09/30 WENDY = PMPS 378/ +4@428 / AMPS 367/ +2@398

Wendy and Eva

Wendy and Eva

Member Since 2022
Numbers look better and not wanting to increase dose. Wendy urinated on herself twice last night.

Wendy had a rough day yesterday after her AMPS. She ate great shortly after I gave her AM shot but was not interested in food thereafter until I administered sub-q fluids (100ml).

I didn't want her to decline, therefore, I fed her with a syringe. An hour after sub-q fluids, Wendy perked up a bit. She was a bit interested in food (Special Kitty pate) and ate on her own little meals throughout the day. She walked around the house and jumped on top of the kitchen countertop to eat. She did drink water more than usual and looked like she felt crummy. My poor girl didn't like me all that much and growled at me during the times I tested her.

Around 5pm while Wendy slept, I noticed her fur from the hind legs was wet. I picked her tail up and saw large drops of clear urine coming out from her behind. I scooped her up and took her to the litter box. She had a full bladder and peed a good amount (this happened again @ 11pm while sleeping). I examined her body to see if any part of it would hurt when I touched it, but there were no signs of her being in any kind of pain or distress. Wendy just wanted to be left alone!

I did test for ketones (morning and evening) and there was no trace. She ate throughout the night on her own and drank water.

I forgot to increase the PM shot to 4 units and administered the same amount 3.5 units.

This morning when I let Wendy out of her room, she was waiting for me by the door. She was happy to see me and ready to have breakfast. She didn't throw up during the night nor did she urinate on herself and ate most of the wet food from her bowls.

AMPS 367 and was going to administer same dose (3.5 units) in a different area (side of chest) but ended up giving her a fur shot (GRRRR). I tested +2 398 and +4 421. She has been eating small meals, not urinated on herself and drinking water. Tested for ketones and there's no trace.

Experts:
  • Do you recommend a reset and use one of the protocols (SLGS or TR)? If not, do you recommend we leave current dose for a bit longer to see how she does?
  • Any idea why Wendy would urinate on herself? Could it be the sub-q fluids? Kidney values were good when tested on 08/19/2022.
  • Do you recommend giving her B12? If so, which ones? She was a very active cat before being diagnosed (08/01/2022). Wendy was an indoor/outdoor kitty and was very healthy & happy (during my single days). I got married and moved to our new home with my husband in February 2022. She now is an indoor only cat and I do have 9 others ( I'm a foster fail). However, my husband built them a big Catio and there's lots of room for all cats. They go in and out of the house whenever they want. I also have a smaller Catio for my golden girls and the other cats have no access to that area. Wendy has no interest in going outside and is not very active which is concerning to me.
  • Should I take her to the vet for further testing? If so, what tests should I request. The new vet is good but, like many, doesn't know as much about this disease as the experts on this board do.
@Wendy&Neko @Chris & China (GA)

https://www.felinediabetes.com/FDMB/threads/09-29-wendy-pmps-440-3-455-amps-501.269024/#post-3004142
 
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We do not suggest a reset. In fact Wendy suggested you increase to 4.0 units. I do suggest you give TR a try at least until her bg comes down. It is much faster than SLGS. Keep testing for ketones. I see they were negative yesterday so that is very good. It sounds like she is better today so I don't think I would rush to the vet. I am sorry she wasn't feeling well yesterday but it sounds like today is better. The fur shot didn't hep anything but it happens. I would give 4.0. :bighug:
 
As what Elise said, she needs the increase. Once her numbers come down, she will start to feel better, but she needs more insulin to get there. Since you did a fur shot, you can stop testing until PMPS.

I wouldn't supplement her B12, unless she's been tested and shown her B12 is low. Might as well wait on that until you have a reason to go to the vet otherwise for other blood work. Save yourself a blood draw fee.
 
Wendy&Neko said:
As what Elise said, she needs the increase. Once her numbers come down, she will start to feel better, but she needs more insulin to get there. Since you did a fur shot, you can stop testing until PMPS.

I wouldn't supplement her B12, unless she's been tested and shown her B12 is low. Might as well wait on that until you have a reason to go to the vet otherwise for other blood work. Save yourself a blood draw fee.
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I appreciate all the advise given :cat: and will increase the PM dose tonight. Wendy has done well thus far without her AM shot. Let's pray she continues to do so with the increase.

She finished a 2.6oz pack of SHEBA Wet food in one sitting one hour ago. I was very happy to see her appetite coming back. I'm thinking she might be tired of the Special Kitty wet food and time to change it to Sheba.
 
Bandit's Mom said:
Is she showing any signs of diabetic neuropathy? When Bandit had it she would resist walking to the extent possible. Even holding in her pee so that she didn't have to walk to the LB.
Feline Diabetic Neuropathy (weak Back legs)
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Not that I can tell. She walks and climbs fine, however, she's not the same active cat she once was. Now that she's an indoor only cat, she tends to sleep more and is overall sluggish. All these changes took place when first diagnosed and we started administering vetsulin. I wish I would have known about this group before starting the insulin. I would have done things the right way and not followed the vets instructions.
 
Wendy and Eva said:
Not that I can tell. She walks and climbs fine, however, she's not the same active cat she once was. Now that she's an indoor only cat, she tends to sleep more and is overall sluggish.
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Bandit's neuropathy set in 3-4 months after her diagnosis. She didn't really walk or stand on her hocks as much as she just stopped moving around a lot. She would just sleep all day on the bed and looked really miserable. It was a tough time because she had been a really agile cat. Even when she used to go to the LB she would need to sit down a few times because walking was painful/uncomfortable. That's when she stopped going more than once a day to the LB. When we realized she was holding in her pee to avoid walking to the LB, we started carrying her and putting her in the LB so that she could use it. At high numbers the kidneys are working extra hard to excrete the sugar into the urine and you will see excess thirst and urination.
 
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Bandit's Mom said:
Bandit's neuropathy set in 3-4 months after her diagnosis. She didn't really walk or stand on her hocks as much as she just stopped moving around a lot. She would just sleep all day on the bed and looked really miserable. It was a tough time because she had been a really agile cat. Even when she used to go to the LB she would need to sit down a few times because walking was painful/uncomfortable. That's when she stopped going more than once a day to the LB. When we realized she was holding in her pee to avoid walking to the LB, we started carrying her and putting her in the LB so that she could use it. At high numbers the kidneys are working extra hard to excrete the sugar into the urine and you will see excess thirst and urination.
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The one thing I did notice since we started the insulin, is that she always has litter on her hind paws. I clean them for her and changed the brand of litter we use. We stay away from the clumping litter and have noticed it doesn't stick on her paws. After she uses the litter she jumps out without covering it up.
 
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