? Yemala 11/3 AMPS 192; +4 97; +6 82; +10 116; PMPS 105; + 2 101; +4 104; +5 101

Hroswitha

Hroswitha

Member Since 2011
Mala is still working her way through the pancreatitis. The opioid painkiller has been making her a little, well, spacy. Her vet said she'll find new meaning and appreciation in reggae.

She's eating for the first time on her own today. Not as much as I would like, but this is better than syringe feeding, which was all yesterday. She's on cerenia and an anti-inflammatory.

http://www.felinediabetes.com/FDMB/threads/yemala-11-2-amps-293-4-198-7-210-pmps-166.205834/
 
At +4, Mala has eaten very little food on her own. This AM, she was willing to eat a little without assistance, so we held off syringe feeding her. She received a drop of insulin.

It's +4, and she's dropped to 97. She woke up really hungy, and is working on more food. Still not as much as I could wish, but I would rather she eat voluntarily than risk possible aspiration.

She's still grooving to that beat in her head. It involves a lot of swaying and extended guitar solos. If I didn't know better, I would think she's become a Dead Head.
 
Jones knows all about pancreatitis. It can really knock them on their furry butts. Sounds like she is recovering nicely.

Jones is on the bupe twice a day lately with his CP. The first week or two...he was a real stoner that is for sure. He does better with it now.
 
It's about 7 hours after her insulin, and Mala is really eating now. After having been presented with her bowl multiple times this morning, it's like a switch went off in her head and she's going to eat every tasty morsel.

Far better than the chicken smoothie I was holding off preparing for her. I do NOT love syringe feeding.
 
I am so glad to read that Mala is eating. What a relief. And being a Deadhead would not be the worst thing..I was just listening to the Grateful Dead and dear Jerry the other day on Pandora. Maybe I could get some of that painkiller and not have to resort to Pandora or CDs? Just play it in my headdddddddd.
 
Glad your kitty is starting to perk up! On a related note...

What is the average/normal cost of bup? Alley is having a particularly bad pancreatitis flare this weekend, the compounding pharmacy is closed until Monday, and the vet was going to charge $60 for four doses. Please tell me that’s unusually high. I to compromise and get gabapentin instead :/
 
Despite being on just a drop of insulin, her nadir is only in the mid-80s. Not bad.

We'll still reassess once the pancreatitis has cleared. We don't know where her numbers will go, so we're playing it conservatively.
 
My vet charged $30 for a shot in clinic. You might want to see if a prescription can be written to a local pharmacy, where the cost might be lower.

Although, with any opioid, they tend to be cautious these days.
 
Up to 116 at +10. Despite the quantity of insulin and the pancreatitis, Mala is doing wonderfully. Perhaps this was an undiagnosed condition and, once cleared up, she could be headed to the falls again?

Cross paws.
 
Those who can advise on this:

Mala has been getting a drop of insulin since Friday morning. She's eating again, all lc food. Her numbers yesterday AM were in the 200s, but she's come down and is holding in really nice blue and green numbers.

I am not proposing we start a OTJ trial - yet. However, if we do continue to see these nice blues and greens on microscopic doses, how long before an OTJ trial is indicated?
 
Happy to hear she's eating!

Here's what we're looking for prior to starting an OTJ trial:
One wants to see kitty mostly in the range of a healthy cat (50 - 80 mg/dL), but under 100 overall... with only occasional readings in the 100 - 120 range.

Remission is achieved when kitty can go 14 days without insulin while maintaining normal blood glucose values under 100 overall. Most will stay in the 50 - 80mg/dL range. Although, some will occasionally experience BG numbers up to 120 mg/dL.

Hope that helps.
 
Thank you. So we've seen two good cycles on a drop of insulin, despite missing a shot Thursday. We'll keep shooting the same and see where her numbers go. If she continues on this pattern, we should start an OTJ trial, perhaps, by the end of the week?

I don't want to rush this. I want to get it right. But we want her back in remission if possible, and shooting one drop seems to be holding her where she needs to be.
 
Hroswitha said:
If she continues on this pattern, we should start an OTJ trial, perhaps, by the end of the week?
Click to expand...
Using a meter calibrated for humans, we want to see a week of numbers mostly in the 50 - 80 mg/dL range and under 100 overall. She's not quite there yet. See how things go, but I think there's a real possibility you'll have to go back to that 0.1 unit dose in order to accomplish it.
 
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