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Re: HELP!! Bud's somewhere between 4447-550

Oh my, that is high. I am sorry I am not experienced enough to give anyone advise. Maybe you can pop over to health, there is always someone there. Seems to be a slow hour here today.
Good luck. Hope Bud is doing better soon.
 
Re: HELP!! Bud's somewhere between 4447-550

Beth, please stop reacting to high numbers as if she will die in hours. They are not the emergency that very low numbers are. Take a deep breath, or 10, when this happens and think for a minute. I would hope that the answer that would come to you would be to shoot her regular dose.

Why? Because you have no data over last night or during today that tells you what her BG cycle is. What if she had been lower overnight and/or during the day and the 500 tonight is rebound? Rebound could be happening on even slightly lower numbers (mid/low 100s) because she hasn't been that low for a while - and also because I think her body's response to any lowering BG seems to be to pump out cortisol and glucose to "save" her from hypoglycemia.

The .75u tonight will probably be ok - it will help deal with the 500s, but if it were me, I would go back to .5u tomorrow and stay there. Next time, shoot the regular dose and see what happens. Lev isn't a fast acting insulin that can be raised and lowered according to the PS numbers. Doses should be consistent to get the best results. And you need more data to be changing doses.

Please get some test in around +4 and/or +6. Again, it would be good to get random spot checks in at any time.
 
Re: HELP!! Bud's somewhere between 4447-550

Good to hear that she is eating anyway!

I have been going back and getting caught up on your posts and SS.

Whatever happened to the diagnosis of Triaditis? Has the vet periodically retested her liver values to see if they are back to normal yet? Is Bud still on any medications for it? If the vet is thinking pancreatitis right now, it is the third part of the Triaditis diagnosis so just wondering.

I am sorry about your other kitty, Itty Bitty. :(

So is Bud an only cat now?

Have you ever thought about putting her on a raw diet? I don't remember if we talked about this, but after Tigger's Triaditis diagnosis we put him on an all raw diet (this was back in 2007) and he hasn't had any flares since then. I know you know that Triaditis is a combination of IBD, pancreatitis and cholangiohepatitis (liver). The raw is really beneficial for the IBD.

To me that 500 today could mean rebound, not enough insulin, or an infection of some sort somewhere. But again, the fact that she is eating is a good sign. If she didn't feel well I can't imagine she would be so ravenous as she is except for the high number possibly causing it.

Did you get to talk to the vet today?


ETA, oh I see Sheila and I were typing at the same time. ;)
 
Re: HELP!! Bud's somewhere between 4447-550

eeraby said:
Yes, Shelia. You're right about *thinking* about it and breathing. I was at the human doc all day, ego, no testing. 0.50u in the morning. I'll go wake up DH, tell him, and make him repeat it.

told him. go a "ok, whatever."

Pamela... the Triaditis: Bud was so miserable with all the pilling and she wasn't getting better.. we never saw her and she hid most of the time. We made the decision that living like that wasn't worth it for her so we stopped all the meds. and she got sooooooooo much better.

Yes, I remember that..stopping the leukeran when there wasn't even a positive diagnosis of cancer but Triaditis was a definite possibility. I am glad you did. And she felt better for a while there.

eeraby said:
Vet thinks this is another flare up of pancreatitis and prescribe cerenia. 1/2 tab every 3 days. start tomorrow. We've had no testing.

I think cerenia does well for inflammation so that is good. Although I don't understand her not testing for anything further, even just routine bloodwork after what Bud went through last summer.

eeraby said:
Bud is an only cat now. thank you for your condolences. (we still have 2 dogs.)
Raw diet: only thing I give her are raw chicken livers (from when she wouldn't eat) and she LOVES them. Vet is none so happy about giving anything raw to an animal much less an 'already compromised' kitty.

Well, like I said we have fed raw for over three years. He even licks up the raw food 'scraps' that have been sitting there for a few hours. I understand about compromised kitties with our diabetics. The fact that your vet also prescribed Leukeran makes me wonder where she is coming from in this area. But again, I am not a vet. Just that I don't understand the reasoning here.

eeraby said:
I know it works well for a lot of folks. I doubt I could get hubby to buy into it and, as I'm on the road a lot, he'd have to. I can't even get him to put out "tempting food" in the morning for her during the day. Tempting food: canned salmon, mackerel, tuna, sardines, and raw chicken liver. When I'm here, she gets a smorgasbord (some of 2 different cans and 1 or 2 tempters. He'll only put out 2 different canned foods for her and, sometimes, she's in the "I don't' like those now" cycle. I figure the more choices, the more likely she is to eat *something*.

Feeding raw is much more simple than trying out different canned foods all the time. Really, once they get used to it, it is easy. They also know it makes them feel better in the long run. I used to throw out so many 'unwanted' canned foods - gave so many to a local shelter (in Chicago). You can order it online, it comes frozen and you just scoop out what you need. I freeze mine in individual 3 oz containters.

Yes, get those liver values, but ask your vet what she thinks about it....if it could still be something that is an ongoing issue with Bud like the Triaditis.

((hugs)) I am sorry if I am sounding harsh. I don't mean to be.
 
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