miso00 said:
Is there any research that proves if a cat is not treated according to TR Protocol but is on insulin for say 1 or 2 years that there is no chance for the cat to go OTJ if TR Protocol is started?
I have a friend whose cat was diagnosed over a year ago and has been on Lantus, presently on 9.5 units. Not sure what the BG is.
Is that dose each shot or the total for the day?
If the dose is 4.75u am and pm, that's a different story than if the dose is 9.5u am and pm.
You may want to ask your friend that question.
If your friend is giving shots twice a day, each shot it 9.5u, then ask what is the cat eating?
If the food is dry, then that may be contributing to the high dose. Switch to low carb wet food, and that cat's dose my drop like a rock.
If the cat is eating the proper low carb wet food, and needs that dose, I would say it's way overdue to test the cat for acromegaly and IAA.
If the cat is positive for IAA only, it's possible to squish the antibodies, get the dose down and maybe even off insulin, but it will take alot of work.
If the cat is positive for acro or even acro and IAA, the issue is likely permanent because the cat is not really diabetic but has a growth hormone issue.
Now, cats with acromegaly CAN go off insulin as my own cat Oliver tested positive for acro and IAA in 2010 and went off insulin in January 2012.
See if you can get some more info from your friend and you can get some better answers for your friend.
I don't believe that a TR protocol is the action that will get cats off insulin; it's all about the pancreas being able to function as it should and giving insulin so that the pancreas can heal is what it's all about, not any sort of protocol, though it makes for good odds.