Need dosing help

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totallybeachin

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Hello everyone.
I am hoping to get a little guidance.
I have an elderly person close to me who is going through a rough patch right now and had to move in with their daughter, who also has her own children and 1 grandchild living in the home. My elderly friend was not allowed to take her kitty with her. I decided to take the cat in until my friend is able to get back on her own feet. His name is Rocky.
I have known Rocky would be coming for about 2 weeks now, and as a condition of me bringing him here, I told my friend she needed to switch Rocky to an all wet diet, as I wouldn't be putting any dry out in fear that Callie Mae would get into it. She made the switch with no problems and Rocky couldn't be happier with his new diet.
Prior to the switch, she had mentioned on occasion that Rocky had been drinking a lot of water and had lost some weight and just seemed a little *off*. She told me since she switched his food he didn't seem to be drinking as much water and he appeared to have put back on a little weight. I have known Rocky since he was rescued as a kitten. My friend had been living out of state for about the last year or so, and I knew he had also been a little on the chunky side, so I didn't realize exactly what she meant by *weight loss*.
Well, Rocky came to my house today, and I knew right away something was wrong.
Please remember, Rocky's owner is an elderly person, Rocky is all she has, and she lives on a VERY limited fixed income. Unless something serious happened, vet visits were out of the picture. She can't even afford a yearly checkup.
If she thinks this cat has gained weight, I hate to see what he looked like 2 weeks ago. This cat is so skinny, I can feel his bones. :sad:
I decided to test him around 9:30 this am, he had already had his breakfast around 8:30, and his bg was 389!
I tested him again at 7:20 pm, right before dinner, and he was 275.
I want to monitor him for a couple of days to collect some data on him, but I have a sneaking suspicion that he had diabetes.
I can not afford to take this guy into the vet to have him checked out. I just went through all that with Callie Mae.
I am wondering if it would be safe to start him on some PZI, without a diagnoses, if his numbers continue to be above a "shootable" number?
I am fortunate that I actually have the know how and supplies to be able to help this guy, but I would like to get some input on how you guys feel about giving a kitty insulin without a dx from a vet.
I tested his ketones also, which came back neg! At least that's good.
I started a spreadsheet for rocky, even though the only numbers I have so far are the 2 I got from today.

Before I write a book, I'll stop here.
Your thoughts?



BTW, Callie Mae is still doing GREAT!! :thumbup
 
Hey!

Glad Callie Mae is doing good!

How nice of you to take Rocky. I would say your suspicion is correct!

I will leave the advice to the others!

Kim & Kitty
 
Oh wow, good on ya' for taking in Rocky and figuring out he has diabetes! What an awesome way to pay it forward.

My guess would be as good as yours on whether or not to start him on insulin (I probably would anyhow, but that's not based on any actual knowledge). Maybe post on Health if you haven't already and see what people say? The vets normally would do a Fructosamine test, and I've never quite understood what that really tells you, whether that is of any more use that a series of spot tests over a few days. Clearly he is in diabetic numbers and has clinical signs, so it sounds to me like he needs insulin. It also sounds like he has a sputtering pancreas which is a great sign, and all the more reason to get him treated quickly and see if he will go OTJ.

How does Callie like the newbie? Maybe she will show him the OTJ ropes. ;-)
 
You might try PMing Venita and see if she has thoughts? It just popped in my head that since she sees a lot of diabetic cats that are newly arrived so to speak, she might have a sense of whether any pretests are really needed or not. They also help some financially (I'm not sure how that works), so if there is some need to get him vetted :lol: before treating, maybe that is something they can help with? Just brainstorming here, I don't really know...
 
Thanks for the suggestion, Joanna.
My internet is, well, spotty at best and I couldn't get back online last night to save my life!
Yea, I'll go post over in health. The only reason I didn't before was because I intend to use Callie Mae's left over PZI, so I just came here.
And I'll look for Venita and slip her a pm.

Thanks again! :smile:

Oh yea, Callie Mae.
Well, there's a lot of noise in my apartment, but I think everyone will be just fine. More bark than bite, if ya know what I mean.
(Dare I say that on a CAT board??!!!)..... :lol: :lol:
 
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