? 1/8 Bubby, questions about upcoming dental

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LisaStew

LisaStew

Member Since 2016
Bubby is finally going to have his dental this Wednesday. It is long overdue but in the past his health hasn't been quite as well as it is now. Everything seems right, his numbers are pretty good right now, and bonus the vet is having a January dental special. My biggest question is about his PM shot, we shoot at 11 AM and 11PM. So with no food to be given after 10 PM (I believe this will be very difficult) should I skip his PM shot and AM as he will probably still be at the vet? Any other advice is appreciated. I am a little concerned as he gets all his water from his food that he may get dehydrated but maybe that's shouldn't be a concern. TIA for all your help. I don't use the FDMB much anymore but I got so much help here early on that I knew I could get some answers here.
 
hi there most vets will instruct the morning of to either skip the insulin or to do 1/2 of the dose but, Bubby will be there all ready at shot time so you will no doubt be skipping the morning of . As far as the night before, since he can't have food after midnight it does make for a probem if you should have to steer him with food if he were to go too low. maybe what woud be a good idea would be to reduce him by a .25 the day before so the depot can drain some and you won't have to worry about him going hypo on you the night before dental. He might run a little higher but after he recovers from the dental you can get him back. And sometimes after the dental and they heal their numbers come after inflammation from tartar and or a bad tooth is removed.
 
Thanks for the input. So you are suggesting to decrease from 1.25 to 1 for both doses on Tuesday ( the PM dose would be after the food is cut off ) but to go ahead and shoot even though he can't eat anything?
 
[QUOTE="Bobbie And Bubba, post: 1865247, member: 12895. As far as the night before, since he can't have food after midnight it does make for a probem if you should have to steer him with food if he were to go too low. [/QUOTE]

As far as the food is concerned, the receptionist at the vet gave me a sheet that said no food after 10PM. Should this be different for diabetics as you say midnight, or does the time just vary by vets?
 
When Boomer had his dental I shot the night before because vet allowed him to eat until 5:00 am. My vet told me it was the protocol for diabetic patients. Boomer was only receiving .1 at the time. The vet told me to shoot half a dose the morning of the dental but I said no if he couldn't eat I would be skipping the shot.
The anesthetic can make their numbers go low and the anesthetic can last for 24 hours so I would hesitate to shoot that evening but Boomer's numbers were pretty low to begin with so we couldn't take the chance that the anesthetic would take them much lower. Also, it may take a while for Bubby to regain his appetite so I wouldn't give insulin until he is eating normally.
Your vet should give you some bupe to make Bubby more comfy. Someone suggested to me to have some baby food on hand in case there is a lack of appetite afterwards but I found that Boomer ate just fine after both dentals even when there were extractions.

You can always post here and members can help you depending on his levels and his appetite!

Good luck Bubby!
 
@LisaStew
Thank you for posting this. Gizmo needs to get in for cleaning and I have been procrastinating. He has no issues that either I or the vet can tell but I am so nervous about it.

My vet is also running 15% off through 03/10 so I have a bit of time. I will be watching this thread.

:bighug:
 
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LisaStew said:
[QUOTE="Bobbie And Bubba, post: 1865247, member: 12895. As far as the night before, since he can't have food after midnight it does make for a probem if you should have to steer him with food if he were to go too low.
Click to expand...

As far as the food is concerned, the receptionist at the vet gave me a sheet that said no food after 10PM. Should this be different for diabetics as you say midnight, or does the time just vary by vets?[/QUOTE]
that's a good question as I have seen different instructions from different vets Do you know what time the dental is schedule for? And is Bubby on LC wet food because that does make a difference from cats that are on dry kibble as the wet is metabolized faster and is in/out unlike the dry.


ETA : I just read your signature and see that you are giving LC wet.
 
Hi Lisa, good to hear from you.:)
LisaStew said:
As far as the food is concerned, the receptionist at the vet gave me a sheet that said no food after 10PM. Should this be different for diabetics as you say midnight, or does the time just vary by vets?
Click to expand...
Call the vet and ask. They will expect certain procedures to be followed so you need to do that. It will also depend when in the day the vet will be doing the dental. Neko went to a dental specialist. The receptionist first told me no food after midnight. when I reminded her that Neko was diabetic, the instructions changed to 1/3 of her breakfast up to 6:00 AM. I've also had some vets say no food after midnight before anesthesia, in spite of her being a diabetic. EVID. Each Vet is Different, but newer anethesia protocols for diabetics to allow for later feeding. Just depends what the vet is doing.
Judy and Boomer said:
The anesthetic can make their numbers go low and the anesthetic can last for 24 hours so I would hesitate to shoot that evening
Click to expand...
Again, this depends. Some anesthesia induction drugs lower the BG's, some don't. Depends again what the vet is using. It's best to test when Bubby gets home after the dental, then test again at PMPS, so you know whether he's going down or not. Also when he gets home, only small meals (maybe 1 tsp) at least 20 minutes apart. Anesthesia also is harder on the digestive system. And the smaller meals will also tell you how willing he will be to eat his dinner. Use that knowledge to decide whether you shoot that night. I've seen kitties post anesthesia dropping into PMPS, get their shot, then their peeps find out they don't want to eat. I never had that issue with Neko. Always good appy and the majority of time the anesthesia induction drug used on her did not lower BGs.
 
Bobbie And Bubba said:
As far as the food is concerned, the receptionist at the vet gave me a sheet that said no food after 10PM. Should this be different for diabetics as you say midnight, or does the time just vary by vets?
Click to expand...
that's a good question as I have seen different instructions from different vets Do you know what time the dental is schedule for? And is Bubby on LC wet food because that does make a difference from cats that are on dry kibble as the wet is metabolized faster and is in/out unlike the dry.


ETA : I just read your signature and see that you are giving LC wet.[/QUOTE]

Bubby is on low carb wet food. We are currently feeding Ziwi peek venison mixed with Iams tuna topia. His dental is for around 8:30. We are due at the vet at 8 then as soon as the blood work is checked and cleared he will be the first patient. They are allowing me to wait with him in a room until they are ready to start as he sometimes has asthma flare ups when he is stressed. They also said I could come back and sit with him after the procedure while he is waking up. I am very pleased at these allowances as it will help us both be less stressed.
 
Wendy&Neko said:
Hi Lisa, good to hear from you.:)

Call the vet and ask. They will expect certain procedures to be followed so you need to do that. It will also depend when in the day the vet will be doing the dental. Neko went to a dental specialist. The receptionist first told me no food after midnight. when I reminded her that Neko was diabetic, the instructions changed to 1/3 of her breakfast up to 6:00 AM. I've also had some vets say no food after midnight before anesthesia, in spite of her being a diabetic. EVID. Each Vet is Different, but newer anethesia protocols for diabetics to allow for later feeding. Just depends what the vet is doing.

Again, this depends. Some anesthesia induction drugs lower the BG's, some don't. Depends again what the vet is using. It's best to test when Bubby gets home after the dental, then test again at PMPS, so you know whether he's going down or not. Also when he gets home, only small meals (maybe 1 tsp) at least 20 minutes apart. Anesthesia also is harder on the digestive system. And the smaller meals will also tell you how willing he will be to eat his dinner. Use that knowledge to decide whether you shoot that night. I've seen kitties post anesthesia dropping into PMPS, get their shot, then their peeps find out they don't want to eat. I never had that issue with Neko. Always good appy and the majority of time the anesthesia induction drug used on her did not lower BGs.
Click to expand...

Thanks Wendy for all this info. I remember last summer he was supposed to have a dental and his vet had said he could eat as usual but my cousin who is a vet tech in a different town said she had never heard of that. Bubby was so sick at that time and I was so stressed out we just ended up skipping it which was good cuz he had low numbers that day. I will call in the morning and check with the vet and if they say he can eat I will feel okay knowing other people have done that. We are not going to a specialist as Bubbys diabetes vet thought it would be less stress not to drive and a quicker procedure here than at the teaching hospital. I feel much better about it this time. Bubby and I are both better off and I will be waiting with him before the procedure and sitting with him soon after as well.
 
LisaStew said:
They are allowing me to wait with him in a room until they are ready to start as he sometimes has asthma flare ups when he is stressed. They also said I could come back and sit with him after the procedure while he is waking up. I am very pleased at these allowances as it will help us both be less stressed.
Click to expand...
Awesome vet!

How long is the procedure? Do you know? Is it just a cleaning?
 
LizzieInTexas said:
Awesome vet!

How long is the procedure? Do you know? Is it just a cleaning?
Click to expand...

I have no idea how long it will take as this is the first dental any of my cats has ever had. He has needed it for a while, when he was still feeling poorly the vet gave us some antibiotics for his mouth which helped with some bloody looking spots on his gums but there is still quite a bit of tartar and I wouldn't be surprised if he needed an extraction or two. Their January special includes cleaning, X-rays, blood work, and any extractions for $215. Not sure what regular price is but that sounded good to me.
 
LisaStew said:
I have no idea how long it will take as this is the first dental any of my cats has ever had
Click to expand...
Thanks. I would appreciate an update after the procedure if you can and don't mind. Good luck to Bubby and vines for a smooth sailing dental appt. :bighug::cat:
 
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