? 4/2 Sprocket, AMPS 308, 3.5u., +3/223, +6/148, +9/184

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Darnell & Sprocket (GA)

Darnell & Sprocket (GA)

Member Since 2015
Sprocket was 437 at vet on human meter last night at hospital. 940pm he was 306 human meter. 6am this morning human meter is 308. So pet meter would be about 350-370. Vet says 4 units could go hypo if not eating well so to give 2 units now. Omg! Lets give a ketonic sensitive cat less insulin! he was hypo 1 day ago at vet. They gave dextrose.
I was thinking 3.5 units. I gave his appetite stim & famotidine this morning.
What do u think?
Ok Chris advised 3.5 units. I shot that at 7:20am eastern time.
Other advice?
 
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Give the 3.5 like we discussed last night

Test again in 2 hours....if it's about the same as the AMPS, test again sometime around +5 to +7....if he's lower at +2, test again sooner (depending on how much lower)

Please go ahead and remove the 911 for now.....you can add it back up if you run into a medical emergency later and people won't think it's the same question.
 
Here's your post from yesterday....it helps to have it so people can quickly go back and read the history

Edit your subject line while you're removing the 911 and put 4/2 Sprocket, AMPS 308.....and as the day goes on, keep the numbers updated on that subject line......that way when people scan through the forum, they can easily see what kind of day you're having and respond if they see something that concerns them.
 
About time for the +2 now-- how's he doing?

Aside from numbers, how does Sprocket seem to be feeling today? How is his eating?
 
Nan & Amber said:
About time for the +2 now-- how's he doing?

Aside from numbers, how does Sprocket seem to be feeling today? How is his eating?
Click to expand...

Sprocket was 223 at 9:52am est. He is eating but slow appetite even with appetite stim. He had about 1/4 3oz can wet over past 2 hrs. He had @1/2 tbls zero dry. 2 freze dried treats.
He is tired. But loving.
 
That's a reasonably-large drop (80pts) at +2.5, so I think it would be good to test on the more-frequent schedule today. Mostly, I'd like to see him eating a bit more, too.

Keep offering him the food. Have you tried sprinkling a little parmesan cheese, or some crushed up freeze-dried treats, to make it more tempting? Is he acting like he might be nauseated at all?

What other foods do you have on hand for today-- anything with higher carb values than his usual food?
 
Also, do you have everything you need in order to syringe-feed? I don't know that we're there quite yet, while he's still eating (slowly) on his own, but he needs to get more calories than he is currently.
 
Also (sorry to keep adding on!), if you get a chance, could you update Sprocket's spreadsheet? Especially if things start moving fast today, it will be helpful for those offering advice if they can get an up-to-date picture at a glance.

By my estimate, we're about at +3.5 now. With the drop at +2.5 and his poor appetite, it would be good to get another test soon to see where he's at.
 
Currently he is sleeping on his bed so I figured I would allow him to sleep a little. I did try the freeze dried treats on food & didn't like that. He ate the treats seperate. I do have higher carb food. What do u recommend? I have been giving under 5% carbs.
I have a few syringes left. I need more.
I will update spreadsheet. Thanks
 
Darnell said:
I do have higher carb food. What do u recommend? I have been giving under 5% carbs.
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Well, mostly I'm just looking for something he'll find irresistably tasty, but we may also need some medium-carb (approx 10-15%) or even high-carb (>15%, preferably >20%) to bring him up more quickly if he starts dropping low.

I think we're about at +5 now-- I know you'd like to let him sleep and it's definitely important that he do so for healing but please get a test soon, even if you have to wake him briefly. The lantus has been working for a couple hours and will be getting close to max action soon, so if he's been dropping we'd like to know now so we can start steering. With a cat who isn't eating well, we want plenty of warning.
 
148 at 1228pm est.
I got some 12% carb food, ff grilled beef in gravy. Or seafood grilled in gravy. Or proplan tru nature chicken & salmon, ocean fish & tuna, or salmon & catfish. 6%
 
If he still doesn't want the LC, try tempting him with a bit of the gravy foods. There's also a set of tips and tricks to encourage an inappetent cat to eat here:
http://www.felinediabetes.com/FDMB/threads/suggestions-on-how-to-stimulate-kittys-appetite.130770/


If he'll eat one of the gravy foods or responds to one of the encouragement methods, fantastic. If he doesn't, we will probably have to start syringing to make sure he gets enough calories in him to let the insulin do its job without sending him into hypo. I don't know if you've done the syringe-feeding before, but you'll want to add some water to the LC pates to make a fairly loose slurry (he needs the water anyway).

Here's a link on assist-feeding: http://www.felinediabetes.com/FDMB/threads/syringe-assisted-feeding-video-and-tips.144367/
 
He ate about 1/2 tblsp of zero dry then had a few bites & liquid of proplan true nature oceanfish & trout. I tried to give his ursodiol in pill pockets & he wont take it. Tried 2 flavors of pill pockets. Can ursodiol be crushed & syringed with water? Or denamarin?
He cried like he wanted to eat but wont take much.
 
Darnell said:
He ate about 1/2 tblsp of zero dry then had a few bites & liquid of proplan true nature oceanfish & trout. I tried to give his ursodiol in pill pockets & he wont take it. Tried 2 flavors of pill pockets. Can ursodiol be crushed & syringed with water? Or denamarin?
He cried like he wanted to eat but wont take much.
Click to expand...

Do you mean he ate just now, or is this just what he ate earlier this morning?

It sounds like he has some nausea-- try elevating the food/water bowls a bit, sometimes that helps when they are just on the edge of nausea.

I'm not familiar with those meds, I'm sorry. It's been a little light-traffic on the boards today, but hopefully there will be some folks on soon who can offer advice on that and other things.
 
He has elevated bowls. This is a new can. He hasnt even eaten 2 ounces of wet food total yet. About 2 tblsp zero dry. He had famotidine this morning at 6am. Not due for cerenia until 6pm. He won't take pill pockets either so how do I get meds in?
Jeez, where is everyone? We seem to have bad timing all over. Specialist at ER not working when he goes & now not many on board today. Ugh.
Thank you for helping.
 
OK, so that's roughly 50-60kcal for the wet food, and maybe 75 for the dry, plus maybe 10 for the treats. That's actually not too terrible (thank goodness the YA is so calorie-dense) but it's not great, either. He'll probably need some assist-feeding at dinner tonight, at least, but at the moment, I'm most worried about what we'll do if he starts really dropping-- if he won't eat, the only option is to rub honey on his gums, and that's not something you want to be doing for a long time. Test again soon to see where he is.

I'm guessing a different anti-nausea med might be helpful, but that's probably something that will have to wait until tomorrow when you can talk to the regular vet.

How is he feeling otherwise?
 
He has had 2 more tblsp of dry mix of evo & zero to get some carbs. He still wont eat much wet. He wont take his pill pockets with his next med. He does act nauseous. I don't think they gave enough famotidine to him in hospital. He seems tired. That place was crazy last few days so I don't think he got much sleep.
Gonna test shortly.
 
Excellent. He is behaving himself today, numbers-wise! And I'm glad to hear he's willing to eat the dry food, he needs all the calories he can get.

Now we just have to figure out a way to get those meds into him....
 
I got 2 of the liver meds into him. We tried to shove down his mouth, & it didnt work. He didn't like that. Then I threatened that Grammy would come & shove it down his throat with no mercy then he ate it. lol.
Hope it keeps working. We put 100ml of sub q fluids in him and now he is also drinking more water too. Taking naps in between it all.
So far so good. Hope it keeps going that way.
 
Uggg!! That was a mess! Got him to take famotidine with pill pocket then would not take the cyproheptadine. Crushed with water & Syringed that one. Syringes suck. Some of med stays at the tip.
6:28pm was 330. 3.5 units.
He still needs his cerenia.
Why is the cyproheptadine not working as good as it was?
 
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