7/20 Intro of Tinkerbell

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Melanie and Smokey

Member Since 2010
Hello! Long time away from the boards. With caring for cats, trapping, socializing... just haven't had the time.

Tinkerbell's Test Schedule

Our new charge is Tinkerbell. She first came to Homeward back in 2015 at the same time we had Sly in foster for them so she stayed at the shelter and they were able to get her into remission on Lantus and adopted out 10/2015 (I do not know any of the numbers she was getting that they considered remission or her previous dose).

Tinkerbell came back to the shelter the beginning of May. Skinny and a raging appetite - out of remission and the adopter had not had her BG tested once during the time she had her.

Over the 4th of July weekend the shelter manager asked if we could watch Tink because she wasn't eating. She ended up being hospitalized for 24hrs after a pancreatitis diagnosis.

We had had her in foster a weekend before that while the shelter did some maintenance on the kennels and to run a curve for the vet. From what I see, it looks like just not enough insulin. I am working with a new vet on her, but she seems to be one fairly up on diabetes.

My concern is that we may be going too slow on the insulin and the constant high numbers are what caused the p-titis to flare. I am using the AT for a couple reasons, (1) ease of working with this vet, (2) We currently have 2 insulin dependent and 3 diet controlled in the house, plus former foster Lincoln comes to visit, with some of my meters out on loan, I am just out of meters!

If anyone wants to look at her spread and give some input, that would be great.

thoughts:
-I did adjust her 0.5U instead of 0.25U to the 3U because of her high numbers at the time. What is typically considered "high dose" that the 0.5U adjustment is used instead of 0.25U according to TR. Now that we are seeing some blues peek thru, I am not as concerned, but she is still flying high much of the time.
-She has some of the wide facial features, prominent jaw, etc that can come with an acro cat. At what dose do people usually look at the IAA and acro testing?
-The vet feels that because there was vomiting despite Cerenia on board the first night on the p-titis flare that there is likely a mass issue going on and wants to do some ultrasound at some point.

Tink is one of the SWEETEST cats ever. Any FD savy person want to adopt her? :) She is not cat friendly. We now have 2 fosters that are the sweetest cats, but hate other cats + FD so they are finding it hard to get adopted :(
 

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Tinkerbell is a stunning little girl and how lucky she is to now have you to give her the care she needs and get her on a better path! :bighug:

The general recommendation regarding testing for high dose conditions is when they get to 6u twice daily. If a mass/organ enlargement were found on ultrasound then I'd be inclined to test sooner unless the mass/enlargement could be otherwise explained.

I have a high dose kitty and if I had a chance to do over, I'd make 0.5u dose changes once I got to about 5u and whole unit changes at 10u but that would of course depend on nadir levels and how sensitive the cat is to dose changes. Others may have different opinions on this.
 
Good to see you again Melanie. Thank you again, for having such a large heart. Lucky Tink

On this board, we have seen kitties get up to 5.5 units before turning it around, so typically suggest high dose testing at 6u bid. Having said that, the study that found one in four diabetic cats has acromegaly, found acros with as low a dose as one unit. We have seen cats test positive here at around 2 and 4 units, but most people tend to wait until kitty reaches higher dose. If you think she has some signs of acro, and the jaw does look it, no harm in testing earlier. It would make it easier to be aggressive on dosing if she tests positive for either IAA or acromegaly. With her seeing blues, I wouldn't increase any sooner than 6 cycles at a dose. We usually suggest going to 0.5 unit changes at 5 units total dose. Linda has it spot on. With greens in the picture you move slower.
 
What a beautiful girl! ....and they are so lucky that they have you to take their diabetic cats into foster and nurse them back to health.
 
What a sweet kitty. She is lucky to have you help her out. I hope you can find out what is going on with her and get her regulated.
 
Thank you everyone so much for the help!

Tink is a doll. I really hope we can get her regulated and this isn't something bigger going on.
 
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