? Idjit next steps, please advise

[Idjit's mom]

We had a circus going on here with Idjit and his Laurel & Hardy parents. Please review the ss, and advise. I am wondering if a curve is in order again. We will be able to do it, we are better at it now, and so is Idjit. I am rewarding with pure bites, have ordered pet mate automatic feeder for a 12:00 pm meal, changing from 3 meals in 24 hours to 4 meals so maybe he won't smack me awake at 4 -5 am. Also wondering if perhaps we should be shooting 0.5, or 0.25 units BID, or just leave him alone and see how he goes. He's eating well, acting fine, loves his all wet food diet.

 

[Bellasmom]

Super update! I’m gonna let someone else weigh in on dosage though, to new to lantus and TR

 

[Chubba (GA)]

I’m still unsure about giving dosing advice. Bumping you up.

 

[Bobbie And Bubba]

I am sorry you didn't get an answer yesterday. After looking at Idijitt's SS, it looked like you took him from 1 unit to no units. Usually, we go down the dosing ladder in increments of .25 units all the way to 0.1 and sometimes a drop. But, he is getting some nice normal number with using an AT2 meter. It could be due to the lower carb wet food change.

I will admit that I am not as adept with pet meter readings as I am with using a human meter. I would like some other eyes on his SS regarding if he is ready to be off the juice. I am tagging @Chubba as they use a AT2 and just recently went OTJ .

 

[Idjit's mom]

Thanks Bobbie, I was following vet instructions, and didn't have 1/2 unit syringes yet. Thought I did, but DH had bought 0.5 ml, I used thinking it was a half and put Idjit too low. Scared me..

 

[Bobbie And Bubba]

Thanks Bobbie, I was following vet instructions, and didn't have 1/2 unit syringes yet. Thought I did, but DH had bought 0.5 ml, I used thinking it was a half and put Idjit too low. Scared me..

Here is what a .25 unit would look like.

 

[Idjit's mom]

Yes, I was sent that, and I am prepared to shoot 0.25, if it is recommended. Just not sure if we should start shooting again or not.

 

[Chubba (GA)]

I missed that you were using AT2. It is a little harder and I often wondered what numbers were acceptable for OTJ. I decided for me 120 was my “normal” number. This is not written anywhere in the protocol. With that being said though, I would also consider the added stress of giving insulin. I would probably rather have Gizmo slightly above 120 (I’m thinking still below 150ish) and not give insulin rather than give insulin to get him lower and worry about hypo all the time. But gizmo is also an acro kitty. Idjit might do better if you support him with a drop for a few days and see what happens. Also, the small meals every 3 hours really help as well. Sorry I really don’t have an answer for you just throwing out some thoughts.

 

[Chubba (GA)]

Just looked at your spreadsheet again. Those AMBG numbers are the slightly higher ones and I also noticed that last night you fed a later snack and today’s AMBG number was lower. I think I would try feeding the later snack (+9 ish) consistently and see what happens (since he is already off of insulin).
@Wendy&Neko - what do you think?

 

[rhiannon and shadow (GA)]

If you desire to have a really strong remission, I would try to continue just a wee bit longer.

Since different brands of syringes vary so much, I would suggest that you take a used syringe and fill it with water to 1 unit.
Hold it with needle pointed upward and slowly twist the plunger until one drop rolls down the needle.
Continue doing this and count how many drops you have in one unit.
Most syringes will have 10 but like I said, some are different.

After you figure out how many drops, then you could repeat the experiment so you can figure out what the mark is for 2 drops.
That may be a good dose to resume shooting to give his pancreas a wee bit of support for a while longer and get numbers under 120.

 

[Wendy&Neko]

Here is your previous post here, we include those links so people can easily follow the history.

I think you have a couple options for the next steps. First, it would be good to see how he's really doing without insulin. You've previously had suggestions to try a small meal (2 tsps or so) about +8 or +9 on as many cycles as you can. That way if his pancreas is working properly, it will kick in and bring down those preshot numbers. You can use the autofeeder for that meal as well as the midnight one. Second, whenever you see a higher number at preshot, test again 3 hours after his meal, to see if his numbers are coming down. He was doing great the first few days of his trial, but I'm worried things might be trending up a bit. That extra data will tell us if that's true or not. His numbers aren't bad for the AT, but might be a little on the high side.

If you do decide you want to restart insulin, you could try that drop dose. Which is pushing the plunger as hard as possible, inserting into the pen/vial and releasing, to vacuum up a drop.

 

[Idjit's mom]

Here is your previous post here, we include those links so people can easily follow the history.

I think you have a couple options for the next steps. First, it would be good to see how he's really doing without insulin. You've previously had suggestions to try a small meal (2 tsps or so) about +8 or +9 on as many cycles as you can. That way if his pancreas is working properly, it will kick in and bring down those preshot numbers. You can use the autofeeder for that meal as well as the midnight one. Second, whenever you see a higher number at preshot, test again 3 hours after his meal, to see if his numbers are coming down. He was doing great the first few days of his trial, but I'm worried things might be trending up a bit. That extra data will tell us if that's true or not. His numbers aren't bad for the AT, but might be a little on the high side.

If you do decide you want to restart insulin, you could try that drop dose. Which is pushing the plunger as hard as possible, inserting into the pen/vial and releasing, to vacuum up a drop.

Here is your previous post here, we include those links so people can easily follow the history.

I think you have a couple options for the next steps. First, it would be good to see how he's really doing without insulin. You've previously had suggestions to try a small meal (2 tsps or so) about +8 or +9 on as many cycles as you can. That way if his pancreas is working properly, it will kick in and bring down those preshot numbers. You can use the autofeeder for that meal as well as the midnight one. Second, whenever you see a higher number at preshot, test again 3 hours after his meal, to see if his numbers are coming down. He was doing great the first few days of his trial, but I'm worried things might be trending up a bit. That extra data will tell us if that's true or not. His numbers aren't bad for the AT, but might be a little on the high side.

If you do decide you want to restart insulin, you could try that drop dose. Which is pushing the plunger as hard as possible, inserting into the pen/vial and releasing, to vacuum up a drop.

I think that is a good idea, to see how he's really doing w/o insulin. So, test 6, am, feed, test +3. Then, when would you suggest other BG testing? We will have to see if Idjit will use the autofeeder, he's afraid of much (plastic shopping bags, kids playing out in front, dogs in enclosed yard two houses away) so it may be a challenge. I will set alarm for 3am, to ensure he gets food at least 3 hours before AMBG. How long would you suggest before shooting 1 or 2 drops?

 

[Idjit's mom]

Thank you all for responding, great input and suggestions. I just want Idjit to be as strong and healthy as possible, for as long as possible. Thanks for linking previous post, @Wendy&Neko - I don't know how to do that.

 

[Steph & Quintus & L & O]

I would stick with no insulin, given what I'm seeing on the SS.

I would try getting spot measures at other random times in the day, too, to get an idea of what his days look like. Just one or two a day, but at different times.