4/25 Darcy PMPS 116, +1.5 146 PM Update

Suzanne & Darcy

Suzanne & Darcy

Member Since 2020
Gave .5 units of R this morning in addition to the Levemir. It's so important to me to keep him under the kidney threshold. So right now we are at 153 at +3 and that is okay with me.

He ate pretty well for me this morning. About 1/2 of a 5.5 oz. can of the (low phos.) Weruva BFF PLAY (with Aluminum Hyrdoxide, which I am actually putting into gelcaps since the whole syringing in water thing was not working because AlOH never actually dissolves and every time I would syringe it into his mouth there was a bunch of the white powder left over in the syringe... clearly he wasn't getting the full dose. So I brought out my teeny weeny spoons for making up gelatin capsules and put it in there.

Will give fluids later.
https://felinediabetes.com/FDMB/threads/4-24-darcy-pmps-158-update.246547/
 
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Suzanne & Darcy said:
Gave .5 units of R this morning in addition to the Levemir. It's so important to me to keep him under the kidney threshold. So right now we are at 153 at +3 and that is okay with me.

He ate pretty well for me this morning. About 1/2 of a 5.5 oz. can of the (low phos.) Weruva BFF PLAY (with Aluminum Hyrdoxide, which I am actually putting into gelcaps since the whole syringing in water thing was not working because AlOH never actually dissolves and every time I would syringe it into his mouth there was a bunch of the white powder left over in the syringe... clearly he wasn't getting the full dose. So I brought out my teeny weeny spoons for making up gelatin capsules and put it in there.

Will give fluids later.
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Just wanted to say good morning Suzanne and Darcy. Glad his numbers look okay this morning. Surf safely Darcy. :cool: Sending healing hugs :bighug::bighug::bighug::bighug:
 
Will Darcy not eat food with AlOH in it? I was glad that Neko didn't seem to mind hers - I had the one from Thriving Pets.

You should have a good idea by end of tonight what the verdict is on this dose. Did you get any tests in last night?
 
Glad to see the numbers back to blue, hope you are holding up with the extra stress of doing the sub-q at home. I still can't decide if it's more stressful having all the responsibility at home but know what's going on, vs having them in hospital under care of the experts but don't know what's happening (though the latter at least gives more opportunities for naps).

I think I understand the R decision today - you really don't know how he's going to react to the L but the R is shorter lasting and will get out of his system quicker? At least that's how the internist explained it to me when making decisions for Minnie, she said it didn't really matter (in our situation at the time, at least) which I did but if I was uncomfortable with potential longer-lasting effects of increasing the L, that adding R would be fine.

We're all here rooting for you and team Austen. :bighug::bighug: Darcy, keep smiling :cat: and eating
 
Liz & Minnie said:
Glad to see the numbers back to blue, hope you are holding up with the extra stress of doing the sub-q at home. I still can't decide if it's more stressful having all the responsibility at home but know what's going on, vs having them in hospital under care of the experts but don't know what's happening (though the latter at least gives more opportunities for naps).

I think I understand the R decision today - you really don't know how he's going to react to the L but the R is shorter lasting and will get out of his system quicker? At least that's how the internist explained it to me when making decisions for Minnie, she said it didn't really matter (in our situation at the time, at least) which I did but if I was uncomfortable with potential longer-lasting effects of increasing the L, that adding R would be fine.

We're all here rooting for you and team Austen. :bighug::bighug: Darcy, keep smiling :cat: and eating
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Thanks, Liz. You always make me smile. How do you do it. I think it is because you are so quick-witted!
 
Wendy&Neko said:
Will Darcy not eat food with AlOH in it? I was glad that Neko didn't seem to mind hers - I had the one from Thriving Pets.

You should have a good idea by end of tonight what the verdict is on this dose. Did you get any tests in last night?
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Oops. Yes. I got a 5.5 last night before I went to sleep. I forgot to put it in my spreadsheet. Weird how it was pretty much the same as PMPS... 158 and then 150 5.5 hours later? Today has been better. And yes, I did give what I thought was a very conservative .5 units of R this morning to try to keep him under the kidney threshold for the a.m. cycle.
 
P.M. Update is not so good. At shot time, we got him to eat, with a little coaxing and some tuna water on top of his food. I also flushed his IV catheter and that did not go well. Usually, he is fine for it, but this time he cried out and then tried to bite at his arm so it was obviously painful. I wish I had not even flushed it (suppose to flush every 12 hours so was just doing what I was told).

About an hour later, I notice that he was shaking/vibrating/trembling. This totally freaked me out as this can be a symptom of high phosphorus... but anyway, I decided to text his vet (rarely do this) ... asking her if I should just take him to the ER. She asked what his sugar was (146 @ +1.5). I told her about the catheter flushing and I also sent her a video where you could see a little of the trembling... he also shook his paw. She thinks the catheter is bad and that he is in pain. She told me to give him a low dose of Buprenorphine 0.10 (low dose for his weight). I did put the Bupe into his buccal pocket and about five minutes later he vomited up all of his dinner. I hope that since I actually did get the Buprenorphine into that cheek/gum area that he was able to absorb it and that the vomiting won't affect the pain control. Poor Mr. Darcy then got up and peed right on his bed (really weird for him). I don't think he wanted to walk to the litter box, which he had just used about 15 minutes before.

I think that about does it for tonight. I don't know what else to say

Oh, a few of you asked about the aluminum hydroxide powder and why I didn't just put it in his food. For right now, I was just afraid that putting it in his food would spoil his already diminished appetite. I have the Thriving Pets AlOH, that is supposed to be tasteless, but I do know that a lot of cats won't eat it because they don't like the texture. I hope to try it if I can get him feeling better and back to a more normal appetite. Just a short while ago, I don't think anything would have stopped his eating... and now just look at the state of affairs. Everything can change so quickly in life.
 
:( Oh Suzanne, I feel for you. How incredibly stressful and distressing. I hope the Bupe works and he feels well enough to eat again soon. Little quail eggs, Mr Darcy, you love the little eggs! :bighug::bighug: Also hope you are able to find a way to get dismissed from jury selection immediately. The last thing you need right now is doing civic duty when you have a family emergency.
 
Liz & Minnie said:
:( Oh Suzanne, I feel for you. How incredibly stressful and distressing. I hope the Bupe works and he feels well enough to eat again soon. Little quail eggs, Mr Darcy, you love the little eggs! :bighug::bighug: Also hope you are able to find a way to get dismissed from jury selection immediately. The last thing you need right now is doing civic duty when you have a family emergency.
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Yes, I know. We will see what happens tomorrow morning. I hope I can be dismissed.
 
Suzanne & Darcy said:
P.M. Update is not so good. At shot time, we got him to eat, with a little coaxing and some tuna water on top of his food. I also flushed his IV catheter and that did not go well. Usually, he is fine for it, but this time he cried out and then tried to bite at his arm so it was obviously painful. I wish I had not even flushed it (suppose to flush every 12 hours so was just doing what I was told).

About an hour later, I notice that he was shaking/vibrating/trembling. This totally freaked me out as this can be a symptom of high phosphorus... but anyway, I decided to text his vet (rarely do this) ... asking her if I should just take him to the ER. She asked what his sugar was (146 @ +1.5). I told her about the catheter flushing and I also sent her a video where you could see a little of the trembling... he also shook his paw. She thinks the catheter is bad and that he is in pain. She told me to give him a low dose of Buprenorphine 0.10 (low dose for his weight). I did put the Bupe into his buccal pocket and about five minutes later he vomited up all of his dinner. I hope that since I actually did get the Buprenorphine into that cheek/gum area that he was able to absorb it and that the vomiting won't affect the pain control. Poor Mr. Darcy then got up and peed right on his bed (really weird for him). I don't think he wanted to walk to the litter box, which he had just used about 15 minutes before.

I think that about does it for tonight. I don't know what else to say

Oh, a few of you asked about the aluminum hydroxide powder and why I didn't just put it in his food. For right now, I was just afraid that putting it in his food would spoil his already diminished appetite. I have the Thriving Pets AlOH, that is supposed to be tasteless, but I do know that a lot of cats won't eat it because they don't like the texture. I hope to try it if I can get him feeling better and back to a more normal appetite. Just a short while ago, I don't think anything would have stopped his eating... and now just look at the state of affairs. Everything can change so quickly in life.
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Yes, no such thing as preparing for life's twists and turns. You have tons of love and prayers out there for both Darcy and you. If you believe prayers work then I believe they do. We are all rooting for Darcy to get to a safe healthy place. :bighug::bighug::bighug::bighug::bighug:
 
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