1/20 Blue AMBG 254

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Patty and Blue GA & Brat

Member Since 2020
https://www.felinediabetes.com/FDMB/threads/1-19-blue-ambg-184.241726/

Morning.

I thought I had it figured out but no. He's 254 AMBG and I expected it to be
lower this morning. So much for having a plan.
I spoke with Dr. Johnson this morning and she wanted me to start him on
.5 every 12 hours. I explained what happened on .25 and told her I wanted
to maybe try a drop every 12 hours. She said whatever made me comfortable. :woot:
Another thing, Blue's tumor is disappearing!!!

Good news on Brat. She's eating, drinking and pooping. Dr. Johnson is going
to run blood work this afternoon. She's still trying to determine the primary
source. Kidneys, Liver or Infection? I'm thrilled she's doing so well and probably
gets to come home tomorrow.
 
Hi Patty,

Really glad to read such positive updates about Brat and the Bluebird! It's very good to hear you sounding better too. :bighug:

I spoke with Dr. Johnson this morning and she wanted me to start him on
.5 every 12 hours. I explained what happened on .25 and told her I wanted
to maybe try a drop every 12 hours. She said whatever made me comfortable. :woot:
Quite right too! You know what you're at, Patty. :)


Mogs
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Hi Patty so happy to hear that Blues tumor disappearing !
Happy to hear that Brat is eating , drinking and pooping.
Hope they can pin point what's going on with Brat.
I hope she can come home tomorrow
Have a good day Patty ♥:bighug::bighug:
 
OIC!

As I said yesterday, Patty, I've no experience of juggling steroids and insulin so what my following comment purely speculative. I wonder whether it might pan out that a once-a-day dose timed as best as possible to balance out the rise from the steroids might work? If that were to prove to be the case then I think very close monitoring would be needed while the dose was active. Tricky.


Mogs
.
 
OIC!

As I said yesterday, Patty, I've no experience of juggling steroids and insulin so what my following comment purely speculative. I wonder whether it might pan out that a once-a-day dose timed as best as possible to balance out the rise from the steroids might work? If that were to prove to be the case then I think very close monitoring would be needed while the dose was active. Tricky.


Mogs
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Yes. It will be tricky.

Better news...Blue is out of his “room”!!! He tipping things over and I love it.
 
So glad to hear a good update on Blue and Brat. Prayers that whatever it is that is going on with your little Brat is easily identified and can be resolved quickly!

Who has been helping you figure out insulin for Blue? Marje? It will be interesting to see what she suggests? If you're around today, maybe get in some extra tests to see if you can do a curve on his numbers? Just a thought.:bighug:
 
Yes, Marje has been helping. I'll try to get more tests today. I'm just amazed at the range of BG numbers.
I was warned but just didn't realize he'd have such huge drops without insulin.
 
I wonder if the drops are from the prednisolone slowly wearing off....? I assume but have no clue.
It's hard to be prepared for that until you actually see it. Quite shocking. How long is he supposed to be on prednisolone for?
 
I wonder if the drops are from the prednisolone slowly wearing off....? I assume but have no clue.
It's hard to be prepared for that until you actually see it. Quite shocking. How long is he supposed to be on prednisolone for?

I think he'll always be on it. That's my thoughts anyway but I'm not sure. I give him the prednisone at his 3:30 feeding and yesterday's numbers are different than today's numbers. I thought that was strange.
 
I think the prednisolone is successfully starting to fight the cancer. He will need t have it for life so we will need to see how it effects his bg. So glad you didn’t listen to your vet. The prednisolone won’t wear off. That’s why it can be given at any time in the day. I think you will need data to hopefully figure out how to work this to his advantage. I’ve never dealt with prednisolone, bg and cancer though.

so happy to see the response to the lymphoma.
 
I think the prednisolone is successfully starting to fight the cancer. He will need t have it for life so we will need to see how it effects his bg. So glad you didn’t listen to your vet. The prednisolone won’t wear off. That’s why it can be given at any time in the day. I think you will need data to hopefully figure out how to work this to his advantage. I’ve never dealt with prednisolone, bg and cancer though.

so happy to see the response to the lymphoma.

Me too Elise. It hasn't even been a week. He was so ill. I'll try to get a record of BG and see if we can get a good idea if his BG will settle into a pattern.
 
I haven't tested Blue again but I meant too so will do that now. I've been on the phone
with Dr. Johnson. Brat's kidney numbers are all normal!!! Her liver has improved
dramatically. She said since she improved so fast that she doesn't think there was
disease spreading but she thinks it's a toxin. I'm not sure but now I suspect it might
be all the new cleaning wipes, sprays etc. to kill the virus. That's really the only
thing I'm doing differently. What products do you guys use?
 
That’s wonderful news about Brat. I only use Clorox wipes where my cats don’t go and just wash my hands often. Hand sanitizer is toxic as well so better to either wash your hands with soap and water or make sure your hands are totally dry after using sanitizer before touching them.
 
I haven't tested Blue again but I meant too so will do that now. I've been on the phone
with Dr. Johnson. Brat's kidney numbers are all normal!!! Her liver has improved
dramatically. She said since she improved so fast that she doesn't think there was
disease spreading but she thinks it's a toxin. I'm not sure but now I suspect it might
be all the new cleaning wipes, sprays etc. to kill the virus. That's really the only
thing I'm doing differently. What products do you guys use?
That's wonderful news!
FWIW, I make my cleaning products myself from vinegar, lemons, castile soap, baking soda. I have one spray that i make from hydrogen peroxide, which is on the CDC list as a virus killer...or was last I checked. You just have to keep it in a dark bottle. I make hand sanitizer from 85% alcohol (plenty high enough percentage to kill the virus per CDC when I checked) and tea tree oil but i only ever use it when I'm out at the market. At home I just wash my hands with soap and water...a lot. lol. Fun times. I'm super careful about what I use around Butters.
 
Thanks for all the great tips. I really do think the constant counter cleaning might be the culprit. I'll look into
making some or finding a good source for pet friendly.
I will definitely ask about a supplement for Brat. I'm leaving in 25 minutes. YAY I'm so excited.
Blue is doing great. He came out of his room again last night and marched on me. I am blessed.
 
Thanks for all the great tips. I really do think the constant counter cleaning might be the culprit. I'll look into
making some or finding a good source for pet friendly.
I will definitely ask about a supplement for Brat. I'm leaving in 25 minutes. YAY I'm so excited.
Blue is doing great. He came out of his room again last night and marched on me. I am blessed.

Wonderful news!
 
Awesome!!! :woot::woot::woot: This is all wonderful news. I'm over the moon happy for you. :bighug:
Labeled daytime and nighttime containers is a pretty good way to keep things organized. I was doing that for Butters when she was getting multiple meds and her vitamin b.
 
I’m so glad to hear about Brat. I figured it was a toxin but was thinking of the plants be abuse I didn’t know you used chemicals to clean. I also only use soap, vinegar, baking soda. I don’t use any wipes or Clorox anywhere. I do have alcohol wipes that i use on the car, doors, my phone and purse when I’ve been out. We leave our shoes in the verwegen and sorry the soles with a water/bleach solution and they stay there until dried.

What do they have Brat on? I hope some form of milk thistle.

IMHO it’s the pred that’s causing the BG. He rises after you give it and is higher for severwal hours. The only way to know when it starts waning and the BG starts to drop is go test.
 
I’m so glad to hear about Brat. I figured it was a toxin but was thinking of the plants be abuse I didn’t know you used chemicals to clean. I also only use soap, vinegar, baking soda. I don’t use any wipes or Clorox anywhere. I do have alcohol wipes that i use on the car, doors, my phone and purse when I’ve been out. We leave our shoes in the verwegen and sorry the soles with a water/bleach solution and they stay there until dried.

What do they have Brat on? I hope some form of milk thistle.

IMHO it’s the pred that’s causing the BG. He rises after you give it and is higher for severwal hours. The only way to know when it starts waning and the BG starts to drop is go test.

I never thought about the cleaning but have been diligent using product I don't normally use. I'm not positive that's what caused it but can't think of anything else it would be. She is so glad to be home and wouldn't leave my lap. Blue climbed up too so I got a lot of love.

I'll post the names tomorrow but antibiotic, app stimulate, cerenia and I can't remember the other but I think it was for acid reflux. I asked about liver support and she didn't mention milk thistle. They had a medicine they use but she didn't think Brat necessarily needed it. I'll post her updated blood work tomorrow. There's a big change.

I guess I should test BG every hour after giving the Pred. I have had a lot going on and just forget. If I can figure it out I could make adjustments.
Blue continues to improve but I know he'd feel better if I can give him some insulin.
 
We will deal with the prednisolone and hopefully Blue will not need much if any insulin. It’s doing its job which is so very important.
 
It's Denamarin. I see it's much cheaper on Chewy. We might add it after her next blood work in 2 months.
I use Herbsmith milk thistle from Chewys. It’s a powder and so much easier to use then Denamarin which is a pill that you aren’t supposed to crush and has to be given on an empty stomach. I wouldn’t wait to start her on it. It will not hurt her at all and will provide great liver support.

I’m a big believer in not adding meds or supplements to food unless I have to (e.g. phosphorus binder must be added to the food) so I make a little slurry with something yummy and syringe it. You could use Beechnut chicken or Turkey baby food. Because I give my cats egg yolk powder twice a day, I just mix the milk thistle in with that. Liv sucks it out of the syringe :woot::woot:
 
I use Herbsmith milk thistle from Chewys. It’s a powder and so much easier to use then Denamarin which is a pill that you aren’t supposed to crush and has to be given on an empty stomach. I wouldn’t wait to start her on it. It will not hurt her at all and will provide great liver support.

I’m a big believer in not adding meds or supplements to food unless I have to (e.g. phosphorus binder must be added to the food) so I make a little slurry with something yummy and syringe it. You could use Beechnut chicken or Turkey baby food. Because I give my cats egg yolk powder twice a day, I just mix the milk thistle in with that. Liv sucks it out of the syringe :woot::woot:

Thank you. I've got a shipment leaving Chewy in three days so will add the milk thistle. As for the egg yolk powder, since the brand you use is not available, is there another you have used?
 
Another question. What phosphorus binder do you use? I'm not sure if Brat needs one or not.
Does she have CKD and is her P value above 6?

If “yes” to both, I use aluminum hydroxide powder and I believe Chewy’s also carries it.

I am not aware of another quality egg yolk powder but FFL also has this info for making your own. It seems easy and you can make quite a bit with four eggs just to hold you over.
 
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