12/22 Charlie at 63 Alphatrak

Charlie’s Mom

Charlie’s Mom

Member Since 2021
Charlie is 63 at +3 PMPS. I just gave him gravy lovers. He is only on 1 drop of Lantus now (for the past 2 1/2 days). At what point do a trial without insulin?
 
Hmm. He has too much blue but you are using an AT. Does he get a +9 snack? With the 63 he’s earned the reduction. I’m not ready to call it an otj trial but let’s try a food trial. Test at amps and pmps. If blue get a +3-4. Feed a small snack at +8-9. Is this possible?
 
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tiffmaxee said:
Hmm. He has too much blue but you are using an AT. Does he get a +9 snack? With the 63 he’s earned the reduction. I’m not ready to call it an otj trial but let’s try a food trial. Test at amps and pmps. If blue get a +3-4. Feed a small snack at +8-9. Is this possible?
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He eats 1/4 can of food at 7 AM, 1 PM, 7 PM & 9:30ish(not always hungry so it sits overnight & he usually finishes overnight). He doesn’t eat the whole thing in one sitting, so it sits until I take it away two hours before shot time. I work & come home for lunch. I wouldn’t be home to give him a snack 3-4 PM. But he would have food available at PMPS +3. (His shots are 7 AM & 7 PM).
 
Let’s see what happens when you don’t give him insulin fir a few days. He doesn’t need to eat at pmbg +3. If his pancreas is working his bg should come down 3-4 hours after he eats. So at night feed him and then puck up his food until +3 and test if you get a blue pmbg. Then leave out his food to free feed as usual. We call it pmbg because you aren’t going to shoot.

Does he have access to food before your morning test?
 
I don’t want to lose his insulin build up and our progress- are you pretty sure it’s the right time? And my brain must be mush because I’m not understanding the food trial I need to go to sleep & his BG is 95 now so I’m feeling better.
I leave food out before bed in case he goes low but also so he gets enough calories for the day. He won’t eat more than 1/4 can in one sitting and he’ll pick at it for hours. can we continue tomorrow? Thanks so much and have a great night!
 
I would not continue giving insulin with a nadir under 68. I would try not shooting for a couple of days to see what happens. Test in the morning and night. Get.a +2-4/when possible if the Ambg or pmbg is over 110. You won’t lose momentum. If the numbers trend up you can restart insulin at a drop.
 
tiffmaxee said:
I would not continue giving insulin with a nadir under 68. I would try not shooting for a couple of days to see what happens. Test in the morning and night. Get.a +2-4/when possible if the Ambg or pmbg is over 110. You won’t lose momentum. If the numbers trend up you can restart insulin at a drop.
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Thanks so much! I didn’t shoot him this morning. His BG was 114 (which is lower for him than it has been). I should be able to test +4 at 11 AM- would that work? After that, I test at his normal PMBG time-7 PM, correct? Then I feed him dinner & take his food away at 8 PM. Then only test him at 10 PM if his 7 PM is over 110, correct?
ALSO I’ve been using both AT & Relion simultaneously so I have Relion numbers too if needed ( not on sheet). I didn’t completely change to Relion because sometimes I get a tiny drop & Relion won’t read it. Thanks for all of your help ❤️
 
Charlie’s Mom said:
ALSO I’ve been using both AT & Relion simultaneously so I have Relion numbers too if needed ( not on sheet). I didn’t completely change to Relion because sometimes I get a tiny drop & Relion won’t read it.
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The ReliOn (and all human meters) usually read lower than pet meters, so the numbers look better! :)

What you could do to get bigger blood drops is:
  1. Use lower gauge lancets (25-28) till the ear "learns" to bleed.
  2. Warm the ear and massage to improve blood flow
  3. Sometimes you need to "milk" the ear after you poke it to get the blood drop to get bigger.
Here are some more tips - https://www.felinediabetes.com/FDMB/threads/9-9-bailey-amps-117-5-62.252712/#post-2851043

Try getting a test at +3 today. Don't feed till then. If his pancreas are working, they will produce insulin in response to the food fed at AMPS and his BG should drop 3 hours after food.
 
Good evening He was 115 at PMBG. He barely ate any dinner, seems tired & slept a lot, & not interested in playing with his favorite toy. He probably should eat something, but I know I can’t stay up till 12:30 to test him if he eats now (9:30). What should I do, and are there any potential issues I should be watching for?

we do have company tonight so maybe that’s throwing off his routine.
 
It’s just the first day so don’t worry about another test. It will take a few days or longer to see if we can go to an OTJ trial. If he’s not ready you could go back on a drop it even .10 and feed a little higher carbs but let’s see what he does for a couple days. That 115 is still within range without insulin.
 
So tomorrow, do I test then feed him as normal at 7 AM? Then at some point make sure he hasn’t eaten for 3 hrs and test him again, correct?

We have to go out of town at 5:30 PM and will be out until later. Should I test him before we leave, then when we get home? If I was giving insulin, I was planning on coming home to give it, so I still can to test if needed.
 
Yea. Test him at 7 a.m., feed, and then test in 3-4 hours if possible unless green at Ambg. If green or around 100 don’t test again unless convenient. . It’s fine to test before you leave for the night and there’s no need to come home to test until you are home for the evening. Happy holidays! Enjoy worry free when it comes to Charlie.

Nice to see the green at +4.:D
 
tiffmaxee said:
Yea. Test him at 7 a.m., feed, and then test in 3-4 hours if possible unless green at Ambg. If green or around 100 don’t test again unless convenient. . It’s fine to test before you leave for the night and there’s no need to come home to test until you are home for the evening. Happy holidays! Enjoy worry free when it comes to Charlie.

Nice to see the green at +4.:D
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Yay!! We will enjoy our little break from worry tomorrow. Happy Holidays to you as well! You are a blessing to us ❤️
 
tiffmaxee said:
Yea. Test him at 7 a.m., feed, and then test in 3-4 hours if possible unless green at Ambg. If green or around 100 don’t test again unless convenient. . It’s fine to test before you leave for the night and there’s no need to come home to test until you are home for the evening. Happy holidays! Enjoy worry free when it comes to Charlie.

Nice to see the green at +4.:D
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Hello, just checking in to see if you can review Charlie’s spreadsheet- 4 days with no insulin
 
His AMBG is a little too high. He’s not getting a green at PMBG either. Are all the tests using the Relion meter? For a strong remission it’s best to get the bg between 50-80 most of the time. Can you set an alarm to give a snack at +9?
 
tiffmaxee said:
His AMBG is a little too high. He’s not getting a green at PMBG either. Are all the tests using the Relion meter? For a strong remission it’s best to get the bg between 50-80 most of the time. Can you set an alarm to give a snack at +9?
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No his SS is still showing Alphatrak numbers. He’s pretty much never had green numbers at AMPS or PMPS. So if his AMBG & PMBG are 7 AM & 7 PM and are high, he needs to have a snack at 4 PM and 4 AM?
 
Charlie’s Mom said:
No his SS is still showing Alphatrak numbers. He’s pretty much never had green numbers at AMPS or PMPS. So if his AMBG & PMBG are 7 AM & 7 PM and are high, he needs to have a snack at 4 PM and 4 AM?
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The Ambg and pmbg are the last to come down. With many cats the +9 snack helps. I would try that and go back to a drop dose. If that doesn’t bring him mostly between 50-80 you might need to go up to .10 and feed a little higher carbs.
 
I want to reinforce suggestions that Bron has made previously.
  • Feeding a snack at +9 may help to lower pre-shot test values. You will need to do this consistently for a few weeks to see if you get the desired results. A timed feeder may be helpful so you don't need to wake up in the middle of the night or provide a snack if you're not home.
  • Eliminating the Dr Elsie's and Young Again as treats may also help with numbers.
  • Providing you eliminate the dry treats, switching to TR may also be a better option since the dose reduction point is lower. You test enough for TR and the only thing you would need to do is to eliminate the dry treats.
 
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