Sorry for the late posting -- had to transfer B from emerg to the regular vet today then get straight to work, and busy day there.
B is doing quite well. She isn't super-energetic, but feels well enough to be cranky. Her PMPS was quite nice at 212. The vet said she debated, then decided to start B on 0.5 units to be conservative while we transition her from fast-acting + Lantus to just back on the Lantus. Her ketones were negative as of late afternoon, so that's fantastic!
She is home for the night with me monitoring, but back to the vet tomorrow so they can keep a little more of an eye on her, including supplementing with fast-acting if necessary.
We are going to start giving her some metamucil for potential constipation, after having had two enemas recently (poor thing!) -- I am concerned the Evo is contributing to this, although I think the first time was after she was at emerg for her DKA, and she was on a/d there. (Maybe the ketones are contributing?) Hopefully the metamucil won't affect her BG too much, probably better than other fibre sources.
And we are going to try some extra vitamin B12 for her anaemia. I've been trying to get my head around Erythropoiesis Stimulating Agents (ESAs), they seem pretty complex and a serious thing to add to the mix of other stuff going on with her. If anyone has experience with this, I'd be glad to hear it.
It's really great to have her home, although at the same time I am really anxious about her...I am so hoping we can get her to a stable place soon.
B is doing quite well. She isn't super-energetic, but feels well enough to be cranky. Her PMPS was quite nice at 212. The vet said she debated, then decided to start B on 0.5 units to be conservative while we transition her from fast-acting + Lantus to just back on the Lantus. Her ketones were negative as of late afternoon, so that's fantastic!
She is home for the night with me monitoring, but back to the vet tomorrow so they can keep a little more of an eye on her, including supplementing with fast-acting if necessary.
We are going to start giving her some metamucil for potential constipation, after having had two enemas recently (poor thing!) -- I am concerned the Evo is contributing to this, although I think the first time was after she was at emerg for her DKA, and she was on a/d there. (Maybe the ketones are contributing?) Hopefully the metamucil won't affect her BG too much, probably better than other fibre sources.
And we are going to try some extra vitamin B12 for her anaemia. I've been trying to get my head around Erythropoiesis Stimulating Agents (ESAs), they seem pretty complex and a serious thing to add to the mix of other stuff going on with her. If anyone has experience with this, I'd be glad to hear it.
It's really great to have her home, although at the same time I am really anxious about her...I am so hoping we can get her to a stable place soon.
