Bellas new journey #4

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:(Well went to vet with my little girl Abby and she has hyperthyroidism

Poor Abby, but while I have no experience with hyperthyroidism, I believe it’s fairly easy to treat. There are several people on the forum that have kitties with it, so If you have any questions along the way, you can ask them here.
 
HyperT is very common. I had a cat with it years ago, as did my sister, my mom, my sister-in-law and one of my friends. Two of those kitties were treated very successfully with the I-131 treatment and the rest were on meds. My mom’s old guy was given his meds in the form of a transdermal gel that went on his ear. The others were pilled.

Finances permitting the I-131 treatment is the best option.
 
My little Liz was hyper t, I smashed her pill each morning & evening & mixed it in her food.
It is a very bitter pill.
There is also a topical pen that you rub on the inner ear. Transdermal. Unfortunately it irritated Lizzie’s ears & was not controlling her thyroid as well as the pill.

She would not eat the food for thyroid so that didn’t help.
There’s surgery & radioactive iodine treatment.
Even though Lizzie’s thyroid levels were in normal range with treatment, she was always hungry & thirsty. Similar to diabetes in that way.
It was very easy to find the correct dose for Lizzie. She had normal range numbers in a couple weeks.
 
My little Liz was hyper t, I smashed her pill each morning & evening & mixed it in her food.
It is a very bitter pill.
There is also a topical pen that you rub on the inner ear. Transdermal. Unfortunately it irritated Lizzie’s ears & was not controlling her thyroid as well as the pill.

She would not eat the food for thyroid so that didn’t help.
There’s surgery & radioactive iodine treatment.
Even though Lizzie’s thyroid levels were in normal range with treatment, she was always hungry & thirsty. Similar to diabetes in that way.
It was very easy to find the correct dose for Lizzie. She had normal range numbers in a couple weeks.
Started medication yesterday, goes back 30day for recheck
Hers wouldn’t even register correctly as machine only went to 10, they said normal was 1.5to 4.8 and it stated over 10 they are starting her on low does and then increasing as needed
 
So I know, when Bella stared lantus last sat and u wait a week before an increase, so yesterday with 1 week in, had that dose done as much as it was gonna do? If that makes any since
 
Started medication yesterday, goes back 30day for recheck
Hers wouldn’t even register correctly as machine only went to 10, they said normal was 1.5to 4.8 and it stated over 10 they are starting her on low does and then increasing as needed

Wow has she lost a lot of weight? I’m not sure about the Lantus myself. I think Kris said to raise .25 if an increase is warranted.
 
I had just wondered with lantus had the .50u done all it was gonna do

Yup, time to increase. The 0.5U was totally settled in, depot filled and stable. Let's see what 0.75 can do!

Is there any way to start getting regular before-bed tests in the evening cycle? Especially on work days when you can't test during the day, they can be really helpful in figuring things out.
 
Yup, time to increase. The 0.5U was totally settled in, depot filled and stable. Let's see what 0.75 can do!

Is there any way to start getting regular before-bed tests in the evening cycle? Especially on work days when you can't test during the day, they can be really helpful in figuring things out.
Yes I can do a before bed test during week, thanks!!!
 
Silly question but curious cause I always like to know why
Why is it when there is a increase in insulin sometimes at first you get higher numbers, doesn’t make since to me seems like you would get lower numbers
 
No, it doesn't make sense. I don't know that anyone has come up with an explanation for the phenomenon, we just have the name: new dose wonkiness :confused: :).
 
I don’t think I’ve heard an explanation either, but I wonder if it’s because some of the new dose is going towards filling the depot?

I was thinking that too, but then realized I am not actually sure if NDW is a depot insulin specific thing or if it's seen in other insulins? I really only know Lantus.
 
I'm glad Nan was here to answer your questions. :) The thinking behind the SLGS method is that you give a dose plenty of time to settle the depot and show what it can do before changing it. That NDW (new dose wonkiness) can confuse things but over time you'll recognize it as a pattern.

I'm not sure whether it's specific to depot insulins or not. Might depend on the cat. I know Teasel has always had the tendency to show a little reaction of one type or another with a dose increase and it seems to settle or go away after a few cycles. So much of this a mystery - all we can do is stand by and scratch our head ... :confused:
 
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