? 4/17 Hugo AMPS 463

What did the internist say about the findings/any treatment?

Bouncing today after that lovely surf of greens last night. But that is to be expected from Hugo;)
 
He said that none of the bloodwork or images really surprised or alarmed him - that it was pretty common with diabetic cats to have those things. He did prescribe me Denamarin for Hugo's liver values, but he said it was supplementary. He definitely thought that we might be giving him too much insulin and that was why his numbers were crazy. He wants us to try to do a full 24 hour curve for him and send him the results before he comes to any solid conclusions. He also said that he needs 300-400 calories a day, and that I might not be feeding him enough. I'm unsure about this guy yet, but we'll see.

Hugo was acting kinda nuts when he got home. Super hyper, drinking and peeing a ton. He gets very scared at the vet, so I'm not really surprised with the amplified number after the bounce. He immediately started chewing on the areas they shaved for his ultrasound. He finally settled down a bit ago and finally fell asleep. He's gonna get a big meal tonight, just to make sure we don't get into any dangerous ketone territory, after his rough night last night and messed up schedule today.
 
My cats hate going to the vet too. Most cats are the same.
Why does he think you are giving too much insulin.? You are testing so we can see exactly how low the BG goes.
I wonder how much he knows about FD.?
I took Sheba to a medical specialist when she was very ill when she was diagnosed with pancreatic cancer and the specialist was the one asking me all sorts of questions about how I managed FD and it was obvious I knew a lot more than she did and she had FD cats coming to her about care. Im sure they know a lot about most illnesses but with FD I think there is a gap in more recent developments in FD care.
 
He said that was causing the bouncing. The really high and low numbers. I mean, that's what last night's numbers said, right? That we were giving him too much. I mean, he's been on insulin for 2 months now, he should be evening out a bit by now if the dose was right. But he's still shooting up into the stars and plummeting back down.

Though the vet was also trying to tell me that below 150 was dangerous, which gave me some pause. I really just want to stop the bouncing more than anything. It's just too hard on him. He can't heal staying up in those high numbers.
 
The best way to stop the bouncing is to get Hugo used to normal numbers again.
Vets don’t like diabetic cats being in “normal” numbers because most people don’t home test and they like to keep them higher to be safe. But when we are testing it is safe to have them lower in normal numbers. It is in normal numbers where healing of the pancreas can take place.
Some cats bounce all the way to remission. Some cats bounce more than others.
Sheba was a big bouncer.
 
They can bounce into remission? Really?

Oh, and I meant to say it gave me some pause about the doc's knowledge. I understand about getting him into normal numbers.
 
Elle D said:
They can bounce into remission? Really?
Click to expand...
Yes.....absolutely.
Remember the high numbers in bouncing are from the cat dumping stored glucose into his system because he thinks he has to save himself. They aren’t the true numbers of how the insulin is working to get the BGs down.
His “true” numbers are the ones that are there when the bounce finishes. And when a cat is is lovely green healing numbers, that is when the pancreas has a chance to heal itself.
Does that make sense.?
 
Elle D said:
I mean, that's what last night's numbers said, right? That we were giving him too much.
Click to expand...
Or that some beta cells have healed a bit and he doesn't need as much insulin at this point in time. In your case, you are dong a good job testing for ketones as well. When ketones start to show, that tells you he needs more insulin.
Elle D said:
I mean, he's been on insulin for 2 months now, he should be evening out a bit by now if the dose was right.
Click to expand...
Take a look at Neko 2012 and tell me if you believe that. Ignore the first month of a bad meter. It took her a full year to stop bouncing to red, then her bounces were to pink. It is VERY common to still be bouncing two months in. Very annoying in fact. I think the most common comment from new caregivers is "help, my cats numbers are all over the place". This is where feline diabetes teaches you patience. Our common response to new people is "this is a marathon, not a sprint".
 
You must log in or register to reply here.
Back
Top