6/1Max +6=108 PMPS 153+2.5=154+4.5=88+6.5=63+8=78

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tiffmaxee

tiffmaxee

Member Since 2013
YESTERDAY'S CONDO:http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=119585

YESTERDAY'S #S
AMPS 336
3.5=257
6=205
PMPS 163
2.75=187
4.75=68
5.75=84
6.5=65
7=69

Not much sleep last night. Max had me up early again at 5ish. I gave him some freeze dried chicken and tried to go back to sleep which I think happened thankfully right before my alarm went off. Thank goodness I set it. He ate the food that I left out at +7 sometime after I fell asleep which wasn't before +8.5. It was gone when he woke me up.

Now I pray he doesn't bounce or go low today or tonight. Wish us luck. Vines to those in need.
 
Re: 6/1 Max AMPS 124+1=171

nice to see he had great numbers without going below 50 last night, elise. it was a late night for you!

nice start to his day too. fingers crossed he won't bounce, although that might be too much to hope for since he hasn't seen green for a while. still, we can hope! :-D
 
Re: 6/1 Max AMPS 124+1=171

The +1 # could be a food spike from his AMPS meal. Just remember that the onset for Lantus is typically 2 hours, so hopefully if you get a +2 test, his #s may have come down by then. Have a great day!
 
Re: 6/1 Max AMPS 124+1=171

So he was on the upswing at his PMPS. I sure hope he stays at least in blue today. Nervous about this again. At least I know this vial works. I have to start with the terumo syringes Tuesday so I'm not sure if it's better to do it when he is doing well or bouncing, not that I have much choice here.

I read a lot here about looking at the whole cat. Max eats well although not necessarily the best food depending on who you ask. He pees more than he should. He poops daily but I do give him 1/8 t of miralax each morning. He purrs a lot but has stopped coming to lay on me when I get into bed at all the last few months. He hasn't played much for years so that doesn't tell me anything. He sleeps too much and I worry his BP is artificially high at the vet's office and perhaps he doesn't really have primary high BP but being a skittish cat I have no way to know for sure. Having a mobile vet here wouldn't tell much because he is afraid of strangers. He doesn't drink excessively. His labs the end of April were the best they have been in years except he did have glucose in his urine and still has +1 protein. He still likes to be brushed. He preens but has started to get matts on his tummy so maybe not as well as he used to. He does have white flakes but that has been present for longer than the diabetes when I think back. His weight is holding steady but the cardiologist did say he is overweight. I'd like him to lose about 3/4 of a pound. She also said he looks like a 10 year old.

So all in all I'm not sure how he is doing.
 
Re: 6/1 Max AMPS 124+1=171

so he's almost 17 but looks like a 10 year old? i hope when i'm 90 people think i look like i'm 60 (or whatever the comparison is!) That sounds pretty good. We don't expect 17 year old cats to be as frisky as a 4 year old.

His labs were the best they've been in years - that is fantastic!

i do understand why you are concerned about the BP - I would be too. Are there any symptoms of BP in a cat, other than actually measuring it on his arm? What i mean is, is there any way you could tell if his BP is high other than the cuff? I know in people there isn't, i just don't know about a cat. It might be worth asking the vet.

Are you concerned that the BP meds are lowering his BP too much? if so, perhaps there are symptoms of low BP that you could watch for.

Overall, it sounds like he's doing pretty well, except for the diabetes, and you're doing the best you can with that.
 
Re: 6/1 Max AMPS 124+1=171

Hi Julie. Like with people, BP is a silent killer if too high. I think his might be too low based on how little energy he has. It isn't that common for a cat to have primary high BP . It usually goes along with kidney or hyper-t. Then again I don't think many vets check a cat's BP routinely unless they have one of those conditions so the data is definitely flawed. This has been in the back of my mind since Max started amlodipine. The vet on the lymphoma list has me going on this again because he brought up white coat syndrome again. There is no good answer with this one given Max's nature so I know I have to either spend the money to buy a machine or try not to think about it. His BP was 200-220 before he started the med and his dose was raised once. This is another time when I wish he could tell me how he feels. I know high BP can cause them to go blind or stroke out. I'm not sure what low BP can cause. I'm rambling. Sorry. I'll stop now.
 
Re: 6/1 Max AMPS 124+1=171

you're not rambling. i have high blood pressure as well - no obvious cause, it's just there and i've had it for a long time.

i guess one option (is it a good one, i don't know?) would be to take him off the high blood pressure meds and do a short trial to see if he perks up. i don't know, however, if that is risky. punkin did have high blood pressure in his last month or so and we didn't have him on meds for it because it wasn't high "enough" for it.
 
Re: 6/1 Max AMPS 124+1=171

Nice numbers for Max!

Actually, I think primary high BP in cats is more common than we think. Now that I've had two cats with high BP, I've started routinely testing ALL my cats, whether or not they have any underlying conditions. I am pretty positive that uncontrolled high BP is the main cause of Trix's kidney issues; once we started her BP meds she went from Stage 4 to Stage 3, but I think having uncontrolled high BP probably caused permanent damage to her kidneys.

My vet used 160 as her cutoff - and that accounts for white coat syndrome. If cat tests any higher in the office, she starts treatment. When I had my civvie Frankie tested a few weeks ago, she was 112. Trix is 130 with her meds, but it took us a few teaks to get her into this better range.

If Max was over 200, I absolutely would not stop his meds...that is dangerously high and greatly increases his risk for stroke and blindness, not to mention the damage it causes in other parts of the body. And since high BP is a silent killer, you might not find out until it's too late. If you haven't tested him lately, I would do so soon.

My GA civvie Mario was on BP meds for almost 2 years. His meds did need frequent adjustments...things just change and that's why you do have to check their BP with relative frequency. Trix has had a couple adjustments already, too, and she's only been on the meds for a couple months. We had to add the benazepril in to get her BP into a better range, as the amlodipine alone wasn't cutting it.

Low BP will cause low energy, lethargy, weakness. If it's dangerously low, you'll see fainting. It is usually REALLY obvious when BP is too low...it's one of those things that stands out.

I've heard any sort of home testing for cats' BP is really, really difficult. Unfortunately, it's one of those things that is best done in the vet's office.

Aside from the diabetes and the high BP, it really sounds like Max is doing awesome!
 
Re: 6/1 Max AMPS 124+1=171

You might want to consider if Max has had blood pressure readings for most of his life that measure too high. Or, how old was Max when his BP started showing at 200 or above at the vet's office, and was that BP diagnosed at the same time as the diabetes? There might be clue as to if this is high BP is caused by stressful vet visits, or if it is an ongoing condition in his body.

You might find this page helpful:
http://www.2ndchance.info/highbloodpressure.htm

He's looking good in blue today. :cool:
 
Re: 6/1 Max AMPS 124+1=171+2.5=191+4.5=135

Max has had high blood pressure for I believe about 2 years. I agree with you Amy that it is likely more common than vets believe because usually the first time a cat's BP is checked is if they have kidney disease, are hyper-t, when monitored for a dental while under anesthesia, or you have a really good vet. I can't believe how many practices don't even have a machine. I know good ones are expensive, but most vets charge extra to check it. My vet did check Max's BP when he first was diagnosed with pancreatitis but not again for a couple years as he didn't have CRF or hyper-t. I believe I asked him to check it when he was diagnosed expecting it to be normal. I won't stop the medication for the reason that you mention, Amy, but I still wonder about it often given Max's temperament.

He just got a good brushing, at least 1/2 of him did as he was on his side. I'll get the other half later. I think there are a lot less white flakes.

Yes, Julie, we can wish that he won't bounce but he likely will. Fingers and paws are still crossed though.

Angela, I think you are right about the food spike or else the lantus just kicked in.

Thanks, everyone.
 
Re: 6/1 Max AMPS 124+1=171+2.5=191+4.5=135

My vet charges $59 to check BP...worth every penny, though. They first checked Mario because he was Hyper-T, and Trix because of her CKD - especially because her kidney values suddenly skyrocketed. And that's the reason I'll proactively check all my guys from here on out...I can't help but think that maybe her kidneys would be in better shape if we had checked her BP as part of a routine practice. High BP is my latest kitty "cause"! My business partner's cat was just diagnosed with HyperT, but her vet said nothing about high BP. I've urged her to go elsewhere to get it checked, but I don't think she's taking me seriously, even though she's seen all that I've gone through.

I also think a lot of vets don't suggest it proactively because it is an extra expense, and as we know, most owners aren't like us in LL who are willing to go the extra mile(s) for our babies.

Since you do wonder about Max's temperment, I would have his BP checked. I had Trix's checked a couple weeks ago for the same reason...she was just way more lethargic than I thought she should be. Her BP was fine, and it ultimately turned out that the cypro was reacting very negatively with her BP meds and making her extra-lethargic. Once I stopped the cypro, she perked back up.

160 is definitely a good number for "white coat syndrome". White coat syndrome will drive up BP, no doubt, but it WILL only go so far. Anything over 200, or even upper 100s, is beyond what white coat syndrome can do.
 
Re: 6/1 Max AMPS 124+1=171+2.5=191+4.5=135

No advice from me on the bp issues. Just lots of hugs and prayers! :YMHUG: It's nice to see Max surfing blues after the green evening.
 
Re: 6/1 Max AMPS124+1=171+2.5=191+4.5=135+6=108+7=143

Oh my goodness, Max had a great night last night but I always wonder how you guys can go on without sleep!!! :shock: I must be getting old or something...
 
Re: 6/1 Max AMPS124+1=171+2.5=191+4.5=135+6=108+7=143

What a fantastic stretch of blue numbers today!! Wooh-hoo! Go Max, go!! :RAHCAT
 
Re: 6/1Max AMPS124+1=171+4.5=135+6=108+7=143PMPS 153

TODAY'S RESULTS
AMPS 124
+1=171
+2.5=191
+3.5=135
+6=108
+7=143

I agree that testing BP is necessary. When I mentioned the cost, it was because I believe all vets should have the equipment to test as they can make back the cost of the machine and cuffs quickly. Amy, it was a vet that was questioning if Max has white coat syndrome. I am sure he does but have no idea how much it effect the BP. Someone I know on line said that her cat's BP went up 50-60 points at the vet's and she bought a BP machine.

Will the dreaded bounce happen tonight or tomorrow? Maybe the blue day will mean he will stay a little longer in good numbers.

As for staying up, you do what you have to do, Ruth. I must admit I was a little nervous going to bed with a 69 but he hadn't eaten in a couple of hours and he seemed to be surfing. I actually didn't fall asleep for at least an hour and a half and he made no move to eat. The food was gone though before my early morning Max wake-up call!!!
 
Re: 6/1Max AMPS 124+1=171+4.5=135+6=108+7=143 PMPS 153

Love those BLUES! Maybe that was the bounce? We can always dream. :-D

Interesting discussion on BP. I don't even know if my vet has the equipment, but I'm glad I had Neko's done as part of her echocardiogram cause now I have a baseline.
 
Re: 6/1Max AMPS +6=108 PMPS 153 +2.5=154

When Max had his echo recently, the cardiologist didn't feel the need to check his BP as it had been checked the week before at my vet's. I find the subject of pet BP interesting as well Wendy. I know many vets don't ever check it though. That would be the only way to know for certain if primary high BP is common or not in cats and dogs. I forgot to look at your webcam today. I will tomorrow though.
 
Re: 6/1Max AMPS +6=108 PMPS 153 +2.5=154

Great day for Max. This vial is working well for him. Sorry you were up all night. I hope you get some rest tonight.

My vet only charges $15 to check BP. I agree with Amy that 200 is really high even for white coat syndrome.
 
Re: 6/1Max AMPS +6=108 PMPS 153+2.5=154+4.5=88+6.5=63+8=78

Ok, I am SOOOOOOO jealous that Marje's vet only charges $15 to check BP!!! My vet is totally awesome, so I'll let them slide on the crazy high cost of checking BP, though...she more than makes up for it by spending an incredible amount of time discussing my kitties' cases with me.

I'm sure Max has white coat syndrome, too, but even if you knock 60 points off the top to account for that, his BP would still be high if he's clocking over 200 at the vet. I think if white coat syndrome was able to send their BP that dangerously high (and that much higher than their BP would be in a calm home environment), then there must be some other very serious underlying condition going on...know what I mean? I think for him to have noticeably LOW BP (the kind that creates lethargy and weakness), he'd have to be under 100 at home, which would mean white coat syndrome would be causing his BP to more than double. I just don't think that is physically possible.

I think high BP scares me more than almost anything these days, since it is pretty much symptom-free until things hit critical mass....stroke, blindness, or worse.
 
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