01/24 Chronos PMPS 222 +2 209

Did you shoot? If you can monitor, you can shoot any number over 90 with SLGS. He will most probably head up from here in a bounce from list night's low.
 
Yea just hasn't been this low in AM before so new territory which is good. We did the 1.75, will still be monitoring and can increase again next cycle if needed.
 
He is just bouncing more slowly than before. A sign that he's getting used to lower numbers. A reduced dose will not change how the first part of the cycle plays out since the depot is still at play.
 
I know, I figured he was getting used to low numbers.

Probably should of done the 2 but our reasoning was that he did earn the reduction the night before and probably last night too plus we are wondering about the food/calorie reduction if thats now starting to show itself. Been less than two week since the food change and we reduced his calories last week and this week. We know the food change affected him slowly last time, so just trying to take everything into consideration.

See how this cycle goes and if he bounces, depending on PMPS can go back to 2 if needed.
 
Especially with the fast clear yesterday and again in greens, just was a lot for us, plus I am running very low on sleep which isn't helping lol, but its for a good reason!
 
Dan and Marc said:
+3 165, seems to be staying blue for now. Any advice? Should I keep checking each hour or wait longer?
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Sorry no one responded. He is bouncing. Curious to see if he will head up to yellows and pink from here or give you another active cycle tonight. On a good dose, he has a good chance of flattening into blues and greens.
 
My suggestion would be to stay at 2U and work with a lower reduction point of 80. Can you take turns with the night shift so sleep deprivation is not an issue?
 
PMPS +222, will go back to 2 Units.

It's more the +5 and above checks that are the main issue, I normally don't go to bed till after I do his +4. Also my husband has yet to actually do the blood, partly cause of my anxiety and that I tend to handle specific parts of the medical stuff because of my anxiety, he helps a lot just I personally want to do the actual checks/shots etc, and also partly cause Chronos lets me do anything basically. We are guessing he would be fine with Marc doing stuff too we just haven't tried but talked about it today, so we plan to have him start trying some since he has a different sleep schedule and could get later AM checks.
 
Dan and Marc said:
It's more the +5 and above checks that are the main issue, I normally don't go to bed till after I do his +4. Also my husband has yet to actually do the blood, partly cause of my anxiety and that I tend to handle specific parts of the medical stuff because of my anxiety, he helps a lot just I personally want to do the actual checks/shots etc, and also partly cause Chronos lets me do anything basically. We are guessing he would be fine with Marc doing stuff too we just haven't tried but talked about it today, so we plan to have him start trying some since he has a different sleep schedule and could get later AM checks.
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I totally understand. I'm sorry to keep pushing about the lower reduction point or following TR, but I feel like Chronos stands a good chance at being tightly regulated, if not going back into remission (if he is able to handle 100% Weruva) with some aggressive dosing. You are already putting in a lot of effort and just a teeny bit more could yield so much more. But you need to do what you are comfortable with. :bighug:
 
You aren't pushing at all, its more me and my own issues, from my understand you generally reduce if they go below 50 correct? That right now just seems scary to me unless im not understanding the protocol correctly?

You've been more help than I can say and we truly appreciate all you've done for us.
 
Dan and Marc said:
from my understand you generally reduce if they go below 50 correct? That right now just seems scary to me unless im not understanding the protocol correctly?
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With TR, the reduction point for new diabetics (less than a year from diagnosis) is below 50 on a human meter. For long term diabetics it is below 40. With SLGS, the reduction point is 90, but experienced caregivers who have enough data on their cats and test more use a lower reduction point of their choice - 80 or 70 etc.

Lower numbers are indeed scary when you first encounter them. Especially in unregulated cats where there is a lot of bouncing and diving (esp in bounce clearing cycles). However, as a cat gets used to lower numbers and starts flattening out, the cycles become "gentler". Greens becomes addictive and you don't even blink at shooting green or managing lower numbers. Let me share a few spreadsheets so you know what I mean:

Tessa - look at the change in the last month or so:
https://docs.google.com/spreadsheet...J6_z8dnm4OXp-HpmntsbzQU_v0CbrsUOri2H6/pubhtml

Biggie - again look how he's flattened out since October:
https://docs.google.com/spreadsheet...I3tMUhtquQiK2nMWTNm_dAGYCbOuA6pkY5Dw6/pubhtml

Abbot - yet another cat who decided to flip a switch:
https://docs.google.com/spreadsheet...SbeNcs9HcthjK4TX5UPrk2QqihZ9t6ygUOeJw/pubhtml

There are many more of these. I am not saying that Chronos will do the same thing. I am just trying to say that your fear of lower numbers is not unreasonable and not something all of us have had to grapple with. But with time you realize that greens are good and you actually panic when you start seeing blues and yellows. LOL!
 
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I guess for us to feel confident in this will take getting more testing in our PM cycle which will mean Marc learning/doing checks. Also still need to check how his kidney values are with the food change, probably will talk to vet soon about that and see how he is doing diabetes wise.

Totally off topic but are you aware of anyone, or yourself, of having given their cat allergy shots/drops who also has diabetes? Right before we started insulin Chronos had a skin allergy test done since we have been dealing with allergies for about a year with him. We settled on the drops, so its less injections, he would normally get two drops twice a day by mouth. The dermatologist said it should not affect his BG at all, but was curious if there was anyone you knew of who has used an allergy vaccine in tandem with treating diabetes. We haven't started it because he has been generally all over BG wise and we wanted to wait till he was more consistent or regulated so if his BG did change after starting the vaccine it might be related etc.
 
Dan and Marc said:
Totally off topic but are you aware of anyone, or yourself, of having given their cat allergy shots/drops who also has diabetes? Right before we started insulin Chronos had a skin allergy test done since we have been dealing with allergies for about a year with him. We settled on the drops, so its less injections, he would normally get two drops twice a day by mouth. The dermatologist said it should not affect his BG at all, but was curious if there was anyone you knew of who has used an allergy vaccine in tandem with treating diabetes. We haven't started it because he has been generally all over BG wise and we wanted to wait till he was more consistent or regulated so if his BG did change after starting the vaccine it might be related etc.
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I don't have experience with allergies but let me tag a few more experienced members who might be able to help. What is he allergic to and which drops has he been prescribed?

@Bron and Sheba (GA)
@tiffmaxee
@Wendy&Neko
 
He is allergic to quite a few things based on the skin test, mostly environmental (weeds, outdoor molds, some trees and dust mites/other mites), we got two really nice air purifiers that measure allergens, that seemed to help and since winter started he has been way better symptom wise, we know its the maple trees around us and this specific weed, goldenrod, that has overtaken most of our flower beds at this point. Planning to have them torn out when spring starts (the goldenrod that is).

The drops are a custom vaccine made for him based on the results of the skin allergy test. The drops are called Allercept: https://www.heska.com/product/allercept-drops/
 
But he has had to be in one of those cloth recovery suits for at least the past 6-9 months, can't even recall when we started it now. We have 4 we alternate each day, even sewed on sleeves/socks to the front legs/paws because he kept tearing open his pads and licked the underside of one of his legs completely raw. All healed now thankfully, but will start licking again if out of the vest. At this point he is so used to wearing it he could care less about it. But would be nice to start the vaccine if it won't interfere with the diabetes treatment to see if it will help him.
 
I'm not aware of anyone who has given drops or shots for allergies. Mostly they have been simpler ones that it's easier to avoid.

Any chance you could contact the manufacturer to get their take on the drops and blood sugar effects? it would be good to get him on them. Especially since that web page says it could take 3-6 months to start taking effect.
 
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