1/1 Oberon AMPS 189/1.4, +3.5 275, +6.5 385 (2 R), +8.75 367, +10.5 345, PMPS 397/0.9, +2 346

Happy New Years!! I am happy that the ketones have come back down :bighug: & you were able to go back to bed! Have a restful day :).
 
And here comes the bounce... gave him 2 U of R midcycle to try to keep a lid on it.

This is interesting, though... if you count the very small dip into the 200s on 12/28 as a dip, he's still sort of following his ~6 cycle dip pattern. They're just really shallow. I feel like the timing of the dips has nothing to do with the dose he's been getting; they're following their own regular schedule. The dose just determines how low he goes during a dip. The fact that he dipped last night despite a fur shot yesterday morning fits in with that pattern.

Wendy&Neko said:
There is a new paper that talks about treatment of acromegaly you can pass onto your vet. See attached. Table starting page 1094. The paper is called: Updates in Feline Diabetes Mellitus and Hypersomatrotropism. (the latter is the tumour that causes acromegaly). The authors are Linda Fleeman and Ruth Gostelow. Dr Gostelow is at the Royal Veterinary Clinic, the forefront of acro research. The paper is from September 2020, Veterinary Clinics of North America: Small Animal Practice. The paper is a bit of a hodge podge of topics, but I found all interesting.

When Neko was diagnosed with acromegaly, my vet set up an appointment with the local IM for a diagnosis and treatment plan. A couple days later I cancelled the appointment. I had a diagnosis, and had arranged for Neko to have stereotactic radiation therapy at Colorado State University by then. I learned all I needed about treatments from FDMB. At that time, SRT was the gold standard treatment. And the IM vets and radiation oncologist I talked to there were great.
Click to expand...

Thanks! Interesting paper; I'm still working my way through it.
 
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