07/15 Herman amps 263 +2.5 221 +7 252 pmps 295 +3 169 +5 95 +7 95 +9 158

Yesterday was a blur. Upsetting and scary rushing around at the vet, getting supplies, etc. I didn’t have time to search the forum for input on dosing. The vet suggested 1 unit. I wondered if it was a bit high to start but in our first round of dealing with FD I played it a bit too safe with dosing early on and I think it backfired. I’ve since read up on a few recent other cases of falling out of remission and the starting dose seems to be 0.5 units.

Would appreciate some advice on whether to stay at 1 or go down to 0.5, we started back on insulin last night, hoping for lab results Monday. @tiffmaxee @Bron and Sheba (GA) @Bandit's Mom
 
No advice from me, just solidarity. My guy came out of remission too a couple weeks ago. I know it was a huge weight off when he came out of hiding and was eating normally so I’m glad Herman was snuggly this morning! :bighug:
 
a_rose51 said:
No advice from me, just solidarity. My guy came out of remission too a couple weeks ago. I know it was a huge weight off when he came out of hiding and was eating normally so I’m glad Herman was snuggly this morning! :bighug:
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A relief for sure, just looked at your SS….great job getting it under control so quickly! Did you ever determine what may have led him out of remission?
 
Amy & Herman said:
A relief for sure, just looked at your SS….great job getting it under control so quickly! Did you ever determine what may have led him out of remission?
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It was all him. I just serve my feline overlord :p not exactly, as neither vet did the test for pancreatitis. But that’s what he had the first time around and he was off his food. He didn’t eat until I campaigned for pain meds for him. Once he had those, it was like a switch flipped. So I’m almost sure it was pancreatitis.
 
Typically cats coming out of remission need to get somewhere near their previous turnaround dose. Herman's was 2.5 units. I wouldn't go back to 0.5 units. You do want to be more aggressive getting him into regulation this time, to increase the odds of re-remission.

If you like looking at spreadsheets, a couple recent out of remission ones are Kit and Tango. Of course, ECID.
 
Wendy&Neko said:
Typically cats coming out of remission need to get somewhere near their previous turnaround dose. Herman's was 2.5 units. I wouldn't go back to 0.5 units. You do want to be more aggressive getting him into regulation this time, to increase the odds of re-remission.

If you like looking at spreadsheets, a couple recent out of remission ones are Kit and Tango. Of course, ECID.
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Thanks for this. Makes sense. Will follow TR and take all increases as they come due. I’m a little curious if the vet finds an underlying issue or not and, if so, do you change how/when you increase in relation to treatment of the possible underlying cause (ie if it’s a dental issue) or just keep steady with the standard protocol while treating the other issue.
 
I always followed what the numbers/protocol told me to do. Dentals aren’t instant fixes, and depending on what is done, you might have some inflammation for a week plus following dental surgery, that would actually require you increase the dose needed temporarily. Otherwise glucose toxicity can develop.
 
Wendy&Neko said:
I always followed what the numbers/protocol told me to do. Dentals aren’t instant fixes, and depending on what is done, you might have some inflammation for a week plus following dental surgery, that would actually require you increase the dose needed temporarily. Otherwise glucose toxicity can develop.
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Ok yes, thank you for this, makes sense. He saw green last night on this starting dose so I am happy with that and think it’s a good sign. Hoping he doesn’t bounce like before since he should be more used to green than when he was first diagnosed but who knows…he was such a crazy bouncer.
 
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