Hi, Welcome to JustAnswer. I am a licensed veterinarian and I'm here to help you. I am so sorry to hear that Macey has all of these diseases and that you are having to balance them all.
Thanks, ***** ***** Thank you.
Especially with hyperthyroidism and kidney disease we have to treat each so that the other is not made worse. Sometimes it is impossible therefore to completely treat hyperthyroidism because we can make the toxin build up worse from the kidney disease.
Do you have her latest numbers? What is her current thyroid level (and please include the reference range for your lab)? What is her BUN and creatinine and phosphorous? What is her PCV (or HCT )? What is her blood glucose level? Thanks!
I don't have this. Her current insulin intake is 0.5mg. She takes this now once a day in the morning at 7am. The lowest dosage. Her nadar is around 17 around 3pm. I She's on a renal diet only and eats 3 sachets of Royal Canin so her creatinine and phosphorous levels should be low. She only started to lose weight when she was placed on the renal diet. 'm losing her. She needs to retain weight.
Oh, that's right. . .in the UK you have a different measuring system for blood glucose. I have converted this before, but I need a little time to do this again. Also, do you know what her thyroid level is? How much Felimazole is she taking? I'll be back soon!
She is on 1 x 5mg at 7am and 1 x 2.5 mg of felimazole. As of yesterday it was reduced back to this from a month on the higher dosage of 5mg for around a year. He thyroid level is 50.
Higher dosage of 5mg 7pm and 7am of felimazole. Now 2.5mg in the evening as of yesterday. Dr Barbara. I am losing my cat I have had for 15 years. She was found as a stray when she was a year and a half. Please save her. Please don't confine her symptoms to age as an inevitability of her demise. Its not her time yet.
I promise you she is not ready to go yet.
If she maintains her weight, she maintains her life.
Did find the conversion for her nadir blood glucose. She is still too high.
How can this be reduced?
It can be reduced with increased insulin. . .but you don't want to do that without your vet there involved. Are you measuring her blood glucoses OH, darn! Do you want to switch to the Q&A mode? You won't have to pay more for that, but it is more cumbersome. . .no immediate chats like here.
Do you mean emails? I don't quite understand has my time run out?
Am I on a time limit?
Do have any fellows at the Royal Veterinary College? I need help.
What they're saying to me is yes, your time has run out. . .not nearly enough time for us to address your issues. The Q&A mode is more like emails, but through JustAnswer. I've never run into this before that you aren't notified, and I am. Perhaps we should just continue here and if it gets to the point that we can't talk more, I can switch us to the other mode.
I can help you, I believe, but it just takes time here. We don't have any fellows from the Royal Veterinary College on here. If you still want to consult with them, then you'll have to call the College tomorrow and set up an appointment. I'm thinking and hoping that you won't find that necessary.
Are you having Macey's blood glucoses measured at the veterinary clinic there? If so, the stress of that will always raise the blood glucose level, so Macey's nadir is likely actually lower than 17.
I do have some basic questions also. Is Macey eating her renal diet well? Would she eat more if offered? Is Macey vomiting or having diarrhea? Is she drinking copious amounts of water or urinating copiously?
My screen says you are in chat, but not typing. I'm going to switch us to the other mode then. See you there!