? 10/30 Mouse PMPS 227, +2.25 130, +3 81, +4 66, +5.75 72

Phoenix R.

Phoenix R.

Very Active Member
Mouse's dental is tomorrow. The vet said I cannot feed her after 10 pm tonight, should I give her a token dose or skip tonight's dose? We will be skipping her dose tomorrow morning because I don't want the vets giving her insulin when she comes out of surgery, I will be bringing a can of Fancy Feast savory centers (I'm thinking one of the fish flavors as it may be more enticing for her) so she has the right kind of food when she wakes back up. The vet said on Saturday that her blood work looks good so she can have the surgery. I'm so worried about her not eating for all of those hours. And having to skip her morning dose and possibly tonight's dose.
 
Drop off is 7:50 tomorrow morning... Her normal shot time is 8:30am. The vet will be doing an exam before surgery and she is supposed to be the first surgery of the morning but I don't know what time they start.
 
Bandit's Mom said:
I presume the vet knows that Mouse is diabetic and on insulin?
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This vet doing her dental is the one that diagnosed Mouse but she isn't well versed in feline diabetes and was the one that initially prescribed vetsylin (thankfully she was on board with giving the script for glargine when i asked to switch) and i don't think she is very familiar with how Lantus works.
I do plan to print off the guidelines that the group follows to give them to her in the hopes that she can be better informed moving forward. I'm so nervous about Mouse's appointment tomorrow it's really amping up my anxiety and it's making me feel sick...
 
Phoenix R. said:
Drop off is 7:50 tomorrow morning... Her normal shot time is 8:30am. The vet will be doing an exam before surgery and she is supposed to be the first surgery of the morning but I don't know what time they start.
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Fasting from 10pm for an 8am drop off seems too much. I would shoot tonight at 8pm and feed till midnight. See what the others say.
 
Bandit's Mom said:
Fasting from 10pm for an 8am drop off seems too much. I would shoot tonight at 8pm and feed till midnight. See what the others say.
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Just give a token dose or full dose? Will she be ok if I feed til midnight even though vet says not to feed after 10?
 
Phoenix R. said:
Just give a token dose or full dose? Will she be ok if I feed til midnight even though vet says not to feed after 10?
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You can give the full dose. She might just bounce from the dive this morning. You want to feed and test every hour though.

Yes. 8 or even 6 hours fasting is more than enough. Some vets also suggest feeding half a meal at breakfast and giving half the dose in the morning. I skipped Bandit's shot in the morning, but I gave the full dose the previous night. I shot a little early so that I could feed till +6. At first the vet asked me not to feed after 11pm or something like that, but after I reminded her that she is a diabetic and needs insulin, she relaxed the fasting window a bit.
 
Bandit's Mom said:
You can give the full dose. She might just bounce from the dive this morning. You want to feed and test every hour though.

Yes. 8 or even 6 hours fasting is more than enough. Some vets also suggest feeding half a meal at breakfast and giving half the dose in the morning. I skipped Bandit's shot in the morning, but I gave the full dose the previous night. I shot a little early so that I could feed till +6. At first the vet asked me not to feed after 11pm or something like that, but after I reminded her that she is a diabetic and needs insulin, she relaxed the fasting window a bit.
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My vet is one that told me I only needed to feed her 2x / day when she DX her so I don't think she will reconsider the fasting time due to mouse having diabetes...:nailbiting:
 
No... I was going to see where she was at by +4. That'll be in just a few minutes.
Just got off the phone with the vet. She said it's fine to give food til midnight but now I'm finding out she'll be the second surgery and probably won't get out of surgery til noon and that I can pick her up around 3 or 4pm and feed her when I get her home... so now that's even longer than I thought she would be going without food...
 
How about some LC at this point?

I would definitely share this post with your vet,
***UPDATED*** Information on Dental Procedures (Pictures included) especially the paper on the AAHA Dental Guidelines for Cats and Dogs that includes recommendations for diabetics. I always took the opportunity to educate my vet where I could. Check out the table in that post, the light blue section is for diabetics. I uses to get the "no food after 10" thing or even "no food after midnight" from the front desk staff. I'd always ask them to speak to the vet to confirm and remind them, yet again, that Neko was diabetic. Then I'd get the corrected guidance.

I think you should be good feeding until midnight. Back in the day (before this 2020 document came out), I'd feed Neko until midnight and give her higher carbs then if needed, to make sure she stayed higher. Neko's dental vet was up to speed on current guidelines and let her eat until 6AM the day of a dental, but just 1/3 of her meal. Since the timing doesn't work in the morning, I'd skip her AM dose.
 
Phoenix R. said:
The vet ok'd feeding to midnight but now says Mouse's surgery will be second instead of first in the morning because they have a dog that they are going to do first. So she won't get to eat until I take her home tomorrow around 3 or 4 in the afternoon.
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That's a long time to be fasting. Do you have an idea of what time her surgery will be at?
 
Bandit's Mom said:
That's a long time to be fasting. Do you have an idea of what time her surgery will be at?
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I believe she said she should be out by noon... They moved her from the first surgery of the day to the second because they do dog surgeries first. I literally just found out today that she was moved to second ... I was told that she would be the first surgery of the day when I made the appointment.
 
Diabetic cats should go before dogs. :rolleyes: I'd still take her food with her and insist she get to have something to eat when she's able to. Since she's not getting insulin in the morning it's not as critical for BG, but since she's missing her AM feed, she should get some food later.
 
Wendy&Neko said:
Diabetic cats should go before dogs. :rolleyes: I'd still take her food with her and insist she get to have something to eat when she's able to. Since she's not getting insulin in the morning it's not as critical for BG, but since she's missing her AM feed, she should get some food later.
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i don't know how to approach this because I had voiced my concerns to the vet when I spoke to her on the phone today but she said that it should be fine for her to not eat for all that time and I don't know how to get through to her. I'm getting so overwhelmed with trying to figure this out that I'm on the verge of just cancelling for tomorrow cause I don't know what else to do. Won't there still potentially be insulin left in her depot earlier tomorrow that could potentially cause an issue with her not eating for that long?
 
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If you are worried, test her before taking her to the vet. You are skipping tomorrow. Take a look at 10/22 when you did a fur shot, which is sort of what you'll be doing tomorrow, though intentionally. The vet staff should be testing BG before, during, and after surgery. They will have the ability to bring up her numbers with a glucose drip if her numbers drop.

Neko had a few procedures that required anaesthesia, her dentals and SRT (radiation therapy). For all of them she got a half dose in the AM, except the one time I thought she was fishing for a reduction so just gave a token dose. For the SRT, she fasted from midnight until 4-5pm the next day. She was "starving" when she got home, but due to the effects of anaesthesia, it's best to do small meals at first, space out 20-30 minutes apart. The discharge instructions may or may not mention that. Often vets will give just a very small amount of food once they are clearing from the effects of anaesthesia. In case she has extractions and finds it hard to eat, you may wish to get something like all meat babyfood for when she gets home.
 
Wishing you the best of luck with Mouse’s dental. Will be sending you good vibes for as little stress as possible and a smooth procedure.
I totally understand your anxiety
:bighug::bighug::bighug:
 
Wendy&Neko said:
If you are worried, test her before taking her to the vet. You are skipping tomorrow. Take a look at 10/22 when you did a fur shot, which is sort of what you'll be doing tomorrow, though intentionally. The vet staff should be testing BG before, during, and after surgery. They will have the ability to bring up her numbers with a glucose drip if her numbers drop.

Neko had a few procedures that required anaesthesia, her dentals and SRT (radiation therapy). For all of them she got a half dose in the AM, except the one time I thought she was fishing for a reduction so just gave a token dose. For the SRT, she fasted from midnight until 4-5pm the next day. She was "starving" when she got home, but due to the effects of anaesthesia, it's best to do small meals at first, space out 20-30 minutes apart. The discharge instructions may or may not mention that. Often vets will give just a very small amount of food once they are clearing from the effects of anaesthesia. In case she has extractions and finds it hard to eat, you may wish to get something like all meat babyfood for when she gets home.
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I did email that AHAA chart and the link for cat dentals to my vet and received a call back from one of the office people saying they were able to move the schedule around and Mouse's surgery will be first and she can have a snack at 2 am so i am feeling much better about this now...:bighug: thank you all for your support!!
 
Finally able to read all the drama and I'm so relieved to see the vet moved Mouse up.

I hope you were able to get one small sigh of relief in there too. I know how anxious they can make us!
 
Sarah & Charlie-cat said:
Finally able to read all the drama and I'm so relieved to see the vet moved Mouse up.

I hope you were able to get one small sigh of relief in there too. I know how anxious they can make us!
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Yes for sure a huge sigh of relief, I was actually all wound up at my therapy appointment when the vets office called, I calmed down quit a bit after that call...
 
Great news on getting the first appointment now!

Depending how she responds to the MC, I'd be tempted to even pile on the HC if she's not up enough to make you feel comfy. OK, just saw that 66. Cats and their timing. It looks like she nadirs around +4, is that your experience?
 
Wendy&Neko said:
Great news on getting the first appointment now!

Depending how she responds to the MC, I'd be tempted to even pile on the HC if she's not up enough to make you feel comfy. OK, just saw that 66. Cats and their timing. It looks like she nadirs around +4, is that your experience?
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Yes glad that all worked out and thank you for the info to share! Yes her usual nadir is around +4...she normally will either coast or start to creep up by +5 but she does like to throw me for a loop ever so often so I do try to err on the side of caution.
 
Do they need to monitor her BG before during and after surgery if she's not getting insulin this morning?
 
I'm not sure if they will because they know she's not getting insulin this morning...
I just checked her BG and she's at 177 will be leaving soon.
 
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