Smokey OTJ Trial Day 2

Status
Not open for further replies.
SmokeyD

SmokeyD

Member Since 2011
I've decided to try an OTJ trial with Smokey... here's my logic:

I'm pretty sure that the insulin I'm using (the first vial opened Aug 17- so 3 months old) is no longer working. The past two weeks have seen absolutely no normal up and down in Smokey's cycles. He has been having very flat cycles hovering between 110 (in the AM) and 70's during the rest of the day. Additionally, the reduces I've taken in order to maintain my sanity while I'm at work (IE fear of coming home to a hypo Smokers) have made absolutely no difference. And, when I've given Smokey HC food, his BG does not spike like it has in the past and is back down pretty quickly. All of that being said, I am totally ready to get a new vial of insulin if his numbers start climbing- though, thus far, we are golden and it has been over 48 hours since his last shot. I'm watching him like a hawk and am testing his BG fairly often (see updated SS).

I've also started giving Smokey a 1/4 tablet of Pepcid (original strength). We've been having frequent small yuck-ups. But he is still eating (though not much- he's a pretty sedentary cat, always has been) and not losing weight, is purry and seems happy. I'll likely schedule a vet apt in the next few weeks for blood work so we'll see how this goes.

I just want to say again, how much LLand has meant to me and Smokers- we're not going anywhere anytime soon though! Fingers crossed!!!!!!!
Gwen
 
kliban_lopez.gif
kliban_lopez.gif


Happy Day 2 Smokey!!!​
 
Gwen:

Good luck. Here are the instructions for how to do an OTJ trial:

  • 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.

Don't be upset if the trial doesn't hold. We usually taper down the dose to a very small amount (i.e., 0.1u) in order to provide a healing pancreas as much support for as long as possible. On occasion, in a newly diagnosed cat, you can drop from 1.0u to a trial but it can be dicey.
 
Status
Not open for further replies.
Back
Top