Dental advice needed

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Lisa and little

Lisa and little

Member Since 2018
Hi All,
Little needs a dental most likely with one extraction. I am a nervous mess My non sugar baby went in for a similar procedure the exact same time last year and was over anesthetized by the vet. We fought for 41/2 months to get her back to “normal” but unfortunately I had to make the tough decision to let her go in February. Needless to say I am terribly frightened to put Little under. And the timing.. well I feel like it’s Groundhog Day. Same time last year.
I am obviously using a different vet and he is advising that Little eats and get Her normal dose of insulin at her normal time on the day of the procedure which is 7am. He plans on doing the procedure at around 1pm which would be 6hrs after food and insulin. I am nervous that she may still have food in her system and that her BG#s will be heading toward the lowest point during the procedure. Does this sound like normal protocol? Do you typically feed and shoot before a dental? I thought I read somewhere that people skip the insulin dose just prior to anesthesia?
I’ve also read that giving anesthesia to diabetics is complicated and has more risks. I am just sick And shaky even writing this.
Little doesn’t seem to be in any pain but her numbers have been wonkier that usual the last month so I am thinking that the condition of her mouth might be contributing to her numbers? I welcome any advice on that. Also wondering if in fact her teeth are affecting her BG#s, how long after the procedure would I expect to see better BG results?
A big part of me does not want to put her through this but based on what I have seen on this forum , dental is really important for diabetics in particular. Any info or advice you all could share regarding pre and post op procedure , in addition to any special steps you think I need to make sure the vet is implementing would be greatly appreciated. I am going to go throw up now. Thank you -Lisa and Little
Oops forgot this.—He also recommended giving her a dose of convenia a week before the procedure so that it overlaps the week after. Any side effects I may expect from that with respect to BG #s? All her pre bloodwork came back normal
 
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Its very scary especially with past experiences. :(:bighug:
I would ask the vet about the complications of anesthetizing a diabetic cat. Have him explain it in layman's terms. Let him know what happened to a non-diabetic kitty of yours along with your fears.
That said:
A bad tooth will only get worse. If you allow it to get worse more anesthetic *may* be needed and Little wont be in better shape than she is now. Weigh the options and it becomes clear , if you do nothing now...It can only deteriorate further. My heart goes out to you because I would be a basket case too! I'd be on here with the same questions even though I just wrote what I wrote. :bighug:
 
Was it @Wendy&Neko who said to only give a half dose or skip when doing anesthesia? Maybe she can clarify. I've heard cats under anesthesia can experience lower drops in BG so I'd be hesitant to give full dose if that is correct.

I understand your fears 100%, ESPECIALLY since you actually experienced complications and a loss. This is exactly why I'm jumpy about it myself. But like Jeanne said, you can't avoid it, dentals for diabetics are commonly needed.
 
Whenever I went to the dental specialist with Neko, he said half dose in the morning, but only feed 1/3 of her regular food. Did you get instructions from the vet or the tech? I've had to two differ.

Depending on the type of anaesthesia induction drug (especially the older ones) can drop the BG, one of the new ones Neko had raised it. Because of the possible drop, always a good idea to test when kitty gets home, then test at PMPS. If seeing a drop and you have kitty reluctant to eat with sore mouth, you may want a reduced dose that PM.
 
Thank you all for the advice. I will read the link above. The instructions I was given were from the vet directly. He is fully aware of what happened and I have sent him mollys records so he could see what was used during her procedure. I will find out tomorrow what anesthesia he plans to use but he has already said he didn’t use the same. What was used on Molly was in fact What this vet called a newer “high quality” anesthesia Sevofliurane. Good news is he is willing to listen and if i say half a dose... I assume the same applies with a dental better too high for a day than low for a minute? Or are there further complications that can arise from high BG under anesthesia? I’m physically sick over this. Thank you all for your help and kind words.
 
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