7/6 Shiloh ~ AMPS 143, +11 106, +2.5 104

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That's odd for Shiloh. I'm used to seeing low blue. Come on Shiloh. Don't disappoint us. Green next.
 
Ok....so here is what happened today. I sent Shiloh's ss and the TR protocol information to the vet yesterday. He called and said that she is remission and that I should try taking her off the insulin. While I know that according to the protocol, she is not there yet, but I would like to try the OTJ. I can always restart her on the insulin if she starts to go back up. For a short period of time without, if I have to go back on the insulin, will it hurt her?
 
I'm not sure. Her numbers do look really good, but I've always heard you give a cat a better chance at staying in remission the longer they can remain in normal numbers before you take them off insulin. Since she still has some higher PS numbers, I think she needs to be on insulin a little longer. I may be wrong. See what the more experienced people say. You may want to put OTJ? in the subject line.
 
I don't think she is quite ready. The blue pre- shots the last couple of days make me think almost but not quite. You want her to earn the reduction to .1 for the best chance of a long remission but see what the more experienced say. Remember in a pet meter she will be higher.
 
Shiloh & Rhonda said:
Ok....so here is what happened today. I sent Shiloh's ss and the TR protocol information to the vet yesterday. He called and said that she is remission and that I should try taking her off the insulin. While I know that according to the protocol, she is not there yet, but I would like to try the OTJ. I can always restart her on the insulin if she starts to go back up. For a short period of time without, if I have to go back on the insulin, will it hurt her?
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I am not surprised your vet is impressed with the progress Shiloh has made. Her numbers are wonderful!!

I won't give dose advise, but IMO it might be worth it to try doing microdoses with callipers before trying OTJ. I have read too many stories from people whose kitties went OTJ and then relapsed a month or two later. From what they have said it is much harder to regulate a kitty after they have been OTJ and relapsed. Hopefully some more experienced members will offer their advise.
 
Hi Rhonda,
I agree with Carla and think you should give it a little more time.
When Sheba went into remission the first time after 4 months, she did it in much the same way Shiloh is doing it. Even though her numbers were really good, her vet wanted her to stay on a tiny bit of insulin for longer to give her pancreas the best chance. So she stayed on the tiny bit of insulin for about another month. She stayed in remission for 2 1/2 years and only fell out of it when she got chronic diarrhoea and I stupidly agreed to give her some low allergy dry food to see if it helped.
I can understand your eagerness to try it but I personally would give it a bit more time.
It is much harder the second time around!
Good luck
 
another one to agree to hold off a bit more....
vets tend to be happy with numbers under 200 no matter what.... they don't have the lagoon concept that we do.
The longer you can support the pancreas, the better.....
Shadow held on for 2 1/2 years and her numbers are still there.... just she needs steroids now for another condition.

You are almost there.....
 
Shiloh is almost there. Why rush it? Typically, we want to give a cat's pancreas as much support as we can for as long as possible. You're still seeing some pre-shot numbers that are outside of the normal range. I'm pretty much in the same camp as what others are saying -- give it some more time.

Vets are typically not comfortable with low numbers. They get nervous and think about liability. However, you're among that select group of people in your vet's practice who home tests. You know what you're doing and your kitty is doing great as a result.

 
Well, after going back and forth with the DH, who is worried that I'm driving myself crazy, I did not shoot tonight. Going to call it a BCS and keep shooting tomorrow. DH bought the calipers today, so I am going to spend a little while preparing for the (hopefully) soon to come .1. DH is not necessarily in agreement, but she was here before he was, and is letting me make the decision. I also have several people at work that disagree with me going against the vet's advice. I do so want her off the junk, but I want her to stay off. So I will keep going. I guess I'm going to learn the "nod and smile" with more people than just the vet!

Meanwhile, the a@@ neighbors have decided that now is a good time to waste the rest of their fireworks. Which brings me to a question....we had a storm, thunder and lightening, for most of the night last night. Although she doesn't react, could the stress from it still have been influencing her higher level this morning?
 
it could. but I would test the theory.....
many of us thought the vet was a horrible stress and find bg's not high , nothing like we thought.
I think stress that makes them hide under the bed.... most likely does raise it.... but how much you just have to check....
 
Just had a longer talk with DH about why I decided what I decided, explained that if a feline diabetic specialist told me to stop, I wouldn't be going back and forth so much. I explained that it is the equivalent to a GP telling a heart patient that since they haven't had a cardiac episode in six months, it is safe to stop the heart meds. But if a heart specialist told you the same thing, you would put more stock in the advice.

I also talked to him about the liability issue, which being a lawyer, I can't believe I didn't think about. Although he doesn't necessarily agree with the decision, he will go along with what I decide and keep helping me out.

I know I made this WAAAAAY harder than it had to be, but that is me. I over-analyze everything!
 
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I understand your indecision, but you are not the "average" petparent. You are educated about feline diabetes and you do lots of home-testing. You have made your own decisions about dose changes and Shiloh has done a remarkable job of responding well. I suppose one way to look at it is Shiloh "earned" her reduction from .5 to .25, but since the decrease she hasn't "earned" any further reductions. Vets are not familiar with the TR protocol and most probably don't see people who are as involved in their kitty's treatment as you are.

So maybe to quit driving yourself crazy about the decision, wait until Shiloh tells you it is time to go down. :bighug:
 
Shiloh & Rhonda said:
Also, at what point do I determine if the decrease isn't working? She is somewhat out of normal numbers, but not far.
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If she is a "scaredy kitty" (my Tuxie most certainly is) then the storm and fireworks could have freaked her out a bit, which "could" cause higher numbers. If it were me I would see how the next couple of cycles go and take it from there. :)
 
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