I know this is kind of late, but at least it's finally here. We are still working on solutions for Lupi, but at least now we know a little more and are getting somewhere. Since I did receive so many responses to my questions, I'm just going to give the synopsis.
First of all, I'd like to say that insulin levels do not determine whether a ferret has insulinoma or not. Out of hundreds of people, only one that I know of thinks it does, and that would be our local vet. Sadly, I'm very upset with them and have seriously been thinking of moving back to Atlanta...or better yet, Texas where Dr. Jerry Murray lives.
Dr Jerry Murray, DVM practices at the Animal Clinic of Farmers Branch in Dallas, Texas, USA. He is a frequent contributer to Ferrets magazine, Ferrets USA magazine, and the online Ferret Health List. He has also written ferret related articles for several veterinary magazines. As a pioneer in the treatment of endocrine issues in ferrets, he has lots of experience dealing with adrenal gland disease and insulinomas. In 2005, Dr Murray was presented with a Special Achievements Award for his outstanding contribution to the ferret community. He is a former ferret breeder and has been working with pet ferrets for the past 17 years. He currently has 3 pet ferrets. His hobbies include traveling, wildlife photography, and working with the endangered black-footed ferrets.In other words, he's trustworthy.
I emailed him with our concerns, even sent him a copy of Lupi's test results, and this was his response:
Hi Ann
Yes, a glucose of 44 with clinical signs sure sounds like
a case of insulinoma. Disregard the insulin level as it is
not an accurate test to determine insulinoma in ferrets.
Yes, Lupi has mild anemia which could be from the adrenal
gland disease or from just having a chronic disease.
His "prostate infection" needs to be treated aggressively
with Lupron monthly, Propecia 1mg once a day for 1 to 2
months then you can reduce to just 0.1mg for the rest of his life,
and Baytril (or Zeniquin) for 6+ weeks. Plus continue
with the melatonin implants every 3 to 4 months.
His alk phos (a liver enzyme) is elevated but maybe elevated
if he is not eating well.
1) I would still go with a high protein food (ie Natural Gold, Totally Ferret
Baby version) because his kidney values (BUN) are still normal.
2)Yes Alph Trak is very accurate for ferrets when using the dog code.
3) I would suggest using 0.15 ml of pred if it is 3mg/ml.
Hope that helps,
Jerry So, I have ordered a glucose test meter. I was originally going to order a human version, the FreeStyle Lite, then I heard that they make one for dogs and cats that can be used for ferrets. So I ordered it through our local vet. Well, turns out they don't know how to order anything either as they got the wrong thing and tried to get me to buy it anyway. I told them to send it back, I would get one from somewhere else. So I'm back to the human version and it has been ordered and I will hopefully get it this week.
Once we get our meter, I am making an appointment with a vet in Atlanta to have them give Lupi a lupron injection as well as supervise me on my first glucose test of him. I will have tested myself first too just to say that I've been there ^.^ I also plan to stop by the ferret shelter or the hospice care to have them put in a melatonin implant.
And as a side note, we plan to make a day of it by also stopping at OCHO's for some fabric sales!
I have also asked for information recently on electrolyte replacers, vitamins and foods. I still haven't been able to find a good electrolyte replacer that does not contain some form of sugar, so if it comes down to him needing fluids, he will get the sub-q. So far, we haven't needed it, even though we thought we did one night. As far as the vitamins go, we're looking into Totally Ferret Vivify for oils as we already give Nupro which has other vitamins and minerals. So we're covered there too. And we'll be switching to feeding Lupi only Innova EVO and Totally Ferret for a while as well as the occasional 8n1 Moist as a treat.
Oh yeah, and we're still treating for ear mites, so I don't have any more news about that. I will, however, get Lupi and possibly one other ferret tested again to be sure they are actually gone. They do seem to be scratching their ears less...but I don't want to leave any little bugger in there to come back ten-fold.
I'll try to stay on top of these Lupi updates, but have patience because our lives have become very hectic because of this disease. Lupi gets gravy 4-5 times a day, he goes to work with me, which also means that I cannot stay out of the house for more than 5 hours at a time unless I have Lupi, gravy and a microwave with me. He's also getting a lot of meds (herbal and prescribed) as well as separate run time. And this all on top of our normal cleaning and playtime...it takes a very long time each night to get things done around the house.
So, I'll do my best, that's all I can do.
In the meantime, I have pictures and videos you can check out at
http://www.youtube.com/user/FerretMommiohttp://picasaweb.google.com/craftyweaselshttp://gallery.haager.net/v/aahaager/http://www.flickr.com/photos/ferretmommio/And you can always order crochet eggs toys at
http://www.ferretdreamsusa.com The sales help to pay for Lupi's meds and office visits right now. I'm hoping to add some bedding and crochet ferrets soon, so check back often.
Dooks & Dances