Re: 11.02.13 Shadow AMPS94 +6 81
Hi Steven! "Essence of insulin" is kind of a joke...the other thing we say is to just show Shadow the bottle. It's when they're on such micro doses that they're VERY close to doing an OTJ trial
Shadow might very well be ready for the OTJ trial very soon. We suggest that when he's stayed in "normal" numbers for a week (50-130) on .1 or less, it's time for the trial.
We are very conservative on doing trials because we want them in a strong remission first so they're more likely to stay OTJ. Getting a cat under remission for a 2nd time is very tough to do.
When you want to try it, here's what you'll need to know:
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!
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.
There actually IS a dose less than .1 It's called "some" insulin. You push the plunger in hard and then just release it without pulling any more.
Shadow sure has done great! It's hard to believe he was in the 500's such a short time ago!!