? 4/10 Silver AMPS 209 PMPS 239 +2=292 +4=286 Ketones 3.5!

Sometimes there are circumstances such as ketones present, an unusually low preshot number, a caregiver leaving the cat with a sitter, loss of appetite, infection, a schedule change, ability to monitor, etc. which may call for adjustments to these guidelines and suggestions. Please ask for guidance if any of these or other circumstances present themselves or are of concern.
The section above is taken directly from the SLGS guidelines. I know it’s hard to do because you aren’t home week days to monitor but a 0.25 u dose increase might be worth trying sooner than later.

 

Not silly at all, completely understandable. I would be a mess too, I think most of us would.

Just have to take it one day at a time. Silver eating and being his wake you up in the morning self is the best indication that he is on the mend. You got this, you are doing it! We can’t always know or have answers in neat tidy boxes, maddening, but that’s the way it is sometimes. Your best defensive is a great offense. Monitoring for ketones, keeping him eating and hydrated, watching out for signs that he is off. Some cats are ketone prone and that’s just the way it is, but it’s managable and doesn’t have to lead to another DKA. You are doing what you can do, just keep it up!

 

Thanks Just has a great call with another of the vets from the emergency clinic. Sooo much nicer. She had heard of FDMB and I told her of SLGS. She says it sounds like a great approach. She'd rather I did a curve before any adjusting of dose given that she said it could take up to a week to stabilize having been off Lantus 36 hrs.

Feel better now. Thanks everyone. This worried momma was freaking out.

 

Did you get her name? Sounds like a promising prospect if she has a practice close enough.

Glad she verified that what we'd been saying was right and that it made you feel better! Hopefully you can get some restful sleep tonight and things will be clearer tomorrow!

 

Here’s a funny but good picture which shows you where you can insert the needle....anywhere under the “saddle”.

 

I have a friend who uses his phone to photograph everything. He has a scanner, but it takes too much time. If you photograph the pages, you can then upload them into the lab results I think.

I hope you called the er. Those ketones would worry me, too.

 

No, none of them have their own practice. They are the ER docs only unfortunately I as like all three of them.

 

He could very well be his teeth then. A bad tooth is what took Bubba out of remission the first time.

 

Ok. Folks on here tho say to wait til he's recovered before doing a dental. But if his teeth are the problem his numbers won't come down until teeth done. Catch 22 situation.

 

Have you checked ketones this morning? Did you give fluids yesterday?

 

No and yes. I'll check ketones and gone more fluids tonight. Not enough time in the am.

 

Juliet:

Can you start a condo on a daily basis? The thread is getting very long and it's helpful to have the days separated (especially if you need to go back and try to find something.)

 

Oh I did and always do. People just keep reposnding to yesterday's condo.

 

http://www.felinediabetes.com/FDMB/threads/4-11-silver-amps-247.193982/
This is today's condo.

 

Not at all catch 22. They are wrong.

 

I don't think the vets are saying that the teeth couldn't be the issue, I think the issue is they don't feel comfortable putting an unregulated cat under anesthesia. That is why they want them regulated first or to go to a specialist where they much more equipment and staff if there is an incident.

 

The catch 22 referred to you having no choice, at least as I read it. It is my belief that the vets are incorrect in saying that Silver must be regulated before having his teeth tended to. If your vets meant he must be ketone free, then yes that must happen first. But regulation often takes months, and waiting for that to happen can put Silver in further jeopardy. I think Stacy has mentioned an alternative. Putting a cat with bad teeth on a course of antibiotics can help alleviate the damage done by infected and/or inflamed teeth. @Stacy & Asia

 

Please take this discussion to the 4/11 condo Julie posted this morning, as per @Sienne and Gabby (GA). I linked that condo in post # 114. Thank you!

 

Juliet, if you ever end up at a clinic in Miss*** on a road named after an English Prime Minister you should know this. I have my own opinions about them so I'll try and be civil. (I have to be vague to protect the board, you'll figure it out in 10 seconds)

If you have specific concerns make sure they clearly understand you. I mean eye contact and if you have to make them write it down.
If they offer tests you are unfamiliar with or do not feel are warranted start asking questions. They can be condescending.
If you board an animal with specific needs, even emotional ones, demand a note be left detailing what to do and what not to do.
They have an MRI in the basement and a payroll of well over a million dollars. They need to get that money back from somewhere.

That's my opinion only.
Simon, died in the lobby while I searched for the receptionist.
Andrew, dragged from his crate at 3AM for a blood pressure check. Freaked out and had a stroke.
Hannah, told she would not see Christmas and then lived another year. Misdiagnosis.
Juliet, I'm trying not to make this about me. Neither of us has money to throw away and my travel is limited as well. It's something you need to know.