Update on Grandma's Diabetes, CKD & Pancreatitis

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Nancy Lynne

Member Since 2020
Hi all
Grandma was diagnosed with CKD and pancreatitis along on 31 Dec and thanks to some great resource suggestions in this group I started her on B Vitamins, Methylcobalamin, CBD, Buprenex and a phosphorus binder. I switched her food to Weruva Truluxe Glam N Punk and Cat on a Wok along with Soulistic Turkey and Chicken. These four options seem to have the best balance of protein/fat/carbs/phosphorus. I was giving her Tiki Cat for a bit but her BG numbers did better on the Weruva and I think the high protein/no carbs with Tiki Cat isn't as good for her. We re-did her labs last week and the good news is that her numbers are generally better overall and I've uploaded both sets of tests but here are the highlights:
  • Glucose was 181
  • Fructosamine went from 293 to 247 and the vet recommended I decrease her insulin slightly from .5 to .4
  • Phosphorus went from 6.5 to 4.0
  • RBC went from 5.23 to 7.04
  • Hemoglobin from 9.1 to 11.6
  • MCH from 17.4 to 16.5
  • MCV from 56 to 54.5 (still considered high)
  • Platelets from 87 to 462
  • IDEXX SDMA from 20 to 10
  • Creatinine from 3.1 to 2.0
  • BUN from 57 to 60
It doesn't look like she did FPL on the order; I know she's been cost-conscious as my pet expenses have been through the roof the last two months. I am curious to get feedback on next steps. The vet suggested decreasing the insulin and possibly adding fiber to Grandma's diet, but other than that to keep doing what I'm doing.
 
There's been an issue with uploading files. There's a note at the top of the board.

It sounds like Grandma id doing great! It would be very helpful if you could get some mid-cycle tests. You need to see hollow a lose is taking your kitty's numbers. The pre-shot tests tell. you if it's safe to give a shot. You need the spot checks to know if numbers are in a good rang or indicating whether you need to reduce the dose.

There is good information on dosing with Prozinc on the Prozinc board. You may want to read through the sticky notes
 
That's an amazing improvement in only a month!!! She went from stage 3 ckd to stage 2! I am so glad she's improving. She's very lucky to have you.
 
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