9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=392

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Re: 9/23, Corduroy, +3.75=lo, +5.5=157, +6.5=192, +7=194

Great job today!

Here are the OTJ instructions:
  • Test at your normal AMPS and PMPS times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas).
  • 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!
  • 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.

While he may bounce this evening, given how low the numbers have been, if it were me, I wouldn't shoot. With numbers as low as Corduroy's have been, he may be very sensitive to the effect of insulin. You can "officially" start a trial tomorrow if numbers are high at PMPS time.
 
Re: 9/23, Corduroy, +3.75=lo, +5.5=157, +6.5=192, +7=194, +8

Hi Sienne and Gabby,

Thanks for the OTJ instructions! I have two questions:

1. Can he go "hypo" if his numbers get low without insulin?

2.
Sienne and Gabby said:
You can "officially" start a trial tomorrow if numbers are high at PMPS time.
Click to expand...

- Why does his OTJ trial start at PMPS instead of AMPS tomorrow? Just curious :smile:
 
Re: 9/23, Corduroy, +3.75=lo, +5.5=157, +6.5=192, +7=194, +8

A hypo can't happen without insulin.

I think Sienne meant you can start the OTJ trial tomorrow morning if tonight's PMPS is high...I think, but I'm sure she'll confirm that!
 
Re: 9/23, Corduroy, +6.5=192, +7=194, +8=198, +10=236

Hi Amy,

I get it now! Makes sense! I think today has gotten to my brain ;-) And, thanks for answering the hypo question.
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236

That's how I read it too...to basically toss out tonight's PMPS since it's probably going to be a bounce and start the official trial tomorrow...BUT if your PMPS number is a "normal" number, it can start tonight. I think we all expect a high PMPS after all the craziness of today

Good luck!! Hope Corduroy makes it to the Falls!!
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236

Thank you for translating my less than clear note. I was at work and in a hurry.

I do have a thought/consideration. First, I think you have to give a trial a try given today's numbers. I'm not 100% confident that Corduroy will sail through, though. There's a lot of variation in the numbers and a lot more in the higher blue range than I typically like to see. On the other hand, Corduroy may do fine. I just don't want you to be disappointed if all doesn't go as we hope.

I would suggest you get a new battery for your Contour meter. I find it very hard to tell if the battery is low on my Contour and I replace it about once a year. The kind of numbers you were seeing could easily be due to a dying battery. I'd also suggest a back-up meter (and it looks like someone had mentioned this, too).
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314

Just tested for his PMBG and it's a whopping 314. But, I understand that it is probably a bounce from today, so I'll keep calm ;-)

Feeding him smaller amounts more times per day so that his pancreas won't work so hard per Sienne :smile:

Hope all is well tonight with your kitties and thanks so much for the support today :-D
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314

Hi Sienne,

Yes, I understand that this is an OTJ "try-out" if you will, so I'm actually thinking that we will have to give him insulin again (due to the high numbers), but I'm just keeping my fingers crossed that this might be the real deal.

I purchased a back-up meter today, a Relion Prime. It is giving me the same numbers that my Bayer Contour is giving me.
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

Corduroy's +2 is 392. I don't understand what is going on with his numbers. I'm afraid he's going to be in the 500s or higher by morning. This is so erratic!

Sorry, I had to vent. I'm just perplexed at this right now :?
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

IMHO, that high number is him bouncing from his very low 20/ low reading.....
His liver panicked at his going so very low today.
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

his body is reacting to that LO this morning with a bounce. don't sweat about it. he'll come down from that - thank goodness the liver does that because it's what keeps a cat alive when his blood sugar goes too low.

and fwiw, i've had that same crazy numbers thing when my battery was low and i used a relion confirm. it'd be nice if it just went off, but it didn't. the numbers were just all over the place. even with the craziness, you can see the general trend of what happened today and know he was low this morning.

kudos on the trial! i hope he holds, but if not, he's still doing great!
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

Hi Rhiannon and Shadow and Julie and Punkin,

Thanks for the reply. It helps put my mind at ease a little. I have to admit that I've been very worried about how high his BG levels are going to go tonight and what it will do to his poor little body.

Julie, Punkin is just an adorable little kitty. I'm so sorry that you lost him. I can only imagine (sometimes too much) what it is like. My mom calls it "borrowing trouble." I was looking at his profile and have to ask, what is SRT treatment?
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

I see, stereotactic radiation therapy=SRT. Was it for his acromegaly or did the poor little guy have cancer?
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

it was for the acromegaly - they aim radiation at the tumor on the pituitary gland. his tumor was pretty big - at first we thought it was working because his dose went down rapidly, but it was not to be. many of the cats that get treated don't go OTJ, but at least they get down in dose to something reasonable. untreated cats with acro - i've seen doses around 100u per shot. the SRT is the best treatment out there.

thanks - it's still hard for me to think about him. you know how it is - we love our babies. punkin was an extraordinary cat and i still miss him every day.
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

Bridgette, looks like you can put away the test kit and give both of you a break today. What a day for both of you!

SRT is a radiation treatment for acromegaly, which is caused by a benign tumor on the pituitary gland sending out excess growth hormones. It's this that starts the chain of action that creates excess blood sugar and diabetes symptoms. The goal of SRT is to neuter the tumor cells and reduce it's effects. There is a high dose forum on FDMB if you are interested in more details.
 
Re: 9/23, Corduroy, +7=194, +8=198, +10=236, PMBG=314, +2=39

Brigitte,
I'm sure Julie can explain it better, but SRT I believe is "stereotactic radiation therapy", a treatment used to remove the tumor that causes acromegaly.

As far as the high numbers tonight go, definitely looks like a bounce to me, and although they are hard to look at after all the beautiful blues and greens you have seen lately, I would not worry about them. I have yet to see a kitty who didn't bounce from a 40, nevermind a 20! Bounces go away, it just can take some time. If the numbers are still high tomorrow, don't be surprised or discouraged. Just let the bounce clear.

ETA - looks like Julie already explained it. ;-)
 
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