Yesterday's Condo http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=120962
AMPS 81,+4 73,+7 82,+9 86,PMGB 97,+4 85
<.1 u lantus
AMPS 81,+4 73,+7 82,+9 86,PMGB 97,+4 85
<.1 u lantus
6/29/14-Zack AMPS 81,+4 73,+7 82,+9 86,PMGB 97,+4 85
- Thread starter hyolles
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julie & punkin (ga)
Member Since 2011
Re: 6/29/14-Zack AMPS 81,
Hi Holly!
boy, i hear ya on those tiny doses - they are hard to see. So you think Paul may already have been giving a 0.1u dose, but he was able to draw a smaller dose this morning? Is he confident that whatever dose he shot this morning is actually less than what he's been shooting for the past week?
If he really has a dose that is less than it has been, it might be ok to stay with that dose for another week, unless Zack goes below 50 on this new dose. the important thing is that after a week at the last dose, with all normal numbers, we should try to reduce it. when it gets to these tiny doses it can be difficult to know if it's reduced.
Or, it may be time to let Zack go for a trial. Would you chat with Paul and let's talk about it before tonight's shot. I'm going to run it by some others as well.
Hi Holly!
boy, i hear ya on those tiny doses - they are hard to see. So you think Paul may already have been giving a 0.1u dose, but he was able to draw a smaller dose this morning? Is he confident that whatever dose he shot this morning is actually less than what he's been shooting for the past week?
If he really has a dose that is less than it has been, it might be ok to stay with that dose for another week, unless Zack goes below 50 on this new dose. the important thing is that after a week at the last dose, with all normal numbers, we should try to reduce it. when it gets to these tiny doses it can be difficult to know if it's reduced.
Or, it may be time to let Zack go for a trial. Would you chat with Paul and let's talk about it before tonight's shot. I'm going to run it by some others as well.
julie & punkin (ga)
Member Since 2011
Re: 6/29/14-Zack AMPS 81,
oh yeah, and did i say "what a great problem to have!?!" :lol:
oh yeah, and did i say "what a great problem to have!?!" :lol:
Chris & China (GA)
Member Since 2013
Re: 6/29/14-Zack AMPS 81,
Of course there's still the "wave the insulin under his nose and put back in the refrigerator" dose if they really want to go even lower :lol: :lol:
Whatever you guys decide to do Holly, how exciting for you and Paul!...and of course, Zack too!!
Of course there's still the "wave the insulin under his nose and put back in the refrigerator" dose if they really want to go even lower :lol: :lol:
Whatever you guys decide to do Holly, how exciting for you and Paul!...and of course, Zack too!!
julie & punkin (ga)
Member Since 2011
Re: 6/29/14-Zack AMPS 81,
Marje, Sienne & I all think it is probably time to start a trial, at least if Paul thinks he was giving 0.1u for the past week already. If he thinks it was more than 0.1u, then maybe we should rethink it and have one week at 0.1u first. So it's up to you two.
I'm on my way out for several hours, so am going to go ahead and give you the directions in case you want to start tonight. :mrgreen:
Start the trial on his next green preshot, if possible.
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.
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.
Good luck!
Marje, Sienne & I all think it is probably time to start a trial, at least if Paul thinks he was giving 0.1u for the past week already. If he thinks it was more than 0.1u, then maybe we should rethink it and have one week at 0.1u first. So it's up to you two.
I'm on my way out for several hours, so am going to go ahead and give you the directions in case you want to start tonight. :mrgreen:
Start the trial on his next green preshot, if possible.
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.
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.
Good luck!
julie & punkin (ga)
Member Since 2011
Re: 6/29/14-Zack AMPS 81,+4 73,+7 82,+9 86,
:mrgreen:
sounds great!
:mrgreen:
sounds great!
PMPS was green. So we started the OTJ trial.
Am up far later than planned,
Horse has a boo-boo ear, won't let me touch it to put med on it. Takes about 30 minutes to work it, and not applied as would like.
Glad cats are smaller and easier to medicate.
Zack has been real active this evening, and begging as usual.
looking forward to seeing how this turns out.
Eternally grateful for all your help.
Am certain this rollercoaster ride is not over.
Printed out your directions Julie. Posting them in the kitchen.
See you tomorrow.
Good night dear hearts.
I-) I-)
Am up far later than planned,
Horse has a boo-boo ear, won't let me touch it to put med on it. Takes about 30 minutes to work it, and not applied as would like.
Glad cats are smaller and easier to medicate.
Zack has been real active this evening, and begging as usual.
looking forward to seeing how this turns out.
Eternally grateful for all your help.
Am certain this rollercoaster ride is not over.
Printed out your directions Julie. Posting them in the kitchen.
See you tomorrow.
Good night dear hearts.
I-) I-)
julie & punkin (ga)
Member Since 2011
good night & sleep well!
see you tomorrow for day 2. :mrgreen:
see you tomorrow for day 2. :mrgreen:
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