1/21 Monster AMBG 77 PMBG 91

Monster's Mom

Monster's Mom

Member Since 2025
Yesterday

So, I'm testing her with ear pokies at least twice a day, AM & PM, those have been green range for the most part. Last night, during her PM cycle she spiked 3 times. Those 3 times coincide with when she got up to eat. She spiked higher than she has this whole time. For the first time I saw above 150 (on the libre). Is that normal? I know that if I wasn't using the Libre, I wouldn't even be catching these spikes and she would appear to be in the 70s and 80s. Maybe it could have to do with the type of food I left out for her. I had been strictly feeding the Gravy Lovers Pate in chicken, beef and salmon. I started running low on those so I brought back out the flaked chicken and tuna and have given that a few times. They both loved that before I found the pate they like too. Both varieties are low carb but the flaked has a bit more that she has to "chew," I guess, and the pate doesn't.

I am so afraid of failing her and having to put her back on insulin, maybe I'm freaking out.
I know many of you I have seen many cats go into remission so my question is, have any of them used the Libre and had continuous numbers, high and low? Have any gone over the bg threshold of 120 once or twice? Have you seen any fail during a trial period?

I know her little pancreas is working because she's able to bring all those numbers down and sometimes even into the 60, just as she did on the insulin. But maybe it's not working well enough...?

And, of course, today marks her day 4. As I have learned, she usually figures out what she gonna do on day 4 of whatever change we have made as far as increase or reductions.
 
At this point in a cat's journey, ie. a formal OTJ trial, people would be testing at preshots only, then only doing a second test 3-4 hours later if the preshot is blue. Meaning, most people wouldn't be seeing those blues in the middle that she seems to be recovering from nicely.

I did find one spreadsheet of a cat called Nola on the Libre who went OTJ in 2024.

Would you like the trial instructions?
 
Wendy&Neko said:
At this point in a cat's journey, ie. a formal OTJ trial, people would be testing at preshots only, then only doing a second test 3-4 hours later if the preshot is blue. Meaning, most people wouldn't be seeing those blues in the middle that she seems to be recovering from nicely.

I did find one spreadsheet of a cat called Nola on the Libre who went OTJ in 2024.

Would you like the trial instructions?
Click to expand...
I figured most people wouldn't be seeing all the numbers from the Libre. I get discouraged when I see it go so high, higher than when she had insulin, but I'm guessing the good news is that she recovers on her own. I wasn't sure if she was 100% ready to start OTJ Trial officially and that's why I've just been seeing how she does.

I do see in that SS, looks like one trial didn't go the 14 days and they went back to small doses. Then made it through on the next try.

I'm not sure what to do at this point, especially if she keeps getting higher 😕

Or is it the fact that she has good "PS" numbers showing she can do it? I'm at a loss and don't want to set her up to fail.
 
Go with what Wendy said. Ignore the in between. I was testing throughout at first too, until Wendy told me just the 2. They're obviously food spikes. And the libre is currently at about 20 over the contour you'd said. And as Mary said the other day, perhaps she could be slightly higher as her permanent non-insulin numbers. But with her non-food numbers being around 60-80, I really wouldn't worry and keep going. Now if she hits 200, then worry and perhaps put her back on a small dose. But I think she's doing great right now. 💕🐾
 
In that spreadsheet, there was also a time in May 2025 when it looks like she put another Libre on. Cat was still in remission and showing some Libre blues, and bringing it down.

Another story of a kitty named Leo. He HATED car rides, but his mom had to take him to another town each week for her job. Leo eventually got to the OTJ trial time. During which he had to go in the dreaded car and hit over 400. And brought it down to greens the next day. Morale of the story, periodic higher numbers can happen for many reasons. The question is whether the pancreas is healed enough to bring it back down.

Why don't we see where she is by PMBG tonight and discuss this again.
 
Here are the trial instructions:
  • 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. Please use the “OTJ Trial” dropdown prefix on your subject line every day so we can closely monitor the trial.
  • 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.

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!

Good luck with the trial!!! Day 4 is done.
 
You know, I wonder on that idea of diet controlled? For the last 2yrs, Nico has only eaten cooked meats in its own broth with EZC. His diet, unlike many that have to be switched after, was always 0-3% carbs. Do they call it refer to it as something different if it was never controlled or regulated through the diet?
Just curious.
Also, I got told more than once to add AMBG & PMBG to the title. So it reads....
22-Jan OTJ Trial Day 5 Monster AMBG 84, PMBG 87.
Cheers!
 
Tyleete said:
You know, I wonder on that idea of diet controlled? For the last 2yrs, Nico has only eaten cooked meats in its own broth with EZC. His diet, unlike many that have to be switched after, was always 0-3% carbs. Do they call it refer to it as something different if it was never controlled or regulated through the diet?
Just curious.
Also, I got told more than once to add AMBG & PMBG to the title. So it reads....
22-Jan OTJ Trial Day 5 Monster AMBG 84, PMBG 87.
Cheers!
Click to expand...
That is weird with his diet. How on earth did he become diabetic? Steroids?
 
Monster's Mom said:
That is weird with his diet. How on earth did he become diabetic? Steroids?
Click to expand...
Probably from being too fat. He weighed 13lbs before this. Lost 4lbs in 4 months, and only gained 1 back. Doc said for 9-10lbs is a good weight fot him.
A long time ago, he ate this high carb food called Essence Ranch and Meadow. I had 4 cats get fat eating that.:/
 
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