Sybil went lime green low

Sybil’s mom

Member Since 2024
Sybil went lime green low this morning for the first time. I am testing as much as I can but I have so many other responsibilities right now, I’m struggling with balancing everything. I am getting my hopes up for possible remission. I definitely won’t give a pm shot today. How do I know when to stop completely to get her OTJ? I thought she was close recently but one number went up and I gave her a super skinny shot. I think now maybe I should have waited?
Thank you.
 
Hello there! I hope you’re doing well.

Sybil is doing great. You are taking great care of her too!

What we are looking for to achieve remission is a cat who is staying in normal BG numbers pretty much all of the time. That means green numbers with only the occasional very low blue number.

You can try reducing to a .1 unit dose and seeing how she does on it. However, usually with a long-term diabetic like Sybil we look for a cat to go under 68 on your Alpha Trak more than one time. I am fine with trying the 0.1 unit dose for now and to see if she can stay in green on that. If she doesn’t then you can always go back up to .25 units.
 
Hello there! I hope you’re doing well.

Sybil is doing great. You are taking great care of her too!

What we are looking for to achieve remission is a cat who is staying in normal BG numbers pretty much all of the time. That means green numbers with only the occasional very low blue number.

You can try reducing to a .1 unit dose and seeing how she does on it. However, usually with a long-term diabetic like Sybil we look for a cat to go under 68 on your Alpha Trak more than one time. I am fine with trying the 0.1 unit dose for now and to see if she can stay in green on that. If she doesn’t then you can always go back up to .25 units.
Thank you. Stay tuned. Hope you are well.
 
These photos show how to draw a 0.1 unit dose with a U-100 syringe.
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What kind of syringes are you using? Using U-100 syringes with the conversion chart would allow you to make finer adjustments to her dose, which would be very good at this time if she’s nearing remission.
 
This chart shows how you could give Sybil a .2 unit dose by drawing a U-100 syringe to the .5 unit mark. That’s more precise than eyeballing a skinny .25 on the U-40 syringe.

Also, you could give a 0.1 unit dose by drawing a U-100 syringe to the .25 units (eyeballing between the zero and the half unit mark on a U-100 syringe.
 
Also, skipping tonight’s shot isn’t necessary as long as she has risen back up to a more normal PMPS number and you can try the reduced dose. If you do skip though, it is important information to see how high she climbs without any insulin. If you can’t wake up to test mid-cycle, getting a test in the early morning about two hours prior to her shot time might help us too. This kind of information can help us in seeing how close she is or isn’t to remission.

No matter what…. She has made wonderful progress and is spending most of her time in healthy BG range which makes me very happy for your beautiful girl!
 
I have been using the U40 syringes thus far. I am usually not available at those other hours but I am really going to try to work something out this weekend and see if I can get more tests in. When I have been writing 0.25ss that means just below that line on the U40 that would be 0.0. I wasn’t sure how to document it and certainly never thought I’d be here.
 
I have already skipped some shots noted as NS on my sheet but got really nervous and then gave that tiny amount. Well this is certainly a nice surprise anyway. I’m just happy she’s feeling better. I appreciate the help.
 
Well I was loosely following the old criteria of when she went under 90 to skip the next shot and last night and this morning I couldn’t monitor her. I will have more time hopefully over the weekend.
 
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