29 Jul 2022 - Whiskey AMPS=149 +6=49 +9=76 PMPS=101 +3=76

stannarp

stannarp

Member Since 2021
Hi all,

Previous thread here:

28 Jul 2022

Currently on anti-inflammatories and antibiotics, scheduled for a dental and some extractions on Tues, 2 Aug 2022.

1 Unit.

Regards,

Patricia
 
Given that she only hit 49 on her +6, do I reduce to 0.75 tomorrow or leave it at 1u? She ate at PMPS and again at about +4.

I've been trying to do less obsessive readings lately, but more progressive, i.e. at +1 intervals in the day on successive days if that makes sense.
 
Bandit's Mom said:
She is not a long term diabetic but I think that for cats that have fallen out of remission the rule for reductions is the same as long term diabetics (40 vs 50 on a human meter). I'm not sure so I'm going to tag a few others for confirmation.

@Bron and Sheba (GA)
@tiffmaxee
@Wendy&Neko
Click to expand...
Thanks Bhooma :)

Realised that I didn't add that I gave her a meal now when I saw the 49, her scheduled mealtime is +8, but I felt it better that there is food onboard!
 
I could not find anything in the literature about a kitty coming out of remission under one year but it does ring a bell.
Here is what is written in the literature

REDUCTIONS:

Newly diagnosed diabetics - less than one year since diagnosis
  • reduction *earned* after a single drop below 50 mg/dL and following TR, or
  • reduction *earned* after 3 drops between 40 - 50 mg/dL on three separate days for kitties who have shown they do not hold reductions well and following TR, or
  • reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat (50 - 80 mg/dL) and stays under 100 mg/dl overall for at least one week and following TR.
  • reduction *earned* after a single drop below 90 mg/dL for those following SLGS
Long term diabetics - more than one year since diagnosis
  • reduction *earned* after a single drop below 40 mg/dL for those following TR, or
  • reduction *earned* after 3 drops between 40 - 50 mg/dL on three separate days for kitties who have shown they do not hold reductions well and following TR, or
  • reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat (50 - 80 mg/dL) and stays under 100 mg/dl overall for at least one week and following TR.
  • reduction *earned* after a single drop below 90 mg/dL for those following SLGS.
We highly suggest taking a reduction any time any kitty drops into the 30s or below. There are very few exceptions given for caregivers following TR who have collected years of data and KNOW their cat's response to the combination of insulin and food backwards, forwards, and inside out.
 
Bron and Sheba (GA) said:
I could not find anything in the literature about a kitty coming out of remission under one year but it does ring a bell.
Here is what is written in the literature

REDUCTIONS:

Newly diagnosed diabetics - less than one year since diagnosis
  • reduction *earned* after a single drop below 50 mg/dL and following TR, or
  • reduction *earned* after 3 drops between 40 - 50 mg/dL on three separate days for kitties who have shown they do not hold reductions well and following TR, or
  • reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat (50 - 80 mg/dL) and stays under 100 mg/dl overall for at least one week and following TR.
  • reduction *earned* after a single drop below 90 mg/dL for those following SLGS
Long term diabetics - more than one year since diagnosis
  • reduction *earned* after a single drop below 40 mg/dL for those following TR, or
  • reduction *earned* after 3 drops between 40 - 50 mg/dL on three separate days for kitties who have shown they do not hold reductions well and following TR, or
  • reduction *earned* when the cat regularly has its lowest BGs in the normal range of a healthy cat (50 - 80 mg/dL) and stays under 100 mg/dl overall for at least one week and following TR.
  • reduction *earned* after a single drop below 90 mg/dL for those following SLGS.
We highly suggest taking a reduction any time any kitty drops into the 30s or below. There are very few exceptions given for caregivers following TR who have collected years of data and KNOW their cat's response to the combination of insulin and food backwards, forwards, and inside out.
Click to expand...

Thanks for this, my instinct is to actually hold her on this dose unless she drops under 50 at nadir again, seeing as she is dropping in a far more controlled way than previously - but I may need to re-look at her dose after she's had her dental, as the infection and mouth pain have been (I am sure) pushing her numbers up.

Other reason I actually want to keep her on the current 1u is in light of the dental on Tuesday; so that her body is in the best possible shape going into it, and logically that should give her the best chance of good healing and future health going out of it.
 
I m pretty sure when cats fall out of remission you need to take the more aggressive approach and it’s 3 under 50 or once under 40.
 
tiffmaxee said:
I m pretty sure when cats fall out of remission you need to take the more aggressive approach and it’s 3 under 50 or once under 40.
Click to expand...
I'm definitely keeping her on the current dose for now, at least until she heals from her dental on Tues, unless I start seeing lots of scary lime numbers with her normal eating and snack routine, then I may want to revise.

My simultaneous worry and hope is that I may need to revise her dose after she's healed from the dental; as less stress, less pain and less infection may bring her numbers down, but will monitor to make sure - that is a bridge to cross in future.
 
Just gave her the +4 meal early, with auto feeder set to open in 2 hours, so she should be good overnight.
 
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