? 6/16 TiTi is sick AMPS 324, +7.25 273 PMPS 303 +2 285 Ketones .9 & late .5

[Kathy and TiTi]

http://www.felinediabetes.com/FDMB/...2-11-25-164-12-75-125-17-5-180-19-197.159544/

There's a new problem this morning. Last night she got sick. Throwing up, diarrhea - not much (about a tsp full), kind of a yellowish color -doesn't that suggest pancreatitis? She was also straining in the kitty litter, getting nothing out.

And her numbers shot up, too, further indicating illness.
+23.5 324
Ketones (measured by a blood meter) .9 and at +6 Kerones .5

So what do I shoot at AMPS 30 minutes from now?

Vet diagnoses that her colon is full again. Tomorrow morning she will evacuate her colon. Prescribed Lactated Ringers 200mls or more daily, 1/2 cerenia for inflammation, and ongoing miralax to prevent recurrences.\.

I am very tardy with measurments because, I fell asleep, or more exactly described "passed out' until late afternoon.

Then I hurried to the vet, and now I must leave to get supplies. lances, cat fod, and etc.

 

[Sandy and Black Kitty]

Appetite?

 

[Kathy and TiTi]

Appetite?

Appetite has returned. I noticed last night she seemed hotter than usual. I wonder if what Mikey had was catching, or if some of the fancy feast - the turkey and giblets, which was the last food she ate before throwing up, was off.

 

[Sandy and Black Kitty]

If she is eating you can shoot.
It may be a good idea to go with 8u, on the outside chance she may not feel like eating later.

 

[Kathy and TiTi]

If she is eating you can shoot.
It may be a good idea to go with 8u, on the outside chance she may not feel like eating later.

Thanks. I went with as close as I could get to 8.5 units

TiTi seems so fragile.

 

[Sandy and Black Kitty]

Describe 'fragile' please

 

[Kathy and TiTi]

Thanks. I went with as close as I could get to 8.5 units

TiTi seems so fragile.

Forgot to ask What's a reasonable set of tests for today?

I checked her ketones - .04, well, within normal-at least that is ok. I have yet another caring and generous FDMB member , Dan & Alley, to thank for that moniter and ketone strips. It saves me tons of time & stress to simply check the glucose and ketones at the very same time. And so easy.
TiTi eyes me suspiciously, when I am in the same bathroom with her, as she uses her kitty litter. She treasures her privacy.

 

[Kathy and TiTi]

Describe 'fragile' please

Well, she's great frisky and energetic one second, and a few minutes later, a wreck. Hurling, straining in the kitty litter, Looking at me with those big, scared golden eyes.

She seems to have very little resistance. I mean she doesn't get sick slowly. 2 years ago, the pancreatic attack that preceded her diabetes took a week to unfold. It was the first time she was sick since she was 5 months old.

Now, she seems fine, then boom, horribly ill. Like those 2 episodes of constipation, and the still unexplained area of infection that occurred in her left Maxilla.

Actually this illness is like what happened with Mikey, but TiTi isn't close to as sick as Mikey was.

 

[Sandy and Black Kitty]

Forgot to ask What's a reasonable set of tests for today?

you could wait until +3.

 

[Kathy and TiTi]

you could wait until +3.

ok, good.

 

[Red & Rover (GA)]

A small amount of diarrhea and straining in the litter box could be signs of constipation. What looks to us like diarrhea isn't. Was the vomit at the same time as the diarrhea? or near the litter box? Ask your vet about it when you call.

 

[Marje and Gracie]

Yellow vomit is frequently bile which can occur when the stomach is too empty and there is acid buildup. Of course, if you fed her something yellowish, it could be that as well (e.g. Pumpkin Lickin Chicken has a yellow sauce). If she's straining to urinate but can't produce any urine, yes....it is time for a vet visit and sooner rather than later.

I'm sorry I rushed off on you last night....we had a minor emergency (all is well). I didn't even have a chance to let you know that is why I disappeared. But lots of good experience helping you last night.

Gill did a great job of explaining why we thought 8u was better than 10u. The other issue I find is often hard to grasp is the depot and how it affects numbers......especially a large depot and you are still dealing with a large depot. While we generally think a higher dose can affect up to six subsequent doses after a reduction...or even skipped shots...it can sometimes be more.

We understand you do not want her in higher numbers again. Neither do we. But we also try to look at her SS objectively and apply an accumulated knowledge (of many years) to help you. I always felt it's much easier to look at another cat's SS and be objective than your own cat.

 

[Bobbie And Bubba]

I hope TiTi feels better and you get to the bottom of what is going on.

 

[Kathy and TiTi]

http://www.felinediabetes.com/FDMB/...2-11-25-164-12-75-125-17-5-180-19-197.159544/

There's a new problem this morning. Last night she got sick. Throwing up, diarrhea - not much (about a tsp full), kind of a yellowish color -doesn't that suggest pancreatitis? She was also straining in the kitty litter, getting nothing out.

And her numbers shot up, too, further indicating illness.
+23.5 324
Ketones (measured by a blood meter) .9 and at +6 Kerones .5

So what do I shoot at AMPS 30 minutes from now?

Vet diagnoses that her colon is full again. Tomorrow morning she will evacuate her colon. Prescribed Lactated Ringers 200mls or more daily, 1/2 cerenia for inflammation, and ongoing miralax to prevent recurrences.\.

I am very tardy with measurments because, I fell asleep, or more exactly described "passed out' until late afternoon.

Then I hurried to the vet, and now I must leave to get supplies. lances, cat fod, and etc.

Her appetite is still good, she is re-hydrated, but cannot eat anything after 8 tonight, because her colon evacuation is at 8am tomorrow morning and requires anesthesia. Should I load her up on food tonight, or what? What happens to the numbers after surgery and anesthesia?

 

[julie & punkin (ga)]

Depending on what anesthesia is used, some cats will have lower blood sugar from it. Often people skip the shot the evening after anesthesia. Afterwards, ask your vet what anesthesia is used and whether or not it is likely to lower her blood sugar. Some do, some don't.

What time are you shooting tonight? Did your vet suggest something in particular about feeding tonight?

One thing I'd suggest is that you ask them to use kitten tubing for intubating her. Since we don't know whether or not she has acro, let's treat her like she does. Excess growth tissue can cause problems with intubating, so people ask for the smaller tube.

 

[Sandy and Black Kitty]

What exactly is done when a colon evacuation is preformed?
How long will she be under and what type of anesthesia will they be using?

Did the vet give any instructions regarding insulin?

ECID but in general anesthesia gobbles up BG. Black Kitty is an example.
The night before his first dental my BK had his normal 13u Lantus (the PMPS was 349).
He got to the vet at PM+10 and his BG was 156. The AM shot was skipped.
When the surgery was complete at +14, he tested 30 (on an AT). The dental specialist brought him up with babyfood.
When I got him home at +17.5 and he tested at 77.

 

[Kathy and TiTi]

Depending on what anesthesia is used, some cats will have lower blood sugar from it. Often people skip the shot the evening after anesthesia. Afterwards, ask your vet what anesthesia is used and whether or not it is likely to lower her blood sugar. Some do, some don't.

What time are you shooting tonight? Did your vet suggest something in particular about feeding tonight?

One thing I'd suggest is that you ask them to use kitten tubing for intubating her. Since we don't know whether or not she has acro, let's treat her like she does. Excess growth tissue can cause problems with intubating, so people ask for the smaller tube.

My vet is gifted, so it won't be long. I think last time it took 20 minute, 15 minutes. I'll ask about intubation, but I doubt they'll use it. This is a quick procedure. Light anesthesia, and I'm hydrating TiTi a lot tonight.

She's not to have any food or water after midnight, but no problem there - lactated ringers can solve that one. I'm starting her cerenia tonight, and my vet added some anti-inflamatories to the ringers.I am wondering if we should skip the morning dose?

 

[julie & punkin (ga)]

Wait, earlier you said

Her appetite is still good, she is re-hydrated, but cannot eat anything after 8 tonight,

and now you just said

She's not to have any food or water after midnight,

Which one is it? It makes a difference in the insulin dose tonight because if you cannot feed to deal with low numbers if they occur, it could be a problem.

Has Titi had any kind of heart evaluation/testing done?

 

[Kathy and TiTi]

What exactly is done when a colon evacuation is preformed?
How long will she be under and what type of anesthesia will they be using?

Did the vet give any instructions regarding insulin?

ECID but in general anesthesia gobbles up BG. Black Kitty is an example.
The night before his first dental my BK had his normal 13u Lantus (the PMPS was 349).
He got to the vet at PM+10 and his BG was 156. The AM shot was skipped.
When the surgery was complete at +14, he tested 30 (on an AT). The dental specialist brought him up with babyfood.
When I got him home at +17.5 and he tested at 77.

Then perhaps she'll need her morning shot. Problem is that it will hit her before I can get any food into her. I don't know how many surgeries my vet has tomorrow. So I don't know where TiTI is on her schedule

 

[Sandy and Black Kitty]

Isn't 8pm before PMPS?

 

[julie & punkin (ga)]

How long ago was this procedure last done? I know you said she's had it done before - were you hometesting then? Is it on the spreadsheet, by chance? It would be good to know what happened before so you have an idea of what might happen this time.

 

[Kathy and TiTi]

Wait, earlier you said


and now you just said



Which one is it? It makes a difference in the insulin dose tonight because if you cannot feed to deal with low numbers if they occur, it could be a problem.

Has Titi had any kind of heart evaluation/testing done?

just remembered that my vet told me once, in confidence, that there should be no food after 8, 9, 10 pm, but water is fine.Vet techs always say nothing after 8pm, but it's not so.

My answer varied, because I was parroting the tech. But I'm going to play it safe, because I don't know where TiTi is on her operating schedule.

 

[Kathy and TiTi]

Isn't 8pm before PMPS?

Yes.
I am not as precise as I need to be because I need sleep. Sorry. AMPS and PMPS are 8:30. Food until 9 is not a problem. I just must let the vet know she last ate at 9, 10 whatever.

 

[julie & punkin (ga)]

If she is flirting with ketones, she needs insulin, food and water.

What does the subject line mean?

Ketones .9 & late .5​

Does that mean that you tested twice for ketones and the first test was .9 and the second test was .5?

Just trying to get the picture clear so we can help you. It is a concern to have ketones showing up at the same time that you need to withhold food and reduce insulin for tomorrow morning. Ketones can go from trace to large in a matter of hours, and anything over trace has the potential to quickly become a crisis.

 

[Kathy and TiTi]

How long ago was this procedure last done? I know you said she's had it done before - were you hometesting then? Is it on the spreadsheet, by chance? It would be good to know what happened before so you have an idea of what might happen this time.

I have few records from the 2 surgeries for the same problem. It was before I measured anything. But she certainly had diabetes at the time.
She came home a few hours after surgery and ate a lot, with no problems. I've no idea what her BG was, because I was not measuring it then.
Both times the surgery was very short, the anesthesia light and TiTi was on I think the pain med is Budedprin? It's a narcotic, but it did nothing to diminish her appetite, which was hearty.

 

[Kathy and TiTi]

If she is flirting with ketones, she needs insulin, food and water.

What does the subject line mean?

Ketones .9 & late .5​

Does that mean that you tested twice for ketones and the first test was .9 and the second test was .5?

Just trying to get the picture clear so we can help you. It is a concern to have ketones showing up at the same time that you need to withhold food and reduce insulin for tomorrow morning. Ketones can go from trace to large in a matter of hours, and anything over trace has the potential to quickly become a crisis.

Yes, the times are noted in my SS comments. She's had trace ketones every time I've measured. .3 was the last time.

 

[Kathy and TiTi]

Yes, the times are noted in my SS comments. She's had trace ketones every time I've measured. .3 was the last time.

I'm off to shop supplies and food now. Got to get there before the stores close. During the last 2 surgeries, TiTI was on dry food and something between 8-10 units insulin.

 

[julie & punkin (ga)]

Can you check in here before you shoot tonight? Just in case anyone has questions or a suggestion about dose changes.

 

[Jill & Alex (GA)]

Ketones (measured by a blood meter) .9 and at +6 Kerones .5

If Kathy is using a blood ketone meter, readings of .9 and .5 are not a concern.

The latest published research/studies in cats indicate ketones will begin to show up at readings of 2.4 and 2.55 on a blood ketone meter:

Measurement of ketones - Weingart_J VET Diagn Invest-2012(1).pdf
Measuring ketones - JSAP_Zeugswetter - 2012.pdf

 

[Dan & Alley]

If Kathy is using a blood ketone meter, readings of .9 and .5 are not a concern.

The latest published research/studies in cats indicate ketones will begin to show up at readings of 2.4 and 2.55 on a blood ketone meter:

Measurement of ketones - Weingart_J VET Diagn Invest-2012(1).pdf
Measuring ketones - JSAP_Zeugswetter - 2012.pdf

I also found 2.4 as the blood ketone meter number where it's time to start worrying. I'm glad our numbers agree. I didn't want to send the meter to Kathy without also giving her some information on how to interpret the results.

 

[Sandy and Black Kitty]

Kathy,

Julie and I have been discussing and all things considered, as long as she will eat a shot time meal, we feel a reduced dose of 5u may be best for tonights shot.
That way there will be some insulin on board but likely not so much that you would have to be concerned with using food to steer.
(and the depot will be less p****d off after all is said and done)

What do you think?

 

[Kathy and TiTi]

I also found 2.4 as the blood ketone meter number where it's time to start worrying. I'm glad our numbers agree. I didn't want to send the meter to Kathy without also giving her some information on how to interpret the results.

 

[Kathy and TiTi]

Kathy,

Julie and I have been discussing and all things considered, as long as she will eat a shot time meal, we feel a reduced dose of 5u may be best for tonights shot.
That way there will be some insulin on board but likely not so much that you would have to be concerned with using food to steer.
(and the depot will be less p****d off after all is said and done)

What do you think?

Well, drat and dang. I already shot 8.5

 

[Kathy and TiTi]

Well, drat and dang. I already shot 8.5

and an hour late. for the shot.

 

[Kathy and TiTi]

and an hour late. for the shot.

at PMPS303 , it seemed ok to shoot.

 

[Kathy and TiTi]

Can you check in here before you shoot tonight? Just in case anyone has questions or a suggestion about dose changes.

I missed this one, too.

She's had no trouble eating after either surgery, and the only thing that's doped her up was the opiate for pain. Didn't touch her appetite, and I'll be on hand with lactated ringers.

What I need to know is about tomorrow morning's shot.
Yes, no, skip, later?

I've no idea if she's bouncing or not, but if not bouncing, then she's slowly but surely inching into high numbers. For all any of us know, she'll stay there.

Like someone said, she's a weird kitty, probably because she's had this for 2 years already. I suspect a lot of her pancreas is dead and useless tissue by now, and that might affect these weird readings. We found you very late in the game. We may well have found you when coming to the end game; I don't know. But I have to assume that 2 years of crappy care has had some sort of permanent affect on her organs that may have to do with some of her unexpected results. If I ever get enough sleep, I'll fill in the lab reports for her 2 years of full panels. That may help us understand her better. I can't imagine that it won't

 

[Kathy and TiTi]

`

If she is flirting with ketones, she needs insulin, food and water.

What does the subject line mean?

Ketones .9 & late .5​

Does that mean that you tested twice for ketones and the first test was .9 and the second test was .5?

Just trying to get the picture clear so we can help you. It is a concern to have ketones showing up at the same time that you need to withhold food and reduce insulin for tomorrow morning. Ketones can go from trace to large in a matter of hours, and anything over trace has the potential to quickly become a crisis.

Yes it does, I thought I hit the r for "later", but I see that I did not.
I'm glad to see we cleared up the ketones question. I decided to test daily now, because high numbers are returning.

 

[Kathy and TiTi]

`


Yes it does, I thought I hit the r for "later", but I see that I did not.
I'm glad to see we cleared up the ketones question. I decided to test daily now, because high numbers are returning.

No no heart evaluation, beyond the usual exams. SHE's had x-rays, however, and her heart is of normal size. Nothing in her blood panels suggests problems, but she's never had a cardiogram or any other specialized test. She has never panted nor seemed in pain from exertion.

 

[Kathy and TiTi]

And if I don't shoot, when do I shoot next?
Kathy, TiTi's mum needs ta' know.

 

[Sandy and Black Kitty]

I strongly recommend a +2

What I need to know is about tomorrow morning's shot.

I would skip, however see what other opinions are on that as well.

I've no idea if she's bouncing or not, but if not bouncing, then she's slowly but surely inching into high numbers.

I think it just a case of a p****d off depot. Once you get a 3 or 4 cycle run of all the same dose under your belt it should settle down. Assuming she is not still over dose.

For all any of us know, she'll stay there

I very much doubt she will stay there.

Like someone said, she's a weird kitty, probably because she's had this for 2 years already. I suspect a lot of her pancreas is dead and useless tissue by now, and that might affect these weird readings. We found you very late in the game.

BK was a born and bred neighborhood stray, about 5 years old when we took him in, and looked like he was at deaths door. I got him straight into a vet that same afternoon. He tested positive for FIV, had a URI and conjunctivitis. The next day we got a call about the BW - he was diabetic. We landed here shortly after dx.

How long had he been diabetic? No way to know.
What I do know is that BK did not see green for 6 months.Not one stinking cell, When he finally did it lasted about 3 hours and did not return for another 6 weeks. He did not taste HC the entire 1st year.
Oh and about 9 months in and ever increasing doses, after testing negative for Acro and Cushings, as a last ditch attempt to find out why the high doses, we had him tested for something no one had ever tested for - IAA. He was the first LL kitty to test for it, and it was a srong positive 84% - extreme insulin resistance.

To say he had his ups and downs would be an understatement. Click on the pic for graphic month by month representation of his (average) total daily dose, for the entire 21 months he was on insulin.

He was THE LAST cat anyone, myself included, thought would be regulated much less go OTJ. Yet...after 21 months - OTJ he went and he stayed that way for 6 1/2 years, until he crossed the bridge this past April.

It just goes to show - you just never know.

 

[Kathy and TiTi]

I strongly recommend a +2


I would skip, however see what other opinions are on that as well.
I think it just a case of a p****d off depot. Once you get a 3 or 4 cycle run of all the same dose under your belt it should settle down. Assuming she is not still over dose.

I very much doubt she will stay there.

BK was a born and bred neighborhood stray, about 5 years old when we took him in, and looked like he was at deaths door. I got him straight into a vet that same afternoon. He tested positive for FIV, had a URI and conjunctivitis. The next day we got a call about the BW - he was diabetic. We landed here shortly after dx.

How long had he been diabetic? No way to know.
What I do know is that BK did not see green for 6 months.Not one stinking cell, When he finally did it lasted about 3 hours and did not return for another 6 weeks. He did not taste HC the entire 1st year.
Oh and about 9 months in and ever increasing doses, after testing negative for Acro and Cushings, as a last ditch attempt to find out why the high doses, we had him tested for something no one had ever tested for - IAA. He was the first LL kitty to test for it, and it was a srong positive 84% - extreme insulin resistance.

To say he had his ups and downs would be an understatement. Click on the pic for graphic month by month representation of his (average) total daily dose, for the entire 21 months he was on insulin.

He was THE LAST cat anyone, myself included, thought would be regulated much less go OTJ. Yet...after 21 months - OTJ he went and he stayed that way for 6 1/2 years, until he crossed the bridge this past April.

It just goes to show - you just never know.



View attachment 21326

I strongly recommend a +2


I would skip, however see what other opinions are on that as well.
I think it just a case of a p****d off depot. Once you get a 3 or 4 cycle run of all the same dose under your belt it should settle down. Assuming she is not still over dose.

I very much doubt she will stay there.

BK was a born and bred neighborhood stray, about 5 years old when we took him in, and looked like he was at deaths door. I got him straight into a vet that same afternoon. He tested positive for FIV, had a URI and conjunctivitis. The next day we got a call about the BW - he was diabetic. We landed here shortly after dx.

How long had he been diabetic? No way to know.
What I do know is that BK did not see green for 6 months.Not one stinking cell, When he finally did it lasted about 3 hours and did not return for another 6 weeks. He did not taste HC the entire 1st year.
Oh and about 9 months in and ever increasing doses, after testing negative for Acro and Cushings, as a last ditch attempt to find out why the high doses, we had him tested for something no one had ever tested for - IAA. He was the first LL kitty to test for it, and it was a srong positive 84% - extreme insulin resistance.

To say he had his ups and downs would be an understatement. Click on the pic for graphic month by month representation of his (average) total daily dose, for the entire 21 months he was on insulin.

He was THE LAST cat anyone, myself included, thought would be regulated much less go OTJ. Yet...after 21 months - OTJ he went and he stayed that way for 6 1/2 years, until he crossed the bridge this past April.

It just goes to show - you just never know.

Now that was ONE TUFF KITTY.
And that's an astonishing graph. Like he climbed Mount Everest.

I'm gonna go fortify TTi with some extra fluids. and remove all hidden scraps of food.
She ate until 10pm, and ate a lot, so that's helpful, and the first cerenia is in her = 1/2 a tab, and her subq has some booster for anti-nausea and inflammation, so she should be in good shape for tomorrow.

She's sailed thru 2 of these, and not very long ago. What my vet and I worked out is that the better her BG values, the less water she drinks. That is not so good for her intestinal tract , which has become used to all that water. The other 2 times this happened were also periods of great improvement in her health, times when she began drinking and peeing normally. So much of maintaining health obeys this principle of balance.


View attachment 21326

 

[julie & punkin (ga)]

I'm going to pull out your comments from the quote above so they don't get lost:

Now that was ONE TUFF KITTY.
And that's an astonishing graph. Like he climbed Mount Everest.

I'm gonna go fortify TTi with some extra fluids. and remove all hidden scraps of food.
She ate until 10pm, and ate a lot, so that's helpful, and the first cerenia is in her = 1/2 a tab, and her subq has some booster for anti-nausea and inflammation, so she should be in good shape for tomorrow.

She's sailed thru 2 of these, and not very long ago. What my vet and I worked out is that the better her BG values, the less water she drinks. That is not so good for her intestinal tract , which has become used to all that water. The other 2 times this happened were also periods of great improvement in her health, times when she began drinking and peeing normally. So much of maintaining health obeys this principle of balance.​

I think skipping the shot in the morning is also a good idea. Did your vet give you instructions on what to do in the morning? He should have told you what to do about the dose.

Have you read information on feline constipation? Elise (@tiffmaxee) knows a lot about it and I think can steer you to some good information. There is also one thread I've got bookmarked on the topic. Many cats have problems with constipation. Canned pumpkin (not pumpkin pie filling, just canned pumpkin) can help as a first step in treating constipation.

Cats with acromegaly often have mega-colons. Punkin didn't have the kind of constipation issues you are having with Titi, but he had child-sized stools rather than cat-sized. The acro growth hormones make the colon (and other soft tissue) grow. He also snored from excess tissue in his airways.

 

[julie & punkin (ga)]

I meant to also say that it's not uncommon for people to miss posts when there is a lot going on. It helps to refresh your browser - that little icon that looks like a circle combined with an arrow that's right up there by the www.felinediabetes.com address. When I was posting daily for punkin, I regularly scrolled back up the thread to make sure I'd seen all the comments.

One more tip - at the top right of this page you'll find "watch thread." If you click on that, you can choose to get emails notifying you when someone has posted on this thread. You can do that every day if you want, so you'll get an email telling you each time there is a comment. That can also help to not miss things.

I'm going to ask Marje (@Marje and Gracie ) to add 2 columns to your spreadsheet, right next to the dosing column to record the time of the shot. I think that'll help all of us immensely, especially tracking the time when the shots are delayed or skipped. The shot timing is important and I think this'll be a helpful.

 

[Kathy and TiTi]

I'm going to pull out your comments from the quote above so they don't get lost:

Now that was ONE TUFF KITTY.
And that's an astonishing graph. Like he climbed Mount Everest.

I'm gonna go fortify TTi with some extra fluids. and remove all hidden scraps of food.
She ate until 10pm, and ate a lot, so that's helpful, and the first cerenia is in her = 1/2 a tab, and her subq has some booster for anti-nausea and inflammation, so she should be in good shape for tomorrow.

She's sailed thru 2 of these, and not very long ago. What my vet and I worked out is that the better her BG values, the less water she drinks. That is not so good for her intestinal tract , which has become used to all that water. The other 2 times this happened were also periods of great improvement in her health, times when she began drinking and peeing normally. So much of maintaining health obeys this principle of balance.​

I think skipping the shot in the morning is also a good idea. Did your vet give you instructions on what to do in the morning? He should have told you what to do about the dose.

Have you read information on feline constipation? Elise (@tiffmaxee) knows a lot about it and I think can steer you to some good information. There is also one thread I've got bookmarked on the topic. Many cats have problems with constipation. Canned pumpkin (not pumpkin pie filling, just canned pumpkin) can help as a first step in treating constipation.

Cats with acromegaly often have mega-colons. Punkin didn't have the kind of constipation issues you are having with Titi, but he had child-sized stools rather than cat-sized. The acro growth hormones make the colon (and other soft tissue) grow. He also snored from excess tissue in his nasal passages

She hasn't got megacolon - My vet's been inside his colon and had it x-rayed, and it's not mega colon.
She won't eat pumpkin, but the other cats love it. And it does recur only, when she drinks less water. 3 times now-it takes a while for it to build up, but that's exactly what it does. My vet wanted to put her on a special food with high fiber, but she did not know what the protein content was, and I think some of it was dried food.
SHe also overeats...big time...add that to an inefficient intestinal motility, forget it. I think some probiotic therapy is in order. I'l read Elena's work for sure. Meanwhile, extra h2o and the mild fiber addition worked before. I stopped using it. Though she was ok.

 

[Kathy and TiTi]

Thank you.

Okay, no one else has mixed in, so no shot tomorrow. We'll wing it. But I'll test in the morning and if it is way high, I think the 5units might be a good move.
Otherwise I'll test when she gets home, and we can figure it out from there. Never rains,m but it pours.

 

[tiffmaxee]

A good place to read up on constipation is at felineconstipation.org. There is a yahoo group addressing megacolon as well. I've never experienced having a cat with it but Max gets very dry stool from ondansetron and now from CKD so he gets Miralax twice a day. I add a lot of water to his food too.

 

[Gill & George]

Kathy just seeing this as I get my coffee this morning, sending vines for TiTi

 

[Kathy and TiTi]

A good place to read up on constipation is at felineconstipation.org. There is a yahoo group addressing megacolon as well. I've never experienced having a cat with it but Max gets very dry stool from ondansetron and now from CKD so he gets Miralax twice a day. I add a lot of water to his food too.

I have gone back to using Miralax. It really works well, for constipation. Thank for the contipation link. I'll use it.
CDK used to be CRF - Chronic Renal Disease. It's a toughie, and also has an extremely good Yahoo group that helps you out with it.

My cat, TiTi does not have megacolon. It's a very specific disease, with specific symptoms, one of which is constipation - that is the only symptom TiTi shares.

It's difficult when so many people tell me how to cure TiTI's megacolon, which she does not have. She has plenty pf problems, let's not curse her with one more. Lol.

 

[Kathy and TiTi]

I meant to also say that it's not uncommon for people to miss posts when there is a lot going on. It helps to refresh your browser - that little icon that looks like a circle combined with an arrow that's right up there by the www.felinediabetes.com address. When I was posting daily for punkin, I regularly scrolled back up the thread to make sure I'd seen all the comments.

One more tip - at the top right of this page you'll find "watch thread." If you click on that, you can choose to get emails notifying you when someone has posted on this thread. You can do that every day if you want, so you'll get an email telling you each time there is a comment. That can also help to not miss things.

I'm going to ask Marje (@Marje and Gracie ) to add 2 columns to your spreadsheet, right next to the dosing column to record the time of the shot. I think that'll help all of us immensely, especially tracking the time when the shots are delayed or skipped. The shot timing is important and I think this'll be a helpful.

That new column will be a very big help. Yes, I do get the emails. and I refresh as well. The biggest problem now is that so many people, who are of great help, ask me a question I've already answered at length. It's difficult to find my answer and cut and paste it, so I often find myself writing the same thing over and over.

Scrolling back up is a good idea. I know I've missed posts, and I do not like that at all.

 

[Kathy and TiTi]

Kathy just seeing this as I get my coffee this morning, sending vines for TiTi

Thank you. Sure do wish the vet would call.