? 08/21 Eddie AMPS 79 +4.5 128 +9.5 266 PMPS 320 +8 317

Are you still following SLGS and reductions under 90? Looks like you didn't reduce this AM. Glad you could get a later test this cycle.
 
Wendy&Neko said:
Are you still following SLGS and reductions under 90? Looks like you didn't reduce this AM. Glad you could get a later test this cycle.
Click to expand...
If Eddie were a diabetic w/o acromegaly I'd be following more generally the plan but I've come to learn to pay attention to Eddie's unique situation (surgery, SRTs) and his individualized responses to his day-to-day living. Just about every time I took reductions when we've gotten into these "interesting" number he relapses. I'm going by the series of events beginning July 10th and saw a lot of blues and greens until he had whatever event got him into the clinic on July 27th (which wasn't low BG related until he was in the clinic). When he was released he was at 5u and he's been totally erratic since then. So, I decided to hold the line.

Having said that I was able to get only one test in this afternoon until I had to help someone today and by the time I got home the pet sitter I get to do random things had given him his snack an hour before I got here.

Anyway, I can do a pre-PMPS test, too.

A question though: Eddie has an appointment to see the IM vet in the morning. I asked him about a blood panel and what he recommends:

He said:
I would like to collect some blood and urine tomorrow.
Blood: CBC + Biochemical profile
Urine: UA + culture
This is an initial wide screen to catch abnormalities that may interfere with his feeling well.
There is always more that can be tested but this is a robust screening sample.

Do you have any additional recommendations for testing that would help to see where Eddie is currently at?
 
For blood, instead of just the CBC and biochem, I'd go the full geri panel. That adds the T4 test. I was always told to test every three months for the first year after SRT, for the slight risk of post SRT hypothyroidism. I don't know when you last had the T4 tested, as you don't have lab data in the spreadsheet.

For urine, is he showing any signs of UTI? I always paid for culture for Neko ($$$) and it was always negative.

When is the last time he had a Spec fPL test? I know they said he doesn't have pancreatitis, but good to know for sure. He has the odd GI issue going on (vomit and diarrhea), so maybe a B12 test too. That can come in a package with the Spec fPL.

And finally, when was the last time he had his blood pressure tested, and what was the value?
 
Wendy&Neko said:
For blood, instead of just the CBC and biochem, I'd go the full geri panel. That adds the T4 test. I was always told to test every three months for the first year after SRT, for the slight risk of post SRT hypothyroidism. I don't know when you last had the T4 tested, as you don't have lab data in the spreadsheet.

For urine, is he showing any signs of UTI? I always paid for culture for Neko ($$$) and it was always negative.

When is the last time he had a Spec fPL test? I know they said he doesn't have pancreatitis, but good to know for sure. He has the odd GI issue going on (vomit and diarrhea), so maybe a B12 test too. That can come in a package with the Spec fPL.

And finally, when was the last time he had his blood pressure tested, and what was the value?
Click to expand...
Thank you, Wendy.
 
Wendy wrote everything I was thinking, though I might add an SDMA for good measure (if it’s not included in the panel), and I’d do a culture on the urine. Given his complicated history, I’d err on doing all of those tests out of an abundance of caution. He’s a bit unique, and unicorns can deliver up surprises.
 
JL and Chip said:
Wendy wrote everything I was thinking, though I might add an SDMA for good measure (if it’s not included in the panel), and I’d do a culture on the urine. Given his complicated history, I’d err on doing all of those tests out of an abundance of caution. He’s a bit unique, and unicorns can deliver up surprises.
Click to expand...
Hi JL, thanks for this suggestion. I will ensure he gets this as well. I love the unicorn comparison.
 
You must log in or register to reply here.
Back
Top