly down the dosing ladder after being on a relatively high dose. Henry earned a lot of reductions by staying below 100, and now Robert is taking him up again with the doses because his numbers are overall still too high.

Chnoudi went off the juice relatively quickly after her caregiver had to give her a vacation dose around Christmas because family was visiting and then it turns out Chnoudi didn't really need that much insulin anyway. https://docs.google.com/spreadsheet...-oFAIC0vUwQF68i30Du3_hLZkY/edit#gid=361360320
I have already seen Chnoudi's before but Henry's not yet. It is impressive how quickly both went into the normal range. thanks for the examples, it is good to know what to look for in numbers
 
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