Hi Liz
I’m sorry to hear about your other pets and hope they will get well soon.
Here is the link to your last condo. I know you have a lot on your mind but if you can remember to link the previous condo, it will help us immensely.
The “trial” I was referring to was the OTJ trial. When a cat is ready to go off insulin, before we declare them in remission, we do a two-week trial to be sure they actually are in remission. we originally wanted to see if Sandy could hold green BGs on his own because he went about reductions in a bit of a different way than usual. But, it appears that he’s doing really well so we should formally declare it a trial.
Since we always start trials on a green BG, we can state his trial started on 2/7 because that was his first green BG off insulin. Today is Day 5 of 14.
When we don’t shoot, the PS becomes BG so his AMPS and PMPS will be A!BG and PMBG. I changed it for you in the subject line today. So, his AMBG was 73 yesterday and today? His SS is not yet updated for today.
The instructions for the OTJ trial are:
- If he is green at your normal AMBG test times, no need to test further until the next "PS" time (PMBG); just feed small meals and go about your day.
- If he is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his number is lower 3-4 hours after a meal, then the pancreas is working!
- Post every day so we can monitor your progress and see if any tweaks are needed. Each day you post, you will include his AMBG and, if he was blue, the subsequent test and then, later the PMBG followed by the day of the trial as I’ve shown in the subject line.
- He may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.
- 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 needed. 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.
Once he is 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 in the manner successful for your kitty. If you decide to change his feeding schedule, let your meter be your guide to the best times to feed.
Avoid medications with sugar in them and steroid medications unless they are medically essential. Continue testing blood glucose weekly for the first month and then monthly forever. It's a good idea to weigh him monthly. Weight should remain stable. If he seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test his blood glucose right away. Keep the teeth and gums clean and healthy; dental issues can bring a cat out of remission. If you see rising blood glucose numbers, it's time for a visit to the vet!
Good luck with the trial!!! We are all rooting for him!
@Camille and Cyclone