4/15 Gordy AMPS 302, +2=237, +6=63, +10=191 | PMPS 266, +3=137 *LABS* (also, kittens bday!)

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by CassAndGordy, Apr 15, 2019 at 6:19 AM.

  1. CassAndGordy

    CassAndGordy Well-Known Member

    Joined:
    Sep 23, 2016
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  2. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Bring it on down there Gordy
     
  3. CassAndGordy

    CassAndGordy Well-Known Member

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    Sep 23, 2016
    After yesterday's antics... I kind of want him to stay high today LOL
     
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  4. Mandy & Rex

    Mandy & Rex Well-Known Member

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    Mar 22, 2017
    Gordy!! I see you are up to your usual antics. :rolleyes:
     
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  5. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Dont blame u, I've thought the same thing b4
     
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  6. CassAndGordy

    CassAndGordy Well-Known Member

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    Sep 23, 2016
    +2=237

    He said he didn't agree with me lol. I'm able to go home for lunch today so I'll get a mid cycle in
     
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  7. carfurby

    carfurby Well-Known Member

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    Feb 19, 2012
    Sorry Gordy kept you up last night. I hope he slows down his slide today and surfs safely.
     
  8. CassAndGordy

    CassAndGordy Well-Known Member

    Joined:
    Sep 23, 2016
    +6=63

    Really pushing my comfort level lol.

    If he drops below 50 again, reduction. In fact, the fact he came down so quick last night earns in my book- since he didnt have an AM dose. But I want to give it a little time since I want the depot revved back up before another reduction.
     
  9. Mandy & Rex

    Mandy & Rex Well-Known Member

    Joined:
    Mar 22, 2017
    63 o_O Just watch.. he will be in the 300's at PMPS. :oops:
     
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  10. CassAndGordy

    CassAndGordy Well-Known Member

    Joined:
    Sep 23, 2016
    LAB RESULTS
    So Gordy had his senior tests done when he was at the vet Saturday... I got the below email from the vet who attended him.... Im attaching the PDF of the results, but I'll fill in the sheet tonight.

    "Good morning, this is Dr. Silverness. Here are Gordy's lab results.
    Several values are out of range. His blood sugar came back very low. This
    could either be a false artifact from the serum not being 100% separated in
    the collection tube or it could be real. The only way to know if he is
    crashing too low during the day would be to do a full day glucose curve.
    The fructosamine level is a little helpful with giving me a better overall
    regulation picture, but it will not tell me if he is going too low. Has he
    been acting lethargic at any point during the day?
    Second, his total T4 is high. This typically indicated hyperthyroidism.
    He has lost about 1.5-2 pounds over the last year so this may be real or it
    could be a false elevation from other issues. There is a verification Free
    T4 by ED test that we could run to improve our confidence in this diagnosis
    before we start him on thyroid meds, or we can just start him and monitor
    with a follow up T4 level 4-6 weeks later. IF he is hyperthyroid and we
    miss it, his Diabetes will surely be affected.
    The elevated CK is du eto muscle loss or inflammation. Recent weigh tloss
    would explain this.
    His urine is also very dilute. The diabetes can do this, however there was
    not any sugar in his urine at this time, so he likely also now has early
    stage renal disease.

    For now I would suggest we either bring him in again to repeat an in house
    blood sugar and send out a Free T4 by ED, OR start him on oral thyroid
    medications now and monitor labs again in 4-6 weeks.

    Please call at your earliest convenience with your preference."
     

    Attached Files:

  11. Mandy & Rex

    Mandy & Rex Well-Known Member

    Joined:
    Mar 22, 2017
    It does seem Gordy will need to start methimazole for the hyperthyroidism. If you want to join a good group, let me know!

    However, if they did that T4 test in-house, have them send out another sample. Not for free T4, but for total T4. Free T4 isn't important unless it's hypothyroidism. Tanner had both so I learned A TON.

    Creatinine is a bit high = kidney issues. That can also be linked to hyperthyroidism. Kidneys aren't filtering well enough.

    What else? I cannot comment on high red blood cell count, though.
     
  12. CassAndGordy

    CassAndGordy Well-Known Member

    Joined:
    Sep 23, 2016
    +10=191

    The vet who emailed me had left for the day when I called, so I'll probably hear from her tomorrow. I sent her the spreadsheet so maybe they'll stop asking for a fructosamine. :rolleyes:

    I'm going to try not to worry myself to death about the stuff that is out of value until I talk to them... but I am bummed. :(
     
  13. Mandy & Rex

    Mandy & Rex Well-Known Member

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    Mar 22, 2017
    My Tanner lived with hyper/hypothyroidism for 5 years after initial diagnosis. It's a manageable disease. :bighug: He also had stage 2 CKD that long, but I never had to do anything different.
     
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  14. CassAndGordy

    CassAndGordy Well-Known Member

    Joined:
    Sep 23, 2016
    I know they are both manageable conditions, especially after seeing all those here dealing with it, but I liked having a fairly healthy cat (aside from sugar). I know he is getting old (i think he is now 14.... dangggg) and this is bound to happen. But its more stress on me to deal with alone =(
     
  15. Mandy & Rex

    Mandy & Rex Well-Known Member

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    Mar 22, 2017
    Tanner was 13 at diagnosis. He lived to old age at 18. He was diagnosed with pancreatitis at age 17 so yeah, it's tough. Just keep your head up until you get more information. :bighug:
     
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  16. CassAndGordy

    CassAndGordy Well-Known Member

    Joined:
    Sep 23, 2016
    PMPS 266

    I posted his labs in the spreadsheet.

    Today is the day I picked for Raptor's birthday! She is 1 :cat::cat::cat:
    20190415_173837.jpg 20190415_184151.jpg
     
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  17. carfurby

    carfurby Well-Known Member

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    Feb 19, 2012
    Happy Birthday Raptor!

    Try not to get discouraged about he test results. It is something you can manage. :bighug::bighug:
     
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  18. Jill & Scooter

    Jill & Scooter Well-Known Member

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    Mar 7, 2018
    Happy birthday Raptor! Raptor is a beauty! You know you’re sleep deprived when you wish for a bounce!:D
    I hope the vet can give you some more definitive answers when you get to talk to her. :bighug::bighug:
     
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  19. Sonia & Leo

    Sonia & Leo Well-Known Member

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    May 24, 2018
    :bighug::bighug::bighug::bighug::bighug:
     
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  20. Sonia & Leo

    Sonia & Leo Well-Known Member

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    May 24, 2018
    Happy Birthday to Raptor!!! She's so cute!!!
     
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  21. CassAndGordy

    CassAndGordy Well-Known Member

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    Sep 23, 2016
    +3=137

    Come onnnnnnnnnnnnn
     

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