trampolines and surfboards - a day at the vet

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Alexi

Alexi

Member Since 2016
So - tomorrow we see the specialist vet. I did a curve yesterday and to my surprise she stayed in yellow numbers for most of the day, but her AMPS and PMPS are still all over the place. Yesterday she was more lively and sociable (apart from being a bit fed up with all the testing) than I have seen for months - typical!

The main purpose of the visit is to discuss a change of insulin as she bounces badly when I have tried to increase her dose before. Also to see if she needs any more tests. She is 12 and in otherwise good health - although I am suspicious she has a low grade grumbling pancreatitis. The stinky cow pats have finally stopped and her poops are getting back to looking more normal. She has persistent 4+ glucose in her urine but has never had ketones.

She is still hungry a lot of the time and has stolen food at times but the early morning face slaps have stopped as well. She has lost a bit of weight again but is not skinny.

Prozinc is licensed now in the UK, the other option is Lantus. I would love it if I could get her into remission but that is not the primary aim. What I would like is to have her in lower numbers so she is not exhausted and sleeping most of the day, and to not have the massive drops in numbers that make her miserable. I can't always give insulin exactly 12 hours apart and there are only a few days in the week I am able to monitor for a full cycle. I would also like her sugar levels to be a bit more predictable!

What are the advantages and disadvantages of each insulin and given my particular circumstances (especially the testing aspect) which would be safer and more likely to give good results?
 
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Lantus seems to work best with very consistent 12 hour dosing; ProZinc may be more forgiving of shooting earlier or later.
Lantus seems to work best with very consistent doses; ProZinc, once you have test data, may allow you to shoot on a sliding scale based on your knowledge of how much drop with a dose is likely and the pre-shot test.
Lantus has a build up effect and dose overlap; ProZnc is an in and out insulin and may not always last a full 12 hours (as is Caninsulin).

Every cat is different, so you have to find what works for your situation.
 
We are back from the specialist vet! What a day, lots of blood tests - awaiting the results, and an ultrasound (so feeling sorry for herself now with the bald patches) and another set of vet nurses who have fallen in love with her. It looks as though we are going to change insulins but first I need to transition her to a lower carbohydrate food to see if it helps her sugars come down a bit more, and do another curve once transitioned. Not sure yet if she will be started on Prozinc or Lantus. Bad news is that she does appear to have a low grade pancreatitis and fatty liver so I have been recommended prescription food to increase the fibre and protein content of her diet. It will make the food bill higher but I am hoping it will be offset by a reduction in the kitty litter bill :rolleyes:

What do other pancreatitis diagnosed kittys eat?
 
Hi Alexi,

My cat had a pancreatitis beginning of last month, and the vet gave me Specific FRW wet food. At the beginning, my cat didn't want to eat that, so I did a 50/50 mix with Sheba, and it was ok.
This prescription food is very low in fat (around 2%), and according to my calculations, was high in carbs (around 15%). But it didn't impact the BG of my cat, so these should be low glycemic carbohydrates.
Otherwise, I'm currently feeding him with GranataPet Symphonie, and it seems ok. At least, I don't need to mix it with anything else ;).
 
Thanks for the reply, I had a call today from the vet and so far things are looking good as far as the pancreas is concerned - nothing major going on which is a relief. I will be transitioning gradually and hope it will have the desired effect!
 
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