12/31 Oberon PMPS 326/2.0 (2 R), +2 318, +4 271, +5.5 254, +8 174, +10 187

yesterday: https://www.felinediabetes.com/FDMB/threads/12-30-oberon-pmps-357-2-9-1-75-r-2-311-4-320.240726/

Ending the year with a fur shot for the Lantus. Aargh. First time I've done that in ages. He got 2 U of R, but he's still going to bounce to the moon today.

 

Sorry about the FS At least he got some R Hope you all have a good day

 

Sorry about the fur shot. I hope the R keeps him from going too high.

 

Sorry that happened! Blame it on 2020....good riddens !

Prayers for an opening at the awesome dentist you have access to !

Happy you are going to be able to help your vet with the IGF test. @Wendy&Neko comment about so many of these cats having this issue and the vets needing to learn to test is important. Just think of all the impact you & Oberon will have for others moving forward ! We have to be like little info ground troops sometimes

 

You are better than me, fur shots came more frequently here. Thank goodness for R. At least he's gone down a bit from AMPS and you can still do the mid cycle.

If @cabreu is one, maybe she can coach you on how she got the blood samples to MSU herself. And Larry posted that you can get them through Idexx on this post. One caveat, I found a local lab to do the work for my vet, but of course with another layer in the middle, that meant extra cost for the middle man (lab).

 

329 at +6; I'm going to give 2 U of midcycle R.

 

I just was thinking...is there any chance that maybe your vet knows or is perfectly capable of figuring out how to order the test, but she/he is not comfortable with what to do with the results & that is why they are asking you to have the IM do it?

I know that even some of the IMs aren’t necessarily up to speed with the latest recommendations re the IGF-1 results &/or latest treatment algorithms/options for HST in felines, so they will call out to the endo specialists for advice. I can see where some general vets would recognize their limitations with the diagnosis & refer you out to IM for this reason.

I don’t know if this is the case, but may be worth asking your vet . I respect vets (& human MDs) who acknowledge when they are not comfortable with a disease state & move you on to the right specialist. Again, just a thought......

Hope the mid cycle R works well

 

I still haven't even figured out how I did it. He didn't flinch or anything. I didn't realize it until I gave the R and noticed his fur was wet where I'd given the Lantus. Grr.

R appears to at least be keeping him from bouncing higher. He'll get more at PMPS if he's still over 300.

That could be the case... maybe he meant that he wouldn't know how to interpret it, not just that he didn't know how to get it run. He's usually pretty good about telling me when he's at his limit with something. (Like the dentistry- he told me exactly how much he'd be comfortable doing, and which vets he'd trust to go beyond that. And which ones he had less confidence in, also good info.)

 

Morning data: +8 278, AMPS 301/2.6 (fur shot, aargh), +2.5 302, +4 314, +6 329 (2 R), +8 300, +10 311

Still in the low 300s... another 2 U of R this evening. Looks like I'll get to ring in the New Year by poking the cat at +4...

 

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.

 

Yes @Lisa & Oberon - let me know if you need tips on this. The MSU VDL site has instructions on how to pack the blood samples, and when you fill out the form, you put "self pay" in the "Account Number" line. Their customer service phone line was always helpful when I called, and you will want to call that before sending.

 

Thanks! I'm probably going to start by checking in with the internist we saw in September, since that's how we got it run the first time. But if it looks like I need to send it myself I'll get back to you.