Bobby's number low

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Jessica2085, Sep 4, 2016.

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  1. Jessica2085

    Jessica2085 Member

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    Apr 23, 2016
    Bobby just got back on Insulin a mth ago. His number were high until a few days ago. When I switched him back to ff. I checked him before I gave insulin. He was 15.7 he had his food at same time. Checked two hours later he was 2.9. Gave some syrup he then was 3.3. Then gave him some of his old food that is high carb. What do I do for insulin? Testing etc. Vet said we may have to lower his insulin. Which I fully agree. Any help is greatly appreciated.

    Pre shot 15.7
    Gave 5 u lantus Insulin
    Tested 2 hrs later was 2.9
    Gave some syrup tested 30 minutes later was 3.3
    Gave some high carb food test 30 minutes later was 4.0
     
    Last edited by a moderator: Sep 8, 2016
    Reason for edit: Removed 911 prefix. No longer an emergency.
  2. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Hi Jessica, glad you made it over to here!

    I think Bobby is on Lantus?
    And he was 15.7 at preshot, and 2.9 two hours later.
    And you gave syrup after which he rose to 3.3.

    How much insulin did you give?
    Are you going to be around to take care of Bobby today?

    Eliz
     
  3. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    Two main questions, Jessica:
    1. what insulin?
    2. what dose is he on?
     
  4. Jessica2085

    Jessica2085 Member

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    Apr 23, 2016
    Bobby is on lantus and 5 units in am and 4 in pm. He was very hard to regulate at first. But he may need his dose decreased. I will b home all day to test
     
  5. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    And Jessica, are you using a 'human' glucose meter or an Alphatrak?
    .
     
  6. Jessica2085

    Jessica2085 Member

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    Human. It's all we have ever used with him.
     
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  7. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    I know you've given glucose syrup.
    How long ago was that?

    What high carb foods do you have available?

    This is a very steep drop so low in the cycle, and Lantus can continue to drop the BG for a long time.
    If it is necessary, do you have the details of a vet that you can take your cat to?
    .
     
  8. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    That's a lot of insulin, so when that kicks in, you may have a big drop. A dose decrease is definitely in order. Going to the low carb FF certainly made a difference!
     
  9. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    I know I suggested this on the FB page, but I do want to repeat myself : please call your vet and put him on alert in case you need to make a fast trip in.
     
  10. Jessica2085

    Jessica2085 Member

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    Yes. We have an emergency vet.
     
  11. Jessica2085

    Jessica2085 Member

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    I do have his high carb dry food. I can go buy a high carb wet food too. Which one is best?
     
  12. Jessica2085

    Jessica2085 Member

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    He is 4.0 right now.
     
  13. Doodles & Karen

    Doodles & Karen Well-Known Member

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    5u has is a huge depot to manage and like said above can stay in your kitties system a long time Keep testing every 30 min and if needed use honey, and HC wet food. You don't have a spreadsheet set up so it's hard to help and I don't understand the metric numbers. When you remove dry they can drop very fast.
     
  14. Jessica2085

    Jessica2085 Member

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    Already made the call :) they are aware.
     
  15. Jessica2085

    Jessica2085 Member

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    What is hc wet food
     
  16. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Hi - waving at you from across the Rockies (BC coast). You'll want some high carb wet food. If you can find some Fancy Feast Gravy Lovers, there is lots of gravy. That's where the carbs are. But you can add honey, corn syrup or other syrup to regular food to make it high carb.

    How long ago since you last tested? Carbs can wear off and the numbers drop back again, so you'll want to keep testing frequently. Don't leave now to shop unless you can be done in back in 30 minutes.
     
  17. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    Also, to make things easier, can you edit your original post here and add in a running BG so people can see it in one look? You can just copy this to start and then add as the day goes on.

    Add the US numbers, as well (multiply by 18) so you can get feedback from our American members.

    Get some wet food, but don't overdo food right now until you see if he's going up. You don't want him full and refusing to eat if he drops again!

    AM PS : 15.7 (283 US)
    gave 5u Lantus/ fed FF
    +2 : 2.9 (52 US)/ gave syrup, dry food
    +2.5 : 3.3 (59 US)
     
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  18. Jessica2085

    Jessica2085 Member

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    NM high carb wet food duh lol
     
  19. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Yup, we are big on acronyms here. :p
     
  20. Jessica2085

    Jessica2085 Member

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    Sorry guys very hard to keep up with all the replies. I appreciate it immensely tho. I am still confused on how to write that chart I'll try my way see it makes sense to u guys
     
  21. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    Jessica- just copy what I wrote for you above and add to it
     
  22. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    By the way.... what does "Inailing" mean?
     
  23. Diana&Tom

    Diana&Tom Well-Known Member

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    Predictive text for "insulin"???
     
  24. Jessica2085

    Jessica2085 Member

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    Apr 23, 2016
    Yep lol
     
  25. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Jessica, is there any update? ...The insulin hasn't really started to kick in. You may well need to get your kitty to a vet to get him on a glucose drip. ...Please update us with the situation whenever you can...
     
  26. Olive & Paula

    Olive & Paula Well-Known Member

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    Standing by
     
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  27. Jessica2085

    Jessica2085 Member

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    Called the vet. Was told what to do. Do u know what the peak time in for lantus. Like how many hours after it given it it most effective?
     
  28. Olive & Paula

    Olive & Paula Well-Known Member

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    Lantus kicks in about 3 hrs after giving. You have a large depot in play here.

    When is the next test due?
     
  29. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    Jessica,
    What is the blood glucose level now?
    How many hours ago did you give insulin?

    Please update us...
     
  30. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Jessica, are you going to update the situation?
    Do you require further help...?
     
  31. Olive & Paula

    Olive & Paula Well-Known Member

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  32. TempestsMum

    TempestsMum Guest

    I just read this, how scary I hope there's an update soon!

    Maybe she's on her way to the vets.
     
  33. Gussie's mom (GA)

    Gussie's mom (GA) Well-Known Member

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    Yikes, hope she checks in....
     
  34. Olive & Paula

    Olive & Paula Well-Known Member

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    Hoping the tag gets through if she has a smart phone.
     
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  35. Olive & Paula

    Olive & Paula Well-Known Member

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    Hopefully she didn't go the store for wet food at this time.
     
  36. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    Last post I saw was on FB an hour ago and Bobby was back to 2.9. I don't know what the times are from shot until the last reading she reported.


    ETA I hope she understands how critical it is to be testing every 20 minutes.
     
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  37. Jessica2085

    Jessica2085 Member

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    Apr 23, 2016
    So sorry guys. Bobby is at 9.6 right now I'm at hospital I ripped open my incision on hand from surgery on Tuesday. He is good right now but keep checking his numbers. He has stayed at 9.6 for a bit now
     
  38. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Thank you for the update. Glad to hear Bobby is in safe numbers, but so sorry to hear that you have torn open your incision. :bighug::bighug:
     
  39. KarenRamboConan

    KarenRamboConan Senior Member Moderator

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    Thank you, Jessica. Good news for Bobby- bad news for you. Sorry to bug you but we are worriers. :)
    Take care of yourself and update us later if you can.
     
  40. Olive & Paula

    Olive & Paula Well-Known Member

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    Glad to hear Bobby is okay. Sorry to hear you re-injured your hand. Keep us posted.
     
  41. Looby & Smiffy

    Looby & Smiffy Member

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    Apr 8, 2016
    So glad you got some good help here and got Bobby into safe numbers again .... well done Jessica!

    Sorry about your hand!

    Oh dear you have been through the mill today ......

    Time to take a deep breath and to relax a bit now :)
     
  42. Tara & Ivana (GA)

    Tara & Ivana (GA) Well-Known Member

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    Aug 20, 2015
    Paws crossed for Bobby (and you) today, looks like it will be a long one for you both :bighug: You'll be fine!

    ETA: I just looked at the time and it looks like your day is almost over, darn this time-difference thing, always confuses me haha
     
  43. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Me too, Tara! Ha-ha! :D
    .
     
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  44. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Hi Jessica @Jessica2085 , I hope you have recovered from your difficult day yesterday.
    (And I hope your hand will soon be better :bighug: :bighug::bighug:)

    Just so that we're 'up to speed' with what happened yesterday, can you tell us what advice your vet gave you to raise the blood glucose? (Just so that we know what's in your cat's system).

    Clearly the insulin dose is way too high. And I'm presuming your vet has recommended a significant dose reduction?

    The blood glucose numbers do actually look a bit odd to me, because the drop in levels was so huge in such a short time and very early in the cycle (not something you expect to see with Lantus:
    AM PS : 15.7 (283 US)
    gave 5u Lantus/ fed FF
    +2 : 2.9 (52 US)/ gave syrup, dry food
    +2.5 : 3.3 (59 US)


    I do wonder if the AMPS reading was a faulty one? Wonky readings certainly do happen on occasion. What was your cat's PMPS the previous evening? And did you take any other BG tests after that one? ...Just trying to piece together the picture....

    And have you significantly reduced the carb content of your cat's diet recently?

    Eliz
     
  45. Callie & Patches

    Callie & Patches Well-Known Member

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    Jun 18, 2016
    Jessica, sometimes you can get a bad strip that will give a strange number. I have learned to take another test just to check that the strip is ok. I do that anytime I get an unexpected number.
     
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