3/12 Rupert AMPS 424, +6, 401,

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Re: 3/12 Rupert AMPS 424

Rupert, the red floor is not the place to hang out. I hope he comes down today and the wind isn't too bad.
Liz
 
Re: 3/12 Rupert AMPS 424, +2, 363

pink floor for +2. interesting trying to do test with flashlight! Rupert seems happy today, had a snack at +2 and was even purry.

trees down everywhere, made it in to work (at least we have power here, hence ability to post) which is amazing because three of the cross roads are blocked at the moment but my route was open... cleaning the barn and feeding the horses this morning was fun! tree branches everywhere, stuff flying all over the place, sirens going off all around the neighbourhood. Welcome to Spring on Vancouver island.
 
Re: 3/12 Rupert AMPS 424, +2, 363

Glad to see Rupie is coming down for you. Yep, FD without power is a treat. We had a 23 hour blackout last fall...quite the experience, that's for sure. I hope your power comes back ASAP!

Be safe in that nasty weather, Pip!
 
Re: 3/12 Rupert AMPS 424, +2, 363

That's a sizable drop at +2, please monitor closely today. When will you be able to test again?

Sorry about the wind....hope you get power back soon! We have a generator so power outages are more tolerable....we've been out for 3 days+ at times, it stinks!
 
Re: 3/12 Rupert AMPS 424, +2, 363

I'll be back at +5, he dropped almost exactly the same yesterday. .

Just got off the phone with new vet.. Rupert going in to see her tomorrow at 4:45 for a consult, and hopefully we'll schedule dental xray etc. She seemed unphased by the diabetes and keen to help. Let hope she just isn't trying to make more money to buy fuel for her husbands waterbomber plane (seriously, he has one).

'Old' vet just called and left a message saying that the Azithromycin, Caramel Flavored, sucrose based a/b is 'totally fine' for Rupert.
I'm still not giving it to him.

windstorm seems to be slowing down a bit, now we just have the usual rain, it's going sideways, but that's nothing new around here!
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401

I hope you're not still in the dark. Good luck with the new vet tomorrow. I hope you get some clues.
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401

Awww Rupert you are such a beautiful boy where are some beautiful numbers to match, come down from there soon.
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401

I'm at work, but we still have no power at home. not a prob. hubby will fire up the generator when he gets in so we'll be fine. and we have a woodstove that we use all the time for heat anyway, and a gas cooktop so no one will be roughing it! least the big winds have stopped now. That was quite the storm, topped 100kph wind gusts, big mess to clean up everywhere! Hopefully I'll have internet - even if we have power, we still might not have connectivity. If I have to do tests by flashlight I'll manage. Looking forward to Rupert's vet visit tomorrow at 4;45, hoping she'll agree to schedule a dental xray at the very least.

I'm still holding off on giving him the Azithryomycin (the sucrose based one).. getting conflicting info... some say it's okay, other's say not.. not sure what to do. it's more for the respiratory/eye issue than teeth so wouldn't make any difference to what vet would do tomorrow, but I'm a little leery of giving him the stuff with his levels still so high.... maybe if they were lower it would be okay?? still would like some input re that scenario. although have doubled his dose of lysine to the 500mg a day that was recommended, and even though his eyes were a teensy bit weepy this morning, overall he seems a lot better in that department. overall he seems fine and unphased by the stress he's creating!
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401

Pip - i am wondering about your new vial. rupert was having high numbers before the new vial, but you were also seeing blues and greens almost every cycle. that was clearly bouncing. this is not bouncing now.

do you have your old vial or was it used up? we're definitely concerned about his numbers. if you have your old vial, i'm wondering about having you use it tonight to see if the new vial is perhaps not good. something is up - could be infection, but i'm also wondering about the insulin. does it look clear and colorless?

i think you said you got it from your local pharmacy, right? could you give them a call and ask if there's any possibility it wasn't refrigerated?
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401

I still have two old vials, marked as to which is which. I keep them for 'emergency' back up if all else fails! the new vials are the pen cartridge ones I just got. they have big stickers on them saying 'refrigerate' and when I picked them up they were in the fridge at the pharmacy. But my last vial wasn't 'quite' expired, (about 27 days) and I'm sure it's got tons of life still left in it, we just switched to new just in case and also because were already seeing some high numbers. But yeah, for experiments sake I can definitely use the old vial tonight if you think it might make a difference. What on earth will I do with $120 worth of new insulin if it proves to be garbage??? it's expiration date is something way into 2013 I believe (on the unopened ones). i'm pretty sure I can't return it.
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401, should I use the

well, it might not be the new insulin. i don't know. just trying to explore every option and people have had insulin that was toast, even though it was new. i've heard a couple of people say that - and they took it back.

would you consider switching back to the most recent vial tonight and let's see what that does? we're wondering about another dose increase, but perhaps this is a smart thing to rule out first.

what do you think?
 
Re: 3/12 Rupert AMPS 424, +2, 363,+6, 401, should I use the

I yield to the wisdom on here. willing to try anything. I guess if his numbers have come down at all at PMPS then I'll stick with the new.... if he's still on the roof we'll give him a dose of the old. I'm willing to go up a .25 too if that's necessary but will wait for instructions, I know he hasn't been on this dose for the prescribed amount of cycles yet though.. but given that he hasn't bounced.. not even a smidge....??? I'm really really hoping that tomorrow the vet will find some hideous abcess or rotten tooth that might explain all this.

oh and... any further thoughts on the existing antibiotics i have? he was supposed to start them today but I held off given that they are 'sucrose' based.. if his numbers were lower I wouldn't worry.. but could this be enough to cause an even worse BG level? On the other hand, he's looking pretty good, doesn't seem in pain or distressed in anyway at all, all functions operating normally... eyes no worse than usual, if anythign looking slightly better (maybe the lysine kicking in)... should I add more stress to his system with the a/b??? so afraid that I might be stalling on that and it could be the answer... grrr. so hard to know what to do. plus I get conflicting info in PM's that really gets confusing. not sure who to listen to anymore.
 
Re: 3/12 Rupert AMPS 424, +6, 401, SHOULD I USE THE A/B?????

I'll be leaving work in about ten minutes... I'm not sure I'll have any computer connection at home.
 
Re: 3/12 Rupert AMPS 424, +6, 401, SHOULD I USE THE A/B?????

IMHO....and there are many others, I'd probably hold off on the A/B. His eyes/respiratory are not getting worse. If it is a tooth infection, there are other A/Bs which are better for that like clindamycin.

I sure hope the new vet can figure out what is going on and I also hope it will be something like a tooth issue.
 
Re: 3/12 Rupert AMPS 424, +6, 401, SHOULD I USE THE A/B?????

remind people to post advice to you on your condo. that keeps everything open for everyone to consider and review. it's the way for you to get the best possible advice. dosing advice is required to be posted in the open. everyone might not know that, but that is for the safety of the cat.

i don't know the answer on the antibiotic. in general, you want to see an infection or a high white blood cell count to say there is a need for an AB. if his eye is better on the Lysine . . . then perhaps it's herpes and not an infection. i don't know.
 
Re: 3/12 Rupert AMPS 424, +6, 401, SHOULD I USE THE A/B?????

I would agree with holding off on the a/b and talking with the new vet about it tomorrow.

I REALLY hope those numbers go down. Please keep checking for ketones, as you have been.
 
Re: 3/12 Rupert AMPS 424, +6, 401, SHOULD I USE THE A/B?????

i'd encourage you to just switch back to the old vial tonight, no matter what the numbers look like. use it tonight and in the morning, and if it's going to make a difference we should see it in your tests.

good luck with the electricity and internet!! we've got winds and rain here too, but not like that.
 
Re: 3/12 Rupert AMPS 424, +6, 401, SHOULD I USE THE A/B?????

thanx everyone. so.... old vial tonight, maintain current dose. no a/b.

I'll post numbers if I can, if not, will play catch up tomorrow they say we should be 'normal' by 6am tomorrow, hope so, thats my AMPS time and hate trying to do that in the dark. have a good evening everyone.
 
I'd like to see a lot more aggression on these increases. If Rupert is actively running infections, this must be compensated for with extra exogenous insulin. Also, I'm glad you're getting antibiotics tomorrow, but I see no reason to withhold them because they may or may not contain sugar. At these numbers, it's pretty much a moot point. It seems pertinent to discuss that the big fear here should be ketones and DKA with known infections in the picture.

Pip, give him a hug for me :) And give yourself a hug too!
 
Re: 3/12 Rupert AMPS 424, +2, 363

Pip & Rupert said:
She seemed unphased by the diabetes and keen to help.
Click to expand...
Hoping she will be one that will work with you and that together you get to the bottom of what's going on with Rupert :cool:

Pip & Rupert said:
grrr. so hard to know what to do. plus I get conflicting info in PM's that really gets confusing. not sure who to listen to anymore.
Click to expand...
Thankfully that never happened to us.
If you get confused, as you know there is plenty of "tribal knowledge" here that can help you sort things out. All you have to do is ask :cool:
 
I have alerted Rebecca to check this post.
I would also remind everyone that off board advising through pms, and otherwise, is not permitted here. This board through Rebecca has a very strict policy against this, and I would encourage any such pms to be forwarded through email contact to Rebecca.
 
I have alerted Rebecca to check this post.
I would also remind everyone that off board advising through pms, and otherwise, is not permitted here. This board through Rebecca has a very strict policy against this, and I would encourage any such pms to be forwarded through email contact to Rebecca.
 
I have alerted Rebecca to check this post.
I would also remind everyone that off board advising through pms, and otherwise, is not permitted here. This board through Rebecca has a very strict policy against this, and I would encourage any such pms to be forwarded through email contact to Rebecca.

per Rebecca
re: off board advising, as per Rebecca

Terms of Use: Off board advising
by Rebecca, Webmaster » Sun Feb 06, 2011 7:55 pm

First of all, I want to reiterate that the purpose of FDMB is for expression of personal opinions about treatment of feline diabetes, or statements of scientifically based treatment options, in an open, peer-reviewed atmosphere.

I do not condone any personal private advising, by Facebook, phone, email, smoke signals, or any communication method off the board. And it includes using the PM system of the FDMB.

Of course, I have no control over what you do off FDMB. I am simply stating that I will not allow the FDMB to be used for this purpose. It is disrespectful to your peers on this site and also exposes FDMB to a lot of legal liability.

If you are doing off board advising for some reason, please respect the person you are advising and tell them this is your PERSONAL opinion. You may also want to state on the board what you have advised and ask for peer review. Or maybe not! I know that I personally advise my sister-in-law about her cat. But I don't use FDMB to do it. And I always make sure she discusses my suggestions with her vet.

If you come across a message indicating that someone is doing personal advising using the FDMB resources, please PM or email me immediately. And please don't complain to me about advice being given on Facebook pages or boards I don't administer, or by personal email, etc. Just not on FDMB, please.


Thanks,
Rebecca
 
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