GA any advice??? can't tell - hypo/hyper extreme reaction

BG- 68 at vets visit this past wedn, recommended to stop all insulin shots- had been on 2 units lantus- jake good this morning (7/6) conversation w vet early PM- no insulin until tomorrow where they will do BG testing... problem is we found Jake about 10pm on floor, sluggish, weak, carried him upstairs , starts drinking lots of water ate a little food, starts to stagger, jumps on kitchen counter- more water... do we dare to give him one unit? can this be the somolgian (sp) effect? Jake is still on counter... while we try to get to vet tech- any advice???

 

I can't stay very long, but hopefully someone else comes along.

Do you have a meter to home test?

Could be a number of things, some relates to ketones or just smaller things. His BG reading is key here.

Anyone around?

@Wendy&Neko
@Gill & George
@Tanya and Ducia
@Bron and Sheba

I am trying to think of west coast members (or over seas) ...

 

Any luck getting a hold of vet? His BG could just be bouncing and he is not feeling well. I'd just make sure he has the water he wants and see if you can get him to eat a little at a time.

He hasn't had insulin today, correct?

 

Jake's BG has been well regulated- until recently (5/5/17 pancreatitis/uti and then upper resp infection) have appt tomorrow AM- have fluids

 

No insulin!

 

We do have a bag of fluids - for hydration but someone mentioned that it could possibly help to flush some sugar out??

 

How is he now?

 

has he eaten?

What insulin was he on?
If Lantus or Levemir - he is still under the influence from the previous shot - we call it depot.

How long since the last injection of 2Unit and what has he eaten?

 

If he is drinking a lot, i dont believe fluids would be needed.

It kinda sounds like he is feeling crummy, maybe his is bouncing from the discontinuation of the insulin. Gordy's symptoms come back if he is too high for just 2 cycles, so its possible Jake could be the same...

The staggering and weakness part concerns me though =/

 

Unless you post we won' be able to help.

 

@Tanya and Ducia tanya, are you going to be up for a bit? Its midnight here and i can barely keep my eyes open at this point

 

Are you able to take his BSL?
Do you have any test strips to test if he has any ketones in his urine?
I would not give him any insulin until you know his BSL but I would be trying to get him to eat.
If you are not able to do these things I would be taking him to a vet. If you can't get into your own vet....I don't know the time where you are, I would get to an ER

ETA I see you said it was 10pm so you will probably need to go to the ER

 

fluids often help in many situations as long as there is not a heart condition.
are you home testing? any way you can get to a Walmart or Walgreens etc... to get a meter and strips? I would be very nervous about giving a unit without knowing his bg....
any update?

 

Last lantus injection was wed at 10 AM - 2 units - vet BG test at 2:15 was 68, no insulin since then-- ate wednesday several times - DM crackers, other high protein food (beyond grain free, some A?D, baby food/ medley.

 

just got urine glucose - is high!

 

I'll be up 4 a while. Good night Cass.

 

How old is Jake? Has he ever been like this before? How do his eyes look?

 

Is he eating for you?
Has he been unwell during the past week?
My concern is he might have ketones

 

Ok, it is not good but for now best if you can take his BG test. Can you do it?

Also - what has he eaten and how long ago?

 

Jake is about 14/15- never quite like this...some vacant stares but seems to know where he is going-- would half a unit help-- ER is about hour away- if we can just get through the next 7 hrs...

 

if he eats and there is 2U depot at play - that leaves some room..

 

What and how much has he eaten since last injection?

 

h's had some baby food bout an hour ago-- haven't checked for ketones today- never had luck drawing blood- thick pads and black ears- vet tech couldn't do it...

 

@tiffmaxee

 

last injection was wedn 10 AM! he's eaten quite a lot since then- but is refusing to eat right now...

 

Ok, calm down and think that the only thing in the world your kitty needs right now is for you to take his BG.

Can you do it?

 

@manxcat419
@MrWorfMen's Mom

 

I think you should take him to the ER now. My concern is he might have ketones in his urine and be heading for DKA. Just having a high BSL should not give the symptoms he has at the moment.
You could ring the ER and ask their advice about giving insulin but I would not like to say...

You can test for ketones in the same way you test for sugar in the urine. there are strips called KETOSTIX.
I don't think you can wait for 7 hours to have him checked out. I wouldn't risk it myself.

 

just checked urine on pad from 10 minutes ago- it was positive for ketones- however urine is 10 minutes old

 

I agree with Bron... 110%.
Unless you can provide info which will help pinpoint a problem, the very best thing to do is to take him to an ER. If we make suggestions they *could be* wrong. The last thing any of us want to do is any harm.

Trace, Moderate, or High?

 

DKA can happen so quickly??? he was 68 (wedn) yesterday with no ketones???

 

Yes, it can. My own cat went into DKA a day after she was diagnosed with diabetes.

 

small to moderate

 

Yes very quickly, especially if he has not been getting insulin and not eating a lot. It can be an extremely serious life threatening illness.
Was the reading of the ketones trace, medium or high?

 

Anything over trace calls for a vet visit.

 

I have no experience with DKA....sending prayers...

 

but there is that somogian effect that can show high glucose but its the liver enzyme that is making BG high- all determined by BG curve...

 

yikes, afraid that the 1 hr trip will put him over the top- fluids of 1 unit of lantus would not help???

 

fluids or 1 unit lantus...

 

Especially when combined with the symptoms you've described... "we found Jake about 10pm on floor, sluggish, weak, carried him upstairs , starts drinking lots of water ate a little food, starts to stagger, jumps on kitchen counter- more water".

Not applicable to this situation.

Having dealt with DKA, I'd be on my way to the ER. They have the tools to treat and can perform the appropriate tests.

 

I absolutely agree with everything Jill has said. Jill is very experienced so please take her advice.
Please take him to the ER now. DKA is not something that can be managed at home or that can be left til later to deal with

 

one more question? if we were to be able to test him and sugar is high- would we be able to inject insulin without him eating?

 

Agree ER is best.

 

Even if you're able to give him insulin, anything over trace ketones calls for a vet visit. Yes, insulin will undoubtedly help, but if over trace ketones... he needs to be treated for ketones ... before the ketones get worse (develop into DKA).

 

If left untreated, DKA be fatal... not to mention very costly.

 

There were better pros to help out - have a good night sleep.
Getting off myself.

 

fluids before the drive??? were calling them now... very upsetting- jake still has sneezing issues possibly upper rep- perhaps our vet has not been totally upfront with prognosis- should have hospitalized him 2 months ago when we found trace ants of ketones- and yet we pulled him through...

 

THANK YOU!!!

 

yes, we went through the costly ER almost 3 years ago!! regulated until recently...

 

I wouldn't give him anything besides food and/or water prior to taking him to the ER... unless he is known to vomit during rides in the car. In that case, I think I'd just give him water. Take his insulin and syringes with you. Not sure if they'll want to give it to him. They might prefer using a fast acting insulin like R (usually they have it on hand). You also might want to bring some of his favorite foods.

 

What does regulated mean? What blood glucose range (on a human meter, pet-specific meter, or lab value)?

 

Once the dust settles, please let us know how things are going and if we can help.
Sending positive thoughts...

 

I hope Jake is doing better this morning.

I am sure you had a long night, but just give us a status update when you have a chance.

 

Just seeing this now. Glad she took the cat to ER. Sending healing thoughts and prayers!

 

Thank you, thank you for all your kindness, info and good wishes!
We let Jake go this afternoon about 3. Took him to vet ER as planned, all nighter - Too many complications on the path he was headed toward, (pancreatitis, wide sugar swings caused by possible lymphoma in nasal cavity) so we decided we couldn't put him through any more pain and suffering. We spent time with him, played songs for him. He was peaceful and in our lap at the end. We miss him so profoundly, we're trying to reconcile all the emotions and feelings. His energy is still around us in the house and that gives us some comfort. Many blessings!!

 

So sorry.

 

I'm so sorry to hear. We are here for you guys.

 

Fly free sweet Jake.

 

Very sorry to hear you let him go, but now he's not in any pain.

 

I'm sorry you lost your kitty.

 

I'm so sorry for you loss.


Fly free dear Jake... land softly.

 

My condolences on your loss.

 

I am so sorry for your loss

 

I'm very sorry for your loss

 

So sorry to hear Jake has crossed the Bridge. RIP Jake.

 

I'm so sorry. Fly free Jake. Sending prayers.

 

So very sorry that it was Jake's time to leave you.

 

Prayers for your grieving hearts.
Fly Free Jake.

 

I am soo very sorry for your pain

Norse Legend of the Rainbow Bridge

Just this side of heaven is a place called Rainbow Bridge.

When an animal dies that has been especially close to someone here, that pet goes to Rainbow Bridge. There are meadows and hills for all of our special friends so they can run and play together. There is plenty of food, water and sunshine, and our friends are warm and comfortable.

All the animals who had been ill and old are restored to health and vigor. Those who were hurt or maimed are made whole and strong again, just as we remember them in our dreams of days and times gone by.

The animals are happy and content, except for one small thing; they each miss someone very special to them, who had to be left behind.

They all run and play together, but the day comes when one suddenly stops and looks into the distance. His bright eyes are intent. His eager body quivers. Suddenly he begins to run from the group, flying over the green grass, his legs carrying him faster and faster.

You have been spotted, and when you and your special friend finally meet, you cling together in joyous reunion, never to be parted again. The happy kisses rain upon your face; your hands again caress the beloved head, and you look once more into the trusting eyes of your pet, so long gone from your life but never absent from your heart.

Then you cross Rainbow Bridge together....
Author unknown...

 

So sorry for your loss. May fond memories of your beloved, Jake, warm your heart always

 

I'm very sorry for your loss.

 

I am so sorry for your loss. Fly free sweet Jake.

 

I am so sorry. Your decision was clear. He is at peace.

 

Thank you, thank you!!! very sweet of all of you!!! Our fur babies are always still with us!!! In our hearts and souls!

 

Fly free sweet Jake and land softly at the Rainbow Bridge. Deepest condolences on your loss

 

I am so sorry... fly free little one. Land softly at the bridge.

 

Sorry for your loss.
Fly free and land softly sweet Jake.

 

So very sorry it was Jake's time to go to the bridge.