7/20/21 Chicamonkey PMPS 75 reducing to 0.25 tonight!

Suzi and Chicamonkey

Suzi and Chicamonkey

Member Since 2020
I’m so excited!!!
I could almost cry!!!
Over the weekend I had two days when her preshot numbers were I the 90’s …. And I thought ….”if she goes any higher …. I might have to increase…or at least hang out at 0.5 for a little while ????”

but then her last two preshot numbers today suggested otherwise!!!!

Thoughts??
How is everyone doing?
Big hugs!
Suzi and Monkey

pic is monkey after playing with her flamingo bird on a stick and it landed on her head!
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Great looking SS!!! Why the reduction tonight? I'm not following what dosing method you're using to reduce???

That sure is a cute pic! She looks well and happy :) Fabulous numbers but don't reduce too fast...she's looking absolutely wonderful at this dose.
 
So wonderful to hear monkey is doing so well :cat: Hope you and your hubby are doing well too :bighug::bighug: fwiw, I would have held 0.5 for a week (unless <50) but I know you are doing your own thing :cat:. you can always take her back up if you need to. For anyone reading wanting to know reductions on TR, I'll leave the link right here.
 
With IAA/acro cats the rules on reductions are a bit different, everyone tends to do it a little differently because ECID is doubly true for IAA/acro cats. Most of us use a higher reduction threshold or things like all greens because the tumor can pulse, or the IAA can start to fade out...or in my case the medication hits hard. Need wiggle room for if/when that happens
 
Sue and Luci said:
Great looking SS!!! Why the reduction tonight? I'm not following what dosing method you're using to reduce???

That sure is a cute pic! She looks well and happy :) Fabulous numbers but don't reduce too fast...she's looking absolutely wonderful at this dose.
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Hi @Sue and Luci - so nice to see yo here!!
Dose reduction for acro / IAA is very similar to regular diabetic reduction. Except that if she goes low, 50 or lower it’s very difficult to manipulate blood glucose in an acro cat with food. Ive noticed that more and more as her numbers decrease.
While I followed TR for increasing her dose, it’s more of a modified SLGS for reduction.
I feel so in tune with her.
And ECID …. She walks her own path and I follow, AND I have to be ready to go up or down at any given time.
It seems we have beaten down IAA right now but that could change, or it may stay this way.
No one knows for sure.

I feel very comfortable lowering her dose after yesterday’s numbers , she’s giving me signs that she’s ready to be done with insulin but I will remain diligent in testing her because like I said, it’s a day by day groove and I am very cautious not to let my baby go too low. Especially when I’m working and away all day.
And her tumor may just be sleeping at the moment.
 
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Morning Suzi, what fabulous numbers, good luck with the reduction, she looks so adorable with her flamingo bird in her head, she looks like she could be in a chorus line with her head piece on :p
Have a good day :bighug::bighug:
 
Suzi and Chicamonkey said:
Dose reduction for acro / IAA is very similar to regular diabetic reduction. Except that if she goes low, 50 or lower it’s very difficult to manipulate blood glucose in an acro cat with food. Ive noticed that more and more as her numbers decrease.
Click to expand...
I just have to clarify this. Dose reduction criteria for IAA/acro kitties using TR is the same as regular cats. Except for cats that are undergoing treatment of their acromegaly or IAA is breaking. In that case, some caregivers may chose to modify the reduction criteria. And the blanket statement that's is is "very difficult to manipulate BG of an acro cat with food" is just not true. It may be true for some acros, but it's also true for some non acros. This is where you have to Know Thy Cat. Neko could surf on freeze dried meat treats and didn't usually need anything more than a tsp or two HC of 16-17% to bring her up. ECID. The basics of feline diabetes is knowing how your cat reacts to carbs.

Good luck with the reduction Suzi. It might help people's confusion if rather than saying Tight Regulation in your signature, you say "custom dosing - do not copy". And it'd be better that lurkers don't use Suzi's spreadsheet as an example of what might work for their cat.
 
Wendy&Neko said:
I just have to clarify this. Dose reduction criteria for IAA/acro kitties using TR is the same as regular cats. Except for cats that are undergoing treatment of their acromegaly or IAA is breaking. In that case, some caregivers may chose to modify the reduction criteria. And the blanket statement that's is is "very difficult to manipulate BG of an acro cat with food" is just not true. It may be true for some acros, but it's also true for some non acros. This is where you have to Know Thy Cat. Neko could surf on freeze dried meat treats and didn't usually need anything more than a tsp or two HC of 16-17% to bring her up. ECID. The basics of feline diabetes is knowing how your cat reacts to carbs.

Good luck with the reduction Suzi. It might help people's confusion if rather than saying Tight Regulation in your signature, you say "custom dosing - do not copy". And it'd be better that lurkers don't use Suzi's spreadsheet as an example of what might work for their cat.
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I agree with every cat is different, monkey sure is. ( different that is). When her sugars were unregulated it was normal to see a 100 point jump after low carb ff pate. Now that she’s regulated - actually NO INSULIN- I only see a 5-10 point increase whether it’s ff or raw.
She no longer has those “food spikes”
Thanks for the encouragement and I will update my ss as far as TR for increasing custom for decreasing.
The key here is ECID. It’s not just a phrase.
 
Wendy&Neko said:
I just have to clarify this. Dose reduction criteria for IAA/acro kitties using TR is the same as regular cats. Except for cats that are undergoing treatment of their acromegaly or IAA is breaking. In that case, some caregivers may chose to modify the reduction criteria. And the blanket statement that's is is "very difficult to manipulate BG of an acro cat with food" is just not true. It may be true for some acros, but it's also true for some non acros. This is where you have to Know Thy Cat. Neko could surf on freeze dried meat treats and didn't usually need anything more than a tsp or two HC of 16-17% to bring her up. ECID. The basics of feline diabetes is knowing how your cat reacts to carbs.

Good luck with the reduction Suzi. It might help people's confusion if rather than saying Tight Regulation in your signature, you say "custom dosing - do not copy". And it'd be better that lurkers don't use Suzi's spreadsheet as an example of what might work for their cat.
Click to expand...
When you say lurkers…. I’m not sure what that means ?
 
Suzi and Chicamonkey said:
When you say lurkers…. I’m not sure what that means ?
Click to expand...

Lurkers are people who sit on the sidelines and read posts but never post themselves...they don't check 'Like' and they don't 'Reply'....they just sit there and 'lurk'....lots of people lurk for various reasons - some are too shy to talk, others don't know what to say...some people just like to read but never contribute...trust me, they're there :)
 
Wendy&Neko said:
I just have to clarify this. Dose reduction criteria for IAA/acro kitties using TR is the same as regular cats. Except for cats that are undergoing treatment of their acromegaly or IAA is breaking. In that case, some caregivers may chose to modify the reduction criteria. And the blanket statement that's is is "very difficult to manipulate BG of an acro cat with food" is just not true. It may be true for some acros, but it's also true for some non acros. This is where you have to Know Thy Cat. Neko could surf on freeze dried meat treats and didn't usually need anything more than a tsp or two HC of 16-17% to bring her up. ECID. The basics of feline diabetes is knowing how your cat reacts to carbs.

Good luck with the reduction Suzi. It might help people's confusion if rather than saying Tight Regulation in your signature, you say "custom dosing - do not copy". And it'd be better that lurkers don't use Suzi's spreadsheet as an example of what might work for their cat.
Click to expand...
@Wendy&Neko see ss for a perfect example this morning of how food does not currently affect monkey the same way as other diabetic cats. Her pancreas is functioning.So when I spoke of acro cats above, my only experience is Monkey and what I have read on others.
IF she had insulin this morning I would probably call off work.

ECID
 
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Not sure anyone posted the OTJ trial instructions for you. :D:D

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!

Good luck with the trial!!!
 
Wendy&Neko said:
Not sure anyone posted the OTJ trial instructions for you. :D:D

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!

Good luck with the trial!!!
Click to expand...
Today is day 10 without insulin
 
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