5/3 Eegie AMPS=329;+3:50=124;+8.25=119;PMPS=317

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Sgans and Eegie - GA

Sgans and Eegie - GA

Member Since 2015
First time it's in the pink on AMPS since I started. I blame the meds. If numbers are higher than normal all day, I'm going to go against my spreadsheet and original plan (with doc, based on old numbers) and do one unit at night, if it's over 300. I'm still getting a feel for this dosing/insulin/diabetes thing. Do you guys agree with my plan?
Of course, it all depends on the day's numbers.....

The added high glucose meds are Reglan and Albon for his GI issues. Oh, and I'm adding pumpkin by syringe 2 times a day to support those...
 
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My poor boy. JUST regurgitated his last, really good meal that I'd administered at AM! Probably all his meds, too...

In 1/2 hour, I'll at least give the Reglan and Albon again (I think the volume of the pumpkin may be pushing him over the edge - but his med sheet is SO big), and see if I can get him to eat more after that.

I'm going to post the medication spreadsheet my poor boy's on - you'll see what I mean... What hell!

Adding link in my signature...
 
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Sorry about the vomiting. Raglan is not a good choice for nausea for cats as they don't have the receptors for it. Better choices are cerenia and ondansetron. What is wrong with eerie? IBD? Pancreatitis?

I just read his profile. So sorry. When was the ling cancer detected? Do the vets know if it's primary? I have to wonder if the IBD might possibly be lymphoma. How long has he been on pred?
 
Prednisolone for a long time. I believe that it's contributed to his diabetes.

Oncologist thinks lung tumor is primary lung cancer.

According to everybody there is no lymphoma.

Reglan is for motility which is what he appears to need right now. The other medications are not useful to him at least not in the past. We may consider Cerenia if necessary to try it again. But first Reglan.

Reglan seems to be helping, except a Lot of sugar. So I have to watch it for the numbers.

Reglan has been helpful in the past. His IBD is so freaking specific. And he hasn't had pancreatitis for many months.

His glucose a plus for was quite low. He ate really well afterwards. Hopefully that'll even him out.

Just wondering if my sense of the insulin dosages are getting clearer?

Thank you!
 
Yes, I bet the pred caused the diabetes. For my guy it was chronic pancreatitis for many years. I'm glad there isn't lymphoma. I have a friend that did everything for her lung cancer cat including surgery and chemo. It bought her quality time.

You are using Reglan The way it helps cats. When I saw vomiting I thought maybe a bout of pancreatitis was the cause. I hope not.
 
Thank you it's not pancreatitis this time.
I would do everything for Eegie's cancer except even then the prognosis isn't that great (Doc says 6-8 months after about five months of treatment) and he's an old cat so it's probable that we won't. But I want him comfortable and happy as well as possible up until it's time.
 
With him dropping down to low blues already, I'd get another test in a couple of hours. I wonder if this morning was a bounce due to lower numbers overnight. A lot of cats (Neko and Max included) prefer to go lower at night. He might not want a dose increase.

What time is he getting his prednilisone? AM or PM? I've seen a couple of cats that react with higher numbers in the cycle when they get the pred, then go down for the other cycle if it's just once a day.
 
@Wendy&Neko , I think the drop was about the regurgitation he had this morning. The timing on meds vs food vs insulin was off (insulin and food were before we had a chance to medicate. We usually med about 1 hour before, so he can get them settled in his stomach. I'm testing on the 4's today, 'cause we're in and out. I fed him at 5 and testing in about 5 minutes. I agree, it could be a bounce from yesterday's lows... but with all the meds, it's hard to tell. I DID re-administer the highest sugar meds after his regurg this morning (they're intended to fix the poop and puke), so I wanted them in his system. Even WITH them, the 2nd numbers were very low - but again.... less food in the system. I'm maybe feeling you're right about staying the same if everything goes as expected (this +8 maybe rising, and then the PMPS... if it's just as high - maybe stay at .75 one more day - if it's lower, there's definitely not going to be an increase.

I'm just so antsy - I want to get this controlled, so he can get rid of the neuropathy! Patience is NOT my virtue! :p

He doesn't get Pred anymore - gets budesonide now - which is a much more specific corticosteroid, not as systemic. They say it's less influential in diabetes. Although - if the diarrhea doesn't resolve in a few days, we may have to get another Depo-Medrol shot. It'll wonk out his diabetes, but I should have a sense of the number w/i a day or 2 of the shot, and can adjust accordingly, if necessary. The Depo (which is the form of pred he most often gets- sometimes they use shorter acting ones) has fast effect, so should affect the numbers pretty quickly. Trying to get the poop and puke (my life!) under control with home meds first. If not by Wednesday, he goes in for the shot.

BTW - The Budesonide is morning, with flagyl (metronidazole) 2x/day to support it. His med balance is a rocky balance - we have to be so attentive. If you wanna see what I mean... I posted a link to the med spreadsheet as the week is starting out.

https://docs.google.com/spreadsheets/d/1pZsBdeBJihB9ZGtHzQPMwomj7J_YilZRtvm16Rnw4iQ/edit?usp=sharing

Now - TELL me my cat's not a macho trooper!!!
GOD - I love that cat!!!
 
@Wendy&Neko - Follow up - test was just 119, and this after he ate about an hour ago.... so it looks like last night may very well have been a bounce (as far as I understand bounces)! I suspect that PMPS will be in the 200's so it'll stay 7.5. I'd prefer that anyways... I'd like to keep a steady dose for a few days!

Thank you!!!
 
GIANT swing today. Didn't want to eat after last shot, tried force-feeding, he regurgitated.

But now he's munching down on salmon. Stopped at only an ounce, but it's something. Whew!
 
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There's a possibility he dipped into the greens somewhere in the middle of the cycle so is bouncing again.

I was wondering about timing of his medicines because I was wondering if there was a way to move the schedule so that the ones that increase his blood sugar are in the PM cycle. Since you can't monitor as much then, it would be one way to make sure he's safer at night.

I hope he'll get his appetite back tonight.
 
I wish I could @Wendy&Neko , but they're 2x/day.

He did eat more turkey, about an hour after the last post.

I NEED to resolve the diarrhea! Each regurgitation or vomit has been just after pooping.

He's not constipated, not so he's straining. His poops are liquid. No force. Yet it induces puke. I think I have to get another systemic corticosteroid shot. I just have to wait till my own vet is in on Wednesday.

Then, I can MAYBE cut back the sweet meds.
 
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