4/24 Moe: AMPS=392, inc to 4.0u;+3=372;+6=350;+9=411, vet update;PMPS=358

Erin and Moe (GA)

Erin and Moe (GA)

Member Since 2019
Yesterday: http://www.felinediabetes.com/FDMB/...-396-3-417-8-350-pmps-336-2-384-4-362.228697/

Good morning. Another high start to the day: AMPS 392. Moe threw up a little bit of food overnight. Looks like there might be a tiny bit of a hair ball in it. He’s thrown up little hair balls the last couple of nights.

He’s also been chewing on plastic: shopping bags, the edges of pee pads, and even my sheer curtains (not plastic, but lightweight polyester). Are his gums itchy? He’s chewed on plastic bags in the past but not this frequently.

Appointment this afternoon for his post-dental follow-up. I hope he hasn’t damaged or inflamed his mouth by chewing on plastic.

Hope everyone has a great day.
 
372 at +3.

I won a little battle with Moe this morning. It’s so hard to give him pills and his clavamox is HUGE. It doesn’t seem to have any bitter taste, so I dropped it into his food and watched to see if he would eat it. He worked around it until it was the last thing in the bowl, then slurped it up in the last bite. And didn’t spit it out!! Woo hoo!
 
Wendy&Neko said:
Good luck at the vet today, I hope his mouth is OK.

I should have reminded you, if you are only seeing numbers above 300, you can increase by 0.5 units.
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Thanks. I’ll see how he does on 4 units and go to 4.5 if no improvement. And I’ll post an update after our visit this afternoon.
 
What the heck, Moe??? 411 at +9. He hasn’t had anything to eat since breakfast. Now I’m worried what his PMPS number is going to be.

Edited to add: he seems to be having some pain yesterday and today. I’ve seen him in meatloaf position, but with his head up, a couple of times. That’s not a typical resting position for him.
 
Vet visit went well. Doc says that his extraction sites look good and the infected mess on his lip is cleared up. She didn’t have any explanation for the still high glucose. She did, however, say that 5-6 units twice a day was not unheard of for a cat his size (15 lbs) and said to continue increasing gradually by 0.5 unit. She also tried again to sell me on the lowest carb food ever...prescription DM. I said no.

I asked about acromegaly and she didn’t feel like that was an obvious possibility since he doesn’t have any outward symptoms, but it’s something we could check later.
 
Pamela & Amethyst said:
:bighug::bighug::bighug:Hi Amethyst did not have any outward signs either. I insisted on the test Thanks to everyone here and yes she is an ACRO. We have since changed vets!! Good Luck!
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Yes, I’m still thinking that it’s a possibility. My vet said it’s rare, but then also said it’s not tested for very often, so it could be more common than believed. She’s never tested for it. May I ask how much the test cost?
 
Erin and Moe said:
My vet said it’s rare, but then also said it’s not tested for very often, so it could be more common than believed. She’s never tested for it. May I ask how much the test cost?
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Unfortunatly, acromegaly is not that rare anymore. Freckles was diagnosed in February 2020 - no outward physical signs either. We've not had any ultrasounds so I can't comment on if things are changing internally. Here is the site for testing. The test itself isn't that expensive but the shipping and what your vet charges will add to it.

https://cvm.msu.edu/vdl/tests-fees

Freckles: age 4 on the left , current picture on the right (age 12)
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Good to hear Moe’s mouth is fine.

Acromegaly used to be considered rare, and vets not up to date will think that. Recent research shows it is one in four diabetic cats. Neko also had no signs on diagnosis, just crazy hunger and her dose. That same research showed only around 35% did physical signs. I showed Judy Neko’s side by side before and after, and like most people, she guessed wrong.:p Another condition we sometimes see around here is IAA, or insulin auto antibodies. Some cats have just IAA, some get both. In addition to the lab test fees, he more expensive part is the blood draw and shipping to MSU. In the US, should be under $200 for both tests, which go to the same place.
 
Wendy&Neko said:
Good to hear Moe’s mouth is fine.

Acromegaly used to be considered rare, and vets not up to date will think that. Recent research shows it is one in four diabetic cats. Neko also had no signs on diagnosis, just crazy hunger and her dose. That same research showed only around 35% did physical signs. I showed Judy Neko’s side by side before and after, and like most people, she guessed wrong.:p Another condition we sometimes see around here is IAA, or insulin auto antibodies. Some cats have just IAA, some get both. In addition to the lab test fees, he more expensive part is the blood draw and shipping to MSU. In the US, should be under $200 for both tests, which go to the same place.
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I read that 1 in 4 statistic yesterday. I really wanted to plant the seed in her mind and will ask about it again. Meanwhile, I need to dig up some before pics of Moe’s face. His snout looks big to me, but he’s a big boy so it’s hard to tell without a side by side comparison. Thanks for the info on the testing; I figured it would be in that range.
 
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