Blue AMPS 468

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Patty and Blue GA & Brat

Patty and Blue GA & Brat

Member Since 2020
https://www.felinediabetes.com/FDMB/threads/bluebird-468-amps-10-18.237080/

Morning,

Blue is the same this morning as yesterday morning so at least that's consistent.
468 AMPS and we'll see if it drops as fast as it did yesterday.

I started thinking about that APMS 634 number on the 14th at the vet. I gave Blue .5 on the morning of the 13th but I'm pretty sure he didn't get his evening shot. In fact, that's probably why they decided on 1 unit once a day. No one was there to give it in the evening. So Blue's dose is dependent on their convenience. :banghead:
 
Patty and Blue said:
https://www.felinediabetes.com/FDMB/threads/bluebird-468-amps-10-18.237080/

Morning,

Blue is the same this morning as yesterday morning so at least that's consistent.
468 AMPS and we'll see if it drops as fast as it did yesterday.

I started thinking about that APMS 634 number on the 14th at the vet. I gave Blue .5 on the morning of the 13th but I'm pretty sure he didn't get his evening shot. In fact, that's probably why they decided on 1 unit once a day. No one was there to give it in the evening. So Blue's dose is dependent on their convenience. :banghead:
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Aaaand they charge you for it anyway. :rolleyes::stop:o_O
 
As promised earlier, here's the summary of the dosing info from the vet report for Blue's spreadsheet.


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10.12.20

PMPS: ???
Dose: ??? Vet
Remarks: No info on vet report.
-----------------------------------------------------------------------------------------------------------------------
10.13.20

AMPS: ???
Dose: ??? Vet
Remarks: No info on vet report.

PMPS: ???
Dose: 0.5 Vet
Remarks: 0.5IU marked administered. Shot time 17:00.
-----------------------------------------------------------------------------------------------------------------------
10.14.20

AMPS: 634
Dose: 0.5? Vet
Remarks: First 0.5IU marked administered. Shot time 07:00 (+14 after prev dose). Not clear if addnl 0.5IU given (i.e. min 0.5IU given but potential total dose 1.0IU).

PMPS: 210
Dose: 0.5? Vet
Remarks: 0.5IU marked administered. Shot time 17:00 (+10 after prev dose). Not clear if addnl 0.5IU given (thought unlikely with no overnight monitoring and claim of 18-hour duration of the 1 unit dose - especially as 1 unit given on following AM cycle on 15.10.20).
---------------------------------------------------------------------------------------------------------
10.15.20

AMPS: 438
Dose: 1.0 Vet
Remarks: 1.0IU marked administered. Shot time 07:00 (+14 after prev dose).

PMPS: n/a
Dose: NS
---------------------------------------------------------------------------------------------------------

If you like, you can copy 'n' paste the 'Remarks' text above into the relevant cells on Blue's spreadsheet to save yourself a bit of typing.



Mogs
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Thank you Mogs. So they did give .5 the night he went into the hospital, but it sounds like it was at 5:00 and he normally has it at night around 9:30.
I'll try to get everything entered today. You're the BEST

Feeling healthy yet?
 
Patty and Blue said:
Just realized Blue went into the hospital on the 13th and now I don't know what happened to my BG numbers on the 12th.
Maybe I deleted. :arghh: Oh well.
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I tried going back over your threads for that period to see whether I could work out the dosing from the record there. Unfortunately the time zone difference is wrecking my head and I can't work it out (post time stamps are given in the member's local time).


Mogs
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Patty and Blue said:
I confused myself. It was the 12th I took him to the vet but they don't list the 12th. They have the 13th down as the date for blood work.
No wonder we got confused.
Click to expand...
Just stick ??? in the sheet for the PMPS and dose for the evening of 12 October on the spreadsheet, and perhaps put a note in the remarks that there was no mention of giving insulin that night in the vet's report.


Mogs
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Critter Mom said:
Hi Patty,

A +2 is definitely in order. If he's dropped a fair bit by then I'd suggest feeding a little high carb to slow him down. How are you doing?


Mogs
.
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I'm good Mogs. Little depressed today because braves lost but I'll be ready to cheer Dodgers in the WS. How are you and your Noodle?
It will be a couple hours until I test so I know you'll probably be crashed. I will feed some HC if he's going down fast. I will probably set my alarm to retest if he's dropping.
I have been looking for a new vet. One place I looked at had this site listed in an article they posted. I was encouraged. The other thing I read was concerning giving insulin twice a day. Why doesn't my vet know this? :rolleyes:
 
Patty and Blue said:
I have been looking for a new vet. One place I looked at had this site listed in an article they posted. I was encouraged. The other thing I read was concerning giving insulin twice a day. Why doesn't my vet know this?
Click to expand...
As I was going over the summary of BG information to extract the dosing info for you earlier I was looking at it in light of what they did and what they told you about dosing. I came to the conclusion that there was no rhyme or reason to what they told you. Their actions and the evidence in the BG/dosing record contradicted what they were telling you about the 0.5IU dose and the 1.0IU dose. I really don't think they have a good handle on depot insulins at all. It's like they were pulling dosing decisions out of their collective fundament (if you'll pardon the expression!).

Methinks vet shopping is a good idea, Patty. If you look in the forum FAQs section, there's a thread there with suggestions on vet screening/interviewing. I wish you happy hunting. :)


Mogs
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Patty and Blue said:
How are you and your Noodle?
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I'm still very tired (but still can't sleep without meds). Didn't sneeze as much today.

Having a terrible time trying to get the Noodle to eat. Even cypro didn't touch the sides this evening. :( Still waiting for the delivery of my preferred ondansetron generic for her, and I'm worried about her phosphorus potassium levels (borderline low on last two rounds of blood work, and her BP med, amlodipine, can sometimes lower potassium levels). Wondering whether her levels have gone lower and whether that might be why her appetite's worse. At least things have been improving on the diarrhoea front. She's going less frequently and her bowel movements have gone from yellowish-tan liquipoo to firmish, browner cowpats in the last few days since I started giving her some B12 methylcobalamin. I lead a thrilling life... :rolleyes:

Thank you for asking after us. :bighug:


Mogs
.
 
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Max had lowish potassium even before CKD hit. I didn’t know it was likely amlodipine or if I did I don’t remember it now. Is low phosphorus a concern? I haven’t seen cats with that. Feel better. The Noodle too.
 
Critter Mom said:
I'm still very tired (but still can't sleep without meds). Didn't sneeze as much today.

Having a terrible time trying to get the Noodle to eat. Even cypro didn't touch the sides this evening. :( Still waiting for the delivery of my preferred ondansetron generic for her, and I'm worried about her phosphorus levels (borderline low on last two rounds of blood work, and her BP med (amlodipine) can sometimes lower potassium levels). Wondering whether her levels have gone lower and whether that might be why her appetite's worse. At least things have been improving on the diarrhoea front. She's going less frequently and her bowel movements have gone from yellowish-tan liquipoo to firmish, browner cowpats in the last few days since I started giving her some B12 methylcobalamin. I lead a thrilling life... :rolleyes:

Thank you for asking after us. :bighug:


Mogs
.
Click to expand...

Oh, does B12 help diarrhea? I have two that have it and Ive been using acidophilus. It has helped but they still occasionally have problems.

Poor Noodle bug. Sounds like you manage it pretty well. I guess you use an appetite stimulate?

Still worried about you being sick for so long! Vitamins an option?
 
tiffmaxee said:
Max had lowish potassium even before CKD hit. I didn’t know it was likely amlodipine or if I did I don’t remember it now. Is low phosphorus a concern? I haven’t seen cats with that. Feel better. The Noodle too.
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Good spot out o' you, Elise. Shows you how tired I am. I meant potassium levels. Duh!!! :banghead:


Mogs
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tiffmaxee said:
Cyproheptadine is the appy stim she uses. It’s the one I like too.
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Does it work? I have used some for my cats that had kidney disease but I don't remember the name. A friend uses one she rubs on her cat's ear. I mentioned it to Dr. Bruno when my little Brat was losing so much weight but he said it didn't work very well but it was working for my friend's cat. I think maybe I should have got a clue then. :rolleyes:
 
You can give 0.5mg cyproheptadine (1/8 tablet) every 8 hours if required (dose for 10lb cat), which means you have really good control over the appetite stimulant effect. Mirtazapine in tablet form can only be given once every 72 hours. It's effect is too strong initially and not strong enough later on, plus it can cause really bad adverse reactions in some cats. The one dose Saoirse ever got of it turned her from the most pacific cat on the planet into a raging harpie. What it did to her was really not pretty. I've also been prescribed it myself in the past for the PTSD and it sent my entire system - brain and body - absolutely haywire. It's a horrible drug.

Lúnasa can get very fractious and aggressive on occasion. If I were to give her mirtz it'd probably turn her into a furry antichrist.


Mogs
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tiffmaxee said:
She got it twice a day.
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Thanks. That's really helpful. The Noodle's Rx is for 1/4 tablet q24h. I've got to watch her resting heart rate because both the amlodipine and cypro can raise it. That said, her RHR has been better over the last few days since I started her on the methylcobalamin (see graph in her SS). The BP meter is really earning its keep.

Might run an increase in the cypro dose past our vetty bean if the Noodler doesn't pick up tomorrow.


Mogs
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