GA Two DKA Episodes in one day, vet says too hard to regulate. HELP

Discussion in 'Lantus / Levemir / Biosimilars' started by Rusty & Smokey, Apr 3, 2018.

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  1. Rusty & Smokey

    Rusty & Smokey Member

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    I'm gonna need you guys' help again. Smokey's having another hypoglycemic episode. We gave him about a teaspoon and a half of honey. Do we follow with his high carb Fancy Feast?
     
    Last edited by a moderator: Apr 4, 2018
    Reason for edit: Added the GA prefix... (((hugs)))
  2. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

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    I would follow with some HC like a tsp...that honey will wear off quickly.

    Test again in 20 minutes.
     
  3. Stacy & Asia

    Stacy & Asia Well-Known Member

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    How is he acting? Be careful not to feed him too much in case you need him to eat in a little bit because his number drops again.

    Did you already give him insulin? What time and what was his last number before this? I know you guys just got back from the vet with the DKA episode, but don’t know if this was your first reading since then. What amount and when was the last the vet gave him?
     
  4. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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  5. Rusty & Smokey

    Rusty & Smokey Member

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    Up to 48 now. Doesn't really wanna eat the HC food.

    He did not get insulin. I don't know when he last ate. He had his isulin last at 8 AM.
     
  6. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Up Smokey! Please keep your title thread up to date tonight as the SS isn't. I have to go offline to get my mom ready for bed. @Stacy & Asia , can you hang with Rusty?
     
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  7. Rusty & Smokey

    Rusty & Smokey Member

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  8. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I will be around for another hour or so
     
  9. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Okay, do you have any food he likes? It doesn’t need to be HC as long as you can get honey in him if you need to. Just get him to eat some food if you can and give some more honey and test again in 20-30 until you get him over 50
     
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  10. Rusty & Smokey

    Rusty & Smokey Member

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    His BG is now at 59, though he still doesn't want to eat. We're offering him Glycobalance kibble, two flavors of FF Gravy Lovers, and we've just offered him one of his FF Classic flavors.
     
  11. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    It's a double edge sword here; the good news is that he hasn't had insulin since 8 am. The bad news is that with a recent DKA he needs some insulin but I am not too sure how much. Can your schedule be off if he comes up some and you shoot?
     
    Last edited: Apr 3, 2018
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  12. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Just saw you updated and he had .50 unit this morning?
     
  13. Rusty & Smokey

    Rusty & Smokey Member

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    Correct. They gave him a half unit this morning. We just gave him another half tsp of honey.
     
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  14. Dyana

    Dyana Well-Known Member

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    What time did they give the insulin this morning?
     
  15. Rusty & Smokey

    Rusty & Smokey Member

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    I believe they gave him the insulin at 8.
     
  16. Dyana

    Dyana Well-Known Member

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    His ketones are now negative correct?
     
  17. Rusty & Smokey

    Rusty & Smokey Member

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    Yes. No ketones.
     
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  18. Dyana

    Dyana Well-Known Member

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    That's a relief. Did the vet say he was eating today?
     
  19. Rusty & Smokey

    Rusty & Smokey Member

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    Yup. He had breakfast.
     
  20. Dyana

    Dyana Well-Known Member

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    Does he normally not like HC? I would like to see him eat something. As Stacy said you don't want him to eat a lot and get too full, in case the honey wears off suddenly you may need to get him to eat later. He may just be exhausted from all the days at the vet.
     
  21. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I also wouldn’t want to skip insulin but not knowing what his readings were at the vet, I think obviously .5 for right now is too much.

    Are you able to syringe feed him if needed?
     
  22. Rusty & Smokey

    Rusty & Smokey Member

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    We have never given him the HC food before. He doesn't even want his treats or his FF. BG is now at 86.
     
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  23. Dyana

    Dyana Well-Known Member

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    I'm glad he's going up.
    Can you call the vet and see it they have any BG test data from today? Does he seem interested at all in the food, and then lick his lips or turn away?
     
  24. Rusty & Smokey

    Rusty & Smokey Member

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    Will do. And yes, he seems interested, but then turns his head away. He had Cerenia at noon today.
     
  25. Dyana

    Dyana Well-Known Member

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    Sometimes cats need Ondansetron and/or Cerenia for nausea. You wouldn't happen to have any Ondansetron would you? How is his hydration, has he been drinking?
     
  26. Rusty & Smokey

    Rusty & Smokey Member

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    He had Cerenia at noon, and we have some tablets that the vet gave us. He was in his pumpkin since we got home.
     
  27. Dyana

    Dyana Well-Known Member

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    How far off schedule can you be? Can you let him be for a bit, let him settle a little, keep testing, and give his shot when he is a bit higher and staying up? I'm thinking if he comes up over 100, maybe you can give him 1/4 unit to get some insulin in him. You may need to keep testing for a while.
    Let's see what opinions you get from others.
     
  28. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Just make sure you keep testing him for a bit. Usually after 2 hours post honey/HC you can relax a bit, but if it wears off and he hasn’t been eating much, it can go back down again. Also, without data from what happened today and his recent hospitalization, I would monitor him throughout the night if can set alarms every couple hours or something. Also, if you are skipping, be sure to test for ketones and try to keep him eating and drinking.
     
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  29. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    what are the tablets? Are they ondansetron? Or something like mirtzapine or cyproheptadine?
     
  30. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I agree with Dyana that if he comes up a bit to shoot, it is much better to have insulin on board with the DKA history and very recent episode. That being said, you have little more than preshot data on your SS. I would not give any insulin if you can not monitor him and test frequently.
     
  31. Rusty & Smokey

    Rusty & Smokey Member

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    They are Maropitant/Cerenia.
     
  32. Rusty & Smokey

    Rusty & Smokey Member

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    I got a +3 post shot BG from the hospital. It was 294. He ate very well this morning.
     
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  33. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Okay, that’s something you only want to give every 24 hours. Perhaps your vet can prescribe some onda, it’s a different anti nausea medication. I have to run out for a couple of hours but will be back to check up after that. The 911 should get attention if anything comes up.
     
  34. Dyana

    Dyana Well-Known Member

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    I'm glad he ate well this morning. I am hoping he just needs some time to adjust to being back home.
    Are you able to stay up or set alarms to keep testing on and off tonight?
    I am going to have to sign off, but there are others around to help you. Just keep posting the updates and any questions you have.
    When you called the vet, did you mention he isn't eating? Maybe they will give you some appetite stimulant like Cyproheptadine or Mirtzapine?
    I will check in on you in the morning. My kitty was a DKA survivor, so I know how good it is to get them home. J.D. came home with a feeding tube. That lasted all of 1 day, before he pulled it out and started eating on his own. I wish you the same luck with Smokey, that he is soon eating and feeling much better.
     
  35. Rusty & Smokey

    Rusty & Smokey Member

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    He got his insulin at 8:40 this morning at the vet's. I'm not sure how to measure a quarter unit, despite reading everything on here about dosing.
     
  36. Rusty & Smokey

    Rusty & Smokey Member

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    We did, and they of course said to bring him into the ER.
     
  37. Rusty & Smokey

    Rusty & Smokey Member

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    BG is now 108. Still doesn't want to eat, but he was wiggly when checking his BG, which is more like himself. lol
     
  38. Dyana

    Dyana Well-Known Member

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    That's good. I would test some more, and if he keeps going up, give him some insulin. Are you going to be able to give him his insulin 12 hours after you give him his insulin tonight?
    This is what 1/4 unit looks like. The picture can be found in the yellow Stickeys at the top of the page.
    [​IMG]
     
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  39. Rusty & Smokey

    Rusty & Smokey Member

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    Our syringes don't let us do that. The zero is like... at a weird position.
     
  40. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    pm me your address and I'll send you some ondansetron.
     
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  41. Rusty & Smokey

    Rusty & Smokey Member

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    We're gonna bring him in. His belly feels hard and he keeps loafing. I'm hoping it's just gas like it was the other day, and from his pancreatitis.
     
  42. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Take your test kit and some honey either you. You don't want his numbers going down again when the honey wears off.

    Good luck and keep us posted.:bighug:
     
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  43. Chubba (GA)

    Chubba (GA) Well-Known Member

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    Good luck. Sending vines and :bighug:.
     
  44. Rusty & Smokey

    Rusty & Smokey Member

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    We took him. It appears to be nothing too serious. Just that his pancreas is still very angry! The doctor gave us the choice of bringing him home and monitoring him, or hospitalizing him just overnight. We decided to have him stay, just to make extra sure everything checks out. The doctor was really nice, and he didn't seem too concerned about Smokey. He's just gotta get through this nasty flare up!
     
  45. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

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    Such a worry.

    :bighug:
     
  46. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I’m sorry you had to take him back in, but it’s better than him suffering and you worrying all night and not being able to do much about it. I hope he’s feeling better soon and eating for you. :bighug:
     
  47. Gretchen(sugarbaby)&bobbi

    Gretchen(sugarbaby)&bobbi Member

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    So glad to hear! I’ve been following this with hopes of nothing serious! Glad you took him too!
     
  48. Dyana

    Dyana Well-Known Member

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    Sending vines for Smokey to be feeling much better and eating better for you, today. :bighug:
     
  49. LizzieInTexas

    LizzieInTexas Well-Known Member

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    Is he getting anything for pain?

    I will give you a couple of things I do..

    Free feed (leave a bowl with food he has access to all the time), in fact, I leave about 3 scattered around his "areas." I also spoon a bit of water on top to keep it moist (and it is getting more fluids into him as he eats).
    Keep regular schedule with the Cerenia, Ondan and pain meds. Even after Gizmo seems better, I continue for about 5-7 days (especially the Cerenia).
    Canna - I am not sure what this does for the pain but it definitely helps. It also stimulates the appy. It seems to relax him and make him more comfortable.
    Slippery Elm Bark or Marshmallow root slurry - this can be difficult because no meds can be given 2 hours before or after meds. It coats the lining of the GI system and seems to easy the nausea and discomfort. I give Gizmo MMR slurry every AM/PM on a regular basis (every day).
    Hills RX a/d food. It is about 6% carb but it is the only thing that Gizmo will even consider eating when he rejects all else. You have to get it from the vet or get an prescription for it.
    Test for Ketones regularly - if you don't have a blood meter, seriously consider getting one. With the lack of fluid intake getting the pee tests can be a challenge (and Gizmo would never have let me get a sample anyway) - silly cat, likes his privacy.

    Pancreatitis is a rough go. Gizmo has been hospitalized 3x for it but now we can manage (for the most part) at home. He will go to the vet if he needed a prescription refill or fluids (but now I am set up to give fluids at home).

    Eating may be a slow-go but just keep it available, it will slowly pick back up (I know that isn't ideal with insulin on board).

    :bighug::bighug::cat:

    Get to feeling better Smokey :cat:
     
    Last edited: Apr 4, 2018
  50. CassAndGordy(GA)

    CassAndGordy(GA) Well-Known Member

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    Im glad that the vet got you an answer and I hope he is feeling better when you get him! My cats have never had pancreatitis, but I've seen what it does to plenty kitties here. Lizzie gave some excellent advice. The three prescription meds are key - and def insist on some kind of pain med. Pancreatitis is painful but some vets don't realize it. :mad:

    Sending healing vines!
     
  51. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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  52. Rusty & Smokey

    Rusty & Smokey Member

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    Update: he's not doing too great. He ain't eat, and his red blood cell count has dropped. The doctor thought that it would pick back up once he was home, but it hasn't. I am so scared. He might need a blood transfusion.
     
  53. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Is he still at the vet or home with you now? Sending healing vines to Smokey, I hope they figure out what is going on, he doesn't need a transfusion and he starts eating on his own. :bighug::bighug::bighug::bighug::bighug:
     
  54. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Assuming he's still at the vet, the not eating could just be him being depressed/confused at being back there so soon after coming home. Crossing fingers that there's nothing more serious than that going on. :bighug: :bighug: :bighug: :bighug:
     
  55. Pamela & Amethyst

    Pamela & Amethyst Well-Known Member

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  56. Rusty & Smokey

    Rusty & Smokey Member

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    Update: I just talked to the doctor myself, and she said as soon as she got off the phone with my mom, Smokey started gobbling his food and wandering around his cage! Happy news!

    As for the RBC being low, she believes it's due to the pancreatitis, and that his body is most likely just taking a bit to restore the count. If he needs a transfusion, it would just be to help his body jump start the process a bit.

    Mom is still a mess, but it's very good news that he's eating now!
     
  57. Rusty & Smokey

    Rusty & Smokey Member

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    Oops, forgot to clarify: he's still at the vet!
     
  58. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

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    That is a good updating. Eating is good.
     
  59. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

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    ask your vet for a prescription for ondansetron when you bring him home again....
    many vets aren't knowledgeable about this drug since it is for humans - it was developed for cancer patients who can't eat.
    the dosage is a 4 mg pill divided into 4 pieces ( ask the pharmacy for round pills as they are easier to divide)
    you can give it up to 3x a day. Most of us do it before breakfast and before pm shot time.

    even without an appy stimulant afterwards, it could very well make a Huge difference in him eating.
    if they also give you cyproheptadine, you give that 30 minutes after the ondansetron.


    I'm glad he ate for now but this sounds like a recurring problem. Nausea can really make them hesitate to eat like you are
    describing.

    the other thing mentioned in that primer for pancreatitis article is pain management.
    ask the vet for something for his pain, something to knock the edge off.....
    bupenorphine is the one most of us use. I gave the smallest dose possible.
     
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  60. tiffmaxee

    tiffmaxee Well-Known Member

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    Max had chronic pancreatitis for several years. Ondansetron started immediately when his appetite was off even a little really helped so I second that suggestion. If you can get it today to have on hand. Once you learn his signs and you treat right away you hopefully won’t need to hospitalize often if ever.
     
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  61. Rusty & Smokey

    Rusty & Smokey Member

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    Update: he's back in DKA, and his blood cell count dropped to 14. We don't know what to do... How could he go back into DKA so quickly? The doctor said if we treat him, he'll be very difficult to regulate.
     
  62. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I'm so sorry, but at least he's at the vet and they can help him. :bighug::bighug::bighug:For what it's worth, there are many cats here that have had one or more DKA episodes and they can be regulated, it does require you testing at home for ketones and being aggressive to keep them at bay, one that I'm aware of even went OTJ @Sandy and Black Kitty
     
  63. Rusty & Smokey

    Rusty & Smokey Member

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    Have there been kitties who were sent home and got DKA right back?

    We really don't want to make The Decision if this can be treated...
     
  64. Stacy & Asia

    Stacy & Asia Well-Known Member

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    I have no personal DKA experience, but I put the word out to a few people, hopefully will be by soon. Maybe put a 911 up again and something in your title, DKA twice in 2 days, vet says too hard to regulate after treatment or something like that just to get as many eyes as soon as possible.

    @Dyana @Jill & Alex (GA) @Meya14 @Kris & Teasel @Tanya and Ducia @Susan&Felix
     
    Last edited: Apr 4, 2018
  65. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Do you know what lab value this is that dropped to 14? Is it hematocrit?
     
  66. Rusty & Smokey

    Rusty & Smokey Member

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    Red blood cell count. Bet thinks there's something else going on that's causing them to destroy themselves at a fast rate.
     
  67. Kris & Teasel

    Kris & Teasel Well-Known Member

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    My cat had a bout two years ago and spent 3 days in the vet's ER ICU. By the time he was released, his BG was under better (but not great) control, electrolytes were OK and he was eating on his own. He was tired and weak but recovered slowly over a couple of weeks. I wish I had more to offer but I don't. :(:bighug:
     
  68. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    How severe is the DKA? Are there trace ketones or large ketones? How is the vet testing? If it's a blood test, what are the numbers? My point here is that DKA is on a continuum. It's not like pregnancy (you are or you're not). Cats can be very sensitive to insulin if their numbers have been low the way Smokey's were (i.e., bhe 21). Cats can easily fall back into developing ketones after an episode of DKA especially if they don't have enough insulin or if they aren't eating. Remember, food and insulin are critical to keeping ketones at bay. Over the years, we've seen any number of cats who were hospitalized for DKA and become ketone-prone after that episode.

    I'm going to be stern. You will need to keep on top of Smokey's ketones at home. You are also going to need to get religious about home testing. Pre-shot tests will not be enough to keep Smokey safe and out of dangerous territory and to say nothing about saving you a fortune in vet bills. With the number of times Smokey has been through DKA, you have got to become more rigorous about testing if for no other reason than what you've been doing isn't working right now. I've held too many people's hands with DKA kitties to be polite and tell you this will be OK. You will have to work harder to keep your kitty safe.

    Find something Smokey will eat. It doesn't matter if it's a hot fudge sundae (well, without the chocolate since that's not good for kitties). Forget about carbs for the moment. Your cat needs to eat. You can feed higher carb food to offset the insulin. Try baby food (Gerber or Beechnut Stage 2 -- no veggies, just a protein and broth and sometimes cornstarch). Many cats find baby food irresistible. It's not a good permanent diet since it doesn't have all the nutrients a cat needs but it's a good temporary option. Liver shakes which sound disgusting can be a great way to get food into a cat. Ask the vet for the kitty equivalent of Ensure and if Smokey isn't eating, ask for a feeding syringe. You may need to learn how to assist feed your cat.

    If Smokey is nauseated, which can happen with pancreatitis, the combination of Cerenia and ondansatron can be very helpful, as others have noted. (Ondansatron -- also known as Zofran -- was developed to help cancer patients overcome the nausea associated with chemotherapy. It's a prescription available at any pharmacy. Cerenia is available for pets only.) Once the nausea is better controlled, an appetite stimulant, either mirtazepine or cyproheptadine should get Smokey eating.

    Managing DKA is a big job and it's scary. You HAVE to monitor your cat both for ketones and for BG. It is easiest if you can get a meter that measures both BG and ketones -- either a NovaMax or Precision Xtra. Blood ketone testing is much more accurate than urine testing and you don't need to stalk your cat to the litter box. To keep Smokey out of danger you are going to have to work hard.
     
  69. Kris & Teasel

    Kris & Teasel Well-Known Member

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    How about @Meya14? She has experience.
     
  70. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I like Sienne's advice. It is a continuum and this is probably a resurgence of the same episode because he isn't eating well and has had very low BGs. He's in a very vulnerable state right now. He needs carbs to allow enough insulin to be given and buying a blood ketone meter is a really good idea.
     
  71. Rusty & Smokey

    Rusty & Smokey Member

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    Dec 8, 2015
    The main concern is the fact his red blood cells are destroying themselves.
     
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  72. Kris & Teasel

    Kris & Teasel Well-Known Member

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    There are different reasons for this, some more serious than others. I don't have enough knowledge to answer properly.
     
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  73. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Dec 31, 2009
    Hi there :cool:

    It's a delicate balance.

    There have been many kitties here that have had DKA more than once my BK was one of them. I also was told many times by his first vet that it was time for the pink shot.

    It can be overcome at home however beating back ketone development requires intensive care on the part of the caregiver - no two ways about it. Close monitoring of BG is a must


    The recipe for development of ketones (which can quickly escalate to full blown DKA) is:
    not enough calories + not enough insulin + infection or some other systemic stress.


    So, Smokey needs to consume something along the lines of 1.5 - 2 times the calories he normally does.
    Mix as much water into his food as he will tolerate - dehydration happens quickly when ketones are on the scene .
    To get those extra calories converted to energy his cells can use requires more insulin.

    Restoration before regulation..
    First address the ketone development, and when it''s well behind you, then turn your focus to regulation, always with the knowledge that your kitty is ketone prone.








     
  74. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    Dec 28, 2009
    Can you get the range your vet is using for the red cell count? If this is RBC (and not hemoglobin or hematocrit), it is not low -- but it depends on whether the 14 is from your vet's in house lab, Idexx or Antech. Every lab has a different reference range for blood values. For example, Antech's range for RBC is 5.92 - 9.93. This would make a 14 a high value and not a low value.
     
  75. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    Feb 25, 2017
    It can be treated at home.

    My Ducia had full blown DKA with Large ketones - we took her home with Trace amounts, far from perfect electrolytes, suspected Pancreatitis, jaundice, low RBC the whole DKA package - 24 hours later and cared for her at home.
    She was fit with E-tube - for feeding and the food + hydration+ some meds - was her medicine.
    She was also anemic - very low RBC - resolved with food in 4-6 weeks.
    Ketones went from Trace to Negative in 3-6 weeks with SubQ fluids+insulin+she was feed via tube well.
    Doing fine now.
    She had only 1 episode (touching the wood) - 13 months later I still testing for ketones daily.
    It was hard but doable - THANK YOU FDMB!

    I strongly support Sienne's post #68.
     
  76. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    We have decided to send Smokey ahead. He is suffering and we just cannot stand seeing him suffer. Even if the DKA is treated, he likely has something else going on with his blood.

    The vet said that he probably won't make it. We just can't do it anymore. We can't let him live like this.

    I feel like this is all my fault. I reduced his insulin too sharply...
     
  77. Stacy & Asia

    Stacy & Asia Well-Known Member

    Joined:
    Oct 2, 2017
    I'm so sorry, Rusty, please don't blame yourself, it is not an easy disease to manage, double that with DKA and we all do the best we know how for our kitties. :bighug::bighug::bighug::bighug::bighug:
     
  78. Rusty & Smokey

    Rusty & Smokey Member

    Joined:
    Dec 8, 2015
    Thank you. We just can't put him through anymore, especially if he has a blood condition.
     
    Stacy & Asia likes this.
  79. Sean & Rufus

    Sean & Rufus Well-Known Member

    Joined:
    Jan 10, 2018
    So so sorry to hear this. Tough decisions.
     
  80. Mandy & Rex (GA)

    Mandy & Rex (GA) Well-Known Member

    Joined:
    Mar 22, 2017
  81. Shoeskitty-GA

    Shoeskitty-GA Well-Known Member

    Joined:
    Feb 18, 2016
    :bighug::bighug::bighug::bighug::bighug: So very sorry.
     
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  82. rhiannon and shadow (GA)

    rhiannon and shadow (GA) Well-Known Member

    Joined:
    Jul 9, 2012
    :bighug::bighug::bighug:Prayers for your grieving heart. The grief has already started with all the difficulties you've been going thru.... I'm so sorry.
     
    Bellasmom likes this.
  83. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

    Joined:
    Mar 19, 2016
    I'm so sorry. You worked so hard for your little guy. :bighug: :bighug: :bighug:
     
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  84. PussCatPrince - GA

    PussCatPrince - GA Well-Known Member

    Joined:
    Nov 25, 2017
    You did all the right things, even if you won't right now believe it.

    All I have is to wrap you in hugs.
     
    Bellasmom likes this.
  85. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    I’m so sorry. :bighug:
     
    Bellasmom likes this.
  86. Meya14

    Meya14 Well-Known Member

    Joined:
    Jan 2, 2015
    Have you taken him in yet or is he still at home?
     
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  87. LuanneP

    LuanneP Member

    Joined:
    Jul 24, 2017
    I'm so sorry :( Rest in peace Smokey <3 Please don't blame yourself, you did so much for him.
     
    Bellasmom likes this.
  88. Tracey&Jones (GA)

    Tracey&Jones (GA) Well-Known Member

    Joined:
    Dec 12, 2016
    I am sorry that you had to make that decision. You can only do the best you can and sometimes that means allowing them to rest.
     
    Bellasmom likes this.
  89. Bellasmom

    Bellasmom Well-Known Member

    Joined:
    Feb 12, 2018
    I am so sorry:bighug::bighug::bighug::bighug::bighug:
     
  90. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    Rest in peace, Smokey...
    :bighug::bighug::bighug::bighug::bighug:
     
    Bellasmom likes this.
  91. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    I am so very sorry. Fly high Smokey, land softly. cat_wings>o
     
    Bellasmom likes this.
  92. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    I’m so very sorry:bighug:
    Rest In Peace Sweet Smokey:rb_icon:
     
  93. LizzieInTexas

    LizzieInTexas Well-Known Member

    Joined:
    Jul 25, 2016
    So sorry that it was time for Smokey to go to the bridge. Many, many hugs. :bighug:

    Land softly sweet Smokey. :rb_icon:cat_wings>o
     
  94. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I'm so sorry you had to make this very difficult decision. :bighug::rb_icon:cat_wings>o
     
  95. srk4cats

    srk4cats Well-Known Member

    Joined:
    Jan 19, 2017
  96. CassAndGordy(GA)

    CassAndGordy(GA) Well-Known Member

    Joined:
    Sep 23, 2016
    I'm so sorry that it was his time. :bighug:

    Fly free, land softly Smokey :rb_icon:cat_wings>o
     
  97. Judy and Boomer

    Judy and Boomer Well-Known Member

    Joined:
    May 23, 2014
    I'm so sorry it was Smokey's time to go. :bighug::bighug::bighug::bighug::bighug:
     
  98. Chubba (GA)

    Chubba (GA) Well-Known Member

    Joined:
    Apr 30, 2017
    I’m so sorry. :bighug::bighug:
    :rb_icon:cat_wings>o
     
  99. Dyana

    Dyana Well-Known Member

    Joined:
    Dec 28, 2009
    I'm so sorry for your loss (((Rusty))) I know how hard it is :(
    Rusty will be waiting for you at The Bridge.
    Fly Free Smokey :rb_icon:
    I will light a candle for you.
     
    Last edited: Apr 4, 2018
    Reason for edit: fix name
  100. carfurby (GA)

    carfurby (GA) Well-Known Member

    Joined:
    Feb 19, 2012
    I'm so sorry. Fly free Smokey. Sending prayers.
     
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