12/17 Blue 119 AMPS

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Patty and Blue GA & Brat

Patty and Blue GA & Brat

Member Since 2020
Hi Patty,

Sorry I didn't get to you in time to reply to your dosing question. I was trying to juggle the sequencing of Lúnasa's meds and soup (she was thirsty) and it couldn't wait (I'd not have been able to give her the evening dose if I'd delayed).

WRT Blue's insulin requirements at the moment, any time you need to skip a dose:

1. Test at +1 and +2 following the feed after the skipped dose. This may throw light on whether his pancreas is producing any bolus pulses of insulin in response to food ingestion.

It may also be helpful to check Blue's BG before his afternoon feed and again checking at 1 and 2 hours after that feed to see how the pancreas responds.

2. Take note of how much of a rise, if any, there is in BG after longer fasts. If the BG stays flat or, better, drifts downwards it may give an indication of how much of a basal trickle of insulin the pancreas is producing between feeds.

Getting a better picture of how the pancreas manages on its own during skipped cycles might throw a little more light on Blue's current insulin needs.


Mogs
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No, I am still starting the day with LC and change to MC at +1...we did talk about that.
I guess I'm just getting confused. Akkkkkkk

I thought HC at 66, but someone mentioned trying to see if MC would hold him steady so that's why I tried it. He's 55 now and I did feed HC

I'm concerned about his gut from the enlarged spleen and cancer and I don't think he needs to eat so much. I'm worried he'll be uncomfortable. It's large and tight.
 
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You're awesome Patty! Really!
I've been following your journey and you're doing so amazingly. Blue is one lucky boy! :bighug:

What about feeding him a supplement for example? Higher in carbs, but doesn't fill him up? Just thinking out loud here, hope you don't mind.
 
SashaV said:
You're awesome Patty! Really!
I've been following your journey and you're doing so amazingly. Blue is one lucky boy! :bighug:

What about feeding him a supplement for example? Higher in carbs, but doesn't fill him up? Just thinking out loud here, hope you don't mind.
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Oh my thank you so much. I don't mind at all. That's a great idea by the way. What kind of supplement? Do you mean treats or something else? Maybe like soup? Gravy?
 
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Patty and Blue said:
Oh my thank you so much. I don't mind at all. That's a great idea by the way. What kind of supplement? Do you mean treats or something else?
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I don't know what available where you are. But... on my search I've found some supplements for (language is not my friend today) recovering animals? Dogs that need more energy? I'll try to find a link for you!
 
SashaV said:
I don't know what available where you are. But... on my search I've found some supplements for (language is not my friend today) recovering animals? Dogs that need more energy? I'll try to find a link for you!
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Thank you that would be great. I'm wondering it my vet would have something. I have to take him in for a CBC today and maybe could ask if they have something.
 
I would not be adding any supplements other than food. He has a lot going on and I would control him only with food. BTW I’ve been seeing that when insulin is skipped instead of checking feeding at +2 to see if the bg comes down on its own the mods suggest +3-4. The food will still have an impact at +1.
 
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tiffmaxee said:
I would not be adding any supplements other than food. He has a lot going on and I would control him only with food. BTW I’ve been seeing that when insulin is skipped instead of checking feeding at +2 to see if the bg comes down on its own the mods suggest +3-4. Tge food will still have an impact at +1.
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Oh well, I thought it was a good alternative but you're probably right. I did just give him gravy at +2.5

I'm not understanding the rest of your message. Could you explain please?
 
Mogs suggested a +1 and +2 when you skip insulin to see if the bg comes down on its own without it. I’m reading that you need a test +3-4 to see if the pancreas is working. The +1 will be food influenced but give you an idea of how big a food bump. A +2 is fine but I would also get a +3 that is not influenced by food. Make better sense?
 
tiffmaxee said:
Mogs suggested a +1 and +2 when you skip insulin to see if the bg comes down on its own without it. I’m reading that you need a test +3-4 to see if the pancreas is working. The +1 will be food influenced but give you an idea of how big a food bump. A +2 is fine but I would also get a +3 that is not influenced by food. Make better sense?
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Yes. Thank you!
 
tiffmaxee said:
Mogs suggested a +1 and +2 when you skip insulin to see if the bg comes down on its own without it. I’m reading that you need a test +3-4 to see if the pancreas is working. The +1 will be food influenced but give you an idea of how big a food bump. A +2 is fine but I would also get a +3 that is not influenced by food. Make better sense?
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I specifically recommended the +1 to check for the magnitude of any food bump and to see whether it would remain within the normal reference range.

I also specifically recommended a +2 postprandial test to determine what change endogenous insulin from the pancreas has made in any postprandial BG elevation or, indeed, whether BG may have actually dropped - things which can be observed by that time if the pancreas is able to produce adequate pulses of stored insulin at mealtimes. Waiting till +3 won't give such a clear indication of how well/poorly the pancreas is functioning in that respect.

A +2 is fine but I would also get a +3 that is not influenced by food.
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Note that I also recommended that Patty monitor how BG levels might change over longer periods of fasting - and took the time to explain why earlier.


Mogs
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tiffmaxee said:
Patty, it’s up to you but I would ask the vet about prednisolone and whether it would help Blue.
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He's only here for blood work. I'm not seeing the vet. I did ask the oncologist when I was at Blue Pearl the day he got chemo. They said no but I can ask again because I'm not sure of the reasoning.
 
Okay, she came out so I asked her. She said typically they only give prednisolone if they can't do chemo. She said also it could hamper the chemo from working but eventually, they might put him on it after doing chemo for a while.
 
Patty and Blue said:
He's only here for blood work. I'm not seeing the vet. I did ask the oncologist when I was at Blue Pearl the day he got chemo. They said no but I can ask again because I'm not sure of the reasoning.
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Got it. I’m just wondering why. It can wait until you see the vet.
 
Patty and Blue said:
I'm concerned about his gut from the enlarged spleen and cancer and I don't think he needs to eat so much.
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If so then food with a higher carb % (e.g. the 10% food as default LC option) would give more of a carbohydrate bang for the food volume buck, so to speak.


Mogs
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A thought: I know it's too late for today, but I'd suggest asking the Blue Pearl people to clarify whether Blue should normally be fasted prior to their taking blood samples. (Wish I'd thought of this earlier. Sorry. :oops: )


Mogs
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Oh really, I never thought about the fasting. They didn't mention it but I'll ask.
I just got home and tested. He's 153 +5.5
No treats Mogs but he was up to 78. Once he starts going up he generally doesn't go back down.
Vet said his white blood count was elevated which is kind of strange after chemo. She didn't want
to give him anything and will send results to Blue Pearl. They might put him on antibiotics she said.

They charged me not only the blood work but a consultation...do they work on commission? :rolleyes:
 
Good Night Mogs. I got busy with dinner and getting down Christmas ornaments. One day this tree will be finished.;)

Blue's good. In my way in the kitchen wanting a bite of everything.

Has anyone used CBD oil for their cats?
 
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I'm going to test in about 45 minutes. Want to make sure what I should do in the event he's high or low.
Is the plan the same for either, feed 10% and give him a drop?
 
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