once she is done eating and walks away, that is her signal I am done, so I do pick up, her food dish.... normally, she wont go back and eat food that has been sitting out. Fri (8/19) her AMPS was 289 and the PMPS was 268, I was very happy to see those numbers. I was also confused about do I give her insulin or not. Thought about 1/2 unit, not sure about that either, so did not give her insulin, knowing she would pay for it Sat morn, which she did, 594.
I was expecting her evening numbers to be going up and not down, & thought if I give her insulin will that drop her into a hypo state, don't need that. This time I left her bowl of food out wanting her to eat more before going to bed. I wanted to re-check her BG at around 4 am just to see where it was going, but I totally forgot about the food, and of course there she was at 4 am eating.
On the last BG curve I did with those high numbers, I went back over all my notes about her food, how she was feeling, walking, what if any thing did she eat differently, nothing. Then I was wondering if I was not giving her insulin correctly. Shorty after that is when the vet checked her blood and the BUN levels were high and started the sub q fluids. I am wondering if not feeling good because of this high BUN level that might have had something to do with it. Sure the vet will run the test again when she is done with this bag of fluids. Maybe now too, if her BG levels come down the fluids are helping to clear her kidneys of the toxins. (she started fluids on Mon, 15th).
Nayeli has had other health issues in the past three years off and on. Her BG levels usually showed in the normal range, but towards the high end, never told to keep an eye on that. The vet would think maybe it is this, run tests, nope everything returns normal values, well it could be IBD, so treating her for that with budesonide, not now any more. She would also run high white blood cell counts, never could find a reason to explain that one. The answer to most of the problems from the vet was to give dexamethasone, which she had been receiving off and on since 2013. I believe the lack of information on my part and the vet about long term use of these med's, the budesonide and dexamethasone are why she is a diabetic today.
The beginning of 2016 she slipped off the bed and down onto a tile floor, could not move for a short time, helped her up and it ws like she walked it off. Day or so later I noticed she was walking like she was drunk or dizzy. Went to the vet, I believe these blood test came back in normal range, however they checked her blood pressure it was very high, so started the blood pressure medicine. The weak hind legs problem has never gone away. From day to day it changes a little as to the difficulty she has in walking, getting up, standing to eat, in and out of litter pan.
I do have some light at the end of the tunnel, because I do see parts of her personality coming back out, trying to wash herself after eating, not sleeping in the closet or box all the time, awake for longer periods of time. Activity level is not there yet. Her movements are to come and let me know she is hungry, eat, drink, litter box and back to lay down. She will lay in the bedroom doorway, and then she can see what is going on. Just not back to the point of wanting to sit up on the couch again with me or sleep with me. Sorry about going on, I just would like to see more of that little girl come back out to me. I had one other vet beside her current vet that thought she should be put down.
Questions: what is the sliding scale for insulin and when giving her insulin is there a certain window of time it needs to be given before you should just let it pass and not give the shot? Sometimes when I have to take her in to the vet and because of the time they open I have to give her shot almost two hours earlier. Vet is like an hour away.
