7/22 Howie rapidly rising BGs concern

Howiesmom

Howiesmom

Member Since 2020
AMPS: 164
+10: 158
PMPS: 164
+3: 218

I am trying to figure out why Howie has rapidly rising BGs (for him). He has done so well staying in the 70-130 range for a long time. I went on vacation over 4th of July and and dropped his Dose as he was staying at the vet lodge. Last week I was gone for a work meeting and a friend looked after him and I dropped him even lower to 17 units per recommendations. He did well at 17 units although I probably stayed a couple cycles too long. So I bumped him up to 18 units and he only saw one green in those 6 cycles. So I increased him to 20 units and he’s going even higher.

I did take him to the vet today as he hasn’t been peeing as much as he should. His urinalysis showed a bit of cloudiness and somewhat raised WBC. So We started him on a course of treatment for a potential UTI. He is on Enrofloxin and Onsior pills. Luckily he is eating fine and has bowel movements. But the elevated BGs make no sense. I would have thought the dose increases would counteract any issues of an infection??

Any other thoughts from folks? He’s never had a UTI so I don’t have any frame of reference. He has no teeth so it’s not any dental issues. I’m supposed to call them in a few days if the urination doesn’t improve but I’m wondering if I should also call if his BGs don’t drop once the meds can start working? He goes back for another urinalysis in 14 days to see if it has cleared up. Or else we are going to check kidneys as apparently his last SDMA was at 17 and 19 is the threshold.

Thanks for providing any thoughts/ideas or questions I should ask. He’s done so well living in mostly greens and low blues so these high blues and now a yellow are disheartening.

@Wendy&Neko I suppose it could be his tumor pulsing or something with his antibodies too? I thought this rapid dose decrease was hopefully meaning we were breaking through them.
 
Hi MoM & Howie. Wanted to bump you up and say what a sweet kitty. I don't have answers but I'm sure they will come soon.
 
Bron and Sheba (GA) said:
Did the vet take a sample of the urine for C&S to see what the bug is and if the antibiotic is the correct one?
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Unfortunately I don’t know what C&S is or to know if the antibiotic is the correct one. The vet was comfortable giving it to me since the WBC count was not really high but higher than it should be and that the images from the urinalysis showed there was something. Like I said, if it is a UTI, he’s never had one so I don’t have any experience or frame of reference to start with.
 
A C&S is a culture and sensitivity of the urine to see if there are any bugs in the urine and then if there are, what antibiotic the bug is sensitive to. That way you will know if there is actually an infection in the urine and if the antibiotic he is getting is the right one. Many vets don’t do a C&S but just give an antibiotic.
 
Hi:)
In the past, my vet has started with a broad spectrum antibiotic, then he will call in a day or two with the culture results, which might change the medication.
Maybe that's what your vet did? But, I'd think he/she would have told you.
 
Tina Marie and Jan said:
Hi:)
In the past, my vet has started with a broad spectrum antibiotic, then he will call in a day or two with the culture results, which might change the medication.
Maybe that's what your vet did? But, I'd think he/she would have told you.
Click to expand...
It doesn’t sound like they will call me with any sort of results above what was already given. I think this is a general antibiotic that he is on. His BG has dropped today which was good to see. Hopefully that keeps up!
 
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