Yesterday condo, Saturday submitted today. It is now Sunday evening ! Update: +warning+warning+warning+ Quite long. Tyler's vet was pleased with Ty's progress. He was better than the entire clinic thought he would be given the past few weeks & Ty is something of an elderly gent celeb now. There was a discussion about Triaditis where the pancreas & liver are inflamed , which they are and that there is a thickening of the bowel causing absorption probs. When food is unable to be absorbed properly then diarrhea will ensue, muscle mass is lost, appetite increases - as I have seen at length. Put this with his BP , CKDII and diabetes and Tyler presents something of a dilemma for a good treatment plan that can reasonably address all issues. It was explained to me from a vet point of view why a diet too high in protein can place a load on kidneys with reduced function. That is not to say that quality protein is not important but that it can be too high in some circumstances , just as it can be too low. The role of fat was also mentioned. We also discussed the diabetes and I gained an understanding or insight as to why vets, or this vet at least, look at the BG numbers as they do. I came away with the notion that they look for safe stability which will "Do No Harm" . That means the numbers they are comfy with will be higher than the one's we/I might be comfy with. He certainly understands diabetes /insulin. It has made me think a little as to where Tyler needs his numbers to really be. Not maybe where I want them to be , if you get me. Low numbers mean good for diabetes and also kidneys re renal threshold, however they may not be so good if messing with diet and making the cat's body & organs in general feel under stress and a state of flux. @Jill & Alex (GA) touched on something like this in Juliet's condo today & it is all a part of a huge change of mindset I think that I am currently grappling with. Vet is ordering some milk thistle - forget the name - which should help detox Ty's liver a bit. Vet also talked about a phos binder in the struggle to get a right balance for Ty's diet. It was a HUGE long visit and discussion. I have to say the bloke is a bit good. *nods head* As well as the above, he mentioned a very expensive test for Exocrine Pancreatic Insufficiency <--- I have started a separate condo about this Also talked about the pro/con - risks of steroid intervention & assorted types of pain relief . Ty was given the B12 shot . I was able to tell the vet that Tyler is at present walking on his toes again. The neuropathy itself has lessened although he still has quite some muscle mass wastage and so tends to wobble on his pins. It is different though from the planter gait neuropathy or an arthritic joint stiffness . Ty has stopped the heaving and plonking himself down due to an inability to control his limbs and has once again taken to curling him for rest as a cat does. He gave up two monstrous cow pats yesterday overnight to the extent I did wonder if Daisy was hiding in the wardrobe. Neither were logs but they were not diarrhea either. Am plonking in the pumpkin and rice with his food. The food remains too high carb but at the moment there is a bit going on to be looking to alter his food too much. He eats it. That does us both. He is due back to the vet on Tuesday where his inner eyelid ( haw) will be unstitched. The vet did a check last Friday and said it was looking good. Think we will both like that. It has given him a rather un-nerving alien from outer space look at times . On that short note, off for a cup of tea. Laters.