Possible remission starting?

Status
Not open for further replies.

thatgirlblu

Member Since 2013
Hi, I posted a few days ago about consistent too-low pre shot numbers? My vet said don't shoot under 200 and so I haven't been able to in a while now, roughly on 37 hours past his last dose of 0.5 u. I am getting mixed information on what is "remission" and what is not remission but still too low for a shot (they aren't the same? Idk..)
I was told by one vet (the office has many and so when I call I speak to who ever if my regular vet is out) that 250 is when diabetes is first diagnosed but anything under that is really iffy and not even a real diagnosis in the office, so therefor if my cat is consistently under 200 range at home he is not really truly diabetic at the moment...but the other vet I spoke to said if he's even up to 150 range he's still diabetic and needing insulin at 150, but then still my regular vet said never shoot if he's below 200-250 range?
Any way, the regular vet said his current numbers are too low to shoot where seeing that .5u got him so far, they're afraid any dose might bring him too low for too long, yet I don't know if the mid 100's are ideal entirely...I heard 70-120 max? but the vet said "this looks like the start of remission so you should do a trial of no insulin"
Any way, if you look at his chart, for reference he eats every day right after the AMPS and PMPS mark so the AMPS and PMPS numbers are before food and the +1's are always after food.
The vet also said they like to rely on "clinical signs" more than numbers so much as all cats are different, so they said even if he's in the mid 100's but is acting very happy and healthy (i.e. no drinking too much or peeing too much, has lots of energy again, etc) that he is likely heading to remission. Well he has been....more active than I've seen him in ages actually. He's like a kitten sometimes now, and he's 11, heh. Plus with the wet food he almost never drinks water now, and his pee is small and normal.
So any way, thoughts?
His chart is in my signature.
Thanks!
 
Plus with the wet food he almost never drinks water now, and his pee is small and normal.

That's a great sign that he's doing much better. And many cats (my Bob is a good example) rarely if ever drink from the water bowl anymore. He eats only low-carb canned.

OK, as far as "remission" goes -

Normal BG for a cat on a human meter is usually defined as between 40-120. It might fluctuate up and down during the day due to food, exercise, some cats are higher during daytime than nighttime... But their system, when it's working right, will keep the numbers pretty much in that range even after eating.

Your numbers right now are "normal". 101 is nice. Especially after 37 hours without a shot.

When we conduct what we call an "OTJ Trial", we encourage you to test at the two regular times (your standard AMPS and PMPS) times, and then just test once or twice a day randomly to see if the numbers stay in the normal range. He might not be completely done with insulin, and might need teeny tiny doses if you see a rise overall.

A good thing to try is to test him just before you feed him, then a couple hours later. You would expect the number to come up within an hour after eating, but then if the pancreas is doing what it supposed to do, it will secrete insulin of its own and keep the BG from rising too far. And his cells remove the glucose from his blood and use it for "energy", the BG will drop or stay constant. So basically what you'd be doing is monitoring things to make sure that is happening. If his body continues to self-regulate, then it's just a matter of seeing if he stays in normal numbers for 14 days. At that time, we would say the trial is a success, and he would then be considered a "diet controlled diabetic". He'll always be a "diabetic" technically, but as long as he's not getting insulin shots, we'd call it "remission".
 
K so "He might not be completely done with insulin, and might need teeny tiny doses if you see a rise overall." How do I know when to give more insulin and how much to give at what numbers? I was getting the hang of it before but now I'm lost with these really low numbers. He's hardly ever below 100, but he's never above 150-160 even at his highest now as you can see in the last day or two. I guess I'm wondering when and if to shoot too, and if no then is 160 still "normal" or not cause it's well above 120? Sorry for all the questions :/
 
I heard a normal cat is 50-130. He is only slightly above that so I wouldnt be shooting for now but instead working to try and lower him a bit more. In these current numbers hopefully his pancreas is healing but there are more things you can do:

- feed mini meals instead of big ones to support the pancreas
- cut out the HC dry if you are still feeding it at all still

Give it a week or so and see how it goes. If he starts to go over 200 then we would consider shooting again.

keep us updated!

Wendy
 
The renal threshold, when glucose spills into the urine, is aroud 240 mg/dL, depending on the reference source. This also is when damage could be happening to the body.

You're well below that, and also within the 40-130 mg/dl where we like food controlled diabetics to
stay. Some cats may even get down in the high 30s and low 40s, but if there is no insulin, and everything else is OK, its not a problem.

For a 14 day trial, feed small meals frequently to reduce the load on the pancrease.

Make it 14 days and we call him OTJ!
 
Wendy&Tiggy said:
I heard a normal cat is 50-130. He is only slightly above that so I wouldnt be shooting for now but instead working to try and lower him a bit more. In these current numbers hopefully his pancreas is healing but there are more things you can do:

- feed mini meals instead of big ones to support the pancreas
- cut out the HC dry if you are still feeding it at all still

Give it a week or so and see how it goes. If he starts to go over 200 then we would consider shooting again.

keep us updated!

Wendy

Oh he's only on Fancy Feast Classic Chicken now, he gets two meals a day 12 hours apart (each meal was timed around his shot but since he's not getting one at the moment...heh. Well they're still the same time any way) so no HC dry food, no dry food at all actually. Perhaps instead of a third meal, since I work in between his meals and am not always home, feed some treats when I can in between? Like the Halo Live-A-Littles freeze dried chicken bites I hear are good for diabetics, yes? Something like that perhaps?
 
Status
Not open for further replies.
Back
Top