Yes, you can start TR any time you'd like and then switch back to SLGS as you need to. Please change this in your signature: Go to "Caren & Apple" at the top of this screen and click on that. It will show you a menu and you click on Signature. Then you can edit the text there to delete SLGS and replace it with TR. This will signal to everyone that you've switched protocols and we can be clear on how to advise you.
). ). Are you saying your vet wants Apple regulated and down to 0.5u? Or are you saying on the day of surgery, give a half dose? If it's the former, IMHO, the size of the dose shouldn't matter - I would think the vet should be looking at the overall BG numbers, regardless of the amount of insulin. If it's the later, on the day of surgery, a token dose is often okay - those with more experience can help advise when the time comes - fwiw, Jax was on 1.25u at the time of his dental surgery and I gave 0.25u the morning of his dental (and then skipped his dose that night since he was still pretty drugged up...ECID). Perhaps Wendy can weigh in on that comment too if she stops by since dental issues directly impact BG.
Hang in there Caren (and good job on the new post
Nothing alarming, just bouncing - here is info on bouncing from The Basics sticky - a bounce can take up to 6 cycles to clear.
If you decide to switch to TR, the earliest you would increase is tomorrow morning and it would be to 1.25u and hold for 6 cycles before increasing unless a reduction is earned - you'd take reductions for long-term diabetics (1 x under 40, 7 days between 50-100, or you can try reducing 3 x under 50). And by tagging, Wendy, she'll get an alert (though sometimes the board is a bit quieter on the weekends
Are you saying your vet wants Apple regulated and down to 0.5u? Or are you saying on the day of surgery, give a half dose? If it's the former, IMHO, the size of the dose shouldn't matter - I would think the vet should be looking at the overall BG numbers, regardless of the amount of insulin. If it's the later, on the day of surgery, a token dose is often okay - those with more experience can help advise when the time comes - fwiw, Jax was on 1.25u at the time of his dental surgery and I gave 0.25u the morning of his dental (and then skipped his dose that night since he was still pretty drugged up...ECID). Perhaps Wendy can weigh in on that comment too if she stops by since dental issues directly impact BG.
You're doing great and Apple is clearly very loved
Yes he is very loved, along with the other group of "River Cats" that we homed when no one else would. To answer you question, if I held the dose at 1.00 on the day of surgery it would be .50. Yikes, .25, I'd be a nervous wreck. Also withdrawing food after midnight, til 10:00 a.m. surgery with a diabetic cat, is that normal? The vet that called for the full dental removal planted seeds of doubt with the competency of the local vets here, said they weren't skilled enough. She suggested a 4 hour r/t and $5,000. to another vet. So that's why all the questions etc. Thank you for all the info and do I need to make another post and highlight Wendy?Hang in there Caren (and good job on the new post
Nothing alarming, just bouncing - here is info on bouncing from The Basics sticky - a bounce can take up to 6 cycles to clear.
On the day of the surgery if the dose was held at 1., then yes it would be .50. Yikes, .25, I would be a nervous wreck, and I'm a pretty stable person, except when it comes to cats. Another question I wanted to ask regarding the withholding food. Apple's 12 hour cycle is 5:00 a.m./5:00 p.m., if food is withheld after 10 p,m. or midnight and surgery is 10:00 a.m. the next morning, is there anything to be concerned about with that. The reason I ask is the vet that called for the full dental removal said that no one in this little city was capable of the dental work and to drive 4 hours r/t and pay $5,000. to a vet in Pittsburgh. So when I found a vet in town, for a lot cheaper, there's this seed planted that I should be Leary, which isn't cool.
If you decide to switch to TR, the earliest you would increase is tomorrow morning and it would be to 1.25u and hold for 6 cycles before increasing unless a reduction is earned - you'd take reductions for long-term diabetics (1 x under 40, 7 days between 50-100, or you can try reducing 3 x under 50). And by tagging, Wendy, she'll get an alert (though sometimes the board is a bit quieter on the weekends
Are you saying your vet wants Apple regulated and down to 0.5u? Or are you saying on the day of surgery, give a half dose? If it's the former, IMHO, the size of the dose shouldn't matter - I would think the vet should be looking at the overall BG numbers, regardless of the amount of insulin. If it's the later, on the day of surgery, a token dose is often okay - those with more experience can help advise when the time comes - fwiw, Jax was on 1.25u at the time of his dental surgery and I gave 0.25u the morning of his dental (and then skipped his dose that night since he was still pretty drugged up...ECID). Perhaps Wendy can weigh in on that comment too if she stops by since dental issues directly impact BG.
You're doing great and Apple is clearly very loved
No, you tagged her (the blue with her screen name); one post per day is preferred here since there are so many kitties. I'll tag her again for you too @Wendy&Neko - Caren would love your input on switching to TR and Apple's upcoming dental
I did end up taking Jax to a dental specialist (I'm fortunate in that I could afford this and that the board certified dentist is 5 miles from my house...) and she let me do food up till midnight (he was first surgery of the day) and a small snack in the morning (like 1-2 tsp of food because Jax was quite feisty and got a pre-dose of gaba that I mixed in his food
). During surgery, they monitored his glucose and he did just fine - I will say the glucose checks during surgery were absurdly priced - so no matter what route you go, ask about this and it may be cheaper to bring your own glucose monitor and strips for them to use (i.e. an AlphaTrak if you have one...I started with AlphaTrak before switching to a human meter and wish I knew to bring it to his surgery to cut down a bit on all the "extra" charges...after the surgery the vet said she would have worked something out with me if I had provided my own supplies 
).
She is following SLGS and Apple earned multiple reductions on 1.25u by going <90 but the reductions weren't taken; instead she increased to 1.5u but several of us on here said to go to 1u since reductions were earned on SLGS at 1.25u (the most recent one was an 84 on 6/3 and she should have reduced to 1u but instead went up to 1.5u - here's the condo...it's in the second half of it)
O.k. what's done is done, and everyone was helpful with the information they derived from the spreadsheet. Can we get a general consensus on what dose he should be at right now so he's at somewhat of a stable state for his surgery>
*****Decided to do 1.0 tonight and 1.25 tomorrow morning. Confirm testing at 3-6-9 please and which # is his nadir?
If you're switching to TR, please remove SLGS from your signature and add TR. Your testing schedule is fine. If you test at +3 and Apple is low, you might need to test again at +4 and +5, because that's around the time that a cat reaches nadir or it's lowest number in a cycle. For example today he hit a low of 277 at +4, which is out of the normal range that Sienne was talking about. If you are following TR, a dose increase would be warranted tomorrow unless he drops below 40 tonight.
Excellent, we will follow your guidance and raise tomorrow and hold it for 6 cycles.