Jancol & Cher
Member Since 2017
Hi Everyone
I previously posted this thread during the holiday weekend in America when the board was possibly slower so it has been suggested that I repost another introductory post for maximum exposure.
Just wondering if someone is able to help interpret Cher's SS and offer any suggestions as to how best manage her BG levels. Currently her care is being managed by her IM Specialist who has been treating her since February 2017.
Basic Medical History 2017:
Pancreatitis and Ureteral Stones (Subcutaneous Ureteral Bypass) 20 Feb
Pancreatic cyst
IBD diagnosed via Endoscopic biopsy 13 Jun
Prednisolone 5mg BID commenced 15 Jun to treat IBD
Diabetes diagnosed 22 Jun
Hills ZD Diet for IBD (high in carbs)
Diabetes managed by IM Specialist:
22 Jun - Commenced Lantus 1 unit daily - ceased Lantus 24 Jun - possibly in remission
26 Jun - Prednisolone reduced to 7.5mg daily
29 Jun - Lantus 1 unit BID restarted - increased to 2 units BID 30 June
14 Jul - Prednisolone reduced to 5mg daily
24 Jul - Lantus increased to 3 units BID
5 Aug - Lantus increased to 4 units BID
21 Aug - Prednisolone reduced to 2.5mg daily
30 Aug - Lantus reduced to 3 units BID
Our IM specialist prefers that BG levels be tested for curves only.
My preference is to test before shots and whenever necessary which of late, I have been doing.
I have just read today that when PS levels are low, the shot should not be withhold. Unfortunately I have withheld the shot on a couple of occasions when the levels were low, thinking this was the safest thing to do!
With the reduction of the Prednisolone, the BG levels appeared to be coming down, however when I gave Cher her AM shot on 29 Aug, the area around the shot bruised suddenly and then for the remainder of that day, the levels rose until the PM shot was given. Then the numbers fell dramatically at +3 PMPS, continuing to fall until they reached 61 (3.4). I decided not to shoot.
After this episode, I took Cher to the specialist centre but as our IM specialist is currently in Britain, his colleague examined her. She was uncertain about the bruising and did a ProCyte Haematology test which came back OK.
With regard to the rise in BG levels, it was suggested the Lantus may not have been working due possibly to the bruising.
It was decided by the vet that the Lantus should be reduced by 1 unit BID from 4 units to 3 units as the reduction in Pred appeared to be lowering the BG levels. I thought of only reducing the Lantus by .05 units but I felt that when I did the new curves on Monday and Tuesday and sent them through to the relieving vet, that she would not appreciate the fact that I had not done what she requested (which was a 1u reduction). So I did the 1u reduction.
We have also discussed with Cher's regular IM specialist, that the ZD food is very high in carbohydrates and that we would like to look at changing her food to perhaps 'Raw' or something lower in carbs but he does not support this. He feels that her IBD is more of a priority than the diabetes and she needs a hydrolyzed protein diet. I do agree in that if the IBD is aggravated by a diet change there will possibly be a major problem with vomiting and getting her to eat.
She was on Buprenorphine, Mirtzapene, Cerena and Ursodeoxycholic to try to manage the IBD. It was only when she commenced the Pred that the IBD finally seemed to be controlled.
I have since (just this week) discussed changing Cher's diet with the relieving vet when I emailed her Cher's curves. She said I could try to change her diet but said she would not fed Cher a raw meat diet. She was concerned that changing the diet may cause a flare up of her IBD.
Hoping that someone can help put Cher back on the right track as she has been struggling with bad health since February.
Thanks,
Jan
I previously posted this thread during the holiday weekend in America when the board was possibly slower so it has been suggested that I repost another introductory post for maximum exposure.
Just wondering if someone is able to help interpret Cher's SS and offer any suggestions as to how best manage her BG levels. Currently her care is being managed by her IM Specialist who has been treating her since February 2017.
Basic Medical History 2017:
Pancreatitis and Ureteral Stones (Subcutaneous Ureteral Bypass) 20 Feb
Pancreatic cyst
IBD diagnosed via Endoscopic biopsy 13 Jun
Prednisolone 5mg BID commenced 15 Jun to treat IBD
Diabetes diagnosed 22 Jun
Hills ZD Diet for IBD (high in carbs)
Diabetes managed by IM Specialist:
22 Jun - Commenced Lantus 1 unit daily - ceased Lantus 24 Jun - possibly in remission
26 Jun - Prednisolone reduced to 7.5mg daily
29 Jun - Lantus 1 unit BID restarted - increased to 2 units BID 30 June
14 Jul - Prednisolone reduced to 5mg daily
24 Jul - Lantus increased to 3 units BID
5 Aug - Lantus increased to 4 units BID
21 Aug - Prednisolone reduced to 2.5mg daily
30 Aug - Lantus reduced to 3 units BID
Our IM specialist prefers that BG levels be tested for curves only.
My preference is to test before shots and whenever necessary which of late, I have been doing.
I have just read today that when PS levels are low, the shot should not be withhold. Unfortunately I have withheld the shot on a couple of occasions when the levels were low, thinking this was the safest thing to do!
With the reduction of the Prednisolone, the BG levels appeared to be coming down, however when I gave Cher her AM shot on 29 Aug, the area around the shot bruised suddenly and then for the remainder of that day, the levels rose until the PM shot was given. Then the numbers fell dramatically at +3 PMPS, continuing to fall until they reached 61 (3.4). I decided not to shoot.
After this episode, I took Cher to the specialist centre but as our IM specialist is currently in Britain, his colleague examined her. She was uncertain about the bruising and did a ProCyte Haematology test which came back OK.
With regard to the rise in BG levels, it was suggested the Lantus may not have been working due possibly to the bruising.
It was decided by the vet that the Lantus should be reduced by 1 unit BID from 4 units to 3 units as the reduction in Pred appeared to be lowering the BG levels. I thought of only reducing the Lantus by .05 units but I felt that when I did the new curves on Monday and Tuesday and sent them through to the relieving vet, that she would not appreciate the fact that I had not done what she requested (which was a 1u reduction). So I did the 1u reduction.
We have also discussed with Cher's regular IM specialist, that the ZD food is very high in carbohydrates and that we would like to look at changing her food to perhaps 'Raw' or something lower in carbs but he does not support this. He feels that her IBD is more of a priority than the diabetes and she needs a hydrolyzed protein diet. I do agree in that if the IBD is aggravated by a diet change there will possibly be a major problem with vomiting and getting her to eat.
She was on Buprenorphine, Mirtzapene, Cerena and Ursodeoxycholic to try to manage the IBD. It was only when she commenced the Pred that the IBD finally seemed to be controlled.
I have since (just this week) discussed changing Cher's diet with the relieving vet when I emailed her Cher's curves. She said I could try to change her diet but said she would not fed Cher a raw meat diet. She was concerned that changing the diet may cause a flare up of her IBD.
Hoping that someone can help put Cher back on the right track as she has been struggling with bad health since February.
Thanks,
Jan
