1/19 AMPS: 440, +3: 428

DevilPup

Member Since 2018
Spike had been sick most of December. In fact he was so ill with pancreatitis, he stopped needing insulin around the 21st. (which to me is just the opposite of what would happen with his numbers) I thought we were going to lose him. He started creeping back up (BGs) and around 1/13 he said he needed insulin again. We started slow again, but as you can see, Spike has his own plans. He has never been this high. We just increased him today, also starting a new pen this morning. I'm not sure what he's doing here. Any ideas? And as a note, he is currently going thru rhinitis/sinusitis, but it seems like it is mostly controlled. There's nothing we can give him for that. If it looks real bad, I can always try the a/b cefpodoxime (which I just had refilled). I know any type of inflammation will reflect, but it never has been this high. I'm afraid for him. Please look at his SS for the end of December, too. Thanks.
 
I have no answers for you regarding dose. Did they give AB for sinuses? Surprised glucose went down instead of up.

Olive is getting over p'titis, she never stopped eating but glucoses went high. She will be on bupre for life now, can't seem to get her off it.

Have you tried the a/d prescription food? A lot of sick kitties will eat that.
 
How much and what type of food is Spike eating now? His dose was closer to two units before this pancreatitis episode, so not surprising if he has to go back up near there in dose. @Amy&TrixieCat Trixie went off insulin after a p’titis incident, but stayed that way.
 
ECID (every cat is different) when it comes to how they respond to various stresses and ailments. As Wendy mentioned, our Trixie actually went into remission due to a severe case of p-titis, which you wouldn't expect, but that's part of the ECID thing.

As Wendy asked, what is Spike eating? And aside from the rhinitis, how is he feeling? I see he has asthma; that will certainly affect his BGs, too. Is he eating well? Being social? Peeing, pooping, preening? It's hard to remember that the numbers are just part of the big picture.

Vines and prayers...please keep us posted!
 
ECID (every cat is different) when it comes to how they respond to various stresses and ailments. As Wendy mentioned, our Trixie actually went into remission due to a severe case of p-titis, which you wouldn't expect, but that's part of the ECID thing.

As Wendy asked, what is Spike eating? And aside from the rhinitis, how is he feeling? I see he has asthma; that will certainly affect his BGs, too. Is he eating well? Being social? Peeing, pooping, preening? It's hard to remember that the numbers are just part of the big picture.
Vines and prayers...please keep us posted!


He is eating. Mostly because we are assisting him with syringe. Once we start eating, he is eager and willing. When he was in panc flare....we had to syringe him and he screamed about it and actually moaned. We thought we were going to lose him in December. We kept at it and he seemed to come out of it once we upped his bupe dosage. He was in pain. That saved his life though and I would do whatever it takes.
Yes, he has asthma, but mostly controlled. On lowest dose Flovent he can get. I don't think that's an issue.
I believe the rhinitis is the culprit right now. I have started him on the a/b tonight. Cefpodoxime. We hope to see some results. But it's usually not an infection...it's a chronic disease which only comfort care can be provided. The Doc at Cornell University suggested the A/B when it gets bad to see if it works. Usually he gets put in his carrier and hooked up to the vaporizer for about 20-30 minutes for his steam bath. Right now, I have the vaporizer and a steamer going in the bedroom.
He is not well. He is ill. He was in the emergency room over Christmas. Then the next night, another one of cats couldn't swallow, back to emergency room. Now, once he's back on insulin, he's sky-high. I could accept him going high until I got him back closer to his optimum dose, but not in the 400s. He dove fast once I increased his last dose (in December) that is why I started him low again.
He is eating LC wet mostly 95%, dry Y/A and some Origen mixed in. He hasn't been eating much dry. He is not socializing, preening, mixing. He is sleeping only. He is not well.
I wish I knew if this was his pancreas, his rhinitis, his diabetes; litter box is good. Stool is perfect. He just had an ultra sound in early December, nothing glaring. Frankly, I just don't get it. I am totally in the dark. I wish for once he could talk and tell me.
He is just not following any rhyme or reason. I will continue on with this dose, just increased today. See what happens. I'm really hoping the A/B will work some magic.
 
I have no answers for you regarding dose. Did they give AB for sinuses? Surprised glucose went down instead of up.

Olive is getting over p'titis, she never stopped eating but glucoses went high. She will be on bupre for life now, can't seem to get her off it.

Have you tried the a/d prescription food? A lot of sick kitties will eat that.

No problem in him eating. He was getting some A/D with his Wellness mixed in to keep his weight up while in flare. But I think the diabetes is driving his appetite now. He is hungry.

I am very surprised his BGs went down instead of up, too. Crazy.
Sorry about Olive and her need for the bupe. Glad she has it so she is not in pain.
 
How much and what type of food is Spike eating now? His dose was closer to two units before this pancreatitis episode, so not surprising if he has to go back up near there in dose. @Amy&TrixieCat Trixie went off insulin after a p’titis incident, but stayed that way.

Yes he was. But he also dove deep once I raised him the last time just before panc flare. I didn't want to start that high. And frankly, I would rather start low and go slow. I never thought he would shoot this high, this fast. He may need to go near that dose again, yes, but not that high. (that's just my opinion, though)
 
Do you think he could still be in s p-titus flare? When Trix was in the worst of it, one thing my vet mentioned was that they were finding that nearly 50% of p-titus cases were actually caused by bacterial infection (whereas in the past It was believed that infection wasn’t a cause at all), so maybe that is a component and the AB could be a help there.

Another thought: how are his teeth? Dental issues can cause elevated BGs and feeling yucky in general.

:bighug:...we all understand the wish for them to be able to talk.
 
Do you think he could still be in s p-titus flare? When Trix was in the worst of it, one thing my vet mentioned was that they were finding that nearly 50% of p-titus cases were actually caused by bacterial infection (whereas in the past It was believed that infection wasn’t a cause at all), so maybe that is a component and the AB could be a help there.

Another thought: how are his teeth? Dental issues can cause elevated BGs and feeling yucky in general.

:bighug:...we all understand the wish for them to be able to talk.

I thought of that too. Wondering if he could still be in pain. But he just doesn't seem like he is in pain. He is drinking and eating, so no dehydration. He is still getting ondansetron, in the event he is somewhat nauseous. If that truly is the case, (about the bacterial infection) perhaps the A/B that I just started tonight, will assist him all the way around. We will have to give it some time to start working. He just got up and went to go get something to eat. I grabbed him just before he started eating and tested him. He went down again; perhaps responding to the increased dose today.

Teeth? No, they are good. No issues.

Thank you all. It is comforting to bounce things off each other. I don't think the Vets, no matter how good they are have all the answers. Brainstorming and talking it out seems to be way more productive in coming to valid conclusions and solutions. Thanks. I will keep everyone posted. Shooting Lantus has taught me patience, if nothing else.
 
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