12 Jan | Girlie AMPS 257; +4:30=50 C4 on 0.1: reduce?

Condo: http://www.felinediabetes.com/FDMB/threads/11-jan-girlie-amps-160-7-99-pmps-229.189431/

AMPS 257 on Cycle 4 of increase to 0.1 Unit Levemir

However, last night at PM +6 went down to 79

Off to work! TGIF here in Oz... Hope everyone has a great PM and gets lots of good sleep...

 

Glad I made it home for a +4:30: She's at 50 on the human meter. I have to leave high carb food and go back to work so she'll be safe, but it looks like the 0.1 is not a dose she's going to stay on unless I give her higher carb food. Not sure whether I should do that for a while or go back to a drop: any thoughts?

 

Sorry @Marje and Gracie , just so I'm clear: I can give her both the Cyanocobalamin AND the Methylcobalamin at the same time? Is that right?

 

Since she has CKD, I would discuss it with my vet. I would not give her cyanocobalamin without knowing she needs it (e.g. via testing).

My reference to “what you dose them at” didn’t refer to giving them both but whichever (or both) that your vet determines is needed. If she didn’t have CKD, I’d not worry about giving them both to her if the need was there (low cobalamin on a GI panel and neuropathy).

 

Thanks, Marje,

I guess part of my problem is that I have to say, I don't know if I really trust this vet's judgement, even if she is supposed to be a specialist vet!

 

I understand but I don’t know the answer for a CKD cat if she needs both. My “guess” is she will excrete the excess but it “could” be harder on her kidneys.

 

Her cobalamin numbers are apparently okay on the blood test. I'm just waiting to hear what the vet has to say. From what I've read on Tanya's CKD site, that may not indicate that she isn't deficient. Anyway! I'll let you know what the vet says. I'm also going to see another vet next week at a practise devoted to cats that has a link to the FDMB: fingers crossed they're more on target. The only problem with boarding with them is that they don't have a 24-hour nursing staff on. Sigh.

Still trying to find a vet nurse to stay at my house, but I doubt that any vet nurse would get up at 2:00 am to check my cat's BG levels either!

 

TGIF here too.

I would concur.

Are you just looking towards Girlie's neuropathy?

 

If a GI panel was run and her cobalamin is normal, then it is indicative that she is not having malabsorption issues and doesn’t need cyanocobalamin. I would trust Texas A&M University regarding that over Tanya’s, IMHO. Now, I don’t know what kind of test they run in Australia to check the cobalamin.

Yes, please keep us posted!

 

Yes, just the neuropathy. What brand do you use in NZ? I'm curious: I'm assuming I could get it here in Oz.