13 Oct | Girlie | AMPS 697; +2=668; +4=619; PMPS 605; +2=635; +4:30=481; +6=380

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Man, she has sure dug into those ugly colours! Come on Girlie - time to get out of those black clouds and back down to some nice blue!

Hope you see a break in the clouds soon.
 
Hey there, just looked at Girlie's SS and was wondering why you reduced on the PM of 10/10 to .10 dose. Your signature says she is following TR and with using the AT2 you would not reduce unless she goes under 68. Glad to see that you took her back up to .25 as she clearly needs more. So, this is cycle 4 on the .25 dose; the count stars over again. Let's see if she can clear this bounce.
 
Bobbie And Bubba said:
was wondering why you reduced on the PM of 10/10 to .10 dose
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That had me raise an eyebrow too, but I noticed in the remarks on the ss that Darrah reduced the dose in anticipation of having to be away and not being able to monitor.

Darrah, how is girlie feeling after her Vet visit and her injection? Seems her numbers have gone crazy since then, anything you've added to her med regime?
With these high numbers please keep an eye on ketones.
 
Re: Girlie's test
Gill & George said:
That had me raise an eyebrow too, but I noticed in the remarks on the ss that Darrah reduced the dose in anticipation of having to be away and not being able to monitor.

Darrah, how is girlie feeling after her Vet visit and her injection? Seems her numbers have gone crazy since then, anything you've added to her med regime?
With these high numbers please keep an eye on ketones.
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I'm still saying "mea culpa, mea culpa" re: the 0.1, but she actually shot up to 504 after the vet visit and before I reduced to 0.1, so I think she was on a mission to go high anyway. I'm concerned about ketones; no ketones at the vet's, but I hope to catch her for a sample today: litterbox back in the bedroom where I can catch her in the act. Touch wood, she's never had ketones.

After the vet she was very, very snuggly, wanting a lot of comfort and cuddles - and she purred a lot. For some reason, she's never been that big on purring, so I always notice when she does. Nothing else is new - no new meds or foods. The only thing she's having trouble with is poo: she was doing so well, but for some reason she's having trouble again. I gave her a little extra Miralax (a heaping 1/8 tsp instead of just 1/8 tsp), but if that doesn't help, then I might have to get the mobile vet in to give her an enema to get things going.

Not sure why, but my gut is telling me that she's going to need some help getting down from these black numbers. She's 619 @+4, so that's it - I'd be really surprised if she came down today. If she doesn't move by +4, then she's not going to move. I know I'm supposed to keep my patience pants on, but next week will be a difficult week to do an increase because of work: it's Friday now, and Monday, Tuesday and Thursday are out. I know I should be patient, but I'm a little concerned because she's SO high... :nailbiting:

She's happy in herself right now, though: no sign of discomfort or distress or unhappiness or pain. Just no poo and high numbers...
 
It's almost like I'm not even giving injections, but I am! I smell her fur afterwards, and there's no icky Lantus smell...and I'm triple checking the syringe and how I'm giving her the shot, being very careful ...
 
Gill & George said:
but I noticed in the remarks on the ss that Darrah reduced the dose in anticipation of having to be away and not being able to monitor.
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Thanks Gill, I didn't catch that.

I sure hope you can get help with the constipation. Bubba's numbers always shoots up when he is constipated. Can you get Slippery Elm Bark there and or George's Aloe Vera Juice? Both of these things are helping Bubba with his constipation/diarrhea ( IBS) issues.
 
Bobbie And Bubba said:
Thanks Gill, I didn't catch that.

I sure hope you can get help with the constipation. Bubba's numbers always shoots up when he is constipated. Can you get Slippery Elm Bark there and or George's Aloe Vera Juice? Both of these things are helping Bubba with his constipation/diarrhea ( IBS) issues.
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I just lost my mind there re: the dose and having to be away all day; I think the 83 at +3 on 10 October when I had to be away all of the next day just really spooked me, as she was giving me that "I'm going down, down, down" look - before going to the vet, of course.

I can get George's Aloe Vera Juice; from everything many of you have said, that would certainly bring her BG levels down! I'd have to order online, though, so I won't get that until next week, and I'd want to wait until I could monitor her before I start to use it. Right now we're doing Miralax (1/8 tsp 2x/day); Cisapride (0.25 liquid 2x/day); and pumpkin, which has been working really well until just recently: no idea what's up unless her new high creatinine levels are at play here (up to 290 from 190 in July).
 
Gill & George said:
The constipation could be resulting in those icky numbers, hope she poops soon

:eek::eek::eek:

Are you adding extra water to Girlie's food, this can help with constipation.
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Well, still high blacks: +11 = 590; PMPS = 605; PM+2= 634 The good news: no ketones today.

She has a water fountain, that she loves, so she gets plenty of water. I just measured the water drunk in the last 24 hours: 232 ml (7.8 ounces). The mobile vet will come tomorrow morning to give her a Microlax enema if she hasn't pooped by then as too many days have passed; we can't risk her getting impacted again.

She did this on 28 August as well - an unending sea of high, solid black (although poo wasn't an issue then). I can tell by her affect that she's not feeling so hot; I've seen her constipated since the beginning (which was how she was diagnosed with diabetes), and I would say that this is high numbers uncomfortable more than constipation uncomfortable (though I could be wrong). I really hope I'm wrong, but I don't see her coming down from this without a dose increase as I had to do on 28 August. Again, I could well be wrong, but I think she might need a little push.

But we'll see where she is for her +11 and AMPS! As that will be the start of cycle 6, I am tempted to give her a dose increase to 0.5. I can monitor her closely tomorrow and Sunday, but then the rest of the week is pretty much shot because of work and appointments. I just don't want her hanging in these high numbers for too much longer. :nailbiting:

But I don't know! I'm certainly nowhere near as experienced as the rest of you or as good at reading SS and seeing patterns! :-)
 
Girlie's mom said:
I'm certainly nowhere near as experienced as the rest of you or as good at reading SS and seeing patterns
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Well, you are recognizing the pattern with the poo - that is a good thing. I would be nervous to increase and then have her poo (or enema) and then she drops. But I completely understand the timing thing (does increase/monitoring).

I would bump up the Miralax a bit again at this PS (when I gave it I spread the dose out among the "snacks" in the feeder).

Let's see if Carla chimes in on the dose increase.

Poo wishes (haha :joyful:)

Side note - I am having great success with the Georges and marshmallow root. He has consistently poo'ed (at least once a day) all week this week - and they are good poo's (and in the LB - bonus).
 
Sienne and Gabby (GA) said:
Is there any possibility this is a reaction to the Zydax? This may be a bounce off of the 83 but the numbers went up after the Zydax.
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I wondered that the other day myself, as this also happened after the Zydax on 28 August. But both Wendy and Bron & Sheba said that they hadn't noticed any reaction in their cats with Pentosan (Cartrophen), which is what Zydax is. I asked my vet, and she didn't see why Zydax would elevate BG levels.

The 83 wasn't that big a drop from the 119, and she's been getting pretty good at handling green numbers. She had much steeper drops at +4 on 7 and 8 October, but that didn't seem to lead to the high bounce to black. I just don't know what to think... what do you think? I want to keep her safe, but I'd like to see an end to these blacks, and I'm not sure that they're just related to her being late for a poo...but I don't know! :confused:

When I increased after 28 August, I didn't think she'd last long at 1 Unit, and she didn't: just two days before she went back to 0.75, but then she held that and just kept getting reductions until I had to go back up to 0.25 on 7 Oct.

She just spent the past five minutes or more straining with no joy. Poor little thing! I have multiple litterboxes, but they're not solving her problem, of course. It'll have to be the vet tomorrow if no joy tonight...
 
Maybe it really is the constipation after all... praying for poo! But manageable poo... :-)

Stealing poop.jpg
 
No poo yet, but at least she's out of black and into red: 481 @+4:30

I'm going to prepare the room just in case we have another poo disaster like we did when she ended up in the emergency room a while ago. Fingers and paws crossed that doesn't happen!
 
Well, she heard you all: PM+6 = 380, so down from black to pink. Now a poo - probably with enema tomorrow - and hope that doesn't get her knickers in a knot. So glad she's poked her head out of the highest clouds, at least! And glad I kept my patience pants on... :-)
 
Girlie's mom said:
I wondered that the other day myself, as this also happened after the Zydax on 28 August. But both Wendy and Bron & Sheba said that they hadn't noticed any reaction in their cats with Pentosan (Cartrophen), which is what Zydax is. I asked my vet, and she didn't see why Zydax would elevate BG levels.
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ECID!

Everyone (including the vet) assured me that the Adequan wouldn't have any impact on the BG - not sure if it was the actual shot or some other reaction to the shot but it definitely makes Gizmo not feel well (not eating, nausea) and hence the rise in BG levels. Keep notes and see if it happens again.

Girlie, ya need to poo baby. Bad things are coming your way if you don't before tomorrow :eek::bighug::kiss:
 
Girlie's mom said:
She has a water fountain, that she loves, so she gets plenty of water. I just measured the water drunk in the last 24 hours: 232 ml (7.8 ounces).
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George has a fountain too, he loves it, but I still add extra water to food. Diabetes is very hard on the kidneys, especially when numbers are running high, so the extra water is helpful. Additionally with numbers running high, usually they pee more and consequently more prone to getting dehydrated, if it were me I would add a little water to her food too, it won't hurt and it could well help. :)
 
I wouldn't ordinarily think it was the Zydax but it's a possibility. All you can do is be attentive to whether the same thing happens again.

Some kitties do have a rise in numbers when constipated. It may be the Girlie is one of those cats. Have you given any thought to adding some pumpkin or baby food squash to her diet? They can help with moving things along. If you're not already doing so, adding water to her food may help.

 
Sienne and Gabby (GA) said:
I wouldn't ordinarily think it was the Zydax but it's a possibility. All you can do is be attentive to whether the same thing happens again.

Some kitties do have a rise in numbers when constipated. It may be the Girlie is one of those cats. Have you given any thought to adding some pumpkin or baby food squash to her diet? They can help with moving things along. If you're not already doing so, adding water to her food may help.
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She's been getting fresh pumpkin (I boil it, mash it, freeze it, defrost it) with AM and PM meals; Cisapride 0.25 ml liquid 2x/day; Miralax 1/8 tsp 2x/day. I'm going to try the George's Aloe Vera Juice, I think, as a number of others have found that really helpful.

Do you think that 232 ml of water over 24 hours (7.8 ounces) - which is what she drinks from her fountain - sounds like a lot of water, or adequate? I can add more water to her food, but it's quite mushy already, and when I tried that before, she turned her nose up because it was too soupy!

As this happened (perhaps coincidentally) on 28 August after her Zydax (Pentosan) injection, and now this time, I'll be very curious to see how she reacts next month. I do hope that it's not the Zydax, as that would mean a monthly high bounce drama, but I will keep a close eye out, as you suggested.

I am pleased that she came down over the evening and had a blue AMPS; we're waiting on the mobile vet to come give the enema. I hope that will relieve her, poor thing. This morning she strained so hard that she actually vomited. Aiee, Aiee! :(
 
I have found that we get a lot of evaporation from the fountain......so she may not be getting as much as you think.

George has his food very soupy, he's not fussy,maybe you could just add a teaspoon of two and she would accept it?
 
How much Miralax are you giving? The other issue with Miralax is that since it pulls water from other areas of the body into the gut, you really do need to maximize the amount of water that Girlie is getting.

Please remember to get kidney values run on a regular basis. If you are giving meloxicam for her arthritis, you need to be sure it's not having a bad effect on your kitty's kidneys. All of the NSAIDs are hard on the kidneys and the FDA has a black box warning about meloxicam in cats. It's a tough balance when you're dealing with pain issues so if you're going to use an NSAID, it would make sense to get kidney labs more than once a year.
 
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