New Here-OTJ in one week but questions...

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Checkyboo

Member Since 2017
Hi Everyone,

I'm new here. Checker was diagnosed with hyperthyroidism in May (4.5). At that time his BG was 70 in vets'office. At the same time I had an IBS and/or intestinal lymphoma cat and we were feeding grain-free dry food. She passed away in June. After that I got lax, because Checker was not eating the grain-free food well, and one night in desperation I bought a bag of Iams dry and he ate that well. He was always a kibble addict. (I know, big mistake!) Within days of starting the Iams I notice more urine in the litter box and Checker drinking more. I monitored this for a few weeks and it only got worse, and his energy level went down. Back to the vet we went. On his Chem his BG was 474! We immediately switched him to low-carb wet which, thankfully, after about 7 hours he decided to eat. I didn't get a meter until two days later (Relion Micro). The first evening I tested his BG it was 72; however, the next day it was back up to 220 and creeped back up to the 300s. Vet decided to put him on 1 Unit of Lantus twice a day. After a few days of fumbling with the pen and realizing that 12 mm syringes worked better I finally started getting insulin into him consistently. After getting through the syringe learning phase (and a couple of fur shots) his BGs began dropping dramatically. Last Sunday his AM BG was 293 and after 1 Unit of Lantus was 44 at 1:00 p.m! I kept shooting low (but not below 50) but adjusted his doses down consistently over the next 48 hours. His last dose was .25 unit in the a.m. on 10/3 and in the p.m. his BG was 66, so I decided to start a trial OTJ which so far has gone well! His BGs have ranged between 59 and 92 the last three days both fasting and non-fasting.

The only issue is his drinking and urination is still more than I think it should be. It might be 1/3 better, but still a lot. I just sent my vet an e-mail (I'm not entirely happy with my vet for reasons I won't elaborate on in this post except that she's not very responsive at times) wondering if this is still just an effect of weeks of high BGs, or if this is the hyper-T. His T4 level was back up to 3 after being 1.9 just two months before. I guess my main question is...do cats OTJ--or in this case honeymooning---still drink and urinate more?

Thanks in advance for any advice, and I apologize if I've not followed the exact formatting for my post. I hope I'm not an annoying newbie! Checker and I thank you!

Edited to Add: Checker did test positive for glucose shedding on his urinalysis, so he was officially diagnosed with UA correlation. Kidney functions were normal. No ketones on vet test or with in-home stick tests.
 
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Hi there!

Well, you didn't arrive at OTJ quite the way we recommend, but if it's working out, congratulations! :woot:

I take it you totally learned your lesson about dry food. I made that mistake, too, with my Cinco. :facepalm::banghead:

Generally, if a cat is drinking and peeing more, it indicates something isn't quite right. I don't think I've heard of a cat that went OTJ - even that quickly- continuing to have the issue unless there was something else going on. Yes, Hyper-T can cause them to drink more and consequently pee more. So can kidney disease, but you say his numbers were in the normal range?

I'd be interested to hear what your vet thinks - when she gets back to you. It may be that Checker will need to start thyroid meds. Please let us know what you find out.
 
Thanks for your response Tricia! Actually, Checker is on a very low dose of Tapazole (1/4 tablet twice per day). He had a very dramatic response initially to half a tablet twice per day when diagnosed back in May and went hypoT in two weeks with a T4 of 0.6! He was also having lots of nausea and vomiting. We stopped the Tap for two weeks then started him back on Tap at the quarter-tablet dose twice per day. Two weeks later he was 1.9...right at the sweet spot. He wasn't due to get another follow up for six months until the diabetes showed up and it was discovred he was up to a T4 of 3. The vet was more concerned about the sugar at that point though with good reason.

Yes, the BGS coming down so quickly was par for Checker's dramatic responses to medication. I honestly think Iams dry pushed him over the edge and I caught it super early, but we may be just on a honeymoon too...got to wait those 14 days!

With the drinking and peeing still higher than normal I even began doubting my meter (Relion Micro) to the point I went and bought a second one and tested them against each other. Never more than a point or two difference. After reading about the difference in human versus pet meters I know that Relions tend to read lower but shouldn’t be off more than 20 or 30% on BG readings. So, if this is correct then Checker might be higher than the meter is showing but still below renal threshold. Just confusing with two conditions that could affect him in renal function.

It may be time to up the Tapazole, but I don't want to upset the apple cart as far as his BGS go! Hoping my vet will answer my email! Thanks again!
 
It may be time to up the Tapazole, but I don't want to upset the apple cart as far as his BGS go! Hoping my vet will answer my email!
When we were trying to find the right dose for my civvie, Minka, sometimes she got different doses of Felimazole (which is Tapazole in a lower dose) in the morning and evening. Unlike with insulin, you don't have to give the same amount both times. Maybe that's something to ask your vet about? Say, 1/2 tablet in the morning and 1/4 at night?
 
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