5/18 Guinness PMPS 323 (.1uR)|+3 (+3R) 361

Status
Not open for further replies.
linda and guinness

linda and guinness

Member Since 2009
Good Morning LL.

Nothing out of the ordinary happening here. High 300's, flat curves, cat seems to be doing well, except hungry, hungry, hungry. Woke us up at 3:45am, meowing for food. Had to put him off 45 minutes.

Hoping to find some time to talk to my vet today, but not betting on it (her first day back at the office after vacation). I'm still interested in inquiring about insulin resistance (she's not convinced) or acromagely. I will ask her what else she thinks is going on, but she thinks he's just one of those cats. For me, there has to be a reason!

Able to get a ketone test after his meal (negative), so that's good. Shot .1u R along with his 5.5u Lantus to see if I could get something going today. Will probably shoot another .25u R after his nadir (+6) and do some back to back testing to see if that does anything. Not ready to mention the R to the vet yet.

Have a great day you wonderfully, crazy cat poking people! ;-)

Opps, I almost forgot, linky to yesterdays condo:
http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=43516
 
Re: 5/18 Guinness AMPS 375 (.1uR)

Good morning Linda and Guiness! Hope you get a chance to talk to your vet. Guinness and Tarragon have some similar numbers going on. My vet just keeps saying that he is a hard core diabetic. I am switching out insulin today and hoping that will help.

Hope you have a great day!
 
Re: 5/18 Guinness AMPS 375 (.1uR)|+2.5R 311|+3.5R 309

Planning on shooting .25u R at +7 and then testing +1, +2, +3 & +4 from there to see effect. Will then test at PMPS and shoot 5.5u. At least that's the plan, but anything could happen!
 
Re: 5/18 Guinness AMPS 375 (.1uR)|+2.5R 311|+3.5R 309

Hi guys .. I sure do hope you get a chance to talk to your vet and you can figure out the best way to treat guinness .. maybe a few more tests can be done .. glad to hear the ketone test was negative, that's always good to see! have a great day guys!
 
Re: 5/18 Guinness AMPS 375 (.1uR)|+2.5R 311|+3.5R 309

Guinness seems to be responding pretty ok to R.. That's nice to see.. :-D
I'll tell you when i mentioned that i was using R to help out Tommy, i got "the look" from my vet..
Don't think he approved of it very much, but oh well, we know better don't we.. Goodness, he didn't really care too much about anything i was doing for Tommy when he looked at his SS..
I hope you find the answers you're looking for.. Good luck with hootin today ;-)
You're doing great!!!
 
Re: 5/18 Guinness AMPS 375 (.1uR)|+2.5R 311|+3.5R 309

Your doing such a good job Linda! Let us know what the vet says, I'm curious to see!

Happy Wednesday!
:mrgreen:
 
Re: 5/18 Guinness AMPS 375 (.1uR)|+2.5R 311|+3.5R 309

Lower #s. Good work, bean! Guinness, it's time for you to do your part now! :smile:
 
Re: 5/18 Guinness+7.5 381(.25uR)

Shot at +7.5 with .25u R. Plan to test at +1, +2, +3 and maybe +4. He's licking his paws in anticipation. No word from vet. Planning on crafting her an email later today with some possible thoughts.

Numbers so far today:
AMPs 375(.1uR)
+2.5R 311
+3.5R 309
+7.5 381 (.25uR)
+8.5 (R+1)
+9.5 (R+2)
+10.5 (R+3)
+11.5 (R+4)
 
Re: 5/18 Guinness AMPS 375 (.1uR)|+2.5R 311|+3.5R 309

Good work, Linda.

It's your turn to do some work Guinness!!

I am sorry that Guinness isn't responding as well as you were hoping... :sad: that sucks! I really hope you have an opportunity to talk to your vet today.. has Guinness had a thyroid panel lately? Hypo-t in people can make them insulin resistant and hungry/carb crazy. I am not sure if this could/would happen in cats but I thought I would throw that out there.

I never understand vets sometimes... if you ask them to test for something they give you a -yeah ok- look and then argue all these reasons that the animal doesn't have that disease. It's like.. I'm asking you to do this, and I'm going to pay you for it so why don't you just indulge me...?

We had a vet a long time ago (he passed away :cry: :cry: :cry: ) but my mature dog who was "properly" vaccinated was exposed to a parvo puppy (my friend's dog that we were watching). I completely freaked out about it. He got a little bout of diarrhea and that was it (he has a sensitive stomach so this isn't unusual) I called for an appointment the next day even though the instance in properly vaccinate mature dogs is very low. The vet told me I didn't really have a reason to worry etc. etc. his professional opinion was Gizmo was fine but if it would help me feel better, the test is $50 and he will rush it for me. He was an awesome dude... he told us a lot of tricks and tips for things so we didn't "get ripped off" paying for OTC medications at the vet. He was very honest about those things but always willing to work with you to make you feel better or help you out.

Good luck talking to your vet today! I hope all is well and you have a good day!!
 
Re: 5/18 Guinness+7.5 381(.25uR)|+8.5 (+1R) 361

Numbers so far today:
AMPs 375(.1uR)
+2.5R 311
+3.5R 309
+7.5 381 (.25uR)
+8.5 (R+1) 361
+9.5 (R+2)
+10.5 (R+3)
+11.5 (R+4)
 
Re: 5/18 Guinness+7.5 381(.25uR)|+8.5 (+1R) 361

Hi Stephanie,

Guinness has not only had a hyper-T panel (T4 and Free T4), he had a scintography scan to rule out a thyroid tumor. He's had a recent dental and an ultra-sound of his heart and abdomen.

I've mentioned insulin resistance to my vet, but she just comes back with, "I see a lot of cats on 6 units or more of insulin." Basically, saying it's probably not insulin resistance. I want to ask her about Acromagely and ask her if he had post dental x-rays done. I will probably take some time later this afternoon and plan my questions and shoot her over an email. I probably won't hear much back soon. I get the feeling she's run out of ideas and so I want to present her with more. She will be happy to take my $ and run more tests, she already thinks I'm a nut, so I'm not worried about that. I did have a lot of confrontation with my old vet, so I'm always gun-shy talking to them now, but this vet never really gives me too hard of a time.
 
Re: 5/18 Guinness+7.5 381(.25uR)|+8.5 (+1R) 361

is there another vet in your area who you can go to for a second opinion? or perhaps a vet school?

i've been lurking on your condos and i'm always amazed what an extraordinarily diligent bean you've been, looking out and recording everything, always with a positive outlook, and i can't imagine a doctor who wouldn't be interested in looking at the data you've been collecting.

but like so many here have experienced, every vet is different. sometimes i think vets may be a little intimidated by the extensive knowledge people here have of fd driven by the data collected, studies shared, etc... my vet is a fan of data collection and she also goes on vet boards and websites (i guess the vet equivalent of fdmb) but i know not every vet does.

good luck with the vet!
 
Re: 5/18 Guinness+7.5 381(.25uR)|+8.5 (+1R) 361

Hi Linda!! If I were in your shoes, I think I'd be bald from pulling my hair out. If there is any more testing that hasn't been done yet, and you can afford whatever it is, I'd do it. There has to be a reason for this nightmare of an SS. At least if all the testing is out of the way, you can safely assume he will just be one of those kitties that need a lot of insulin. I would definitely have him tested for acromegaly just because the amount of insulin he's getting is doing absolutely nothing. I admire the hell out of you that you're able to get through this with the good humor you exhibit in Guinness' condo each and every day. You're completely awesome and Guinness is so lucky you're his bean!!
 
Re: 5/18 Guinness+8.5(+1R)361|+9.5(+2R)325|+10.5(+3R)295 R?

Shot .25u R at +7.5

AMPs 375(.1uR)
+2.5R 311
+3.5R 309
+7.5 381 (.25uR)
+8.5 (R+1) 361
+9.5 (R+2) 325
+10.5 (R+3) 295
+11.5 (R+4)

Question: Can I shoot another .25u at PMPS and not test as much (maybe only get a +3) His paws are SORE! Thoughts please. I could also just shoot a .1u again, but I would like to see these numbers dropping.
 
Re: 5/18 Guinness+8.5(+1R)361|+9.5(+2R)325|+10.5(+3R)295 R?

What you need to be doing at this point is building an "R Scale" - unlike Lantus and Lev, R can be used on a sliding scale based on what number he is at. The scale can (and should) be different depending on whether you are giving it at preshot or after nadir, because if you are giving R at preshot you also have to take into consideration the fact that the R will be wearing off just as the Lantus kicks in, so there is potential for numbers to go lower.

For example, today 0.1u of R at AMPS gave him about 65 points (yay! That's better than he was doing on 5 units + R). 0.25u R at +7 gave him about 85 points. It might drop him more than that if given at PS. I think he can probably handle 0.25R at higher preshots, but I would want you to do the testing the first couple of times (sorry Guinness!).

Maybe a scale for now would be something like this:
PS 350+ = 0.25R
PS 250+ = 0.10R

+7 300+ = 0.25R
+7 250+ = 0.10R

Then you can refine it from there if those numbers prove to be too much or too little.
 
Re: 5/18 Guinness+8.5(+1R)361|+9.5(+2R)325|+10.5(+3R)295 R?

Libby,

That's a good plan. If he is over 350 at PM, I will shoot the .25u and get more tests (this cat is going to murder me in my sleep for all the poking poking I'm doing). And if is the 250+ shoot the .1u. I'm assuming if he is under 250, no R at this time.

Do you think I should continue to add the R to his cycles based on the scale you created from now on? Most days I can only get a AM/PM and +3s.
 
Re: 5/18 Guinness+8.5(+1R)361|+9.5(+2R)325|+10.5(+3R)295 R?

Good luck with the vet I tested Do Lou only because I wanted to rule it out for him he was never really high with dosing but I just had a feeling my vets thought I was wasting my money and my vet was shocked that one of the tests came back positive and these are vets that I worked for 16yrs I just recently had to quit my tech job due to health last fall so they sorta listen to me but still was shocked at Do Lous resutls
 
Re: 5/18 Guinness PMPS 323 (.1uR)

AMPs 375(.1uR)
+2.5R 311
+3.5R 309
+7.5 381 (.25uR)
+8.5 (R+1) 361
+9.5 (R+2) 325
+10.5 (R+3) 295
+11.5 (R+4)
PMPS 323 (.1uR)

I'm probably not going to get the +1 & +2 tonight, just the +3. The poor cat is taking about 10 circles around me before laying down and giving me his paw, with many meows of protest. Good thing he loves his chicken. He needs a little testing rest.
 
Re: 5/18 Guinness+8.5(+1R)361|+9.5(+2R)325|+10.5(+3R)295 R?

Good evening Linda, First don't even apologize for missing something like that. You too have had just a little bit going on with Guinness Lately.. There isn't any one post that answers your questions, they are kind of scattered about but please feel free to read over the ones maybe from last week i would say would be safe. I found out on the 14th so i would say the week prior to that would be a good place to start. If i can find the precise post i will link it to you.. I can answer all your questions though.
First: My vet did not do the tests. They are done at MSU on Wednesdays. My vet drew the blood and sent it up there refridgerated Fed Ex.. Total including the fed ex charge was $138.. for me. That is what i paid my vet.
I'm the one who approached my vet about both tests.. He really didn't say much about it other than he didn't think Tommy really needed them :evil: .(Yeah cause he knows what's best for Tommy) but that's a whole other topic isn't it.. I am in search of a new vet.. yet again.. My vet has not called since the test came back. I had to call them on Saturday to get the results and he was not there, nor has he followed up to talk with me about anything..I've learned so much more here than I believe i ever could from him.. Sad, but true!
The only long term care is to keep giving Tommy my love, do my best to get him regulated and to keep him there and he needs more insulin right now than other kitties..
http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=42350&p=453000&hilit=jazzy#p452283

I just remembered the above link.. Libby posted her experience and thoughts about having an acro kitty.. It's actually very informative.. There are different opinions about letting acro kitties getting down in the green. I happen to agree with Libby. So far Tommy has responded very well to LC food when he has gotten down there and i trust her completely..
It's a very good read..
I hope i've answered at least some of your questions..
I'm here if you have any others you think i can help with.. But Libby is the Queen
Have a good night Linda and Give Guinness Scritches from me ok?
 
Re: 5/18 Guinness PMPS 323 (.1uR)

I agree with others - I would have the tests done. I hate the unknown and would wanna know - one way or the other!

Jesse & I wish we could be there to give you & Guinness a reassuring hug :YMHUG:
 
Thank you all for being so sweet and supportive. It sure is nice to have this little outlet for my worry and frustration. It's much better than going this alone, blindly shooting AMs and PMs, etc. Thank you all!
 
Linda: I just wanted to give you my support. I also think you are an amazingly diligent bean and you are doing wonderful. I hope he will come down with the R. And I would insist my vet do the IAA tests. Then you will know for sure.
 
Status
Not open for further replies.
Back
Top