I also need to research more about going off the juice for sure! If he stays in the greens should I reduce to .25 first then go off the juice?
Yes, on going down to a 0.25U dose before an OTJ trial. You should also try for 0.1U before the trial. With Prozinc, that can be really hard to measure with those U40 syringes. You are trying for about 1 drop with the 0.1U. Practice first with a used syringe and some colored water and try "squeezing" out the drops to see how many you get.
Here are the generic OTJ trial instructions I saved a long time ago. Ignore the parts that are not for your specific insulin.
OTJ Trial Guidelines (These are the criteria we use when following an OTJ Trial.)
Here are the instructions for an OTJ trial: If on Lantus or Levimir, depot has to drain first before trial starts, about 3 days or 6 cycles. No depot with in and out type insulins (NPH, Vetsulin/Caninsulin, Prozinc). The trial starts when numbers are in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range. Start the trial on the next green pre shot.
If you are posting in the Lantus/Levimir forum, please start a new thread each day which says ‘[Cat name] OTJ trial Day 1 BG xx’ (where xx is the BG reading for that cycle PM), then day2,3 etc. If you are posting in the Main Forum, we don’t require you or need you to do that separate post for each day. In fact, if you have never posted before over in the Lantus/Levimir forum or use a different insulin, you are fine staying in the Feline Health (Welcome & Main Forum). Or in the specific ISG (Insulin Support Group) for your insulin. We’ll cheer you on!
1. Test at your normal AMPS and PMPS times. Remember, you want a 2 hour fast before those AMPS and PMPS test times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas). The morning test is now called the AMBG. The evening test is now called the PMBG.
2. If your cat is green (0-99 mg/dL human meter, 0-130 mg/dL pet meter, 0-5.5 mmol/L) 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 the numbers are blue or higher (100-199 human meter, 130-230 pet meter, 5.5-11 mmol/L), feed a small meal and test again after about 3 hours. Food raises BG's. So if the number is lower 3-4 hours after a meal, then the pancreas is working!
3. Your cat may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.
4. After 2 weeks, 14 full days, if everything is looking good, we have a party!
Sometimes, the trial doesn't work the first time and we have to give a little more support by starting the cat with a tiny dose of insulin again. I had to do that with Wink. We simply start the cat back on a tiny dose of insulin to support the pancreas with healing for a bit longer. Our goal is a strong remission and it's better to be safe now then sorry later that you rushed it. With just a little more time we will probably get that strong remission we are looking for.
Diesel is doing so much better on the Prozinc than he was on the Novolin N. What a difference a switch in insulin types has made for him!!!!!
