4/15 Gordy AMPS 302, +2=237, +6=63, +10=191 | PMPS 266, +3=137 *LABS* (also, kittens bday!)

+6=63

Really pushing my comfort level lol.

If he drops below 50 again, reduction. In fact, the fact he came down so quick last night earns in my book- since he didnt have an AM dose. But I want to give it a little time since I want the depot revved back up before another reduction.
 
LAB RESULTS
So Gordy had his senior tests done when he was at the vet Saturday... I got the below email from the vet who attended him.... Im attaching the PDF of the results, but I'll fill in the sheet tonight.

"Good morning, this is Dr. Silverness. Here are Gordy's lab results.
Several values are out of range. His blood sugar came back very low. This
could either be a false artifact from the serum not being 100% separated in
the collection tube or it could be real. The only way to know if he is
crashing too low during the day would be to do a full day glucose curve.
The fructosamine level is a little helpful with giving me a better overall
regulation picture, but it will not tell me if he is going too low. Has he
been acting lethargic at any point during the day?
Second, his total T4 is high. This typically indicated hyperthyroidism.
He has lost about 1.5-2 pounds over the last year so this may be real or it
could be a false elevation from other issues. There is a verification Free
T4 by ED test that we could run to improve our confidence in this diagnosis
before we start him on thyroid meds, or we can just start him and monitor
with a follow up T4 level 4-6 weeks later. IF he is hyperthyroid and we
miss it, his Diabetes will surely be affected.
The elevated CK is du eto muscle loss or inflammation. Recent weigh tloss
would explain this.
His urine is also very dilute. The diabetes can do this, however there was
not any sugar in his urine at this time, so he likely also now has early
stage renal disease.

For now I would suggest we either bring him in again to repeat an in house
blood sugar and send out a Free T4 by ED, OR start him on oral thyroid
medications now and monitor labs again in 4-6 weeks.

Please call at your earliest convenience with your preference."
 

Attachments

It does seem Gordy will need to start methimazole for the hyperthyroidism. If you want to join a good group, let me know!

However, if they did that T4 test in-house, have them send out another sample. Not for free T4, but for total T4. Free T4 isn't important unless it's hypothyroidism. Tanner had both so I learned A TON.

Creatinine is a bit high = kidney issues. That can also be linked to hyperthyroidism. Kidneys aren't filtering well enough.

What else? I cannot comment on high red blood cell count, though.
 
+10=191

The vet who emailed me had left for the day when I called, so I'll probably hear from her tomorrow. I sent her the spreadsheet so maybe they'll stop asking for a fructosamine. :rolleyes:

I'm going to try not to worry myself to death about the stuff that is out of value until I talk to them... but I am bummed. :(
 
My Tanner lived with hyper/hypothyroidism for 5 years after initial diagnosis. It's a manageable disease. :bighug: He also had stage 2 CKD that long, but I never had to do anything different.
 
Mandy & Rex said:
My Tanner lived with hyper/hypothyroidism for 5 years after initial diagnosis. It's a manageable disease. :bighug: He also had stage 2 CKD that long, but I never had to do anything different.
Click to expand...
I know they are both manageable conditions, especially after seeing all those here dealing with it, but I liked having a fairly healthy cat (aside from sugar). I know he is getting old (i think he is now 14.... dangggg) and this is bound to happen. But its more stress on me to deal with alone =(
 
PMPS 266

I posted his labs in the spreadsheet.

Today is the day I picked for Raptor's birthday! She is 1 :cat::cat::cat:
20190415_173837.jpg 20190415_184151.jpg
 
Happy birthday Raptor! Raptor is a beauty! You know you’re sleep deprived when you wish for a bounce!:D
I hope the vet can give you some more definitive answers when you get to talk to her. :bighug::bighug:
 
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