8/14 Biscuits'amps 348 R-0 25 +3 278 +10 472 R-0.75 pmps 381
- Thread starter Mollycat
- Start date
Ti-Mousse (GA) Pepe (GA)
Member Since 2018
Hope you have a good day with Biscuits ! 
Mollycat
Member Since 2019
Thanks, he's happy. That's what matters!Hope you have a good day with Biscuits !
Jerry dutchboy
Member Since 2019
Com'on little man you can do it... lower numbers are nice but as long as you're happy we're happy. Have a lovely day.
Mollycat
Member Since 2019
He's been stubborn!Com'on little man you can do it... lower numbers are nice but as long as you're happy we're happy. Have a lovely day.
Jerry dutchboy
Member Since 2019
That's ok,there's always tomorrow right Biscuits? Big snuggles.
Why did you think last night was a fur shot? Dose increase should be by 3 units at this point, 4 when he gets to 40.
I hope you can get him started on cabergoline soon.
I hope you can get him started on cabergoline soon.
Mollycat
Member Since 2019
His fur smelled like Lantus, usually no smell. I gave the vet info on cabergoline. I'll check with her.
I'm going through a bottle every 2 weeks now. Add the cabergoline cost, I'm sure it's high too.
I know you disagree but the vet said he's not going to go low with the acro , and having bg's in the 200 to 300 is a good range for him. I'm using R often unless I should increase that
You are right, I am going to disagree with the vet. Acro is hard on kidneys, pile on spending all his time over renal threshold and it’s not a good combo. Acrocats can and do go low, seen it. Probably more acros than your vet has, plus have seen well regulated acros.
On the up side, cabergoline costs aren’t bad and are based on cat weight.
On the up side, cabergoline costs aren’t bad and are based on cat weight.
Krystina & Nelli
Member Since 2018
Hi
,Ive been thinking- never knowing cost of cabergoline I’ve thought, if cabergoline isn’t ridiculously high, when this drug starts to work at lowering insulin intake, your cost of insulin will decrease- I.e. overall rx cost will go down.
This has been on my mind and as you’ve brought cost up I decided to share my thoughts with you
Krystina & Nelli
Member Since 2018
Look at @Bronx's dad SS. See how high Bronx was in 2017? Upper 30’s units. 2018 Bronx dropped down needing < half this amount.
Look at where Paul has brought him to today
3U.I realize Bronx Acro was treated differently- Bronx is only one example (there are enough others
) of an Acro cat going low. Acro cats can and do go low I can’t imagine going through what you’ve gone thru with Biscuits. I. Can’t. Imagine. You are a very special person (the world needs more of) to save Biscuts life, early on, once.
I have been following you all the way (up
), nearly from your first day and I continue to be in awe by your care and dedication
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Mollycat
Member Since 2019
Look at @Bronx's dad SS. See how high Bronx was in 2017? Upper 30’s units. 2018 Bronx dropped down needing < half this amount.
Look at where Paul has brought him to today
I realize Bronx Acro was treated differently- Bronx is only one example (there are enough others
I can’t imagine going through what you’ve gone thru with Biscuits. I. Can’t. Imagine. You are a very special person (the world needs more of) to save Biscuts life, early on, once.
I have been following you all the way (up
Mollycat
Member Since 2019
Thanks, how do I open the SS? Not the best at navigating the forum! Can you send dosing guidelines for cabergoline ? I want to send it to my vet but I can't seem to find anything. She isn't familiar with it and I know she is looking for that information.Look at @Bronx's dad SS. See how high Bronx was in 2017? Upper 30’s units. 2018 Bronx dropped down needing < half this amount.
Look at where Paul has brought him to today
I realize Bronx Acro was treated differently- Bronx is only one example (there are enough others
I can’t imagine going through what you’ve gone thru with Biscuits. I. Can’t. Imagine. You are a very special person (the world needs more of) to save Biscuts life, early on, once.
I have been following you all the way (up
Mollycat
Member Since 2019
I gave my vet info on cabergoline but what I find is information on trials from a year or so ago Is it routinely prescribed now for acro cats? She'll need dosing and prescribing info. I totally agree with your having seen more acro than most vets. And when I had biscuits to the new grad vet, he said it's very rare and he was the first he had seen. I'm hoping the cabergoline isn't super expensive and does do the trick because the cost of Lantus is getting prohibitive. I have a discount card from the manufacturer which helps a lot but it's still high . I just looked up Cabergoline. $32 for 8, 0.5 mg tablets. That sounds reasonable but not sure without knowing dosing.
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Sonia & Leo
Member Since 2018
Hi Sandy, I'm tagging Paul to help you with more info on the Cabergoline. @Bronx's dad
Also @Olive & Paula but she might have her hands full this morning.
Also @Olive & Paula but she might have her hands full this morning.
Krystina & Nelli
Member Since 2018
Paul @Bronx's dad and jeff @JeffJ might be able to better direct you with your questions
(Paul May be away on business). Have you posted on the Acro subforum?To open a SS search the member name, click on avatar, then “information”. You will see in their signature a link to SS.
Click this and it will open spreadsheet
Mollycat
Member Since 2019
Sounds greatHi Sandy, I'm tagging Paul to help you with more info on the Cabergoline. @Bronx's dad
Also @Olive & Paula but she might have her hands full this morning.
Bronx's dad (GA)
Member Since 2016
Here is a great thread about Cabergoline in the acro forum:
http://www.felinediabetes.com/FDMB/...ble-treatment-for-acrocats-discussion.184012/
I think Bronx was the first cat here to try Cabergoline but I didn't give it a long time to work since I decided to do SRT. He was about 17lbs at that time and the dosage was .8ml, I think the cost was about $190 for 37 days. But there are ways to get it with donation funds I believe, @Pamela & Amethyst gets it that way.
http://www.felinediabetes.com/FDMB/...ble-treatment-for-acrocats-discussion.184012/
I think Bronx was the first cat here to try Cabergoline but I didn't give it a long time to work since I decided to do SRT. He was about 17lbs at that time and the dosage was .8ml, I think the cost was about $190 for 37 days. But there are ways to get it with donation funds I believe, @Pamela & Amethyst gets it that way.
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Olive & Paula
Member Since 2015
@Mollycat .
There isn't that much info on cabergoline out there. The studies do say what starting dose is. Your vet will have to read the studies and should talk with compounding pharmacy and together they can determine the dose. It is based on weight. I don't use the pills so I couldn't say but what you said above is only for 8 pills. Cats get it everyday or every other day so keep that in mind. I like the suspension because this way I know she gets it in her. Ollie is hard to pill and I see more being wasted than what she would get in her. It also allows me the flexibility to increase dose when the symptoms increase and persist.
Only one study mentions increasing dosage. I think that is the one who also followed it for 1 yr. The others only followed up at months 4 and 6 and never tried changing the dose.
You are on much higher dose of insulin than Ollie. You will have the cost of both cabergoline and a lot of insulin for quite sometime. That is something else to consider. It is a lifetime medication. It's possible should remission occur cabergoline could be given every other day but no studies on it. Parent would have to be willing to risk trying it.
Really think about your expectations regarding cabergoline. Do you expect full remission? It might not happen, you might get a lower dose of insulin if you stay with it long enough but you don't know how low it will get. Example if 20 units twice a day be the lowest you can achieve, is it enough for you?
Ollie cabergoline costs $127 a month, the lev is $169 a year at this time. Let's say the SRT is about $6000. Ollie can have her meds for just over 45 months before we reach the cost of SRT.
Ollie's vet knew nothing about it either. But she researched a little (I think I provided most of the info though), talked with endocrinologist (she says) and talked with compounding pharmacy. As she says it's an unknown and we follow Ollie's lead. We guess, we try different things.
It is not a common med most vets would know about. My goodness look how many still tell owner when dx with diabetes to put cat down. Don't even offer to treat it. How many are against home testing. Your vet won't find a lot about it out there. You both need to decide if you want to take a leap of faith for the right reasons, keeping Biscuit comfortable and possibility of lessening the tumor activity to make that happen. And working together to make it happen.
There isn't that much info on cabergoline out there. The studies do say what starting dose is. Your vet will have to read the studies and should talk with compounding pharmacy and together they can determine the dose. It is based on weight. I don't use the pills so I couldn't say but what you said above is only for 8 pills. Cats get it everyday or every other day so keep that in mind. I like the suspension because this way I know she gets it in her. Ollie is hard to pill and I see more being wasted than what she would get in her. It also allows me the flexibility to increase dose when the symptoms increase and persist.
Only one study mentions increasing dosage. I think that is the one who also followed it for 1 yr. The others only followed up at months 4 and 6 and never tried changing the dose.
You are on much higher dose of insulin than Ollie. You will have the cost of both cabergoline and a lot of insulin for quite sometime. That is something else to consider. It is a lifetime medication. It's possible should remission occur cabergoline could be given every other day but no studies on it. Parent would have to be willing to risk trying it.
Really think about your expectations regarding cabergoline. Do you expect full remission? It might not happen, you might get a lower dose of insulin if you stay with it long enough but you don't know how low it will get. Example if 20 units twice a day be the lowest you can achieve, is it enough for you?
Ollie cabergoline costs $127 a month, the lev is $169 a year at this time. Let's say the SRT is about $6000. Ollie can have her meds for just over 45 months before we reach the cost of SRT.
Ollie's vet knew nothing about it either. But she researched a little (I think I provided most of the info though), talked with endocrinologist (she says) and talked with compounding pharmacy. As she says it's an unknown and we follow Ollie's lead. We guess, we try different things.
It is not a common med most vets would know about. My goodness look how many still tell owner when dx with diabetes to put cat down. Don't even offer to treat it. How many are against home testing. Your vet won't find a lot about it out there. You both need to decide if you want to take a leap of faith for the right reasons, keeping Biscuit comfortable and possibility of lessening the tumor activity to make that happen. And working together to make it happen.
Krystina & Nelli
Member Since 2018
JeffJ
Member Since 2016
Paula did a good post on cabergoline.
I didn't try cabergoline. My sweet Leo was treated with SRT when he got to 18 units in September 2016. The treatment gave him nearly 3 more years of life. SRT costs are $6,000 or more. There was a sub-$5,000 SRT last year at Washington State University. But, from what we can tell, they no longer offer SRT there.
I didn't try cabergoline. My sweet Leo was treated with SRT when he got to 18 units in September 2016. The treatment gave him nearly 3 more years of life. SRT costs are $6,000 or more. There was a sub-$5,000 SRT last year at Washington State University. But, from what we can tell, they no longer offer SRT there.
Krystina & Nelli
Member Since 2018
Of course... at that size dose?
I guess you could tell!!!
.Biscuits (& you) stays in my thoughts and prayers
One in four diabetic cats has acromegaly. Most vets know little about feline diabetes and even less about acro. I would wager that Wendy knows 100% more about acro than the majority of vets.
Welll.....I’ve been on this board 9.5 years and I’ve seen a lot of acro cats in blue and green....safely. As Wendy said and I mentioned before, for any diabetic cat, you want their BG below renal threshold which can vary by cat. You might see a number if 250 but that’s on lab equipment so on a human meter, it would be less. We’ve had some CGs here monitor their cat’s urine and found the renal threshold for their cat was much lower than 250.
Mollycat
Member Since 2019
Thank you so much for that information that is awesome advice.