? 3/5 Coda AMPS 87 NS "+1" 77

[Coda (GA)]

http://www.felinediabetes.com/FDMB/...g-at-11am-pancreatitis-8-199-pmps-242.174225/

SOOoo.. low AMPS, diagnosed yesterday with pancreatitis, on pain and nausea meds.
He's still not eating a ton, last cycle was about 60cals raw + 40 cals canned, probably why he has low amps?
As per SLGS, we would earn a reduction being less than 90, but should I shoot is his numbers go up after eating? Has anyone else dealt with sick kitties and low preshots?

 

[Sienne and Gabby (GA)]

You don't want to base whether you shoot on numbers after eating -- those numbers reflect a food spike. Can you re-test since it's been about 30 min?

With SLGS, your options are to NOT FEED and:

• stall. Wait 20 - 30 min, re-test and see if numbers are rising. You need to have the flexibility to adjust your schedule if you end up stalling for a while.
• shoot a reduced dose
• skip

 

[Coda (GA)]

Update 77 bg at 9am
it's not increasing, so I'm just going to skip this shot and feed

 

[Wendy&Neko]

Has anyone else dealt with sick kitties and low preshots?

Unfortunately yes. But two things helped me. First, Neko was on Levemir so she wouldn't onset for 5 hours, so I had quite a while to get food into her. Second, I knew I could assist feed and get the calories/carbs in her. From experience I also knew that if I could get at least her meal in her early in the cycle, it would be OK to shoot and I could get the rest of the food in her later. Since you are continuing to skip insulin, I would make sure you get a ketones test in.

How is Coda doing tonight? Do you think he would be receptive to assist feeding? Often if I got a little bit of food in Neko, it would "prime the pump" so to speak. I also had antinausea meds on hand (very handy for pancreatitis too) and dealing with nausea would also get her to eat. Sometimes I needed to use both cerenia and ondansetron - they work on different nausea receptors so one or the other or both might be needed.

Did the vet include the SpecfPL test in the bloodwork so you can see if it's positive for pancreatitis? I've often seen a cat look fine on visual inspection of the mouth and have something brewing below the gum line. You need dental Xrays to verify. Mouth pain can also cause reluctance to eat.