Since Budesonide: total loss of BG control

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Steph

Steph

Member Since 2013
My vet put Stubbie on the above steroid after seeing "slight thickening of the bowel" on an ultrasound. This was three months ago. His numbers on Prozinc were beautifully controlled for 3 years until this; high 100s. We stopped the steroid after two weeks, but his numbers have remained high, 300s and 400s. I kept thinking, "He's getting into the carb food of the other cats," but not now. Yesterday he was at 69 after 5 units after 400s the days before, (I gave him syrup); and last night I tested him pre-shot at 184, and I gave him only 2 units. Afraid of hypo, obviously. This morning he is at 511. This is just nuts. I blame the steroid and I am losing him. I have had him six years and I get all of this, understand it and had it nailed. I am totally at a loss and I am also angry. It's like he is bouncing and can't stop. I know this steroid can give cats diabetes who don't have it; and can wreak havoc on those that do have it. This is an example.

Your thoughts? Thank you!
 
Jones is on prednisolone and will be the rest of his life for his IBD. It isn't easy to keep his BG under control but I have been able to do it fairly well I think. It does seem to "cause" more bounce or as I think of it as a pred bump mid cycle.


Is this treatment meant for just a bit or is was it meant as a permanent?

I don't use Prozinc so I can't really help on dosage.
 
You may find that you have to go up a bit in dose and then he will start coming back down. When Jones' pred was increased I had to go up to .75u from his 1 drop in order to get him to come back down again to a point where he is more blue and green with some yellows thrown in every now and again.

The steriod should be out of his system by now...so that isn't causing the bouncing numbers.
 
Is he acting normal? Or are there any signs of pain? Being in pain can raise BG. Any sign of infection? How are his teeth? Infection can also raise BG. It may be worth having him checked out for other medical problems to rule out other problems, because the steroid is long out of his body by now.
 
I have4 used budesonide for at least two of my diabetic cats. I found it had little affect on BGs/insulin needs. Since the budesonide was stopped months ago I suspect that the IBD is progressing or there are other problems cause the BG variability.
 
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