8/1 Jack 209@AMPS/0.2 ketones=day 1 of 9.5u

[Jack & Mopem'sMom]

I didn't get an overnight number, I'm mad at myself for that. I fell asleep on the couch after work and his PM shot and never woke up. My neck is killing me this morning, but on the bright side, he was 209 for his AMPS, which is pretty good for him lately, and was 0.2 ketones, so I'm guessing he was in the mid 100's last night. We went to 9.5 units this morning, and once the vet clinic opens, I'll call for his results and post a comment under this thread with his results.

Have a good week, all!

Yesterday's thread: https://www.felinediabetes.com/FDMB...ncreasing-to-9-5tomorrow.266524/#post-2983410

 

[Jack & Mopem'sMom]

So, Jack's results came back NORMAL. I can't upload the pdf report here, it says I don't have permission to do that. I'll retype the info when I get more time in another comment

 

[Jack & Mopem'sMom]

Collected Date/Time 07/21/2022 8:29:00
Units = nmol/L
Insulin-like Growth Factor 1 (RIA) 68 Ref Range [12-92]

Insulin Autoantibody (RIA) 2 Ref Range [<=20]
Units = %

Endocrinology Interpretation

07/21/2022 8:29:00 Endocrinology Interpretation
Thank you for the clinical information included on the submittal form. The insulin autoantibody index result is normal or negative for the presence of insulin-binding autoantibodies.
This concentration of insulin-like growth factor 1 is within reference interval, and not supportive of a differential diagnosis of acromegaly.
Jean Brudvig, DVM, PhD, DACVP
Academic Specialist, Endocrinology

 

[Wendy&Neko]

Nice AMPS for sure!

As for the MSU results, I'm surprised but pleased. Not having to deal with acromegaly and it's side effects is a blessing for you. Since you said he's fussy about food, I half thought that one might turn out negative. IAA generally is self limiting over a time, but just as well not to deal with it. You might want to put neg for acro/IAA in your signature as most people will think one of those is there due to his dose size.

He is showing signs of something causing insulin resistance. And now we have to figure out what it is. How much does Jack weigh? What were his thyroid (T4) results on his most recent blood work? Does he have a pot belly? Any thinning fur? Marks on his skin like freckles/black heads?

 

[Jack & Mopem'sMom]

Nice AMPS for sure!

As for the MSU results, I'm surprised but pleased. Not having to deal with acromegaly and it's side effects is a blessing for you. Since you said he's fussy about food, I half thought that one might turn out negative. IAA generally is self limiting over a time, but just as well not to deal with it. You might want to put neg for acro/IAA in your signature as most people will think one of those is there due to his dose size.

He is showing signs of something causing insulin resistance. And now we have to figure out what it is. How much does Jack weigh? What were his thyroid (T4) results on his most recent blood work? Does he have a pot belly? Any thinning fur? Marks on his skin like freckles/black heads?

Jack weighs about 17 pounds, does not have a pot belly. He had thinning fur and bald spots when he was first diagnosed, but those cleared up after being on the insulin for about 4 months. I will have to get the clinic to send the last blood test panel, but I don't remember there being anything concerning with his thyroid. He has dandruff, which I have Duoxos mousse for (he hates it and we don't do it often enough), and also an oily cyst on his head and farther down his back. The vet said they were common, and not related to anything and there was nothing much to do. I can try to grab a picture later if you would like me to.

 

[Wendy&Neko]

The one other endocrine condition that can cause a need for higher amounts of insulin is called Cushings. Actually hyperandrenocorticism, but that's why we call it Cushings. Most Cushings cats have a pot belly and either fur or skin conditions. For dandruff (not uncommon in diabetics), you could try adding some drops of fish oil to his food. It's a lot less common than acromegaly. It could also be his larger size and diet means he needs more insulin.

You should be able to get the vet clinic to email you the last blood results. You own them. I found it helpful to keep lab results on the Labs tab of the spreadsheet as it allowed me to track things over time.

 

[Jack & Mopem'sMom]

The one other endocrine condition that can cause a need for higher amounts of insulin is called Cushings. Actually hyperandrenocorticism, but that's why we call it Cushings. Most Cushings cats have a pot belly and either fur or skin conditions. For dandruff (not uncommon in diabetics), you could try adding some drops of fish oil to his food. It's a lot less common than acromegaly. It could also be his larger size and diet means he needs more insulin.

You should be able to get the vet clinic to email you the last blood results. You own them. I found it helpful to keep lab results on the Labs tab of the spreadsheet as it allowed me to track things over time.

I have sent an email to the clinic, I'll update the spreadsheet when the results come in. I know his diet plays a big part, I just don't know what to do to get him to eat wet food, short of flat out starving him and not giving him insulin if he doesn't eat. That sounds riskier than more insulin though???? I guess I'll just see how the week plays out on 9.5, he had lower numbers yesterday, and seems to be bouncing higher today...that seems to be the pattern for him though. Thanks for all of your input and support- they are greatly appreciated.