8/18 Oreo AMPS 252 +3 168 +6 141 PMPS 165 +3 99 +7 81

Good morning, Steven. With SLGS you can't increase for a week. Plus, you got a 79 last night which would require a decrease (under 90). I would wait to see what the pros say but I wouldn't increase with that 79. He probably did get into some contraband. @Bandit's Mom No increase, right? But also the 79 last night. A decrease?
 
Summer and Susie said:
Good morning, Steven. With SLGS you can't increase for a week. Plus, you got a 79 last night which would require a decrease (under 90). I would wait to see what the pros say but I wouldn't increase with that 79. He probably did get into some contraband. @Bandit's Mom No increase, right? But also the 79 last night. A decrease?
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I’m just going to to the .1 I need to keep on a schedule AM and PM
 
Summer and Susie said:
Good morning, Steven. With SLGS you can't increase for a week. Plus, you got a 79 last night which would require a decrease (under 90). I would wait to see what the pros say but I wouldn't increase with that 79. He probably did get into some contraband. @Bandit's Mom No increase, right? But also the 79 last night. A decrease?
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oh and we are going to the vet this afternoon for a follow up. Which be more like hey dr this is what I have been doing with Oreo an please put this Libra on him.

I’m going to ask him to give me b12 injections. is there any literature I can print and print him?
 
@Suzanne & Darcy Wasn't Darcy on B-12. Do you know where Steven can get some good literature on it regarding diabetic cats? Sorry, Steven. Unless you googled it or find someone on this site that can help you I wouldn't know. Seems to me I have only heard it being used for cats with other medical conditions. Are you getting labs done today or is it just a visit?
 
Summer and Susie said:
@Suzanne & Darcy Wasn't Darcy on B-12. Do you know where Steven can get some good literature on it regarding diabetic cats? Sorry, Steven. Unless you googled it or find someone on this site that can help you I wouldn't know. Seems to me I have only heard it being used for cats with other medical conditions. Are you getting labs done today or is it just a visit?
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Just a visit. And to glue on a Libra. They might pull urine but I’m not sure. I think they were testing his glucose thru the urine? Idk they did it they his skin… But I’ll test before I leave because I know the vet test will be higher. I was thinking of bringing b12 info as a guide. My vet does not appear to specialize in diabetes and if it were not for this group I don’t think Oreo would be where he is. :cat: I read somewhere b12 inject one a week for a month and then biweekly. I’m hoping to educate him some.
 
Is Oreo showing signs of neuropathy? Most give daily pills for that. You need Methylcobalamin.

Is there a reason you aren’t going to follow TR? With that 85 a reduction to a drop was earned with SLGS. since you are getting a Libre I suggest you switch to TR.
 
tiffmaxee said:
Is Oreo showing signs of neuropathy? Most give daily pills for that. You need Methylcobalamin.

Is there a reason you aren’t going to follow TR? With that 85 a reduction to a drop was earned with SLGS. since you are getting a Libre I suggest you switch to TR.
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He does. I have pill from Vitacost coming. I though the shot might be better if not I’ll do the pills. No biggie.

I not really comprehending the two protocols seems like TR is more testing? and once we have the Libra back in I’ll do whatever.

he’s +3 168
 
tiffmaxee said:
Is Oreo showing signs of neuropathy? Most give daily pills for that. You need Methylcobalamin.

Is there a reason you aren’t going to follow TR? With that 85 a reduction to a drop was earned with SLGS. since you are getting a Libre I suggest you switch to TR.
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on a personal note my ADHD / Anxiety / dyslexia. While they are challenges for me I don’t consider them a disability. I’m finding this who thing with Oreo hard. All the acronyms and trying to retain what’s and whys. I appreciate the hand holding thru this I’m going to need it.
 
TR is more aggressive. A bit more testing is needed but you already test enough. Reductions are taken if under 50. With SLGS reductions are taken if under 90. You would also hold tge dose fir a week with SLGS even if the bg creeps up. Adjustments are faster with TR.
 
tiffmaxee said:
TR is more aggressive. A bit more testing is needed but you already test enough. Reductions are taken if under 50. With SLGS reductions are taken if under 90. You would also hold tge dose fir a week with SLGS even if the bg creeps up. Adjustments are faster with TR.
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Oh so aggressive is the dose changes like on demand based on his bs? rather then holding a week?
 
tiffmaxee said:
Pretty much. We can guide you as when to reduce or hold until you get used to it or forever if needed. SLGS has to be used if feeding any dry food and I think that’s the main reason it exists.
Both methods use the bg to determine when to increase or decrease. With both it’s how low it takes the cat.

This explains the two.
https://felinediabetes.com/FDMB/thr...-low-go-slow-slgs-tight-regulation-tr.210110/
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Oreo is off dry. All wet except the am with getting into the dogs food. My fault
 
So you can do either method. If you stick with SLGS a reduction to a drop was earned with that 85. It’s up to you.
 
So now you just need to decide on whether to follow SLGS or TR. well you don’t have to decide if you aren’t going to follow one of our methods.
 
Please remove the GA. It means he’s an angel. I think you meant to put the question mark. There is a drop dose. Just stick with what you are doing today.
 
You would give what's called a drop dose , you would take your syringe and push down on the plunger all the way ,keep it like that then insert the syringe into the vial or pen and then let go of the plunger, it will look like nothing but it's there
When giving him the injection hold it in him for about 10 seconds
This is if you are going to stick with SLGS

I just saw @tiffmaxee ( Elise) just said to stick with what you are doing today, I guess it's up to you and ask her tomorrow about the dose
 
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tiffmaxee said:
Please remove the GA. It means he’s an angel. I think you meant to put the question mark. There is a drop dose. Just stick with what you are doing today.
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Yes. I’ve corrected. I’m going to wait for the others who have help. Respectfully most of your replies and suggestions are confusing me. Thank you for your time.
 
Diane Tyler's Mom said:
You would give what's called a drop dose , you would take your syringe and push down on the plunger all the way ,keep it like that then insert the syringe into the vial or pen and then let go of the plunger, it will look like nothing but it's there
When giving him the injection hold it in him for about 10 seconds
This is if you are going to stick with SLGS
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Are saying I need to switch to TR. I DO NOT know what’s best for him.

I’m about to give up….
 
Don’t give up. Sorry to confuse you. I see you are frustrated. With SLGS you decrease to a drop dose as Diane explained.


Diane Tyler's Mom said:
You would give what's called a drop dose , you would take your syringe and push down on the plunger all the way ,keep it like that then insert the syringe into the vial or pen and then let go of the plunger, it will look like nothing but it's there
When giving him the injection hold it in him for about 10 seconds.
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On 8-15 your night cycle he dropped to 70 @+4 take a look at your SS , so you should have reduced to a drop dose the next shot which would have been on 8-16 his night time test PMPS
 
Diane Tyler's Mom said:
No need to be sorry but when following SLGS that's what you have to do any BG under 90 you reduce
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It’s just that I don’t understand I’ve been putting .25 on the sheet the last several doses. Everyone’s commenting good job good job his numbers look great and now I’m being told drop those I’m sure I’m just overthinking.
 
Steven Oreos Dad said:
It’s just that I don’t understand I’ve been putting .25 on the sheet the last several doses. Everyone’s commenting good job good job his numbers look great and now I’m being told drop those I’m sure I’m just overthinking.[/QUO
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It's probably because they didn't look at your spreadsheet to see when he dropped under 90

Just try to remember when he drops under 90 you reduce following SLGS
Let's see what he does at a drop dose and we will take it from there
 
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Hi Steven, Oreo is doing great and its amazing the effort you make to help him :bighug:

i understand your frustration, when it comes to choosing which protocol to follow, i was just like that in the beginning but i saw that your wrote: i don’t understand what is best for Oreo, so i decided to give my 2 cents on the topic.

this forum follows 2 protocols:
SLGS is slower, pushes the kitty less but allows for less testing and
TR (tight regulation) which is a bit more aggressive as Elise, Diane and Summer explained earlier.

If it is to chose which one is best to use for Oreo, (even more considering that he is on a low dose already), i believe it is the TR, which would allow you to keep Oreo for longer in green values and bring his overall BG lower before attempting remission. Provided you keep testing the same amount as you already do, it will give you much higher chance at remission.
I will post the link for more information about the two protocols for you to read: dosing protocols

i am sure that @tiffmaxee will gladly give you again dosing advice if you decide to switch to TR protocol

Hope my explanation didn’t confuse you more and good luck with any decision you decide to take :bighug:
 
Marina & Chico said:
Hi Steven, Oreo is doing great and its amazing the effort you make to help him :bighug:

i understand your frustration, when it comes to choosing which protocol to follow, i was just like that in the beginning but i saw that your wrote: i don’t understand what is best for Oreo, so i decided to give my 2 cents on the topic.

this forum follows 2 protocols:
SLGS is slower, pushes the kitty less but allows for less testing and
TR (tight regulation) which is a bit more aggressive as Elise, Diane and Summer explained earlier.

If it is to chose which one is best to use for Oreo, (even more considering that he is on a low dose already), i believe it is the TR, which would allow you to keep Oreo for longer in green values and bring his overall BG lower before attempting remission. Provided you keep testing the same amount as you already do, it will give you much higher chance at remission.
I will post the link for more information about the two protocols for you to read: dosing protocols

i am sure that @tiffmaxee will gladly give you again dosing advice if you decide to switch to TR protocol

Hope my explanation didn’t confuse you more and good luck with any decision you decide to take :bighug:
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Thank you. like alot! :)

I have been looking at the SS over the last two days coupled with all the "good job, hes doing great" something doesn't make sense and was still like oookkk. I see the high PS #'s and I'm like whats so good? I cant even say for 100% Oreo got dog food this am Im pretty sure Pretzel (dog) ate his food. Looking at these numbers are telling me these low doses are not enough the .75 does a few days ago left him in good greens during the 12 hours. I think i was just caught off guard by seeing comments from someone that i really haven't engaged with much and b/c I was under the impression SLGS was best for now. Then Im asked is there a reason I'm not doing TR and advised SLGS is typically used with dry food which hes no longer on. I never heard or comprehended a drop dose so i'm like WHATTT LESSSS?? I snapped and for that Im sorry @tiffmaxee :(. At this rate I see Oreo is not going hit 90 or less again at any dose less than .75. I just fed him hugged him promised we are going to figure this out dosing him…. .1 and i know its not enough. with that being said, i understand a little more now..... TR will be better.
PMPS hes 165
 
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The Libra failed. I need to have another put on. Not sure if it’s faulty or what. I gave him .1 tonight he’s at +3 99. If we are going to do TR. I’m going to need help where to start with a dose amount in the am.
 
 
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