I'd recommend that you try the drop dose Betsy. Or an OTJ trial.
Just to see what Squeaks BG levels are, if you are able to test tonight at +3 or +4, that could give you an idea of how Squeaks would do without insulin, and maybe help you decide on the OTJ trial or the 1 drop dose.
You haven't been able to give Squeaks his PM dose the last 2 days, because of his very low pre-shots. But his morning AMPS has still been very good.
If Squeaks doesn't hold the good BG levels after that tiny 1 drop dose of insulin, you can always restart with the 0.2U dose.
Squeaks looks like he is so, so very close to being ready for an OTJ trial.
Here are the instructions, just in case you decide to try that. They are generic, and cover many different insulins, so concentrate on the info for the in-and-out insulins, like Prozinc.
OTJ Trial Guidelines (These are the criteria we use when following an OTJ Trial.)
Here are the instructions for an OTJ trial: If on Lantus or Levimir, depot has to drain first before trial starts, about 3 days or 6 cycles. No depot with in and out type insulins (NPH, Vetsulin/Caninsulin, Prozinc). The trial starts when numbers are in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range. Start the trial on the next green pre shot.
If you are posting in the Lantus/Levimir forum, please start a new thread each day which says ‘[Cat name] OTJ trial Day 1 BG xx’ (where xx is the BG reading for that cycle PM), then day2,3 etc. If you are posting in the Main Forum, we don’t require you or need you to do that separate post for each day. In fact, if you have never posted before over in the Lantus/Levimir forum or use a different insulin, you are fine staying in the Feline Health (Welcome & Main Forum). Or in the specific ISG (Insulin Support Group) for your insulin. We’ll cheer you on!
1. Test at your normal AMPS and PMPS times. Remember, you want a 2 hour fast before those AMPS and PMPS test times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas). The morning test is now called the AMBG. The evening test is now called the PMBG.
2. If your cat is green (0-99 mg/dL human meter, 0-130 mg/dL pet meter, 0-5.5 mmol/L) 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 the numbers are blue or higher (100-199 human meter, 130-230 petmeter, 5.5-11 mmol/L), feed a small meal and test again after about 3 hours. Food raises BG's. So if the number is lower 3-4 hours after a meal, then the pancreas is working!
3. Your cat may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.
4. After 2 weeks, 14 full days, if everything is looking good, we have a party!
Sometimes, the trial doesn't work the first time and we have to give a little more support by starting the cat with a tiny dose of insulin again. I had to do that with Wink. We simply start the cat back on a tiny dose of insulin to support the pancreas with healing for a bit longer. Our goal is a strong remission and it's better to be safe now then sorry later that you rushed it. With just a little more time we will probably get that strong remission we are looking for.
