UTI and way wonky numbers

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totallybeachin

totallybeachin

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My sugar baby has been OTJ since July until about 10 days ago. I did a spot check on her as I sometimes do and noticed her numbers were up there compared to her normal greens. Over the course of the next several days and a few vet trips, it was determined that she had an UTI and was finally sent home with clavamox. The vet told me not to give her any insulin for a few days and see if her numbers start to come back down after some days on an antibiotic.
That was the 20th. So on the 22nd, I checked her at PMPS time and her numbers weren't that bad. 155.
So I *thought* all will be well. Two more days, and I checked her mid afternoon and back in the yellow she was. That evening at PMPS, she was still yellow so I gave her a unit. Couldn't check her that night, but at AMPS she was yellow again, so another dose. She had a relatively good day surfing the blue and by +10, she was still doing pretty good. I left her alone and checked her one more time before going to bed and she was just about near 200, so I gave her a dose.
This morning, she was yellow, so I dosed her. Checked on her fairly early in her cycle and damn near posted a 911 on the board. She was down in the 60's at +3. So my freak out meter was on full swing, but we managed to come along nicely. She surfed in the green for a little while, now here we are, time for PMPS and she isn't high enough, imo.

Sorry this is wordy, that's just me. I am just concerned and don't know what to make of this.
She has only been on the clavamox for 7 days and has 7 more to go. Is it plausible that her UTI is still bothering her and that's why her numbers are like they are? Is it possible that her pancreas is just sput-spput-sputtering but just not enough and perhaps only intermittently?

Is there any damage I could be doing to her if I am giving her insulin and the only reason her numbers are high is because of the UTI?

I'm pretty sure she will probably be back in the yellow (hope I'm wrong) by bedtime so I really need to figure out should I continue giving her juice even if at odd times and not on a 12/12 schedule?

Any input is appreciated. My SS is up to date if what I am saying sounds confusing.
 
I agree the higher BGs are most likely due to the UTI. I don't think you are doing damage to her by dosing the higher numbers that might only be high because of the infection. The biggest concern would be if the infection all of a sudden clears up and the extra insulin is no longer needed. At just 5 cycles back on insulin, I think the shed is still getting established if I understand the way Lantus works.... I might think about dropping that dose to .5 however, and of course you have to test pretty frequently so that if the clavamox does it's job, you see evidence before giving a shot that isn't needed.

I have never used Lantus, so I am by no means qualified to advise on dose. But I'd be nervous if you are fairly certain that the only reason for the elevated BG is the UTI.

Carl
 
there seems to be some confusion Carl.
I don't use Lantus, I use PZI.
I don't recall ever reading about a shed with the PZI. Is that correct?
 
OOOPS
Sorry, lot of Lantus kitties around lately! Of course, if I'd pay closer attention and read your sig, I'd have seen the PZI-Compounded note. Doh!

Nope, no shed with PZI. But I'd still back down to the .5 in case the infection clears and the BG drops. You're going to keep with the anti-biotics till they are all gone, right? Is it 7 more days?

With PZI, you can stray from the 12/12 schedule, more so that with prozinc, lantus or levemir. Most kitties don't get 12 hours out of a dose of PZI. I know Bob only got about 10 hours, with a nadir around +5 most days. If the shots are 10 hours or less apart, more reason to back down on the dose though.

You might want to post in PZI where everyone is familiar with the insulin (and people like me won't have to mess up and think you aren't using PZI or prozinc!) :oops:
Carl
 
no worries!
I'm not here as often as I used to be and I've noticed a few users who use to be very active I don' see at all anywhere, so I wasn't exactly sure where to pose my question.

I just did another pokey poke an hour ago and she is still in numbers not even close enough to think about a dose, so I guess I will wait and see what tomorrow brings.

Yes, 7 more days on the clavamox, and DEFINITELY she will be eating all 14 doses! I just kinda thought after 7 days, it would have cleared her up more so than what her numbers are showing so that"s why I started thinking maybe it's not her UTI maybe it is......maybe she wants to start dancing again......why are her numbers down one day and sky high the next.......and all the other 1000 questions that go through our heads when dealing with our family members that can't speak english!!!

Thanks for you input. :mrgreen:
 
lol, well just tell her that your dancing shoes don't fit anymore, and unless she's willing to fork out the money for a new pair, she'll just have to forget about dancing any time soon. :smile:

Carl
 
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