Keito Update

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.

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Keito Update

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’. 

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*insert a string of very naughty words here*

My right knee doesn’t just have a meniscus tear. The meniscus is shredded. I also have bone on bone grinding going on.  Dr S was impressed that I was well versed in family medical history, and that I was getting around with only OTC ibuprofen, and paracetamol with low dose of codeine.

He told me that I will be facing knee replacement surgery.  Not right now, as it would take me up to 6 months to recover, and we have non-refundable plans in June.  And as the left knee is showing some signs of arthritis, chances are sometime down the road that one will be necessary to have replaced, too. 

Physio said that all the ligaments and tendons are in fantastic shape, so it’s just the knee joint itself.  He ultra sounded my knee, and it turns out the swelling in it is caused by blood pooling up from the injury. Hooked up to electro-therapy to break it up, and reduce swelling.

So, current plan of action:  fitted hinged knee brace. A course of muscle strengthening exercises for the quads.  see physio again in 2 weeks.

Anti-noninflammatory meds for a month.  Check to see if that helps.  There is something called “SYNVISC”.  It’s injected directly into the affected joint, and if it works (80% success rate) it will withing 3 to 8 weeks give me me 50% relief, forestalling the knee surgery.

But it’s so freaking expensive, either way.

On an aside, Dr S was rather impressed that with the level of .. umm.. discomfort, I stayed as active as I did. 

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Keito Update: BGL Curve Tests at the vet

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. Smile

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Good news and bad news

Good news: my BGL, Iron, Cholesterol, Liver, Kidney, blood pressure, heart rate is freaking fantastic!  Better than average.  (muppet cheer) Thyroid levels lowest end of normal which is why I am back on thyroxine. Wish my outsides looked as healthy as all my insides tests show I am.

*sigh* Bad news: Knee MRI results: I have a torn meniscus, two areas… and a touch of arthritis. The arthritis I already knew about, as it’s been like that with that knee for over 30 years (was injured way back when)

Have referral to knee specialist, same one that repaired Wing ‘s knee (even though HE says it’s debatable, but he’s walking better, limping less. He just didn’t get his magic wand repair to make it like he was when he was 20)

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Keito Update: Home sweet home.

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

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Keito Update, Morning Edition

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.

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