anysia: (Cat & Mouse)
“Hey! Where’s my dinner!”



If it wasn’t for him having to have an insulin shot after his morning feed, and having three scheduled feeds through the rest of the day instead of just two feeds and letting him graze on kibble, and the way he chases after “The Red Bug” aka laser dot, you wouldn’t know he was a 14yr old moggie with diabetes. Vets have said his heart/liver/kidney/lung functions are fine. No sign of arthritis, sight and hearing is fine, and even his teeth are good conditon.
anysia: (Sleeping Kitty)
Spoke to the vet about all our cats demanding an extra feed as the weather is getting colder. And what to do regarding Keito. Seeing as he is on glargine (single daily dose, slow release insulin) and scheduled feeding, what do we do when he really wants more to eat because of the change of seasons.

Great news is this: as long as it's high quality protein, he can have more. So, we stocked up on small cans of store brand tuna in spring water, which the vet said was good to supplement his feeding as the weather gets colder. It's things with sugars/grains/carbs in it that has to be avoided.
anysia: (Fort Hood Detente)
His BGL is always high first thing in the morning because he needs insulin shot after his first feed. What we want are good fructosamine levels. (Glucose attaches to hemoglobin)




Keitos' is in the 'good control' level, just missing the Excellent Control. (Insert happy applause here.) Will aim for excellent control over time, but very pleased with results, as he is a 14 year old moggie. He is happy, in good health, other than the diabetes, so we aren't aiming for 'perfect' numbers of a 4 year old cat.

No need to recheck for six months unless we have a problem.
anysia: (Cat & Mouse)
It's been about a month since we almost lost Keito to diabetes, and with only minor changes in his daily life, he is back to normal. He has a feeding schedule to make sure his blood glucose levels don't go too high, or too low.

1st feed between 6 and 7am. Insulin injection 30 minutes afterward.
2nd Feed between 11am and Noon.
3rd feed between 3 and 4pm
4th feed 7pm or later.
One small bowl of kibble.

Funny thing is that Keito lets us know when he is due for another feed.

He has put on obvious weight, which is good.




So, our "Old Man" will be around for a while longer. :)
anysia: (Sleeping Kitty)
Today Keito spent the day at the vet for a Blood Glucose Levels curve test to make sure the insulin amount he is given is enough, and not too little or too much.

At the start of the day after his first feed, his BGL was 20. After insulin, it dropped to 15, then to 12, then to 8.3, then the last test was 7.6.

The 20 is normal after overnight and first feed. It would only be dangerous if that level was sustained for days or weeks. That he responds so well to Glargine (feline insulin) is a good thing. Also, how low it goes could mean his pancreas is making SOME insulin on its own.

When we brought him in on Feb 27, he weighed 4.92kgs. He now weighs 5.22kgs. This is a very good thing. I asked Dr D about Keito demanding a slightly larger feed in the afternoon. He said that with Keito's good BGL numbers, that would be fine.

As long as nothing untoward happens, he doesn't have to go back for 3 months. And that will be for a blood sample to go to the lab.



Keito enjoying his last feed for the day.
anysia: (Cat & Mouse)
All seems to be going well. Keito is slowly putting on weight, which is a good thing. He is also quick stepping and jogging, rather than being shaky and tottering when walking. He is once again, very interactive, occasionally mooching a bit of chicken from one of us. We are careful about the amount given him, as he is on a feeding schedule. Well, as much as you can schedule a cat to do anything.

No more having to haul him out from under Alan's bed insulin shot, or hunt him up for his next feed.

Routine is as follows:

Let Loki out into back yard.
Feed Keito, set timer for 30 minutes. Prep 1 UI injection.
Feed Trance and Ziggy.
Keito's done eating, let Loki in and feed him, letting Keito into back yard or into the enclosure.
30 minutes later DING. Let Keito in, pick him up, put him on the washing machine, pat pat, pet pet, tent skin, put needle in, draw plunger out, no blood, inject. Pat pat pet pet, let Keito go where he wants. Takes all of 30 seconds, if that.

Also, all we have to do is say "Keito, time to eat!" and he comes out from where ever he was sleeping.

So, is Feline Diabetes a bit scary? Yes, but it's manageable.



Keito took over Wing 's side of the bed last night. The bald patch from his recent vet visit. He was supposed to get a BGL curve test, but because there was a goof up on his morning injecting (new vet nurse didn't get the insulin in the syringe, but in her defense, getting that one IU in there, and it NOT being just an air bubble is damned tricky), so he's going back again this upcoming Wednesday. I have the mop at the ready. A Mop? Because whenever he sees the pet carrier, he gets scared and 'panic pees'.
anysia: (Huh?)
His BGL curve test results weren't as great as we would have liked (it tends to drop too much after 2pm) but instead of trying different insulin, we will try feeding 4 small meals a day (1/2 tin of food 4 times a day). Instead of morning, midday, evening, he will be on a slightly "Hobbitized" feeding schedule. Morning, Midday, afternoon snack, evening meal.


Dr D did say that even if these numbers don't change or he doesn't go into remission, as he is alert, active, eating, drinking, uhh visiting the litterbox regularly, and being ‘more 'Keito', and isn't in any sort of insulin shock, we can stay with this treatment. He *is* 14, so making his twilight years comfy is more important than the perfect BGL curve.

He is back home, and I just wish you could hear the purring. :)

anysia: (Cat & Mouse)
We were able to bring Keito home last night, after we were given a demonstration as to how to give him his insulin injection, his new feeding schedule, and what to keep an eye out for regarding anything adverse.

When we got him home, Trance was “Ooooo you’re back!” and sniffed him all over. Ziggy was pretty much the same. Big boofy Loki reacted as if he had seen a ghost!

Much pats, scritches and happiness about having him back home.

This morning:

Where’s my breakfast! I was awakened by gentle nibbling on my fingers and my cheek. IOWs, back to normal behavior!



Breakfast is served, and Loki no longer behaving as if Keito is a ghost. 



Prepped Keito’s single insulin injection. 



The injection was so easy, the needle so small, that I had to double check to make sure the syringe was empty. Keito is now snoozing in his favorite ‘after breakfast’ spot. In Alan’s room.

As I typed earlier, I know our time with him is limited. 4 maybe 5 years, but I want those years and want him as healthy as possible during them
anysia: (Invisible?)
Went to the vet for an in house pet visit. We weren't even all the way into the room before Keito started meowing.. LOUDLY. Demanded to be pet and patted NOW. Considering the limp dishrag that we brought in Sunday, this is one helluva improvement.

PET ME NOW, HUMANS!



It seems that Keito might be able to get by with only having one small dose of insulin a day. Three feeds a day (half a tin of food three times a day), one insulin injection, as two makes his BGL drop too low. Also, the dose he needs is smallish. This augurs well for him going into diabetic remission, as low dosage of insulin needed is one of the criteria.

Plan of action today: Morning feed, small dose of insulin 30 minutes later. Afternoon feed, fresh water. BGL test. Evening feed. 30 minutes another BGL test. See what the 'curve' is. Don't mind a wavy line, just do NOT want peaks and valleys.
anysia: (Demon-eyed Cat)
When we entered the kennel area, Keito whipped his head around, looked at us, half blinked his eyes (cat version of a smile), and started purring his bones apart. No longer a limp bit of fur!

We brought in some tins of his favorite food. Popped one open. He immediately got up and started meeping at us. Put half of it in a small dish, and he proceeded to inhale it. Remember, he didn't eat Sunday, had to be force fed via a syringe Monday, and Tuesday morning. The fact that he is eating with a hearty appetite is a good sign.



Diabetes: BGL up again over night, that is normal. BGL was 12, not 19 or 21 this time. And this is on a smaller dosage of insulin.Now that he has eaten, they will wait, test blood, then give appropriate even smaller dose of insulin.

Dr M was thrilled at how well Keito is responding, that it's "One of the best responses she's ever seen."

After we latched the cubby door shut, Keito immediate started meowing, meeping and whining to be let out. Another good sign. So, today, hoping to get gentle curve of BGL instead of peaks and valleys.

I know he's 14.. and that our time with him is limited. Probably another 4 to 5 years, but I want those years.

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anysia: (Default)
anysia

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