All that stress would have increased BG levels at the vets. I've no idea how long they might take to come down again but there is the possibility of a stress influence on that PMPS number.
WBC was consistently low from July -August...around 2 instead of 5....holistic vet recommended giving colostrum to guard immune system....have been hit and miss at that with everything else going on...another point to bring up tomorrow....Beth a low WBC can be indicative of many things and one of them is an infection which is totally counter intuitive. How much lower than normal was it?
Did you by any chance tell him he was going to the vet? More white coat syndrome?
I know, Linda, for realBeth a low WBC can be indicative of many things and one of them is an infection which is totally counter intuitive. How much lower than normal was it?
Did you by any chance tell him he was going to the vet? More white coat syndrome?
......he rides like a dream( good since new vet is 45 min drive one way)..my two civvies holler the whole way then purr and roll around once there....go figure
Thot about that too, Mogs. He seems relaxed, just ate full half can as usual
While it would be much more fun to do it in person, you know we'll do it with you virtually if it becomes necessary! I'm still betting it won't be!
I agree.I say NIX on the PJ party but yes to the full methmazole dose and .25u minus full drop. I doubt the methmazole is gonna "click in" quite that fast but I have to admit I've been bluffed by kitties before!
While it would be much more fun to do it in person, you know we'll do it with you virtually if it becomes necessary! I'm still betting it won't be!
You're just coming in to land after all the build up to today's consult - and all the excitement at the great result!I am sorry but I am brain numbed right now...
Ain't that the truth, dear Mogs. This ole gal is in her pjs ,curled up with 3browm tabby kittiesYou're just coming in to land after all the build up to today's consult - and all the excitement at the great result!
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. Praying ur night is peaceful and sweet Noodlebug's GI tract stays calm and at rest
Thank u, oh lady of Versailles
Forgot to update ye all: we've had solid, healthy-odoured poops since Thursday night! The bit of Smilla food in with her home-cooked chicken made a difference in less than 72 hours.
You say some very powerful prayers, Beth; thank you from both of us!
Oh My Goodness !!!! What a praise report!!! Elmo and I will keep it upForgot to update ye all: we've had solid, healthy-odoured poops since Thursday night! The bit of Smilla food in with her home-cooked chicken made a difference in less than 72 hours.
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. I am so glad for you !!! Makes my heart happy !!!!
Oh,Linda, what a blessing to have a vet like that. I experience similar things when I take my 94 yr old momma for checkups. Love it when they say"well she is 94 years old" . I've replied that I am fully aware of my mom's age and what does that have to do with it, like she has an expiration date! I may not have their intelligence and advanced degrees but I have good ole common sense. I respect them but do not worship them and believe them beyond being questioned. I'm sure they love seeing the back of my head each time !Beth, your job as a pet parent is to be an advocate for Elmo and if your vet doesn't like that, so be it.
I was once summarily dismissed from my Mother's doctor's office and told never to come back because I argued with him about the difference between "guidelines" and "rules/regulations" regarding her BP. She was in a retirement home where her BP was checked daily and if she sneezed twice in a row, they wanted her to see her doctor, so I knew if her BP got out of control, I'd hear about it immediately. He still insisted that he wouldn't write any more scripts for her BP meds unless she visited every 3 months. This was no easy feat and royally expensive for a woman with major mobility issues. The stupidity of it all was that he then had the audacity to try to collect money for transferring her medical records to a new GP when he knew full well, she could not get to his office without me. Needless to say I never paid the bill.
I get into some rip roaring good discussions with my vet because Menace is such a rarity to her that she doesn't even attempt to tell me how to deal with her diabetes. She in fact has emailed me for info saying I've done a lot of research she just doesn't have time to do. I love my vet and often wish she looked after us humans too!
Amen! Preach it , sista! You take care of your momma too so you have first hand experience !! We are all a hand full, huh?!? Ain't it fun !!!!
Oh that's good !One of my brothers refers to M.D.s as "medical deities" with a note of scorn in his voice ...
I'd be interested in this....could you share her contact info? Also, is she expensive for a consultation?
I have a thyroid condition. I am not sure if the thyroid meds metabolize the same in cats as they do in humans, but FWIW...it takes weeks (up to 6 weeks) for thyroid meds and dose changes to take full effect in humans. So says my endocrinologist.
My kitty is also on vestulin and we are still slowing figuring it out and trying to get him regulated. What is a normal healthy drop in BG in +1.5 on vestulin for a regulated kitty? Again, I understand we are not there yet and Ozzy is early on, just wondering what 'normal' looks like. Thanks! Sorry I'm spocking your tread Beth!
Hi Momma of Ozzy...I'm sorry if I've missed your human name
....anywho, holistic vet website is drpatbradley.com ...it is a bit pricey(to me) at $60 for one hour consultation. That's why I only use her for the complicated or for specific homeopathic remedy situations. I have called her for years and have learned a lot to where now I can treat simple stuff on my own. She loves it when I call and say "well I tried such and so first"...feels like she is kinda training clients in simple homeopathy. As far as Elmo's +1.5 drop it is now usually 50 points at least. More experienced members could let you know what it should be. Elmo just drops like a rock, stays low for a few hours in healing numbers then goes back up around +8 or 9. That's why we r in process of switching to Lantus,although it is requiring me to switch vets too. Vetsulin worked for a while but was not the insulin that was going to give us a shot at remission. We really currently on .25 minus a drop and it still drops him like a rock. Hope that helps !
Good to know...had a thyroid kitty few years back but couldn't remember
It's Joanna...
Ah! I see he's met my brother ...One of my brothers refers to M.D.s as "medical deities" with a note of scorn in his voice ...
Actually, $60 for a 1 hour consult on the phone is not bad at all. You can exchange a lot of info in that time. Look at what we pay for in clinic vet visits that might only be 15 minutes. Sounds like you've been able to get a lot of help from her, Beth.Hi Momma of Ozzy...I'm sorry if I've missed your human name
Hi Joanna... I do so help Elmo and my journey can help you and Ozzy. That would thrill my heartIt's Joanna...
Saw all your replies above. Thanks. I'm curious to see what happens with your sweet Elmo once he switches to Lantus. Will be following your posts. I am just a few months behind you on diagnosis so seeing what you are going through may be a look into my future (vestulin here too). I know all kitties are different, but it gives me some sort of real life reference point if that makes sense.
I am learning a lot here and the members have been so wonderful.
I have to admit that this site is somewhat of a new obsession for me. All the info you need to know about your diabetic pet in one place with tons of experts. How great is that!!?
This cracks me up! Two of my brothers, including the one who made the medical deities comment, are PhDs but don't seem to have the need to fling it in anyone's face ...
Very true, Kris...I always make sure I have definite points I'm covering written down and fax those points plus relevant records to her. In process of doing that this morning for this afternoons phone appointment . She really is amazing.
That's awesome...like anything , it's good to not paint all with a large brushThis cracks me up! Two of my brothers, including the one who made the medical deities comment, are PhDs but don't seem to have the need to fling it in anyone's face ...
The drop varies based on the overall BG range at the time, the dose, what has been eaten and, of course, the cat. Following the BG data helps to determine how an individual cat responds to the particular insulin being used. For example, given the same dose, same BG range, and same feeding, a cat who tends to metabolize insulin quickly may show a larger drop at +1.5 than a cat who metabolizes it more gradually. Also for the same cat on the same dose of Vetsulin but looked at over two days you might see a situation where one day there's an unusually high preshot BG. The same dose that drops the cat from a 'typical' PS BG to its current 'typical' mid-cycle level could also drop the unusually high PS BG to the same 'typical' mid-cycle level (i.e. a larger drop in BG is observed for the same dose in the second case). For example from Elmo's data:
It's very much a case of ECID although the action profile of the insulin being used can give a rough idea of what is statistically likely to be the 'style' of response. This is where the spreadsheets come in: as more data is gathered for a kitty it helps to reveal the pattern of that kitty's individual response to that particular insulin.
That, in my book, makes him a great vet. He works for his patients' best interests and finds ways to help them when more specialist knowledge is needed.
Oh, dear Mogs..I am so so sorry..All we can do is what we know at the time. There are so many instances with my kitties that I could look back at and beat myself up. I work very hard at not doing that for it can weaken me physically , emotionally and mentally. We do the best we can with what we know at that moment. You were and are an extraordinary kitty Momma....just look at ur Noodler....u r like a bull dog with a bone, determined to get her little GI tract operating as it was created to function. Your devotion is amazing .That, in my book, makes him a great vet. He works for his patients' best interests and finds ways to help them when more specialist knowledge is needed.
I wish I had had your vet last year when I was seeking to restart Saoirse's Lantus treatment. Even though her BG was in the normal range (the higher end) various of her clinical signs disimproved when insulin support was withdrawn. A so-called diabetes specialist at a referral centre blocked any chance of my getting an Rx to reinstate her treatment. (Her opinion took legal precedence so our own vets had their hands tied.) Lack of that little droplet of basal insulin put strain on her little pancreas which could have been safely and straightforwardly avoided. Saoirse might not had to go through eye surgery. She might still physically be here ...
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....I do usually check at +1.5 then +4 or so it more depending o. +1.5.....I am sorry but I am brain numbed right now...