Isn't that how pancreatitis behaves sometimes?
Yes, I saw your other post. I'm wondering if Smoky is like @Carol & Murphy 's kitty who needs ongoing management of his various issues.
Saw it.Oops I posted on part 5 again instead of part six.
He is curled up in his kitty condo singing away in there. I think maybe the cerenia and bupe are kicking in.
Was this his regular schedule for meds or did you decide to give them because he wasn't feeling well? Did you end up giving him 1.4 u?Smoky was laying on bed with me purring up a storm.
That certainly suggests that he has pain.
Yes, I recall that you had pre-measured doses. I think some vets are reluctant to prescribe it more freely because it's a narcotic. Your vet might not be willing to prescribe meds to be used as needed whereas Carol's seems to do that for her. Very frustrating and worrying situation for you. I hope you're able to talk to your vet tomorrow.
Sometimes a new take from someone else can be beneficial. Check to see if the other place has a veterinary internist on staff - might be worth a referral because Smoky is so complicated.
The endoscopy might be to look for inflammatory bowel disease. Yes, it might be more risky because anesthesia is required. You can only do what your budget will allow, Lisa. Blood work and maybe a different protocol with meds would be helpful. If he's comfortable he might eat more and would certainly have improved quality of life.
183, 181 and 195 are within meter variance (+ or - 20%) so essentially the same. You could give 1.5 u tonight but it's your call.
Your vet will want curve numbers from the AT meter for sure. Using both meters daily for AM/PMPS uses a lot of very $$$ AT strips. What you'd have to do is carry the two different reference ranges (AT and ReliOn) in your head or noted somewhere if you want to save money on strips. The readings will diverge by greater or lesser amounts depending on how high or low the BG is. It's rather like choosing to use Fahrenheit or Celsius for temperature but not both at the same time.
Your choice I think. He might have given you a blue AMPS if you'd given 1.5 u last night but who knows? You'd be able to get good data for the higher dose because you can test today.
When you're giving insulin that works like ProZinc, the BG numbers will (hopefully) follow that ideal smile-shaped curve with higher AM/PMPS and a gradual dip to a nadir that's around 50% of the PSs. To keep them in healing numbers 24/7 you'd want to see around 150 PSs and around 75-90 at nadir.
This is correct.
It's too low to give a shot until you have a lot of data on dosing at those levels. I'm at the point with Teasel now that my "no shot" number is around 8 in world units (145-150 in US units). If he was more predictable in his responses I could certainly find a dose that I could give at that number regularly. As it is, he hits 8 only occasionally so I have to figure out a dose that might work for that particular day. There are examples of this on his 2016 SS.
You've helped a lot already, Lisa.
Another nice blue I see.
She said it was five minutes and he is hungry this morning. I tested him about 10 minutes after he got into the kibble. His AMPS was 249 with Relion meter and 289 with AT2 meter. I am using the AT2 for the rest of the day. I thought about giving him 1.6U since I am doing a curve or should I stick with the 1.5U? Anyone have any thoughts on that?
You could go two ways: stay with 1.5 u because it's been the typical dose for several cycles or you could go to 1.6 u to see what this higher dose does for him. The kibble clouds the picture though. Is this a curve for your vet?Smoky got into some dry kibble my roommate left down. Why does this have to happen on a day I wanted to do a curve?
That's a good idea. He'll need a dose in that range to get into green again. Those greens are scary but are a good thing. How's he feeling overall?
if he acts better he might think he doesn't have to go.
Ah, yes, the white coat syndrome is kicking in.His appetite is slowly getting better. I asked the vet about giving him cerenia every other day and she said that was fine. I plan on asking her about some other meds that @Carol & Murphy suggested to me. He seems more perky the last few days. It's probably because I have a vet appointment tomorrow.
Good that he's feeling better and that you can use the cerenia more frequently. I get the impression from my reading here that these meds are needed to keep some kitties functioning better over time. Quality of life thing ...
Thank heavens for your expertise, Carol!
Thanks Carol,
the denamarin is helping him quite a bit as well. I still have the bupe and have given it to him on occasion when he has a flare up. He also has meds for appetite stimulant.
Looks good an uneventful, Lisa. You could try a little boost tonight.
Maybe 1.75 u using a U40 syringe or even a 1.8 u with a U100? At least you'd have a reference line to go by on the U100.