4/11 Tammy AMPS 322 , +2 265, half dose late, dental yest

[catmom4]

Hi I've been following the group for a while, but don't have everything entered, yet. I do have a spreadsheet that has recent dates filled in and I'm working on past dates. Tammy was diagnosed and started Lantus on Jan. 9, 2015. I think her needing a dental has been holding her back from better regulation or remission.

Yesterday morning, she had half a dose of insulin and went to the vet for a dental - spreadsheet lists info:
dental during day resorptive lesions, full mouth xrays, 3 teeth crown amputation, evening 0.1ml Buprenex 0.3mg/ml to be given every 12 hours for pain from dental

closer to half amount of food last night - per vet instructions

She woke me in the night at +7 and was low, fed her low carb FF and monitored her until seemed safe

4/10/15 PMPS 262, +7 53, +7.5 70, +8.25 88 +9.5 119 +11.5 228

just before I was about to give her shot this morning, she threw up what looked like as much as she'd eaten this morning

Trying to get things set up here, I'm still working on it and figuring things out, I'm about an hour late to be giving her a shot. Should I give her any insulin or how much? I'm thinking not more than a half dose, but we both had a really long exhausting day with very little sleep, yesterday, and I'm wondering if I should give a quarter dose or none because we're exhausted and it may be harder to monitor today? After dropping her and another one of my cats off for their dentals, yesterday, I was worried and stressed enough.

Then at work, my coworker was having health problems and I ended up going to the hospital with him until I had to pick the cats up at the vet. My coworker friend had a stroke in front of me at the hospital and I was afraid he was going to die or be permanently impacted. Thankfully, he was at the hospital when it happened and they were able to remove the clot from his brain right away and they're thinking any issues from that he'll be back to normal within a day or two, but they also found blood clots in his lungs and other things - I should probably go visit him, but I'm worried about my cats after their dentals. Sorry so long.

 

[Sienne and Gabby (GA)]

Geez. No kidding that you had quite the day yesterday. Thankfully, you were at the hospital already with your coworker.

I would give her 0.5u only because this is post-dental. It can take a cycle or two for a cat to settle down after anesthesia. The anesthesia slows down the GI track (hence, kitties can vomit) and at the same time, acts as an appetite stimulant. So, your cat's hungry but you need to make sure to feed slowly.

I would still keep an eye on Tammy's numbers. Anesthesia can lower BG, as well. Once you see that she's eating normally, go back to your usual dose.

Have you been giving her the Buprenex? I'd also make sure that she's not having a reaction to the pain med. Did the vet give her an antibiotic? Did they take post-dental x-rays?

 

[catmom4]

Geez. No kidding that you had quite the day yesterday. Thankfully, you were at the hospital already with your coworker.

I would give her 0.5u only because this is post-dental. It can take a cycle or two for a cat to settle down after anesthesia. The anesthesia slows down the GI track (hence, kitties can vomit) and at the same time, acts as an appetite stimulant. So, your cat's hungry but you need to make sure to feed slowly.

I would still keep an eye on Tammy's numbers. Anesthesia can lower BG, as well. Once you see that she's eating normally, go back to your usual dose.

Have you been giving her the Buprenex? I'd also make sure that she's not having a reaction to the pain med. Did the vet give her an antibiotic? Did they take post-dental x-rays?

Thanks for the reply and information! She got the Buprenex last night. She seemed fine last night and kept food down then. I should give it to her. She had an antibiotic shot that lasts for 14 days. They did not take post-dental x-rays, just before they decided to do crown amputation on 3 instead of extraction.

 

[Sienne and Gabby (GA)]

Two thoughts...

Use the bupe to stay ahead of the pain. Dental pain is very uncomfortable. If you skip doses of the bupe, it's hard to for your cat to manage the pain. Tammy may seem just fine on the med and then you stop. If the pain isn't managed it comes back and you have to fight to get ahead of it again. She will probably need a couple of days on the med.

It is very likely that the antibiotic (AB) was Convenia. It's an AB that most of us won't let our vets use precisely because it lasts over two weeks. If your cat is allergic, you can't just stop giving a drug, once it's injected, that lasts 2 weeks. In addition, it's only pharmacologic indication is for skin infections. Vets like to use it because then caregivers don't have to fuss with giving their cat a pill. I doubt that Tammy is having a reaction to the AB since usually an allergic reaction is pretty immediate but if this were me, I'd be keeping an eye on her.

 

[catmom4]

OK. I do keep an eye on her so much, since the diagnosis. I was just afraid I might crash from exhaustion, sometime today, and I wanted the chance to maybe leave the house for a short time without worrying about her going too low. But now her BG is high for her. She just ate a little FF mixed with water in 2 separate small feedings and has kept it down so far, fingers crossed. I checked and her BG 322 (I think this should be the new AMPS? Right?), gave her 0.5 skinny unit (almost 2 hours late), and gave her the Buprenex (close to 12 hours after the last dose). Point well taken about staying ahead of pain.

On that note, she has been on a pet liquid glucosamine chondroitin because if arthritis pain and to help prevent another urinary tract infection. She had one starting around Christmas and it was the beginning of finding the diabetes diagnosis. Her quality of life is much much better with the glucosamine. I've read conflicting things about if the glucosamine impacts blood sugar control, but when I've tried stopping and starting it, it didn't seem to noticeably impact her BG readings. However, very soon after not taking it, it has a very noticeable negative impact on her quality of life. I stopped it 24 hours before the dental and wasn't sure when I should resume it. I'm not seeing the normal pain signs from her when she's off it, yet, which I'd normally see by now.

Yes, it is Convenia. She also had an antibiotic injection (type not specified on the bill) in Feb. 2014 with a dental without a problem, but that was almost a year pre-diabetes.
Thanks again for the information!

 

[Wendy&Neko]

she has been on a pet liquid glucosamine chondroitin because if arthritis pain and to help prevent another urinary tract infection. She had one starting around Christmas and it was the beginning of finding the diabetes diagnosis. Her quality of life is much much better with the glucosamine. I've read conflicting things about if the glucosamine impacts blood sugar control, but when I've tried stopping and starting it, it didn't seem to noticeably impact her BG readings. However, very soon after not taking it, it has a very noticeable negative impact on her quality of life

My Neko has arthritis and she is on glucosamine chondroitin, but a powder form of it. A common one used here is Cosequin and I haven't seen an impact on blood sugar values. I'd check to see what other ingredients are in the liquid you are giving. Another very good thing for arthritis is fish oil which is an anti-inflammatory. The brand I use is Nordic Naturals. Since Tammy's on Buprenex now, she might not be feeling pain. Neko also gets bupe on an ongoing basis for her arthritic pain.

Good job getting the spreadsheet going.

 

[catmom4]

My Neko has arthritis and she is on glucosamine chondroitin, but a powder form of it. A common one used here is Cosequin and I haven't seen an impact on blood sugar values. I'd check to see what other ingredients are in the liquid you are giving. Another very good thing for arthritis is fish oil which is an anti-inflammatory. The brand I use is Nordic Naturals. Since Tammy's on Buprenex now, she might not be feeling pain. Neko also gets bupe on an ongoing basis for her arthritic pain.

Good job getting the spreadsheet going.

Thank you! I've read some of your posts before and they've been helpful to me.

I was giving her a powder glucosamine chondroitin (not Cosequin) in her food for a while and she quit eating it. Then I was mixing the powder with water and putting it in a syringe in her mouth (then another of my cats too) recently decided to buy a liquid. Amazon EXTRA STRENGTH Liquid Glucosamine For Dogs & Cats Also Contains Chondroitin, MSM & Grape Seed Extract - she showed even more improvement in symptoms.

I'm going to try to change my thread title

 

[Wendy&Neko]

Up near the title on the right hand side, there are the words Thread Tools, with a small arrow beside it. Click the arrow and select Edit Title.

The Cosequin sprinkle caps version is chicken and tuna flavor so goes down well here just added to the food.

 

[catmom4]

I researched Cosequin and I couldn't remember why I didn't go with that, but now that you mention the tuna in the flavoring, that might have been why. One of my 4 cats seemed like he had a fish allergy and possibly a grain allergy, so I've done a lot of looking at food ingredients and have been avoiding anything with fish. Also switched to not have clumping cat litter. I did try Tammy on fish oil, but after eating it once, she refused. I remember thinking I may try the kind you mentioned, I've just had so much going on here. After Tammy was diagnosed, I switched all 4 cats to canned food (I'll look through my notes, but I think it was Friskies low carb at first) and then 2 of the others started having more health problems, so I've been researching a lot and trying different things to help everybody. I'm really tired. I hope to get a nap in today, so if I don't respond right away, that's probably why. Thanks for all the help and suggestions!