5/13/17 Sprocket, Amps/68,+12/56,+12.9/69.+13.9/79.+17.5/103,+19.75/157.PMPS/436.+2.75/351

Status
Not open for further replies.
Darnell, I can't advise as to shooting or not, but if you decided to follow Start Low Go Slow Sprocket has earned a reduction by going below 90 last night.
 
Hi Darnell--

When was the last ketone test? On the spreadsheet, I see a test for 5/11, but nothing for yesterday.

I'm unwilling to tell you to shoot on this number, with him dropping and not eating especially, but I'm worried about ketones so I really hope you won't have to skip the shot entirely this morning. It may be that if you can get him eating he'll go up later enough to shoot, and then you'll just be off-schedule a bit.

Do you have food on hand that he loves? Any carb level, just anything that he finds yummy.
 
I have gravy fiod n all carb counts. Gave meds at 637am.

No ketone test since ealy yesterday i think.
Negative/hue. Hard to tell
Was gonna get new strilps todsy
 
The food should start bumping him up soon, then it's just a matter of figuring out when he's high enough to shoot (taking the food influence into account), and deciding whether there's something else going on or whether he's just decided he likes green numbers now.

Hoping that some of the more experienced hands will be on soon to help guide the shoot decision-- I'm way more comfortable knowing he's eating something, but let's make sure he's actually going to come up. He'll also surely bounce from these lows, so you'll want to have some insulin on board when he does.

Great job staying on top of this situation!
 
Hmmm.... higher, but not as high as I'd like. Really do not want to skip, especially without a ketone test within 24hrs, but this is still a lot lower than you've ever shot so I'm not yet comfortable suggesting you shoot. If he's started to shoot upwards at +2, that's not too far off-schedule, if you have to wait a lot longer that I think we're looking at something like a couple 18hr cycles to get back on track, and I'm not sure if that's the best option in a ketone-prone cat.

Tagging @Meya14 for advice!
 
Nan & Amber said:
Hmmm.... higher, but not as high as I'd like. Really do not want to skip, especially without a ketone test within 24hrs, but this is still a lot lower than you've ever shot so I'm not yet comfortable suggesting you shoot. If he's started to shoot upwards at +2, that's not too far off-schedule, if you have to wait a lot longer that I think we're looking at something like a couple 18hr cycles to get back on track, and I'm not sure if that's the best option in a ketone-prone cat.

Tagging @Meya14 for advice!
Click to expand...


I tagged her.
He ate 2oz total. Food on floor. Gonna leave some food.
He is on table lying on his bed.
Safe to sleep some or no?
Had barely 3 hrs of sleep.
Havent seen him pee for awhile.

No shot. Not sure what happened yesterday afternoon but something made him like this.
 
Does he seem like he's drinking enough water?

I do think it's very possible that it's the low numbers decreasing his appetite because he actually feels better, not as hungry. They're certainly great numbers for his pancreas! And the fact that he's still eating some makes me somewhat less worried about ketones than I would be if he wasn't eating at all and was acting more like a sick cat, but given his history we really need to get a test.

Three hours! That's miserable, I'm so sorry. Can you wait a little bit to see if Meya or another of the more ketone-experienced folks weighs in with advice? If we don't hear from them in the next hour or so and Sprocket is at least maintaining I'd say it'd be safe to grab a few more hours of sleep. I do think though that we might be looking at the 18-hr cycle trick, though, which would mean a shot four hours from now. I really really don't want him to miss a shot entirely and go 24hrs without insulin.
 
Nan & Amber said:
Does he seem like he's drinking enough water?

I do think it's very possible that it's the low numbers decreasing his appetite because he actually feels better, not as hungry. They're certainly great numbers for his pancreas! And the fact that he's still eating some makes me somewhat less worried about ketones than I would be if he wasn't eating at all and was acting more like a sick cat, but given his history we really need to get a test.

Three hours! That's miserable, I'm so sorry. Can you wait a little bit to see if Meya or another of the more ketone-experienced folks weighs in with advice? If we don't hear from them in the next hour or so and Sprocket is at least maintaining I'd say it'd be safe to grab a few more hours of sleep. I do think though that we might be looking at the 18-hr cycle trick, though, which would mean a shot four hours from now. I really really don't want him to miss a shot entirely and go 24hrs without insulin.
Click to expand...

I havent seen him drink water except in the food.
I pmd and tagged meya.
Jenna working.
No one else responding.
 
Also, for the future: with a cat like Sprocket, I think it's probably worth it to get a blood ketone meter for times like this when he won't pee on command :rolleyes:. I haven't used them myself-- my understanding is that the meters aren't too terribly expensive (I've seen them at ADW for $35 or so) although the strips (of course) are. So you'd use the urine dipsticks for everyday testing but the meter for occasions like this when you need a quick answer.

Darnell & Sprocket said:
No one else responding.
Click to expand...

Sigh. Weekend morning-- things are pretty slow on the boards! But it's almost 8:30am on the East Coast of the US now, so I'm hoping a few more people will show up soon.

The good news is that we're not in a crisis health situation (other than the fact that you really need a nap right now!)-- just need some more expert eyes on the situation to give advice going forward.
 
morning!
got a yard sale in an hour so I'm up.

Do you have any medium carb... or gravy food ? I would like to know if he's holding out. My cat used to do that. She didn't like those low carb pates.
It's more important that he eats than how low the carb is today.


You can also give him more cypro.

Did you pick him up last night and feel him all over..... especially feel his abdomen .... see if he responds negatively.
 
rhiannon and shadow (GA) said:
morning!
got a yard sale in an hour so I'm up.

Do you have any medium carb... or gravy food ? I would like to know if he's holding out. My cat used to do that. She didn't like those low carb pates.
It's more important that he eats than how low the carb is today.


You can also give him more cypro.

Did you pick him up last night and feel him all over..... especially feel his abdomen .... see if he responds negatively.
Click to expand...

I have a bunch of food. He didnt want alot

Gave cypro, ondansetron, famotidine t 646am
He vomited clear liquid after i would say 5am
 
since you said you have to go out and get strips.....
get some different cat food. try friskies savory shreds with turkey and cheese dinner in gravy. 14%
or friskies savory shreds with beef in gravy also 14%
those two should be easy to find. you can also pick others from the chart http://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

we need to get him eating so you can shoot.
with the dka issue, skipping a shot is a bad idea but we also need to figure out what's wrong.

Is the vet available today?
 
yes. but as we say around here.... he knows you have a lot of pate. therefore, he ain't eating it.
It happens when any of us buy a whole case of a food.
Shadow used to do this to me and I'd have 6 different open cans every day. It's how I discovered that she was not very carb sensitive. When I quit worrying as much about the carb #'s and gave her 9 and 10% foods.... she was more willing to eat. She ate the turkey shreds all the time before dx and she wanted that back.

I'm just saying buy one can.
I'd send you cans but you need it today.

My reasoning is that if he won't eat something new with gravy either....
then you should see the vet.

and meanwhile, you may increase the dose of cyproheptadine.
Overtime, the current dose can be come less effective so you have to increase a bit.
 
If you gave no shot and he ate some you should be safe to take a snooze if you need to. I think perhaps he is eating less today due to being in better numbers and less hungry. Although, perhaps its something else. When you run into low numbers and you get nervous, and aren't able to test as much (sleep and stuff), you can start increasing the carbs. He's far enough out of DKA that hopefully one missed shot won't send him right back, but it would have been better to even set out dry food first to see if he'd eat and then give at least half a dose.

Eventually you do need to shoot on numbers like those, but I understand you don't have enough information to feel safe about this. In the future, start with maybe 1/3 of your normal dose when you have green preshoot and see what happens. Then once you feel safe with that, give half the dose. Then once you feel safe with that, you can start giving full doses. Of course, make sure you are able to monitor. Insulin takes a long time to kick in, and you can always feed dry or syringe honey in an emergency. Hypos are scary, but as long as you are testing, they are usually -very- easy to treat.

Please try to get a ketone test today due to the missed shot.
 
12:11pm tested . 103.
He has had about 3oz of food today.
I have thrown away alot of food. Opened 5 cans. Most in trash.
Tried to get him to eat now. He wont.

He is on cyproheptidine, famotidine, ondansetron, and ursodiol.

He was tested for pancreatitis in march amd it was negative.

I think something in tummy area keeps upsetting it. Making him nauseous often.

Now....idk.
He had the meds but ursodiol at 639am.

Gonna call vet. He originally had appt next sat
 
After test of 12:11pm at 103 he had about .50 oz of 7carb and then .75 of 3carb.
Still looks off.
Went back to his bed cage.

Called vet. They are calling me back.
I have a feeling something in belly region keeps making his belly upset n him nauseous.
He may need some tests.

Jenna said to use the # of hours after his last shot which was last night at 646pm.
 
Vet called back.
She said could do fluids but then he may perk up or not. If not he may end up at er vet if he gets worse.

Got appt at 410. Bloodwork to see whats going on.
Something is off and its not because he is lower bg.
Think lower bg is off because something is going on.

Bringing all paperwork from past.
Any advice as to what to check or what to give or not give?
 
At 230pm. Bg is 157.
Opened friskies supper supper. Gave 1.4 of can mixed with water.
5carb. He ate about 1.2oz
He is eating it good.
Starting to look better but something still off.
He keeps peeing when i am sleeping.
Appt at 410. 45min to get there
 
maybe ask her to give a cerenia shot ....help with the inappetence and the nausea.

see if she has any iams max cal. Some vets still have some in stock.

glad he ate the super supper.....
i would also still get a couple more friskies cans that I said earlier. They are 50 cents each usually so just having 2 should be helpful to see if he
likes the change.
 
Glad you'll get him checked out-- best to be sure there isn't something brewing, esp. since tomorrow is Sunday when it's tough to find an open vet (somehow, the kitties always seem to know to time these things for the weekend :rolleyes: ).

Also glad he's still eating somewhat-- he may be "off" right now, but it's good to hear that he's not acting super-sick. Hopefully that means that if there is something wrong it's just a minor blip and/or you've caught it early. Good luck at the vet!
 
Status
Not open for further replies.
Back
Top