6/12 Dimitri AMBG 161 PMPS 161

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ChEMom

ChEMom

Member Since 2014
I forgot to check Dimitri's sugar last week. The week before it was fine. But I noticed the day before yesterday he hid under the bed. Not normal. Same
yesterday. And his fur is dry again. When he was on insulin, it was soft as silk. So I'm taking him to the vet this afternoon along with a copy of his chart
because the vet won't understand why he's off insulin. I'm suspecting Dimitri has another UTI, but I'll ask them to check his teeth too. I'm so bummed he's
sick again.
 
Re: 6/12 Dimitri AMBG 161

Sending prayers for Dimitri and a quick recovery if something is up. Let us know..
 
Re: 6/12 Dimitri AMBG 161

:? Not much help from the vet. Dimitri doesn't have a fever. His teeth are fine. His bladder was EMPTY so they couldn't get a urine sample.
So the vet says to put him back on insulin (he suggested 1 unit,) and see how he feels. If he's not better by Monday I bring him back with a
full bladder.

Question: I think 1 unit is too high. What dosage should I use, maybe 0.5?

Thanks.
 
Re: 6/12 Dimitri AMBG 161

I forgot to mention his symptoms:

1. His fur is dry again.
2. For the past 3 days he has been hiding under my daughter's bed, which is no small feat given the large number of Nerf guns stored under there. So he REALLY wants to be left alone.
3. Today he only eaten about 3 bites of food. Not his usual whole can of Friskies pate.
4. 3 times this week he peed on the floor next to the litter box.
 
Re: 6/12 Dimitri AMBG 161

oh shoot, janet. i'm sorry he's over normal levels.

i think before you restart the insulin, i'd get a few more checks in. I see the 135 and the 123 - is there any chance that Dimitri got into something high carb last night? any dry food at your house at all? could he have gotten into the neighbor's pet food? snitched a piece of bread from your table?

the reason i'm asking about that is because his BGs seem to be coming down as the day goes on. that might be what it would look like if he had a carb-fest last night and it was wearing off today.

if that's the cause of it, then let's see if he comes back down under 120 when the carbs wear off.

any chance he got into high carbs, do you think?
 
Re: 6/12 Dimitri AMBG 161

Julie, he's 161 now and it's time to do a shot, if I'm going to do one. No, nope bad food. This has gone on for days. He's not
feeling well and something is bothering him.
 
Re: 6/12 Dimitri AMBG 161

It does sound like Dimitri isn't feeling well.

I agree with Julie...I wouldn't restart insulin just yet. Try getting a few tests throughout the day. Check out Trixie's SS if you have a chance. She developed pancreatitis almost 8 weeks ago. Since she wasn't eating, I suddenly stopped giving her insulin. You'll notice her numbers, though...what would be her "PS" numbers are out of range, but a few hours after eating, she comes down quite a bit - without insulin.

So before starting insulin, I would do a similar test with Dimitri - test him before eating, and then a few hours after eating, and see what his numbers are. It's possible he's fallen out of remission, but I would investigate a little further first.

I would also strongly consider taking him back to the vet before Monday, if he's really feeling that unwell. You don't want to be stuck in an emergency situation over the weekend. Did they do any bloodwork today, even though they couldn't draw urine? Randomly shooting insulin may not be a good idea under the circumstances.
 
Re: 6/12 Dimitri AMBG 161

Based on his numbers during the day today, and his "pre-shot" just now, and the fact that he has not eaten at all since breakfast (so his numbers
weren't influenced by food), I went ahead and gave him a 0.5 u shot. I will monitor him tonight. I ran to the store and got more HC food since
I had gotten rid of everything in my "hypo" kit.

Thanks for the help Julie and Amy.
 
I always wonder if pancreatitis is the cause when things change. Symptoms are often, loss if appetite which is usually due to nausea lethargy, and just not acting right. Sometimes vomiting or diarrhea occur. An fPL blood test would rule that in or out. I hope he's not out if remission. If you have to bring him back to get a urine sample I would get the fPL . I hope he's not out of remission.

Elise
 
i think Elise has a great suggestion. if he has pancreatitis, you want to get him started on the things that help. It is so common with diabetic cats. Have you seen the post Marje put together on pancreatitis? It's in the set of single-topic links at the bottom of the New to the Group? sticky. For the spec fPL test (not the snap test) he needs to be fasting. i'd schedule it asap - tomorrow if possible.

Remember that if he's not eating, you want to be extra cautious with the insulin. I don't think 0.5u was too much - i'm not saying that, but to remember that food is how you steer numbers and if he's not eating, you may need to have a variety of foods to tempt him. You can also try the tricks that entice - heating up the food a little so it smells more, pouring on tuna oil (not broth!) or a little bit of tuna bits, rotisserie chicken, lunchmeat (no onions, garlic), sprinkling on parmesan cheese, oregano, or catnip.

it's not uncommon for a cat to come out of remission. You do want to be more aggressive in dosing a kitty that's returned from OTJ and they can often end up getting to the highest dose they were at before, before they start coming down the scale again. It's still possible again, though, so don't be too discouraged. You've got the hang of it all now and know what to do. :YMHUG:
 
I thought one of the major symptoms of pancreatitis was stomach/abdominal pain? I have been picking him up by his midsection all day long and
no complaints from him. He did eat dinner. But that was because when I ran to the store for some HC food, I also got some FF classics. Normally
he eats Friskies, so he considers the FF a treat, and he ate pretty good. I'll go read Marje's post. Thanks.
 
Based on this list of symptoms I found, I'm really not thinking Big D has pancreatitis:

There are a variety of symptoms that may be observed in cats, including:

Fever
Vomiting
Diarrhea
Loss of appetite (anorexia)
Weight loss (more common in cats)
Dehydration
Fatigue and sluggishness
Mild to severe abdominal pain (may become more sever after eating)
Depression
Increased heart rate
Difficulty breathing

He has no fever, no vomiting, no diarrhea, slight loss of appetite, no weight loss (in fact, he's gained about 1.5 pounds since April), no dehydration, doesn't seem to be fatigued (but it's hard to tell with the "Zen Master" since he doesn't do much normally LOL), no abdominal pain, he's not depressed (he still head butts me), heart rate and breathing are normal.
 
punkin never acted like his stomach hurt, but he had one acute bout of pancreatitis and apparently had it chronically. his main symptom was that he stopped eating - which for a cat with acromegaly is unheard of. the hormones from the acro tumor makes them try to grow and they are typically starving.

in some cats, yes, they'll react if their abdomen is palpated because it hurts.
 
Julie, not always do they react. Some are way too stoic. Max becomes inappetent as well. Since he's become diabetic he's teased me a few times but never for more than a day. I wonder sometimes if diabetes trumps pancreatitis in the appetite department for him. We haven't done an fPL since he was diagnosed.
 
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