Update on missy

[Missy's Mum]

I think missy is doing ok. Don't know how to post her log sheet. I feed her now 4times a day. 5.30 am snack 10-10.30am 4.30pm snack 10-10.30 pm. Approximate times. The 5am I don't test her, my husband feeds before leaving. All other meals I test before feed. Pm meal before bed is 1hr after denamerin. Most readings are between 70 and 50. There were 2 readings that were 33 but redid them and then they were in 50s. Yesterday got 99 then 1min later 73 I don't know why numbers are so inconsistent. But so far no insulin and within safe range for 2 weeks.
Am I testing of ten enough and at the correct intervals to safely say in remission?
Going to vet in two weeks. After medicine finished to retest liver.
Still feeding same amounts. Although today she managed to drink greasy chicken broth spill and pinch some cream cheese. Did not test her since then. Should I be testing extra when she grabs extra food? Didn't mange snack testing today. I am the only one who can test her so if not home she is just fed.
Hoping by following any extra advice here I can be better prepared with clear info for my vet visit and hopefully get good news from him confirming her remission.

 

[Kim & Twice]

Hi Missy's Mom,

I am too new to give any advice, but I just wanted to say good luck at your appt! That is such exciting news and our fingers and paws are crossed for you

 

[BJM]

Numbers between 40 - 130 mg/dL are normal. Some cats may go lower when NOT on insulin and that is OK barring some other medical problem.

If you get 14 days with no insulin and normal numbers, then congratulations - you have a diet-controlled diabetic.

If any food that isn't low carb is stolen, then yes, glucose will increase. Pplain chicken broth and cream cheese are high fat, so not likely to be a major problem.

Note: nothing with onions! If broth has onions in it, it can kill (methemoglobinemia - blood cells are poisoned and can't carry oxygen)

 

[Missy's Mum]

Thanks didnt think of onion in broth. 1 med onion for huge oversized pot and some leek and garlic. She managed quite a bit and has taken broth in the past. Could that be contributing to liver being high?

 

[BJM]

Possibly, although it may have been pretty diluted. Nevertheless, please contact your vet in case there is bloodwork needs monitoring or a specific treatment might be needed.

 

[Missy's Mum]

Thanks.
Once in remission how often does glucose need checking?
Does anyone know when giving denamerin for liver, how many hours after last feed should it be?
Is 4 hrs after last feed enough time?

 

[BJM]

With humans, its either 1 hour before or 2 hours after to have a 'empty' stomach. It may (or may not) be similar for cats.

 

[Wendy&Tiggy(GA)]

:mrgreen: :mrgreen: CONGRATULATIONS MISSY IS OTJ! :mrgreen: :mrgreen: :mrgreen:

Tips to stay OTJ

We say a cat is in remission if the cat can maintain BG levels for 14 days between 40-120 with most of that spent under 100. However, please keep in mind that once a diabetic always a diabetic.

1. Never feed dry - not even treats. If you change wet food types, be 100% sure the new food is also low carb and same low carb % as your current food. Some cats are very carb sensitive and an increase from 3-6% to 8-10% can spike the BG’s. Don’t feed if you aren’t sure!
2. Weigh every 2 weeks to 1 month to watch for weight changes. Too much of a weight gain can cause loss of remission.
3. Measure blood once a week, indefinitely. You want to catch a relapse quickly.
4. No steroids or oral meds with sugar - remind your vet whenever giving you any medication. Always double check.
5. Monitor food intake, peeing and drinking. If increasing, a sign of losing remission.
6. Regular vet checks for infection such as dental , ear or UTI. And get them treated quick!

If he does fall out of remission you need to be more aggressive and resolve issues/ back on insulin as soon as possible as the window for a second remission is tight if any.

 

[Missy's Mum]

Thank you for specific guidance. I am hopeful since she is only a year and a half. I dont have a scale.if there is a recommended cheepone then maybe after next vet visit we will be able to afford it without other added costs. Cant monitor pee now, bc she is on pedialite and drinking around a cup liquid a day so huge pee. I was told to give as much as possible. Easiest way was in feed and slightly warmed up. Once back to water will need to figure normal amount of water to add. If u have a reccomended amount that would help. Now huge pee and tons of litter. But i dont mind if that restores her lever to mormal levels. Praying this liver problem resolves itself with denamerin and pedialite. Hope life will return to a more peaceful pace.

 

[Wendy&Tiggy(GA)]

Just use your human scale if you have one. Weigh yourself holding her, and without her. And do the math.

Just watch the pee and if it starts to get more, then you know you have an issue.

Wendy