Max’s Profile 1/26/14

Max is a medium haired black and white male born around 9/24/97. He was diagnosed with chronic pancreatitis 4 years ago and high blood pressure about 1 ½ years ago. He takes amlodipine for his BP and ondansetron for nausea if he has a pancreatitis attack. He had a urinary blockage when he was 4 ½ and was on CD mostly dry food until he became inappetent. The pancreatitis was likely stress induced when his best friend got CRF and then intestinal lymphoma. Her illness and death led to him refusing canned food, gaining weight and losing his appetite. He responded well to ondansetron and lost the extra 1 ½ pounds.

Max’s pancreatitis attacks increased. His T4 elevated and we thought he might be hyper-t but his panel was normal. He had complete labs done three months in a row and had protein in his urine but his creatine and USG are good. His blood glucose was thought to be slightly high due to stress. When it rose above 250 we ran a fructosamine September 29th and it was normal.

In November he started drinking water so I got a urine sample and tested with a dipstick and found he had glucose in his urine. Previous tests were normal so I went to my vet the next day and my test was confirmed. His glucose was in the high 300’s. He was started on  one unit of Lantus BID the next day and a curve run. He responded quickly to Lantus, Nadir 114,  and his dose was decreased to .75  His next Nadir at the vet’s was 182. The next tests were 185 and then 70 so his insulin was decreased to .5.  I also  had changed his food from sliced fancy feast to the low carb classics. His BG was 194 on the Alpha so my vet  thought he was possibly in remission and after one month insulin was stopped. He was tested by the vet 1-2 times a week and his BG was under 200 the first two weeks. Then it rose and Lantus was started again 1/8/14 at .25 BID, increased to .5 and then .75.

We are up to 1.75 units of lantus BID.