10/27 Charlie amps:402

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Claudia,
As the doses approach 4u, you could possibly try slightly larger increases if we still aren't getting anywhere.

Also can you tell me a little bit about Charlie?
size/weight
belly size
hunger/appetite
snoring
dental condition
other medical issues
age
 
claudia remember a big gulper can still definetly come down in dose and can still go into remission and definetly regulation. keep the faith...there are several successful big gulpers out there!
 
Charlie is a big boy- prone to obesity but his weight is now what his vet calls ideal. He is 14lbs (he was up to 20 a few years back). He is 9 years old. When he is fatter, his belly is saggy, but it's pretty close to his body at his current weight. He is a hungry guy too- he eats a half can of friskies mixed with water 5x/day. His teeth are currently in good condition- he had a cleaning in February. He is sensitive to plaque, and is sensitive to anesthesia (allergic?) so I hate to get his teeth cleaned too often (My other cat is worse-really sensitive to plaque, and really sensitive to anesthesia!) He has a very slight heart murmur (grade 1). He snores occasionally. The only other medical issue he has had was a yeast infection in his ear in February. He is strictly indoors (always had been).
 
Pmps:377, 3.8u
Thanks rob and Lori for the encouragement! I think I expected him to be regulated by now, but he has other plans I suppose.
Nancy, what do you recommend for increases beyond our current level? He still has one more day on our current dose. I'm glad the numbers are lower today than the past couple days (still way too high, though).
 
well, if nancy agree's i think continue on the .2 raises but just give it 2 cycles. you will KNOW when it's enough or even close to enough when you start seeing true identifyable reduction in his numbers. once you see that even if it's still blue you can stick with that dose for a few more cycles before we dare try for a green.
 
After 4u, I would be OK with .2u increases every day, or .4u every 2 days
until you see your first blue
then it would be safer to stay at a dose at least 4 cycles so you can test c3.

But this is really up to you, it's important you are comfortable. I seem to remember you are expecting small fry #2 and are hoping to get Charlie settled soon - Yes?

When you say he is a hungry guy, does he lick his plate clean pretty much every meal? Ever steal food?, or eat things you would not expect a cat to eat?
would you say he has large paws? or anything unusual about his face or jaw?

Did you ever take a look at the high dose ISG stickies? Charlie's snoring, size, sex, age, heart murmur, appetite, and slow response from almost 4u dose is not uncommon in high dose conditions like acromegaly. The only reason I even mention this at only <4u, is if you are in a hurry to get him regulated. Dose increases can be more aggressive in an acrocat, once you have a diagnosis.
 
I have read on this site a little about acromegaly. I haven't researched further than that, though. He has seen 5 different vets since his dental in February, and none of them mentioned that he had the acrocat physical features. I'm a bad judge of him since I see him every day- he looks normal to me and dh. I can't figure out how to put his pic on this site since it requires such a small pixel size- I don't know how to change that. I don't know if you're on facebook, but I have several pics of him on my page.

He licks his plate clean every meal, and knows exactly when it's food time and follows us meowing till we feed him. He has been known to eat his Civie sister's vomit, and occasional carpet fuzz. He was stealing food at the beginning of his fd diagnosis, but he has since stopped that. My bun is due at the end of April, so I've still got some time to get him settled before the big day.
 
Maybe this is a really negative question, but what is the prognosis for an acrocat?

If it's all agreed, I guess I'll start increasing .2u daily. I'll have to be extra careful to always get a mid-cycle bg test then, right?
 
Cody has been diabetic for 3.5 yrs so... and he's 14.5 now. I expect him to be around next year, but who knows.... another acro died this summer at about 15-16+ I think. Its mainly a different management, and knowing helps you look at the FD in a different way.

It mainly means they need more insulin, and it means you have to keep an eye on the numbers, because the growth hormone fluctuates and therfore insulin needs fluctuate. Cody takes enelapril and aspirin for his big heart.
You have time, so for now just keep this up.
 
Usually Cody is predictable, but then last night at 5AM I got an 84 after having shaved his dose from 15 to 12.5u. so today I shaved to 10u and got all 300's. this is unusual, but occurs, and it is a different insulin which means I have the "shed" factor. ECID.

the ones that seem sooo hard to figure out are the IAA cats- I am clueless with those guys. Luckily its not near as common as acro
 
i hope dodo does'nt go that direction...he's showing signs.. :?
 
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