SaraMV
Member Since 2022
He's surfing his yellows right now.
https://www.felinediabetes.com/FDMB...3-6-5-187-pmps-200-2-299.259961/#post-2919715
https://www.felinediabetes.com/FDMB...3-6-5-187-pmps-200-2-299.259961/#post-2919715
3/1 TAZ, AMPS-275, +4-144, +6-169 (vet update)
- Thread starter SaraMV
- Start date
SaraMV
Member Since 2022
I just spoke with the vet concerning Taz's blood work from Saturday.
His sugar was elevated but his fructosamine came back good. His test for pancreatitis came back positive, so we still have that to deal with. He had sugar in his urine but no ketones. He said his kidney numbers were also still good, so we will be proceeding with his dental next Monday. I'm worried about it because I think Taz will need several teeth pulled and I've read that dentals can affect the pancreas. My vet also thinks I dropped his insulin back down to 1 unit, but I didn't.
His sugar was elevated but his fructosamine came back good. His test for pancreatitis came back positive, so we still have that to deal with. He had sugar in his urine but no ketones. He said his kidney numbers were also still good, so we will be proceeding with his dental next Monday. I'm worried about it because I think Taz will need several teeth pulled and I've read that dentals can affect the pancreas. My vet also thinks I dropped his insulin back down to 1 unit, but I didn't.
tiffmaxee
Member Since 2013
When Max had his dental my vet had me skip his insulin the day of. He was testing well so I skipped the night dose as well. He never had ketones. If there is sugar still in his urine his BG is not well controlled yet. Max only had sugar in his at diagnosis. The fructosamine gives an average over a couple weeks. So the day his labs were run he wasn’t in a good range. He could have been bouncing.
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Suzanne & Darcy
Member Since 2020
I’m glad that Taz’s labs were good according to the vet. It’s nerve wracking whenever they go under anesthesia. I think skipping that morning would be a good idea.
SaraMV
Member Since 2022
So no insulin the morning of the dental? The vet had told me no food after midnight and only a half of dose of insulin the morning of.
He was definately in a bounce. He had been in the 400s for almost 24 hours when he had his blood drawn for the tests.
I increased his insulin last Friday. I was going to do his curve this Saturday and increase him if needed. But if I skip insulin on Monday morning, is it better to just wait until after his dental is done before increasing the dosage?
Sandy and Black Kitty
Member Since 2009
I skipped insulin for BKs first and second dentals.
For his first dental he had 7 extractions. His BG was 50 during the procedure and 30
immediately after (the dentist brought him up with some baby food) I didn't resume insulin until +35.5
For his second dental (nearly 6 months later) another 4 teeth were extracted, and I didn't resume insulin until +23.25
Better a day too high than an hour too low
For his first dental he had 7 extractions. His BG was 50 during the procedure and 30
immediately after (the dentist brought him up with some baby food) I didn't resume insulin until +35.5 For his second dental (nearly 6 months later) another 4 teeth were extracted, and I didn't resume insulin until +23.25
Better a day too high than an hour too low
SaraMV
Member Since 2022
I skipped insulin for BKs first and second dentals.
For his first dental he had 7 extractions. His BG was 50 during the procedure and 30
For his second dental (nearly 6 months later) another 4 teeth were extracted, and I didn't resume insulin until +23.25
Better a day too high than an hour too low
Oh my gosh! That's so scary! I pray Taz doesn't need so many teeth removed but I'm guessing he'll need a few. How was BK after the removals? Did his BG go down?
Sandy and Black Kitty
Member Since 2009
His mouth was a train wreck, so much so that his vet referred me to a veterinary dental specialist. BK was a trooper after both his dentals. BK had IAA, a high dose condition where his body was prducng antibodies that grabbed all the injected insuliin they could, leaving very little in free circulation for BKs body to use. BK was the first kitty to test for IAA here at the FDMB so there was not anyone's sleeve to tug on for guidance and there was next to nothing out there about IAA. What we did know is that the condition is idiopathic and self limiting, generally resolving after about a year. Self limiting gave us hope. Its the resolving part was scary because when insulin sensitivity returns it's sudden and there's no way to know how much insulin bound to the antibodies could be released back into circulation. This was very sobering since BKs Lantus dose at that time was 13.5u and I used a good bit of a fast acting insulin on top of the Lantus. I proceeded with extreme caution - I had to.
Its important to remember that your kitty may have an upset stomach after the procedure so go easy on the food. Also his mouth maybe uncomfortable and painful making him avoid eating. Before resuming insulin you want to be confident that your kitty will eat if you need him to.
Did his BG go down? Yes, it did - and it was one crazy ride.
check out the graph below against the following events:
October 2008 - decayed Root fragment (back molar) removed while under anesthesia for an unrelated lump removal
December 2008 - first dental cleaning and extractions (by veterinary dental specialist)
May 2009 - second dental cleaning and further extractions by specialist
October 2009 - OTJ
SaraMV
Member Since 2022
His mouth was a train wreck, so much so that his vet referred me to a veterinary dental specialist. BK was a trooper after both his dentals. BK had IAA, a high dose condition where his body was prducng antibodies that grabbed all the injected insuliin they could, leaving very little in free circulation for BKs body to use. BK was the first kitty to test for IAA here at the FDMB so there was not anyone's sleeve to tug on for guidance and there was next to nothing out there about IAA. What we did know is that the condition is idiopathic and self limiting, generally resolving after about a year. Self limiting gave us hope. Its the resolving part was scary because when insulin sensitivity returns it's sudden and there's no way to know how much insulin bound to the antibodies could be released back into circulation. This was very sobering since BKs Lantus dose at that time was 13.5u and I used a good bit of a fast acting insulin on top of the Lantus. I proceeded with extreme caution - I had to.
Its important to remember that your kitty may have an upset stomach after the procedure so go easy on the food. Also his mouth maybe uncomfortable and painful making him avoid eating. Before resuming insulin you want to be confident that your kitty will eat if you need him to.
Did his BG go down? Yes, it did - and it was one crazy ride.
check out the graph below against the following events:
October 2008 - decayed Root fragment (back molar) removed while under anesthesia for an unrelated lump removal
December 2008 - first dental cleaning and extractions (by veterinary dental specialist)
May 2009 - second dental cleaning and further extractions by specialist
October 2009 - OTJ
Wow, his numbers really did change!
After the dental, how will I know how much insulin to start him back on? Or when to even start it again? I'm assuming if he isn't eating well, I would skip giving it? The vet acted like that night I'll be giving full dose and carrying on like usual.
Suzanne & Darcy
Member Since 2020
My Darcy’s BG did not go down after he had his bad tooth removed, but he had Acromegaly (which I didn’t know at the time.). I did skip his shot that morning to be safe as I couldn’t feed him after midnight.
SaraMV
Member Since 2022
I'm glad to hear you guys say this because I was worried about giving insulin on an empty stomach, especially when it might be several hours before he can eat after the procedure.