Fasting for appointment???

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josette

josette

Member Since 2022
Okay Oscar has an appoint with the internal medicine specialist next week. My note from them said to call for instructions. She says to withhold food after 10 PM the night before and only give half the insulin dose in the morning.

HOWEVER. when I spoke to the same person last month she said we never withhold food from a diabetic cat. Today she says ‘we changed our protocol’.

I am really apprehensive about this. Is this something I should be concerned with???
 
Originally I was told this was a consultation. I asked the girl I talked to just now what was being done and she said she didn’t know so I just sent her a text asking her to find out and let me know.

Update: she just called and said there will be an examination and an ultrasound. Next question…why an ultrasound….??? Oh I have more knots in my stomach.
 
Oscar had been seeing his regular vet for his diabetes. Vet kept wanting to increase insulin dose and was questioning whether his FIV was playing a part with his numbers. Then he said we could continue like this and hope for the best (?????!!!!) or get a referral to the internal medicine people. At this point, I took the referral.
 
oh sorry, so many threads and kitties, I think I read about this before and forgot.

I guess the IM people want to start with an ultrasound for some reason, not exactly sure what they are looking for though. I thought usually, an ultrasound was for a more specific reason.
 
Hendrick Cuddleclaw said:
@Suzanne & Darcy thoughts? Normal to fast for ultrasound?

@josette what prompted the visit?
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Yes, they always ask to have your cat fast for ultra sound as it may not be as clear when there’s food in their system, but honestly, I never did that and Minnie’s ultra sounds were always fine. They’re supposed to say that because it could interfere and require a second ultra sound but once again, I just made sure she didn’t have food 2 hours prior and it was always fine
 
josette said:
Oscar had been seeing his regular vet for his diabetes. Vet kept wanting to increase insulin dose and was questioning whether his FIV was playing a part with his numbers. Then he said we could continue like this and hope for the best (?????!!!!) or get a referral to the internal medicine people. At this point, I took the referral.
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As far as I know, ultra sounds are only needed if your cat has any kinda of GI symptoms like nausea and vomiting. I’d ask why they think they need one
 
That's not very reassuring. The fasting is a yes or no thing, not an "I guess" and why just a half dose of insulin? Someone must be looking for something in particular if they've asked for an ultrasound. How long after his normal AM shot is the US scheduled for?
 
josette said:
Oscar had been seeing his regular vet for his diabetes. Vet kept wanting to increase insulin dose and was questioning whether his FIV was playing a part with his numbers. Then he said we could continue like this and hope for the best (?????!!!!) or get a referral to the internal medicine people. At this point, I took the referral.
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honestly, if getting his FD under control is the goal, you'd be best served by picking a dosing method and just following guidance from the experts here imo. That's what I did, but my cat doesn't have FIV
 
This is an abdominal ultrasound or a cardiac ultrasound? I'm unclear as to the purpose of the ultrasound (but it sounds like you are too.):confused:
 
Unless your cat is showing signs of IBD (vomiting, diarrhea that won't quit, etc.) GI symptoms, then an abdominal ultrasound is not warranted.

If there's a heart murmur of significance, then maybe a cardiac ultrasound would be warranted. Who's doing the ultrasound? Is it a Board Certified Radiologist? If none of these are what's going on, then it seems like they are trying to run up your bill doing an ultrasound when they have no reason to do so. Have x-rays in the past shown anything that's concerning? I'm just trying to think of any reason why they want to do an ultrasound.
 
I have had many cats that have had abdominal ultrasounds. Usually my vet does not ask for me to fast them, but food can interfere with their ability to see everything clearly, so fasting can be a good idea. Last time my Bingley had an ultrasound, I forgot to fast him (even for a little while) so she was able to get intestinal thickness measurements, but there was some food in his stomach so we didn't get the best view of it.
 
considering how stressful it is on the cat, not to mention the cost and the time and energy involved -- unless my vet can explain to me specifically what they are doing an ultrasound for, what they are looking for -- no way. Pound sand.
 
Noah & me (GA) said:
That's not very reassuring. The fasting is a yes or no thing, not an "I guess" and why just a half dose of insulin? Someone must be looking for something in particular if they've asked for an ultrasound. How long after his normal AM shot is the US scheduled for?
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His shot is at 7 AM and appointment is at 10 AM
 
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