11/6 Emma AMBG 88 - OTJ?!

Manuel

Manuel

Member Since 2022
https://felinediabetes.com/FDMB/threads/12-3-emma-ambg-68.271433/

Hi! It has now been over 2 weeks since I gave Emma insulin. She seems to be handling things quite well, especially when I can give her a snack at +7 (easier to do during day cycle than night cycle). My only new challenge is that Emma no longer gobbles up all her food at test time; if I give her a big meal, she leaves some and eventually, reluctantly, will come eat it later. Makes it hard to time snacks so that she eats when I want her to eat.

But that's small stuff... I think the big stuff is... she's almost in remission? Her average AMBG has been 98 (90 in last 7 days), and average PMBG was 86 (80 last 7 days). How would I know if she is indeed in remission, and what can I do to make it more likely to stick?

<3 Thanks to everyone for their support in this journey!
 
Hi. Sorry it took so long for me to get back to you but I am in the middle of a big project at my house. I think she is in remission. The occasional blues are overall minimal. I would continue to spot check dot make sure she doesn't head up for awhile. Congratulations!:otj::otj::otj:

They do eat less once controlled by diet. Just watch her weight to make sure she doesn't drop below her desired weight as that could mean something else is going on.

I will post the obj directions now. The last part explains how to proceed from here. Good luck! Let us know if you need any help going forward.
 
Here are the OTJ Directions. Good luck!


Instructions for starting the OTJ trial
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.
Good luck with the trial!!!
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!
 
Yay!! :otj::otj::otj:

Thank you so much @Angela & Cleo ; @Amy & Herman ; @Mandykins ; @Virginie , and others for your continued encouragement! Thank you @Diane Tyler's Mom for always checking in and dropping a link, a tag, or a hug! Thank you @Bandit's Mom ; @Bron and Sheba (GA) ; @Suzanne & Darcy; @tiffmaxee ; and @Wendy&Neko for your generous and sage advice! And thank you to @Carole & Indigo ; @Sugar’s Mama, and others for helping me through hypo!

Emma has definitely done her part, but without proper care guidance and support I received from you, she simply wouldn't be where she is.

upload_2022-12-6_16-57-3.png



I will keep testing weekly from this point, and keep trying to refine her schedule until it's regular. Luckily for me, Emma is super responsive and her numbers quite predictable.

May these FDMB kitties be blessed and keep purring for a long, long time!
 

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Manuel said:
Yay!! :otj::otj::otj:

Thank you so much @Angela & Cleo ; @Amy & Herman ; @Mandykins ; @Virginie , and others for your continued encouragement! Thank you @Diane Tyler's Mom for always checking in and dropping a link, a tag, or a hug! Thank you @Bandit's Mom ; @Bron and Sheba (GA) ; @Suzanne & Darcy; @tiffmaxee ; and @Wendy&Neko for your generous and sage advice! And thank you to @Carole & Indigo ; @Sugar’s Mama, and others for helping me through hypo!

Emma has definitely done her part, but without proper care guidance and support I received from you, she simply wouldn't be where she is.

View attachment 65829


I will keep testing weekly from this point, and keep trying to refine her schedule until it's regular. Luckily for me, Emma is super responsive and her numbers quite predictable.

May these FDMB kitties be blessed and keep purring for a long, long time!
Click to expand...
❤️❤️❤️
 
Manuel said:
Yay!! :otj::otj::otj:

Thank you so much @Angela & Cleo ; @Amy & Herman ; @Mandykins ; @Virginie , and others for your continued encouragement! Thank you @Diane Tyler's Mom for always checking in and dropping a link, a tag, or a hug! Thank you @Bandit's Mom ; @Bron and Sheba (GA) ; @Suzanne & Darcy; @tiffmaxee ; and @Wendy&Neko for your generous and sage advice! And thank you to @Carole & Indigo ; @Sugar’s Mama, and others for helping me through hypo!

Emma has definitely done her part, but without proper care guidance and support I received from you, she simply wouldn't be where she is.

View attachment 65829


I will keep testing weekly from this point, and keep trying to refine her schedule until it's regular. Luckily for me, Emma is super responsive and her numbers quite predictable.

May these FDMB kitties be blessed and keep purring for a long, long time!
Click to expand...

Congrats!!! I'm so glad you were able to get Emma OTJ. Happy Holidays, and all the best for you and Emma in the New Year!
 
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