Gracie's Yesterday
2/10 Recap:
AMPS: 232
+2: 311 high before break
+5: 260
+7: 180
+9.5: 94
+10.5: 72
+11.5: 50
PMPS: 50
+1: 84
+3: 117
+5: 99
+6: 130
+8: 185
Thank you all so very much for the powerful Lantus/Levemir Land prayers and all your posts yesterday. I am sorry that I've been so fixated on Gracie this week that I have not kept up on who is in need of vines and prayers but please know that we always keep you all in our prayers and send extra for those who need them.
We're home and LBG did fantastic. The anesthesiologist, Dr. L., said she had a textbook (as in perfect) induction, textbook anesthesia during procedure, textbook vitals, textbook recovery. She was extremely happy especially given the diabetes. Of course, Missy G gave me a dropping 86 at AMBG so I texted Dr. L and she said she did not want her any lower so had me give her a drop of karo knowing that the procedure would not be started before the karo wore off and that it would stop her long enough to get her to the clinic where stress would kick in. Gracie had one tiny tooth at the back of her mouth that was "hanging on by a thread" (thus the odd chewing we'd see lately); they barely touched it and it fell out. There was a small amount of infection so she got a clindamycin shot and is on clavamox. She had full digital X-rays before and a follow up after to be sure there was nothing left of the little tooth/roots. When they brought her out to me, she was wide awake. She's been very happy to be home and is very steady on her feet.
The funniest thing happened, though. Dr. L came out as soon as Gracie was done and she felt coming out of the anesthesia well. She said, "boy, she made it clear she was not happy with me". I said, "did she hiss?". She said, "No...but if looks could kill, I'd be dead right now".
So she and the vet tech both got the infamous LBG stinkeye as the vet tech told me later that as she was transferring her back to her basket after the dental, Gracie also gave her the stinkeye. But she said as soon as she had her transferred, she started purring.
I had a very long and interesting discussion with Dr. L on giving insulin tonight, etc. I told her some members' cats had experienced effects on BG (dropping) long after waking up and being at home. She said that it depends on if and how the kitty was induced and what was used. She said propofol and ketamine are known for causing instabilities but until 2014, the FDA had not approved what is used for induction in Australia, Canada, and Europe which is Alflaxalone. She said Alfaxalone gives a super smooth induction and does not affect cardiac or other parameters like propofol and ketamine and does not have the risk of neurologic impairment that ketamine can. She said, ECID, but she does not expect that Gracie will have dropping BGs and said if Gracie is eating normally and appears to be feeling well, she should be fine with a normal dose of insulin provided we monitor her closely especially around onset time.
Gracie is eating now and even though her BG is super high for her (I'm certain a lot of it is stress as she easily climbs over 100 mg/dL with vet stress), we are just letting her have very small amounts spaced out so we don't think we will give any R. I think we will just let her have small amounts to eat over the next few hours and if she's doing well and her BG is still really high, we will shoot an hour early with her levemir. We don't want to feed her too much too fast and won't give R without food on board.
Again...thank you for all of your prayers. I'm going to go take a long nap and let Mike watch her. I do have to say he did a great job last night with her. Normally, we would not control her numbers so much but we needed to have her up enough so +5 was her last meal until +10. He did a great job managing the curve so that could happen.
Have a great day....
from Gracie, Mike, and me.
2/10 Recap:
AMPS: 232
+2: 311 high before break
+5: 260
+7: 180
+9.5: 94
+10.5: 72
+11.5: 50
PMPS: 50
+1: 84
+3: 117
+5: 99
+6: 130
+8: 185
Thank you all so very much for the powerful Lantus/Levemir Land prayers and all your posts yesterday. I am sorry that I've been so fixated on Gracie this week that I have not kept up on who is in need of vines and prayers but please know that we always keep you all in our prayers and send extra for those who need them.
We're home and LBG did fantastic. The anesthesiologist, Dr. L., said she had a textbook (as in perfect) induction, textbook anesthesia during procedure, textbook vitals, textbook recovery. She was extremely happy especially given the diabetes. Of course, Missy G gave me a dropping 86 at AMBG so I texted Dr. L and she said she did not want her any lower so had me give her a drop of karo knowing that the procedure would not be started before the karo wore off and that it would stop her long enough to get her to the clinic where stress would kick in. Gracie had one tiny tooth at the back of her mouth that was "hanging on by a thread" (thus the odd chewing we'd see lately); they barely touched it and it fell out. There was a small amount of infection so she got a clindamycin shot and is on clavamox. She had full digital X-rays before and a follow up after to be sure there was nothing left of the little tooth/roots. When they brought her out to me, she was wide awake. She's been very happy to be home and is very steady on her feet.
The funniest thing happened, though. Dr. L came out as soon as Gracie was done and she felt coming out of the anesthesia well. She said, "boy, she made it clear she was not happy with me". I said, "did she hiss?". She said, "No...but if looks could kill, I'd be dead right now".
So she and the vet tech both got the infamous LBG stinkeye as the vet tech told me later that as she was transferring her back to her basket after the dental, Gracie also gave her the stinkeye. But she said as soon as she had her transferred, she started purring. I had a very long and interesting discussion with Dr. L on giving insulin tonight, etc. I told her some members' cats had experienced effects on BG (dropping) long after waking up and being at home. She said that it depends on if and how the kitty was induced and what was used. She said propofol and ketamine are known for causing instabilities but until 2014, the FDA had not approved what is used for induction in Australia, Canada, and Europe which is Alflaxalone. She said Alfaxalone gives a super smooth induction and does not affect cardiac or other parameters like propofol and ketamine and does not have the risk of neurologic impairment that ketamine can. She said, ECID, but she does not expect that Gracie will have dropping BGs and said if Gracie is eating normally and appears to be feeling well, she should be fine with a normal dose of insulin provided we monitor her closely especially around onset time.
Gracie is eating now and even though her BG is super high for her (I'm certain a lot of it is stress as she easily climbs over 100 mg/dL with vet stress), we are just letting her have very small amounts spaced out so we don't think we will give any R. I think we will just let her have small amounts to eat over the next few hours and if she's doing well and her BG is still really high, we will shoot an hour early with her levemir. We don't want to feed her too much too fast and won't give R without food on board.
Again...thank you for all of your prayers. I'm going to go take a long nap and let Mike watch her. I do have to say he did a great job last night with her. Normally, we would not control her numbers so much but we needed to have her up enough so +5 was her last meal until +10. He did a great job managing the curve so that could happen.
Have a great day....
from Gracie, Mike, and me.
I'm so happy everything was textbook today. 
Wendy's advice on a nap and an adult beverage or two sounds good. Sending vines for the rest of the evening.
Nap...check. Adult beverage...another day. Mike has to go to bed early tonight for his flight tomorrow. Hey Soul Sista!!! I just wanted to be sure you had a pardner in one less toofieness. haha how we hid it from our moms, though!!!
