7/15 Mr Kitty Day 4 OTJ Trial - AMBG 45

It’s like an unofficial OTJ trial.
Let's make it real! :D Call it Day 4. Here are the trial instructions.
  • Start the trial on the next green pre shot.
  • If he/she 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/she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his/her 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. He/she 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/her 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/she 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/her 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/her monthly. Weight should remain stable. If he/she seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test his/her 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!!!
 
When Snuggie recovered from all his issues in Mid March he sprang back to life jumping on the bed and sleeping on my head … then it leveled off. I also “blamed” his immediate gratitude that he pulled thru, then got lazy. So I think it’s normal. Glad he’s eating! Great BGs! Good luck on the OTJ trial!!! :bighug:
 
Let's make it real! :D Call it Day 4. Here are the trial instructions.
  • Start the trial on the next green pre shot.
  • If he/she 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/she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his/her 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. He/she 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/her 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/she 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/her 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/her monthly. Weight should remain stable. If he/she seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test his/her 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!!!
Changed title! :nailbiting:
 
Melissa, I have been off the board for a few days and am just amazed to see everything that has happened to Mr. Kitty since last weekend. Oh my God, you have been through the worst. It is all very confusing to me, trying to read through your past condos, but I am so grateful that you were able to bring your boy home and that he seems to be doing well. And, on top of all that, you are no longer giving insulin :D. He was always on such a high dose. It is almost like lightening struck and you almost lost him but it also almost cured him - at least of the diabetes. I have never heard of anything like this before. I'm going to pray that the fluids never return, that you never have to put him on insulin again, that he will be well and eating great and that somehow God has given you a "miracle" and we just can't see it yet.:bighug::bighug::bighug:
 
Melissa, I have been off the board for a few days and am just amazed to see everything that has happened to Mr. Kitty since last weekend. Oh my God, you have been through the worst. It is all very confusing to me, trying to read through your past condos, but I am so grateful that you were able to bring your boy home and that he seems to be doing well. And, on top of all that, you are no longer giving insulin :D. He was always on such a high dose. It is almost like lightening struck and you almost lost him but it also almost cured him - at least of the diabetes. I have never heard of anything like this before. I'm going to pray that the fluids never return, that you never have to put him on insulin again, that he will be well and eating great and that somehow God has given you a "miracle" and we just can't see it yet.:bighug::bighug::bighug:
Thank you :bighug: it's been a wild two weeks. I actually have to take Pippi in right now to have fluid drained from her incision :banghead: not infected thankfully, just called a seroma which I've never heard of. But it's pulling on stitches
 
Melissa, how is Pippi acting now? Pretty lively?
I am very encouraged about Mr. Kitty’s progress.
Pippi is and always will be dumb (said lovingly) haha worst patient in history. She's lazy...until you want her to be. Rubbing stitches against couches, people, laying on them, jumping, running, no matter what we do, she escapes. They drained her seroma this afternoon. Still no word on additional tumor testing.

I'm encouraged with Mr Kitty too, I'm hoping tomorrow's appointment shows no more fluid, but I have a sneaking suspicion we won't be that fortunate. He didn't eat much today, is still drinking a lot.

I spoke with ER vet, she said Mr Kitty's cytology results were "confusing" because all the cells had necrotized, and the fluid was so thick they couldn't run it on a standard machine. She had kept a vial, I guess another vet there is part-time pathologist. She said the fluid had a lot of "debris", so fat, protein, lymph. Could not find any cancer cells. She recommended ultrasound of heart and abdomen, but I'll see what our vet thinks tomorrow. We already proactively started a transition to a low fat diet and started Rutin, though hit or miss if I can get him to actually eat it (too much to pill, it's like 1000-1300mg a day).

Edit: oh, I think he was mad I didn't put down raw/cooked this morning, just pate :joyful: I just put down some cooked and he's scarfing it down (I know raw is better but he stopped eating as much, and I need him low fat ASAP)
 
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Pippi is and always will be dumb (said lovingly) haha worst patient in history. She's lazy...until you want her to be. Rubbing stitches against couches, people, laying on them, jumping, running, no matter what we do, she escapes. They drained her seroma this afternoon. Still no word on additional tumor testing.

I'm encouraged with Mr Kitty too, I'm hoping tomorrow's appointment shows no more fluid, but I have a sneaking suspicion we won't be that fortunate. He didn't eat much today, is still drinking a lot.

I spoke with ER vet, she said Mr Kitty's cytology results were "confusing" because all the cells had necrotized, and the fluid was so thick they couldn't run it on a standard machine. She had kept a vial, I guess another vet there is part-time pathologist. She said the fluid had a lot of "debris", so fat, protein, lymph. Could not find any cancer cells. She recommended ultrasound of heart and abdomen, but I'll see what our vet thinks tomorrow. We already proactively started a transition to a low fat diet and started Rutin, though hit or miss if I can get him to actually eat it (too much to pill, it's like 1000-1300mg a day).

Edit: oh, I think he was mad I didn't put down raw/cooked this morning, just pate :joyful: I just put down some cooked and he's scarfing it down (I know raw is better but he stopped eating as much, and I need him low fat ASAP)
And he must EAT! Hugs. I understand these eating struggles!
 
Thank you :bighug: it's been a wild two weeks. I actually have to take Pippi in right now to have fluid drained from her incision :banghead: not infected thankfully, just called a seroma which I've never heard of. But it's pulling on stitches
I forgot about Pippa. More fluids to drain. It actually sounds like both Pippa and Mr. Kitty are doing better than what was expected. The fact that your kitty has an appetite should be an encouraging sign to you. Hard for a pup to not be rubbing stitches against anything. Prayers it was not cancer. I am going to hold out all hope that both of these babies will be just fine. Don't you give up hope either, Melissa. That is all we have.
 
Oh something I did not know - they have to be careful how much fluid they take out because of third space loss. I also did not realize it could take 2-3 weeks for his lungs to get back to normal size, which may explain why his breathing isn't perfect.
 
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