8-14 OREO AMPS-117 53 +5, 63 6+ , 93 8+ PMPS 121 dose .5 +3 70, +4 66, +5 89, +6 102, +9 141

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Kind of dark but it looks OK
Here is what Chris showed you yesterday

This is what .75 looks like in a syringe with half unit marks.
187488970_467933384311004_8262355639426917578_n.png
 
Ok I’ll try that. Stores close running to get other flavors just incase.
So if this is Oreos lowest during the day and it goes back up this is good?
You want to get him up to around 80 -85
When you get him up to around 80 -85 don't feed test him again in an hour
If he stays up don't feed and test again in an hour to make sure he's safe

@Marje and Gracie

@Sienne and Gabby (GA)

@Chris & China (GA)

@Bron and Sheba (GA)

@tiffmaxee

Ladies Steven is new at this , am I giving him the correct information
Can you look at his SS and posts, he linked yesterday's to today's
Can you tell him how many carbs to feed and when, and when it's safe to stop testing?
I don't want to give him the wrong info
Thank you
 
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You want to get him up to around 80 -85
When you get him up to around 80 -85 don't feed test him again in an hour
If he stays up don't feed and test again in an hour to make sure he's safe

@Marje and Gracie

@Sienne and Gabby (GA)

@Chris & China (GA)

@Bron and Sheba (GA)

@tiffmaxee

Ladies Steven is new at this , am I giving him the correct information
Can you look at his SS and posts, he linked yesterday's to today's
Can you tell him how many carbs to feed and when, and when it's safe to stop testing?
I don't want to give him the wrong info
Thank you

Oreo is 63 6+
 
You want to get him up to around 80 -85
When you get him up to around 80 -85 don't feed test him again in an hour
If he stays up don't feed and test again in an hour to make sure he's safe

@Marje and Gracie

@Sienne and Gabby (GA)

@Chris & China (GA)

@Bron and Sheba (GA)

@tiffmaxee

Ladies Steven is new at this , am I giving him the correct information
Can you look at his SS and posts, he linked yesterday's to today's
Can you tell him how many carbs to feed and when, and when it's safe to stop testing?
I don't want to give him the wrong info
Thank you

ok. 80-85 being his low end? Am I thinking correctly we would keep his doses as is for a few days and or even maybe slightly decrease.
 
Looks like 0.75U to me. Is that what he got last night as well? Or you aren't sure?

Have you picked a dosing protocol to follow between TR and SLGS?
Yes that’s I have him last night and the am.
I don’t really understand the protocols I did see a comment or one was more aggressive than the other. What I am hoping at least start is one of them we can lower dose to keep him from going to low. The weekends are much easier but the weekdays are where I have a problem where I may not have an opportunity to be able to check his blood every 20 and 30 minutes at a low so I want to do something to keep them from getting to that low even if the whole process is gradual. If that makes sense
 
Yes that’s I have him last night and the am.
I don’t really understand the protocols I did see a comment or one was more aggressive than the other. What I am hoping at least start is one of them we can lower dose to keep him from going to low. The weekends are much easier but the weekdays are where I have a problem where I may not have an opportunity to be able to check his blood every 20 and 30 minutes at a low so I want to do something to keep them from getting to that low even if the whole process is gradual. If that makes sense
@Bandit's Mom
He doesn't understand the dosing protocols
 
Part of that process is getting a feel for basic concepts:
  • Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
  • Peak/Nadir - the lowest point in the cycle
  • Duration - the length of time insulin continues to lower blood glucose

  • The dose is based on the nadir..lowest point in the cycle…not the preshot.
 
Yes that’s I have him last night and the am.
I don’t really understand the protocols I did see a comment or one was more aggressive than the other. What I am hoping at least start is one of them we can lower dose to keep him from going to low. The weekends are much easier but the weekdays are where I have a problem where I may not have an opportunity to be able to check his blood every 20 and 30 minutes at a low so I want to do something to keep them from getting to that low even if the whole process is gradual. If that makes sense

SLGS: You hold a dose for 7 days (unless a reduction is earned). You decrease the dose when the BG falls below 90. The aim of this protocol is to keep the cat in the 90-150 range. This is more suited for caregivers who can't test as much as TR requires. You do a weekly curve with SLGS.

TR is a more aggressive protocol with increases as often as every 3-5 days. Reductions are earned when the BG falls below 50. The aim is to keep the cat in the range of 50-100 (which is the normal BG range for cats). To follow TR, you would need to get at least one more test per cycle in addition to the pre-shot one i.e. 2 tests per cycle or 4 tests per day. You would also need to be feeding only LC canned food and no dry food.

You could try TR if you are feeding LC wet (and no dry) and if you think that's more testing than you can manage, you can switch to SLGS.

Btw, was there a food change done recently from a higher carb diet to a lower carb one? I haven't been through your first thread on the Main/Health forum. Oreo seems to be doing really well!
 
With TR you reduce if under 50. With SLGS you reduce if under 90. Until you figure out how low a dose takes him I would test more than once a cycle with SLGS. He’s responding really well to insulin. That means for now I’d get a +2 no matter which method you follow although SLGS with the higher reduction number will require less testing for sure. A lower +2 means more testing is needed. There’s a better chance of remission with TR but cats do go into remission on SLGS as well.
 
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SLGS: You hold a dose for 7 days (unless a reduction is earned). You decrease the dose when the BG falls below 90. The aim of this protocol is to keep the cat in the 90-150 range. This is more suited for caregivers who can't test as much as TR requires. You do a weekly curve with SLGS.

TR is a more aggressive protocol with increases as often as every 3-5 days. Reductions are earned when the BG falls below 50. The aim is to keep the cat in the range of 50-100 (which is the normal BG range for cats). To follow TR, you would need to get at least one more test per cycle in addition to the pre-shot one i.e. 2 tests per cycle or 4 tests per day. You would also need to be feeding only LC canned food and no dry food.

You could try TR if you are feeding LC wet (and no dry) and if you think that's more testing than you can manage, you can switch to SLGS.

Btw, was there a food change done recently from a higher carb diet to a lower carb one? I haven't been through your first thread on the Main/Health forum. Oreo seems to be doing really well!
@Bandit's Mom
Thank you so much Bhooma, hopefully Steven will understand this
 
Yes that’s I have him last night and the am.
I don’t really understand the protocols I did see a comment or one was more aggressive than the other. What I am hoping at least start is one of them we can lower dose to keep him from going to low. The weekends are much easier but the weekdays are where I have a problem where I may not have an opportunity to be able to check his blood every 20 and 30 minutes at a low so I want to do something to keep them from getting to that low even if the whole process is gradual. If that makes sense
Steven you said you are going back to work in the office in January
when you go back to work you can always get an automatic feeder and set times for it to open, we can talk about that down the road

Steven when you read what
@Bandit's Mom explained about the protocols and you pick one please add it to your signature and SS
 
I think SLGS will be more manageable for me. At die the food. Up until 8/5 Oreo was getting into the hard food the other cats get Royal Canin SO. I’m sure its high carb. Actually we fed that food do to Oreos history and having perineal urethrostomy surgery.
Since 8/5 after I seeing those high AMs we started the FF pâtés.
 
Hi Steven. When Susie gets into the 50s I always try to give medium carb. A fat teaspoon is good. If she falls below 50 :arghh: I will feed some high carb. I desperately try to not let her drop below 50 (on the TR protocol) for a few reasons. First of all, it is not always safeand it can sometimes be hard to bring the glucose numbers up with higher carbs. Also, under 50 requires a reduction in dose which is not always beneficial but will need to be done for safety sake. Also, the really lower glucose readings can cause a kitty to bounce up in glucose numbers. For instance, on 8/10 you got a 46. The next day Oreo saw yellows. We try to level the kitty out so she/he does not experience those bounces. You are getting some good numbers. I look forward to the pros stepping in to help advise you. @Diane Tyler's Mom you are doing a great job trying to help.
 
You want to get him up to around 80 -85
When you get him up to around 80 -85 don't feed test him again in an hour
If he stays up don't feed and test again in an hour to make sure he's safe





@Chris & China (GA)

@Bron and Sheba (GA)

@tiffmaxee

@Bandit's Mom

Ladies Steven is new at this , am I giving him the correct information
Can you look at his SS and posts, he linked yesterday's to today's
Can you tell him how many carbs to feed and when, and when it's safe to stop testing?
I don't want to give him the wrong info
Thank you
 
I think SLGS will be more manageable for me. At die the food. Up until 8/5 Oreo was getting into the hard food the other cats get Royal Canin SO. I’m sure its high carb. Actually we fed that food do to Oreos history and having perineal urethrostomy surgery.
Since 8/5 after I seeing those high AMs we started the FF pâtés.
OK SLGS it is, just add it to your signature and top of your SS
 
Steven you said you are going back to work in the office in January
when you go back to work you can always get an automatic feeder and set times for it to open, we can talk about that down the road

Steven when you read what
@Bandit's Mom explained about the protocols and you pick one please add it to your signature and SS

ok we’re going to do SLGS and I have updated my signature and ss.
 
ok we’re going to do SLGS and I have updated my signature and ss.
Thank you Steven, just remember to do a curve after 7 days


SLGS: You hold a dose for 7 days (unless a reduction is earned). You decrease the dose when the BG falls below 90. The aim of this protocol is to keep the cat in the 90-150 range. This is more suited for caregivers who can't test as much as TR requires. You do a weekly curve with SLGS.
 
Is there a shortcut or a link to the acronyms and the terms that are being used I want to print it as a reference if it’s available
 
Is there a shortcut or a link to the acronyms and the terms that are being used I want to print it as a reference if it’s available

 
If you are going with SLGS you will need to reduce with numbers under 90. This might not be best for Oreo if you are able to monitor and test often now. If you are not going back to work until January, and you can test often until then, you might want to pick TR. Oreo is doing very well and the dose is not very high. I would stay with TR because he may be in remission by January when you return to work. I'm looking forward to following your progress.

I am working, but from home. I just have to be very careful managing of “offline time” because our computers shut down after a few minutes. January will be back in the office if Florida can get it together.
 
I am working, but from home. I just have to be very careful managing of “offline time” because our computers shut down after a few minutes. January will be back in the office if Florida can get it together.
I'm in Florida, too. Merritt Island. There is a chart that can be very helpful in picking the low carb (LC or l/c), medium carb (MC or m/c) and high carb (HC or h/c). I always have a hard time attaching it. I'll look to provide it to you. It will help you to pick the l/c, m/c and h/c Fancy Feast foods to have on hand. Low carb is 0 - 10%, medium carb is 11 - 15% and high carb is 16% and above (I hope I am correct). I'll try to figure out how to send you the link.
 
I'm in Florida, too. Merritt Island. There is a chart that can be very helpful in picking the low carb (LC or l/c), medium carb (MC or m/c) and high carb (HC or h/c). I always have a hard time attaching it. I'll look to provide it to you. It will help you to pick the l/c, m/c and h/c Fancy Feast foods to have on hand. Low carb is 0 - 10%, medium carb is 11 - 15% and high carb is 16% and above (I hope I am correct). I'll try to figure out how to send you the link.
You are correct
 
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