11/3 Kiki's Charlie OTJ Trial day 7

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Kiki's Charlie

Member Since 2014
Charlie has been on a trial for exactly a week now. I think she's doing really well, but would appreciate some experienced eyes on her numbers! And please remember: I AM USING A PET METER = SHOWS HIGHER NUMBERS THAN A HUMAN METER!!! (Sorry for shouting ; ) Advice appreciated!
 
:lol: it's always good to remind people that you're using a pet meter!

Hmmm, in general, you want all of the tests to be under 160AT and MOST of them to be under 130. When you stopped the 0.1u, she lost all of her green numbers - it would've been ideal to see most of her tests continuing between 68 and 130.

She's kind of borderline. I see you're consistently rechecking her at +3 in the evening cycle and most of the time in the morning. Sometimes she's back under 130 and sometimes not. Today she's been all in normal numbers - that's fantastic!

What's your feeding schedule like, Jill? I wonder if some tweaking of that might not help bring her #s down.
 
I also had the feeling that she's kind of 'borderline'... I feed her the big meals (100 gr) at 8 am and 8 pm, and most of the time a little bit mid-day. I give her a tablespoon of food at +9 both am and pm as suggested to bring her pre-shot numbers down. What else can I do to nudge those numbers down a bit? (By the way, I'm Kiki... Jill was taking care of Charlie and posting a bit while I was away, but I'm back now! ; )
 
I'll be sending you a pm. :)
 

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oh kiki, sorry about that! Jill posted several times about getting dosing help for Charlie while you were gone. :oops:

Here are the OTJ instructions:

Start the trial on his next green preshot.

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!

If he gets 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 and small meals for the rest of his life. Avoid medications with sugar in them and steroid medications unless they are medically essential. Continue testing blood sugar weekly for the next few months and then monthly forever. It's a good idea to weigh him monthly. His weight should remain stable. If he seems "off" or sick, or is showing symptoms of diabetes (excessive drinking, eating, urinating, weight loss) test his blood sugar right away. Keep the teeth clean; dental issues can bring a cat out of remission.

If you see rising blood sugar numbers, post here before you restart insulin and ask for advice on how to proceed.

I understand "small meals" to be perhaps 6 small meals evenly spaced throughout the day/night. That's less work on the pancreas. If you're giving 2 main meals now that might be too much volume at once for her to handle. A timed feeder would really be helpful for you on spreading the meals out.

I think I'd try dividing that 200 grams into not more than 40 grams at a time and see if that might not be easier on her. Just throwing one idea out there - say 8am, noon, 4pm, 8pm, and before you go to bed. Something like that.

If you have a timed feeder you could even to it around the clock - 8am, 1pm, 6pm, 11pm, 4am. You don't need to do the +9 feeding anymore - that's for when a cat is still on insulin and we're trying to get the preshot number down. You just want to feed her frequent small amounts.
 
Thanks! I will try to feed her smaller amounts throughout the day (when I can!) - that sounds like a good idea... :idea:
 
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