Recommended Lab Tests? Gabapentin? Advice Please

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nslade001

Member Since 2018
Hi everyone, I have an appointment to bring Willow to the vet tomorrow because they won't run a U/A without seeing her, so I figure I'll get everything done while I'm there to set my mind at ease, and so she doesn't have to make a second trip. She gets *very, very* stressed.

She was diagnosed in November 2018, pretty tightly regulated on Lantus. I had full bloodwork and u/a done at the time including T4 and everything was normal, but she's not 100% and still a bit more PUPD than I'd expect with her glucose levels, so I want to check kidneys and T4 especially. Also had been treated for a pancreatic flare (symptomatic, not diagnosed) in November.
Also has had a history of IBD (no episodes in years, thankfully)

I'm a retired vet tech but a lot has changed in 20 years! So I'd like some advice on tests I should request, please.

So, I want full chemistry profile including Phos (wasn't done before). I don't need Glucose or fructosamine.
I think I've read that the SDMA test may not be as effective in diabetic cats? In any case, how essential is an early detection in a cat that is 17.5 years old? Is it recommended?
Electrolytes potassium and sodium (these were not part of the November bloodwork). Also magnesium (not done before) and Calcium
Are cholesterol and amylase really of any use, or are they just "routine"?
T4, and I'll ask them to hold some blood in case it's normal and she doesn't have CRF, so they can run a free T4 just to totally rule that out.
Also getting her blood pressure checked (first thing I want done).

I'd love to hear any thoughts/opinions on what I should get done and that which is "pushed" but not really necessary (sad but true). Anything I missed, etc.

Lastly, any thoughts on gabapentin for diabetic neuropathy? I've read it's great for neuropathic pain, and she's on zobaline but her legs still seem to bother her when resting.

Thank you all so very, very much! I don't know what I'd do without you :):kiss: With love, Nikki
 
Hi everyone, I have an appointment to bring Willow to the vet tomorrow because they won't run a U/A without seeing her, so I figure I'll get everything done while I'm there to set my mind at ease, and so she doesn't have to make a second trip. She gets *very, very* stressed.

She was diagnosed in November 2018, pretty tightly regulated on Lantus. I had full bloodwork and u/a done at the time including T4 and everything was normal, but she's not 100% and still a bit more PUPD than I'd expect with her glucose levels, so I want to check kidneys and T4 especially. Also had been treated for a pancreatic flare (symptomatic, not diagnosed) in November.
Also has had a history of IBD (no episodes in years, thankfully)

I'm a retired vet tech but a lot has changed in 20 years! So I'd like some advice on tests I should request, please.

So, I want full chemistry profile including Phos (wasn't done before). I don't need Glucose or fructosamine.
I think I've read that the SDMA test may not be as effective in diabetic cats? In any case, how essential is an early detection in a cat that is 17.5 years old? Is it recommended?
Electrolytes potassium and sodium (these were not part of the November bloodwork). Also magnesium (not done before) and Calcium
Are cholesterol and amylase really of any use, or are they just "routine"?
T4, and I'll ask them to hold some blood in case it's normal and she doesn't have CRF, so they can run a free T4 just to totally rule that out.
Also getting her blood pressure checked (first thing I want done).

I'd love to hear any thoughts/opinions on what I should get done and that which is "pushed" but not really necessary (sad but true). Anything I missed, etc.

Lastly, any thoughts on gabapentin for diabetic neuropathy? I've read it's great for neuropathic pain, and she's on zobaline but her legs still seem to bother her when resting.

Thank you all so very, very much! I don't know what I'd do without you :):kiss: With love, Nikki


Wow!! You already sound like you know ALOT about the blood work.
In fd fb group someone mentioned the zobaline can be given 2 times a day in beginning to help kitty more.
It takes time to work.
I have not heard about gabapentin for neuropathy. Many here use the zobaline alot. and it works well.

Just looked at your SS. Wow!! Awesome!!
Kitty could be starting kidney issues. At that age its usual.
You know alot...Not much more I can add.
 
Wow!! You already sound like you know ALOT about the blood work.
In fd fb group someone mentioned the zobaline can be given 2 times a day in beginning to help kitty more.
It takes time to work.
I have not heard about gabapentin for neuropathy. Many here use the zobaline alot. and it works well.

Thanks, but really No! A lot of this is frantic last minute research! lol
Yes, I've increased her to twice a day on the zobaline a month ago, and she seemed to improve a bit, but not really. I'll keep giving it for sure though!
Thanks for responding, with love, Nikki :)
 
I'd get the SDMA....while it's very common for a cat of that age to have some degree of CKD, getting the test will let you know how far advanced it is.

Other than that, a senior blood panel will include most of those tests (and if your vet uses IDEXX, it'll include the SDMA)
 
I'd get the SDMA....while it's very common for a cat of that age to have some degree of CKD, getting the test will let you know how far advanced it is.

Other than that, a senior blood panel will include most of those tests (and if your vet uses IDEXX, it'll include the SDMA)
thanks :)
 
What lab does your vet use? The two major ones are Antec and Idexx. Idexx
"The IDEXX SDMA Test, included with every chemistry panel or as a stand-alone test from IDEXX Reference Laboratories"
https://www.idexx.com/en/veterinary/reference-laboratories/sdma/
I would just do one of the standard panels, they should include everything you need.
For Idexx panels see:
https://www.idexx.com/en/veterinary/reference-laboratories/tests-and-services/
If that link does not get you a listing of the panels use the search and search for "chem"
 
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