8/16 Tableau PMPS 311 +2.5 82 +3 74

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ehsuan

ehsuan

Member Since 2011
Tableau's had a good couple of days numbers wise.

Today:
AMPS 399
+4 208
+ 8 292
+10.5 240

PMPS 311
+ 2.5 82

Guess I'll be staying up with him as he's pretty low at +2.5 and I think his nadir is usually around +4+5

He doesn't seem to want to eat today, although it's hard to tell cause I'm gone and have 2 cats. Tonight I've tried everything and he just looks at the food. Hoping he nibbled earlier, and I'll keep trying. It's so frustrating when he won't eat. I gave him an appetite stimulant, hopefully that will kick in.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 won't eat

i know you've done the diabetes dance before - do you know some of the tricks to entice a kitty to eat? sprinkle on parmesan cheese, grind up dry food if tableau is a kibble addict and sprinkle a little of that on the canned food, warm it up in the microwave, pour on tuna water . . .

did tableau eat a normal dinner?
 
Re: 8/16 Tableau PMPS 311 +2.5 82 won't eat

another idea i saw someone post earlier today - put a little food on tableau's shoulder so he can't flick it off (like he might if you put it on his paws) and hopefully will lick it off.

that's a pretty big drop at 2.5 - if i thought my kitter wasn't willing to eat, that early in the cycle with that significant of a drop, i might go ahead and open the high carb food and try to get a tsp of the gravy in, just to slow down the drop.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 + 3 74 - potential hypo -

Hi Julie. That shoulder trick is a good one. Hadn't heard that before. He is eating now, but he;s dropped to 74. I know that's not a low enough number, but I think he's having a hypo. He's staggering and meowing. Time to test again and get the honey out, I think. Ugh.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

74 - that doesn't seem low enough for hypo. try the honey/karo - if you have to rub it on his gums.

recheck in a few minutes - maybe 10. i don't know how fast it shows up when you get it straight into their system.

i'd say if you don't get a quick response you might want an ER. that just doesn't seem like a low enough number for it to be hypo.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

I just tested him again (10 minutes since last test) and he's at 91. I checked with the backup meter and got 93, so I think the numbers are accurate. So it's not technically a hypo, but his balance is off, he's meowing a lot, and pacing around. Seems like maybe I should go ahead and treat him as a hypo? Anyone have any thoughts?
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

i guess what i'm saying might not be clear - i'm wondering if it's something unrelated to his diabetes, so if you don't see a change, make a call to a veterinary ER doc.

repost when you have a chance. i'll stay up with you.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

a cat that doesn't have diabetes might get into the 40's even. i just can't think this is a hypo. does he have other issues that it could be?

wait, you said you gave him an appetite stimulant, right? has he had that before?
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

Julie, you are clear, I think our posts just crossed. He's now up to 93, so I'm going to wait and test again in a few.

I do think it is diabetes-related, just sounds like classic symptoms, and maybe his BG is going up nicely now because he ate. I hate to give him Karo or honey, but will in a couple of minutes if he doesn't improve, as the symptoms do seem like a classic hypo to me.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

Mirtz can make a cat meow and act aggitated. Vets often prescribe way too much of this. I don't know if it can make a cat unstable though. This is a question for the vets or other experts here. I don't know Tableau's history I don't think I've visited your condo before.

Have you tried assist feeding with a syringe before?
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

ok - i'm just thinking i read someone's posts in the past couple of days about their cat having a poor response to appetite stimulants.

has he had it before?
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

Again, crossing emails...sorry! Yes, he's had the appetite stimulant before, but maybe that's why he's meowing...except he just tried jumping up on the couch and couldn't make it. So I just went ahead and gave him Karo and will test again (I just did and he's holding at 93).

Yes, I suppose it could be something else, but it defienitly seemed to coincide with his low number, so I'm going to see if he improves witht he Karo, if not, we will head to the er.

Thanks so much for your help
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

sorry i don't think i'm being any help. i know how to pull up low numbers, but so do you. i don't know what this could be, but it sounds worrisome.

would you like me to stay up with you a little bit longer?
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

I bet it is the appetite stimulant. It's the one Karrie mentioned - Mirtazpine. He's only had it once before. He is calmong down now. He is alert.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

No, you are being helpful, but you don't need to stay up with me. I think he's getting better. Thank you for your help and I'm sorry we crossed emails - I hope it didn't sound like I appreciated your help because I do, I was just a little frantic.

Please, go to bed, Julie. THanks so much for your help. I think we are good!
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

*whew* that's good. i'm glad he's calming down. that's a little nerve-wracking. and his numbers have come up a bit too - so that's just as well.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

heehee yeah, we've crossed posts just about every time! no worries. i'm just glad he's doing better.

ok, i think i'm going to head for bed. see you tomorrow. you might want a note on his ss about a possible reaction to the mirz for the future.

good night!
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

it probably is the mirtazapine, but better to treat for hypo and be safe than sorry.

from tanya's crf site:

http://www.felinecrf.org/persuading_cat_to_eat.htm#mirtazapine

"I have since learnt that when cats react badly to mirtazapine, it is often because their bodies are creating too much of a hormone called serotonin. Mirtazapine is supposed to stop serotonin being bound to receptors in nerve cells, but this may cause too much serotonin to accumulate in the cat's brain instead, which leads to a condition called serotonin syndrome. Symptoms of serotonin syndrome include a fast heart rate, hypertension (including dilated pupils), excessive vocalisation (howling), being "spaced out", walking strangely, stumbling, pacing up and down, breathing problems such as panting or breathing very fast, and agitation. Although this reaction is not common, I have since heard from several other people whose cat experienced it, so be aware of the possibility."


an alternative to mirtazapine is Cyproheptadine: http://www.felinecrf.org/persuading_cat_to_eat.htm#cyproheptadine.
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

Thanks Julie and Karrie. I appreciate your help! Good call on the appetite stimulatn - maybe that was it. In any case, he's back to his normal self.

Go to bed. Thank you so much!
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

Thanks Julie and Karrie. I appreciate your help! Good call on the appetite stimulatn - maybe that was it. In any case, he's back to his normal self.

Go to bed. Thank you so much!
 
Re: 8/16 Tableau PMPS 311 +2.5 82 +3 74 - staggering and meo

Thanks, Jill, for that info on the appetite stimulant. The symptoms sound exactly like what was going on with Tableau. Oh boy, and he was having such a good night with his numbers...now they are going back up, from the Karo...but yes, better safe than sorry!

Thank you!
 
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