11/17/20 - Squeaky! AMPS = 360 =5+ 244 PMPS=182 how lovely

[Jan D & Squeaky]

https://felinediabetes.com/FDMB/thr...-78-amps-600-6-5-372-pmps-318-5-5-321.238662/

Where does a cat go when it loses its tail? The re-tail store!

Thanks everybody for the great attention and help yesterday. I think giving some cerenia and some buprenorphine were good calls by THH. @THH I'm not thrilled with 321 at +5.5 but I think that is better than extreme bouncing.

And last night he played a bit, which is a good sign.

During the night, he hasn't been going over to his food bowl much but is eating when I give food to him by hand.

Planning on testing at +9 or 10 to see the trend.

We'll see what today brings!

 

[carfurby (GA)]

I'm glad the cerenia and bupe seemed to help. Playing is good. I hope Squeaky slides down and surfs.

 

[THH & Snowcrash (GA)]

I'm glad he's feeling better! Hope his bg improves also.

Did you ever hear back from your vet? My two cats with pancreatitis are on cerenia daily; both take 6mg. Sometimes they just need to stay on it long-term.

 

[Jan D & Squeaky]

I'm glad the cerenia and bupe seemed to help. Playing is good. I hope Squeaky slides down and surfs.

I'm glad he's feeling better! Hope his bg improves also.

Did you ever hear back from your vet? My two cats with pancreatitis are on cerenia daily; both take 6mg. Sometimes they just need to stay on it long-term.

Thank you both! At +9 his BG was 383. A bit high but vastly better than in the 600s. THH, how long do you think he needs to stay on the cerenia and the buprenorphine? Mostly he had been doing just fine, to me it looks like your assessment that this is a flareup seems correct.

No, the vets around here are next to impossible to reach. The vet techs all do their best to protect the vets from communication. If lucky I could hear back in a day. More typically 2 - 3 days by then we're on to new conditions. Sometimes a week and sometimes you just don't get much of anything back except dialoguing with the techs.

I could not be doing this without the help of everyone here. Seriously I wish I could figure out a way to send everyone here thank-you-cookies.

 

[THH & Snowcrash (GA)]

Thank you both! At +9 his BG was 383. A bit high but vastly better than in the 600s. THH, how long do you think he needs to stay on the cerenia and the buprenorphine? Mostly he had been doing just fine, to me it looks like your assessment that this is a flareup seems correct.

No, the vets around here are next to impossible to reach. The vet techs all do their best to protect the vets from communication. If lucky I could hear back in a day. More typically 2 - 3 days by then we're on to new conditions. Sometimes a week and sometimes you just don't get much of anything back except dialoguing with the techs.

I could not be doing this without the help of everyone here. Seriously I wish I could figure out a way to send everyone here thank-you-cookies.

Unless your vet says otherwise, I would probably try keeping him on both the cerenia and buprenorphine until his appetite is back to normal. Then stop the buprenorphine, see how he does; if he's fine, then stop the cerenia next.

 

[Jan D & Squeaky]

Unless your vet says otherwise, I would probably try keeping him on both the cerenia and buprenorphine until his appetite is back to normal. Then stop the buprenorphine, see how he does; if he's fine, then stop the cerenia next.

Sounds like sage advice! Thank you for helping us. This message from the vet tech this morning:

Hi Jan,
Thank you for this thorough information! SO extremely helpful.
Those bounces do seem extreme.
Dr. Angie and JoJo are in house calls all day today. JoJo is planning to relay all of this over to Dr. Angie and then we will follow up ASAP with her assessment!
Talk soon!
Warmly,
Claire

It'll probably be tonight, or maybe then they will want to schedule a phone appointment which might take days. So I will likely have to make the decision..... thanks so much for your assistance. I would not have thought about the buprenorphine or understood this might be a flareup of the pancreatitis, without your input.

Cheers and have an excellent day!

Jan

 

[tiffmaxee]

Definitely sounds like pancreatitis to me. Keep up the bupe and cerenia. If cerenia doesn’t get him eating on his own I would try ondansetron if your vet will give you an RX. It sure worked well for Max.

 

[Olive & Paula]

Ollie ended on cerenia 8 mg daily and was on bupre every 8 hrs for life. She had other issues than p'titis and FD though.

 

[Jan D & Squeaky]

Definitely sounds like pancreatitis to me. Keep up the bupe and cerenia. If cerenia doesn’t get him eating on his own I would try ondansetron if your vet will give you an RX. It sure worked well for Max.

Ollie ended on cerenia 8 mg daily and was on bupre every 8 hrs for life. She had other issues than p'titis and FD though.

Wow, well Squeaky was on both before the diabetes diagnosis, but we took him off. He seemed to be doing much better without both..... and then the vet diagnosed the diabetes. He has still been fine until recently. It seems that starting with lantus 1.75 dose he has started having these huge swings. And definitely at 2.75 the swings just got worse..... and now I'm seeing the vomiting at the over 600s.

Do you think the insulin could be affecting his pancreas and the pancreatitis? Maybe he should not be on such a large dose?

The problem seems to be these huge swings. I don't know what to do to level them off, except all of you are telling me buprenorphine to get the pancreas out of pain.

Thanks a bunch.

 

[THH & Snowcrash (GA)]

Cerenia is also thought to have some anti-inflammatory effects on the pancreas, which may be helpful for him long-term. I'm also wondering if the possible pancreatitis inflammation may be a factor in his bg regulation.

 

[tiffmaxee]

I agree about cerenia but it might not be helping the nausea which is why I suggested ondansetron .

 

[Olive & Paula]

Cerenia is also thought to have some anti-inflammatory effects on the pancreas, which may be helpful for him long-term. I'm also wondering if the possible pancreatitis inflammation may be a factor in his bg regulation.

I would think the inflammation is a big factor. The islets of Langerhans that manufacture insulin is in the pancreas. Right now the pancreas is under attack, so it would play a major role.

As the pancreas heals the glucoses will come down again. You will need to be vigilant on watching them.

 

[Jan D & Squeaky]

Cerenia is also thought to have some anti-inflammatory effects on the pancreas, which may be helpful for him long-term. I'm also wondering if the possible pancreatitis inflammation may be a factor in his bg regulation.

I would think the inflammation is a big factor. The islets of Langerhans that manufacture insulin is in the pancreas. Right now the pancreas is under attack, so it would play a major role.

As the pancreas heals the glucoses will come down again. You will need to be vigilant on watching them.

I agree about cerenia but it might not be helping the nausea which is why I suggested ondansetron .

Wow guys, I appreciate the discussion. I've copied all your comments for my vet. So glad you guys understand the situation. My vet doesn't sound like she knows a whole lot about feline diabetes but we will teach her, huh?

 

[Jan D & Squeaky]

Cerenia is also thought to have some anti-inflammatory effects on the pancreas, which may be helpful for him long-term. I'm also wondering if the possible pancreatitis inflammation may be a factor in his bg regulation.

I would think the inflammation is a big factor. The islets of Langerhans that manufacture insulin is in the pancreas. Right now the pancreas is under attack, so it would play a major role.

As the pancreas heals the glucoses will come down again. You will need to be vigilant on watching them.

Cerenia is also thought to have some anti-inflammatory effects on the pancreas, which may be helpful for him long-term. I'm also wondering if the possible pancreatitis inflammation may be a factor in his bg regulation.

Vet's response:

I was able to connect with Dr. Angie regarding this update and here are her thoughts:

• There's nothing wrong with doing Buprenorphine and Cerenia - you can absolutely keep doing those!
• At some point, we may want to consider doing something different diet-wise (like an Rx food for diabetes). It is something that we could play around with, and I am happy to give you a run down on canned options if this sounds like something you and Squeaky may be open to!
• We may also want to do a cystocentesis (which is collecting urine using a needle into the bladder as a sterile method) to get a urine culture in order to rule out infection elsewhere (like a UTI).

Let me know how this sounds to you!

 

[THH & Snowcrash (GA)]

Vet's response:

I was able to connect with Dr. Angie regarding this update and here are her thoughts:

• There's nothing wrong with doing Buprenorphine and Cerenia - you can absolutely keep doing those!
• At some point, we may want to consider doing something different diet-wise (like an Rx food for diabetes). It is something that we could play around with, and I am happy to give you a run down on canned options if this sounds like something you and Squeaky may be open to!
• We may also want to do a cystocentesis (which is collecting urine using a needle into the bladder as a sterile method) to get a urine culture in order to rule out infection elsewhere (like a UTI).

Let me know how this sounds to you!

Ruling out a UTI for a diabetic cat is always a good idea, though I think the pancreatitis is more likely to be a significant factor in his bg issues than a UTI right now. Still not a bad idea to check!

I don't think the prescription food would do anything helpful, though. I don't have any experience with raw diets to know if switching to canned would be helpful or not.

 

[Olive & Paula]

Well sounds like you may be able to get more quantity on the meds. Very nice.

To appease her so she doesn't feel discarded, say you would like the print out on different foods and say you would like to study the info. Let it go at that.

Why is uti mentioned now.

 

[Jan D & Squeaky]

Ruling out a UTI for a diabetic cat is always a good idea, though I think the pancreatitis is more likely to be a significant factor in his bg issues than a UTI right now. Still not a bad idea to check! I don't think the prescription food would do anything helpful, though. I don't have any experience with raw diets to know if switching to canned would be helpful or not.

Well sounds like you may be able to get more quantity on the meds. Very nice. To appease her so she doesn't feel discarded, say you would like the print out on different foods and say you would like to study the info. Let it go at that. Why is uti mentioned now.

Hi Y'all,

GOOD NEWS: YAY +5 is 244 so he's coming down softly. He was feeling better today and it was a warm day so I was able to take him outside for a while, it was good for both of us.

LESS THAN GOOD NEWS: While I was out there I noticed that the front part of his ears are losing fur. Not the part where we do the ear pricks, that is the posterior part of the ear, but the front and outside of his ears. They feel leathery and don't look good. Is that a side-effect of diabetes also? Do you need a photo?

Truthfully I don't know why she's thinking UTI. And I'm with THH, I'm actually very against canned processed food. Have you read the ingredient lists for those things? What's food about it? I'm a raw feeder. And Squeaky is a raw eater. Most of the time.

I just had her her to the house $160 for a checkup, he has a little growth of some kind on his face at the place the inhaler cone rests. Plus the neosporin got into his ears and gunked them up so she had to clean them out. I think she should feel like part of the team. She simply cannot provide the level of detail and timing that you guys can.

I gave him 6 mgs of cerenia today and he just had his second buprenorphine installment. Everything is much better today, I have you all to thank for that!!!!

 

[Olive & Paula]

My civvie Tripper lost all the fur on her ears, few years ago. Vet said it was stress. I don't know. She was stalked, ambushed, attacked constantly by the other 2. That's when Tripper started staying in the basement cuz the other 2 didn't go down there. He said as long as she was happy, not to worry about it. She was healthy otherwise.

 

[Jan D & Squeaky]

My civvie Tripper lost all the fur on her ears, few years ago. Vet said it was stress. I don't know. She was stalked, ambushed, attacked constantly by the other 2. That's when Tripper started staying in the basement cuz the other 2 didn't go down there. He said as long as she was happy, not to worry about it. She was healthy otherwise.

Thanks Paula, stress huh. Yes, I'd say Squeaky is having some stress. Well hopefully it will grow back! Thanks for your response.

 

[Olive & Paula]

Thanks Paula, stress huh. Yes, I'd say Squeaky is having some stress. Well hopefully it will grow back! Thanks for your response.

That's what he said. It didn't grow back. She has naked ears. I tried Halo healing balm (something like that) one time when she was scratching to death. She had reaction to it. But I think it was after the fur was gone.

 

[Jan D & Squeaky]

That's what he said. It didn't grow back. She has named ears. I tried Halo healing balm (something like that) one time when she was scratching to death. She had reaction to it. But I think it was after the fur was gone.

Oh yikes, it didn't grow back. I better take a photo and send to the vet. Thanks so much for the info!!!!!

 

[Olive & Paula]

Oh yikes, it didn't grow back. I better take a photo and send to the vet. Thanks so much for the info!!!!!

It doesn't bother her, apparently nothing I can do about it. I don't know if it was stress or not. PJ is high strung and she hasn't lost fur on her ears. Maybe stress is different than high strung.