Rishi
Member
Continued from: https://felinediabetes.com/FDMB/thr...sed-your-guidance-is-most-appreciated.297795/
1. He's been back a couple of days from the hospital. Although he is definitely better than when he went in, there are still some significant issues to deal with. They gave him some Rx "diabetic friendly" dry food while there, and some to take home. I know this isn't good food, but at least he's eating it, whereas other foods are hit and miss.
However, his BG has tested as "HI" on the human meter for the last two readings. Never happened before. I assume the dry food at least partially caused that. I don't want to give him more of this, but I need him to eat enough too.
They gave him 2u of Lantus in the hospital, and that was his last stable dose (not really a "good" dose) before all this started happening. I've been giving the same. I could increase, but with other things going on, I was hesitant to do so.
3. We started on budesonide 1mg yesterday, but administering pills in any form seems a challenge, especially when he's not eating the same wet foods as much because we can use that to mix the pill into. I've put it in small amounts of Churu paste or FF wet food, but he's not eating all of it.
4. He really hates the Cerenia and ondansetron injections. He hisses, runs, and hides almost before I finish pushing the meds. It might not be worth doing this because he'll probably start to fear or distrust me too much. He also hates the taste of the ondansetron pills and putting it in food has not worked thus far. Although I don't need to use these, I want him to eat as well. We've used transdermal mirtazapine for appetite stimulation, but that only does so much.
5. I tried "pilling" him manually by holding his head back, mouth open, etc. It didn't work, after 5-10 tries. He kept jerking his head back as I opened his mouth, and I don't have a ready position to prevent that movement, especially while trying to hold the pill in the other hand and also keep lower jaw open and head tilted up. I don't want to be too firm. This is also a negative experience for him, although probably not as traumatic as the injections. I can keep trying, maybe using a pill popper, etc...but either I just need practice or this might not work for him.
1. He's been back a couple of days from the hospital. Although he is definitely better than when he went in, there are still some significant issues to deal with. They gave him some Rx "diabetic friendly" dry food while there, and some to take home. I know this isn't good food, but at least he's eating it, whereas other foods are hit and miss.
However, his BG has tested as "HI" on the human meter for the last two readings. Never happened before. I assume the dry food at least partially caused that. I don't want to give him more of this, but I need him to eat enough too.
They gave him 2u of Lantus in the hospital, and that was his last stable dose (not really a "good" dose) before all this started happening. I've been giving the same. I could increase, but with other things going on, I was hesitant to do so.
3. We started on budesonide 1mg yesterday, but administering pills in any form seems a challenge, especially when he's not eating the same wet foods as much because we can use that to mix the pill into. I've put it in small amounts of Churu paste or FF wet food, but he's not eating all of it.
4. He really hates the Cerenia and ondansetron injections. He hisses, runs, and hides almost before I finish pushing the meds. It might not be worth doing this because he'll probably start to fear or distrust me too much. He also hates the taste of the ondansetron pills and putting it in food has not worked thus far. Although I don't need to use these, I want him to eat as well. We've used transdermal mirtazapine for appetite stimulation, but that only does so much.
5. I tried "pilling" him manually by holding his head back, mouth open, etc. It didn't work, after 5-10 tries. He kept jerking his head back as I opened his mouth, and I don't have a ready position to prevent that movement, especially while trying to hold the pill in the other hand and also keep lower jaw open and head tilted up. I don't want to be too firm. This is also a negative experience for him, although probably not as traumatic as the injections. I can keep trying, maybe using a pill popper, etc...but either I just need practice or this might not work for him.
It can cause something called erosive esophagitis