10/09 Jack AMBG 368: DAY 1 of 4: Insulin Moratorium

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JacksDads

JacksDads

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Yesterday's Condo: "The Night Before Resetting the Juice"

Libby suggested keeping him off the juice for 72 hours - and we've decided to keep him off the juice for at least the amount of time between Jack's last two green-dips - which is 96 hours. So....

Welcome to Day 1 ( out of probably 4 Days ) of the: Jack's Insulin Moratorium Project.

Unfortunately, there won't be anything to check in on today. Jose and I are heading out for the day and will be back later this evening for PMBG. Day 1 of the moratorium can be compared to sitting down for the first few innings of a baseball game - it's usually not too exciting... Just wait until Day 3 :lol:

~Yoshi, signing out.
 
Good information will be gotten over the next 4 days anyway....hope you have a good day today. :razz:
And I was wondering if your vet could take a look at jack's teeth when you go in for blood work. Sometimes inflammation or infections raises the numbers. You might as well get them checked
(My Shadow gets 2 dentals each year due to plaque build up. And while he has never needed an extraction, he does get inflamed gums due to the plaque. Sometimes the dental is the only real way of actually seeing what is going on with each tooth. Just a quick look will only see something that is a glaring problem. So, I always stress teeth issues along with other things that might be a little off...blood work will show if there is anything suspicious)
 
Not sure if you will be around 3 or 4 hours after AMBG. If you are it is a good time to test to see if Jack is bringing himself down after food.
If not have a nice day.
 
Cool!!! I'm anxious to see where this goes. I imagine it will get worse before it gets better, but try to sit on your hands, and keep posting so we can help keep an eye on him with you.

Be sure to test for ketones while you're stopping insulin, especially since Jack's numbers are high. It's just a precaution, but if ketones show up we'll have to start shooting.

Here are my OTJ trial instructions, which will hopefully make things easier on Jack's pancreas. I know we're not calling it a trial yet, but the principles still apply.

Test at your normal AMPS and PMPS times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas).

If he 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 is blue, feed a small meal and test again after about 3 hours. If his number is lower 3-4 hours after a meal, then his pancreas is working!

Post every day so we can monitor your progress and see if any tweaks are needed. It is not unusual for cats to get lots of blue during their trial, especially at first. Don't panic and don't shoot unless we tell you to.

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 the support he needs. 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!
 
I think we're having a party in Jack's condo while Yoshi and Jose are away. Anything to keep Jack entertained! :lol:

I'm hoping this Moratorium leads to a perfect dose for Jack.
 
I am extremely interested to see what happens here. Keeping my fingers crossed that Jack snubs the juice and comes down into beautiful numbers.
 
I just peeked at the link for the 10 uL microsyringe you mentioned yesterday, and wanted to warn you that the plunger is VERY easy to bend and screw up since it is so thin. I wonder if a micropipettor would work for this purpose, if it could somehow be retrofitted to accept a luer-lock needle instead of, or in conjunction with, a pipet tip. As for sterilizing the micro syringe, a pressure cooker should suffice, unless you are thinking about chemical sterilization.

Yeah, actually I did consider trying a microsyringe, but the ones I have where I work are mostly blunt-tip non-replaceable needles, so I didn't pursue it. Then I was able to pretty reliably get that 1 drop dose for Donovan by compressing the plunger on a U40 syringe. I couldn't get it to work well with U100s. It would be so much easier if the insulin was just more dilute to begin with so microdosing wasn't required.

MJ&Donovan
 
Positive vibes for your t.... don't want to jinx it. I'm particularly interested as a newbie here I hope to learn a lot. Hoping for Jack's low numbers. :mrgreen:
 
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