Solid first quarter of the day for Jenks. I'm sure the story won't be so pretty once we check him for PMPS in about an hour or so.
We just got home from doing the vetty song & dance so we could get the insulin script renewed. Doc was impressed, as usual, with our level of monitoring and appreciated the year-in-review graphs that provide an at-a-glance summary of all of the data.
Jenks checked out just fine. No abnormalities detected in any of the physical exams.
Of concern, however, is Jenks' weight. 29 pounds, to be exact. Up at least a 1.5 lb from September, and a full 4 pounds from last year's annual exam. Doc wondered if the weight might be contributing to the difficulty in getting Jenks regulated. So the recommendation is to lose weight through low carb food (already doing that) and increased activity. I'm not sure what we're supposed to do for activity. Jenks is the least active cat I've ever seen. He's never liked to play, even when he was a kitten. If I drag a string or shine a laser pointer near him, he intently focuses on it and will take a swipe at it, but that's the most that he'll do. He's not going to get up and run or chase after anything. So if anyone has any suggestions on how we can shake the moss off of this stone and get it rolling, I'd love to hear it!
Honestly, I'm not even sure how we're putting on any weight. Jenks isn't a big eater. If he eats a combined total of one 5.5oz can of food during the entire day, I'd be very surprised.
Then we had a long discussion about strategies to address Jenk's numbers. Aside from trying new insulins, the doc didn't have much in the way of ideas. He was satisfied that we were keeping the numbers mostly under the renal threshold.
Then we had a chat about potential high dose conditions. He's never ordered any tests in his career for acromegaly or IAA, but he said his office was equipped to send blood anywhere that was needed. So I need to provide him with more info on the tests so we can talk procedure and price.
Otherwise, got a renewed insulin script and a script for syringes to keep in reserve just in case I encounter any resistance from my local pharmacies.