MURPHY -- DOWN ON BG AT MIDNIGHT TO 167

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missmurphy2010

missmurphy2010

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Hi all. I checked Murphy around midnight after feeding her the Merrick Cowboy Cookout, and her BG went to 167, so I think I've made the decision to keep her on the wet Merrick, although it may be an issue later down the road with the CRF. She's such an early stage that I'd rather treat this, than deal with the insulin and pancreatitis that goes along with it, unless of course, we've reached an impasse and are headed both ways, which I pray is not the case.

I hope I've made the right choice. I wish I could look into the huge green eyes and have her say yes or no.

Lov you all, Lisa
 
Hi Lisa
Was that drop without insulin?

Carl
 
Hey Carl. Yes, it was w/out insulin and feeding her the Merrick Cowboy Cookout for dindin and breakfast this a.m. I'm taking her to the vet's office this a.m. and will check it again.

Yes, I believe that with her BG rising so high, it triggered those darned mites. She's just really susceptible to those darned things.

Her Bun was 45 and her creatinine was 2.8, so I'm not certain if I'm reading these levels correctly, but my vet said she is stage 2 CRF. It's either treat the CRF early, and risk the diabetes causing a host of problems that we've already went through. I know she's going to say treat the CRF, but she's way too hungry on the low protein N/F diet. It's just not giving her much satiety.

Lisa
 
Hi all. I just got back from taking Murphy to the vet's office, and sure enough, she has demodex again, and I knew it. There were 5 of them on her nose. So, back to Ivermectin injections I suppose. And, we discussed the fructosamine test which we did this morning as well as another panel. If my suspicions are correct, she has become diabetic again, but I believe it would be from the N/F low protein diet throwing her back into it. So, my vet did not argue at all about first and foremost, we have to treat the diabetes. Looks like she may also have some pulmonary hypertension.

If on the off chance she is diabetic, how long are the Lantus solostar pens good for? I have one unopened from last year.

Lisa
 
missmurphy2010 said:
Hey Carl. Yes, it was w/out insulin and feeding her the Merrick Cowboy Cookout for dindin and breakfast this a.m. I'm taking her to the vet's office this a.m. and will check it again.

Yes, I believe that with her BG rising so high, it triggered those darned mites. She's just really susceptible to those darned things.

Her Bun was 45 and her creatinine was 2.8, so I'm not certain if I'm reading these levels correctly, but my vet said she is stage 2 CRF. It's either treat the CRF early, and risk the diabetes causing a host of problems that we've already went through. I know she's going to say treat the CRF, but she's way too hungry on the low protein N/F diet. It's just not giving her much satiety.

Lisa
Click to expand...

I posted some info about this for you in your other thread here: http://felinediabetes.com/FDMB/viewtopic.php?f=28&t=69779&hilit=+crf.

Unless a cat is in end stage renal failure (Stage 4), you should not feed a low protein, prescription diet because it causes muscle wasting, especially in older cats.

What you need to control in early stage CRF is phosphorus, not protein. Even if a prescription diet WAS appropriate at this stage, the diabetes is the more immediate nutritional concern. What is the point of managing the CRF with a low protein diet if it's too high and carbs and is going to cause the cat's health to deteriorate from uncontrolled diabetes?

Merrick's cowboy cookout is both low in carbs and phosphorus, and it is a high quality protein source. This food is far better for her kidney disease than the prescription diet at this point in the game, even if diabetes wasn't an issue. The three key things in managing CRF with diet is low phosphorus, high quality protein source, and added moisture. The ingredients in Purina NF are NOT as high quality as the ones in Merrick's. The food has Beef as its first ingredient, but it also contains byproducts. The quality of protein is just as important as phosphorus content.
 
missmurphy2010 said:
If on the off chance she is diabetic, how long are the Lantus solostar pens good for? I have one unopened from last year.
Click to expand...

Do you still have the box the pens came in? There should be an expiration date on it. Usually the expiration date is a year or two after the purchase date.
 
Maybe we have good news. Within 2 meals, Murphy's BG dropped down to 167 and tonight at 5:30 to 100! It has to be that N/F diet, and so my vet and I agreed, we continue feeding her as if she were still diabetic. I think given these numbers, and the quick turnaround, I'm hopeful I can say that she is not diabetic and that she just cannot eat that food.

You know what -- she seems to feel better on the Merrick -- hate to say it, but that's my take.

I've always been an advocate of Purina vet diets, but at this point, and not knocking the product, she just isn't ready to take this on right now. The diabetes will always be in the back of my mind and something I have to really pay attention to.

When I see that mite, I know we're headed in the wrong direction.

So, hopefully, tomorrow, I'll have good lab numbers.

Lisa
 
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