10/28 Grady AMPS 79 - OTJ Questions

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sirswithin

Member Since 2013
Since it looks like Grady is about to come through the other side of the OTJ trial period without any issues, what are the next steps? Do I continue to test twice a day for the rest of his life or is there some other schedule that people stick to as a monitor? And what happens if his BG has a big spike for some reason? At what point would insulin have to be given again? Thanks for everyone's help in getting us to this milestone.
 
sirswithin said:
Since it looks like Grady is about to come through the other side of the OTJ trial period without any issues, what are the next steps? Do I continue to test twice a day for the rest of his life or is there some other schedule that people stick to as a monitor? And what happens if his BG has a big spike for some reason? At what point would insulin have to be given again? Thanks for everyone's help in getting us to this milestone.

My Ollie has been OTJ for almost 2yrs. I still test, he does have the occasional spikes, but he has not needed insulin.

Testing is a good idea but not every day... you can do spot tests, here and there, maybe test before food and then 3hrs later, or you can test at his am shot time one day and then maybe his pm shot time another day. You can test weekly if you like, and also when he looks "off" or maybe peeing more or drinking more.

Often, a higher BG could be a sign of being sick, not needing insulin. A higher number can be caused by stress as well, like a visit to the vet, or a scare from a big dog, or a tussle with another cat. Cats also mourn. When my cat was a witness to another cat being helped to cross over, my cat had a BG up to 265 and a temp plus would not eat for the rest of that day and nite, but the next day he was returning to normal.

You must continue the low carb wet food diet because food plays a huge part, and you should test a bit, here and there, and even if it's weekly then monthly, keep an eye on the numbers. It is important to keep a watch because your cat needing insulin at all, even just a small amount for a short time, lets you know that your cat's pancreas did have workload issues and so, as he ages, his pancreas may get burdened again and need insulin one day. But, you will know that time, and you will already have a great amount of experience, knowing exactly what is needed to do.

congratulations on reaching OTJ status.

Gayle
 
Congratulations!!

Tips to stay OTJ

We say a cat is in remission if the cat can maintain BG levels for 14 days between 40-120 with most of that spent under 100. However, please keep in mind that once a diabetic always a diabetic.

1. Never feed dry - not even treats. If you change wet food types, be 100% sure the new food is also low carb and same low carb % as your current food. Some cats are very carb sensitive and an increase from 3-6% to 8-10% can spike the BG’s. Don’t feed if you aren’t sure!
2. Weigh every 2 weeks to 1 month to watch for weight changes. Too much of a weight gain can cause loss of remission.
3. Measure blood once a week, indefinitely. You want to catch a relapse quickly.
4. No steroids or oral meds with sugar - remind your vet whenever giving you any medication. Always double check.
5. Monitor food intake, peeing and drinking. If increasing, a sign of losing remission.
6. Regular vet checks for infection such as dental , ear or UTI. And get them treated quick!

If he does fall out of remission you need to be more aggressive and resolve issues/ back on insulin as soon as possible as the window for a second remission is tight if any.
 
Yeah, I definitely won't be changing his food regimen. He'll be eating the low carb, low phosphorous wet food for the rest of his life. The vet has been enquiring after his welfare, so I guess I should take him in for a check up. Seems like I get bad, expensive news every time I do that. Good to know that we will be able to get away once in a while, not being shackled to home, having to test Grady twice a day. Thanks for all the help. I don't know what I would have done without all the valuable information of this message board.
 
Congratulations Dwayne and Grady. That's awesome news!!

A checkup with the vet is probably a good idea, as well as blood work so you have a baseline for Grady's non diabetic numbers. If you start to see Grady's numbers creep up outside the normal range, it's always good to see the vet again, to rule out infection or dental needed as a reason for the increase, before starting insulin back again. In the mean time, enjoy your freedom - you've done a great job!
CONGRA13.gif
 
Thanks to everyone that guided us through this strange new world of feline diabetes. I can't believe we managed to get Grady off of insulin within 3 months of diagnosis. I was sure that this was going to be his life from now on.
 
It's official. Last reading was 77 at PM. Now off to a vet visit on Saturday. I'll take a reading beforehand so I'll have that as ammo if they come back and say his BG was high during his visit.
 
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