Dealing with HYPO for the 1st time

Discussion in 'Feline Health - (The Main Forum)' started by Tanya and Ducia, Feb 28, 2017.

  1. Tanya and Ducia

    Tanya and Ducia Well-Known Member

    Joined:
    Feb 25, 2017
    Major Hypo event:
    10 am BG 26 gave some honey on the gums
    10: 10am min Bg is 76 more honey.
    10:19am min BG is 63 called the clinic unable to bring immediately as told
    about 10-12 ml CN slurry via etube + more honey on the gum
    10:37 BG 60 more honey
    Can I dilute 1/2 spoon honey with 1/2 cup of water and flush down the etube?
    11:12am BG 145
     
    Last edited by a moderator: Feb 28, 2017
    Reason for edit: Removed 911. Ducia is being treated by her vet.
  2. billysmom (GA)

    billysmom (GA) Member

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    Feb 26, 2015
    It looks like you've gotten her numbers up. Good job! It would be helpful if you put some info into your signature such as type of insulin and what glucometer you are using. This will help anyone that is helping you. You can edit it by going to your account (the tab with your name at the top) and then click signature to add the info.
     
  3. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    Feb 25, 2017
    I was planning on doing the sig all day long but it seems it's never a dull moment here.
    I am concerned that I could have gotten a contaminated sample as the honey all over includ her ears. SHe looks better thou. Will retest 12 - 12:10pm.
     
  4. Dusty Bones

    Dusty Bones Member

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    Oct 20, 2013
    Stay calm, sounds like she's coming up, hope someone more qualified than me chimes in!
     
  5. Nan & Amber

    Nan & Amber Well-Known Member

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    You're doing great.

    I don't know about the honey in the etube, hold off on that.

    Tagging @Bobbie And Bubba for help on the hypo.
     
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  6. Glennie

    Glennie Member

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    Good job, Tanya! You found the right place! They'll help you.
     
  7. Nan & Amber

    Nan & Amber Well-Known Member

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    I think you should have gotten some Lantus by now, right? How long has it been since the shot, and how many units?
     
  8. Nan & Amber

    Nan & Amber Well-Known Member

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    The 145 is a nice number, she's coming up. I would hold off on any more honey for a little while until we figure out exactly where we are with the insulin's activity.

    How has the feeding been going in general?
     
  9. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Your last number of 145 is good. I would hold off now on food and as Nan said, let's see if Ducia can hold the numbers up

    Can you advise , are you using a human meter and how long after the injection did you get the 26 number?
     
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  10. Nan & Amber

    Nan & Amber Well-Known Member

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    I'm also going to tag some more longtime members who might just be online right now based on forum post timestamps, @Amy&TrixieCat , @Tricia Cinco(GA) & Harvey , @Melissa & Tarragon . If any of you are around, any advice appreciated!

    I think Ducia is safe at the moment, but waiting for some more details to get a full sense of the situation. What we know right now:

    Ducia is a very recently-diagnosed diabetic, was in extreme crisis over the weekend with DKA, possible pancreatitis, etc. Her mom Tanya was attempting home care, but Ducia ended up getting some much-needed veterinary care, including a feeding tube. DCIN has been working to get her some Lantus quickly to replace the Vetsulin she had been using over the weekend, and I think that's where we are now.

    Lots of details in this weekend thread: http://www.felinediabetes.com/FDMB/...-force-feeding-advice-urgently-needed.173823/

    Today:

    dose ????
    shot time ???
    10 am BG 26 gave some honey on the gums
    10: 10am min Bg is 76 more honey
    10:19am min BG is 63 called the clinic unable to bring immediately as told
    about 10-12 ml CN slurry via etube + more honey on the gum
    10:37 BG 60 more honey
    11:12am BG 145
     
  11. Nan & Amber

    Nan & Amber Well-Known Member

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    Thanks for answering the call (again!) Bobbie!
     
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  12. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Depending on where in the cycle the hypo occurred will help us to guide you. How many hours after the injection and how many units of insulin and was it Vetsulin?
     
  13. Nan & Amber

    Nan & Amber Well-Known Member

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    Should be a human meter (Relion).
     
  14. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    Feb 25, 2017
    using human
    BG 26 after 4 hours after 1 unit Lantus
    sorry I am not tech savvy, must posting wrongly again
     
  15. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    I think you are out of the woods but hold off food and honey for 30 from the last test and see where the number is and post.
     
  16. Nan & Amber

    Nan & Amber Well-Known Member

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    You're doing great!

    One more question: did you get a BG number before you shot, and if so, what was it?
     
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  17. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    I just want to make sure about the syringes you are using. Do they have an orange cap?

    And tonight, depending on the number you get at shot time, you might be skipping the shot. And when you resume giving insulin, definitely take a reduction to 1/2 unit.
     
  18. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    You're doing fine.

    I'm on my way out the door, but you're in good hands and I'll check back in about 45 minutes.

    When you got that 26, did you retest to make sure it was accurate? We do recommend that, anytime you get a number that surprises you, high or low, you retest immediately to make sure it wasn't a bad reading - compromised blood, bad strip, etc.

    Also, how was Ducia acting at the time? Did she seem to be feeling okay? Was she really hungry, confused, etc.? We don't like to see numbers in the 20s and they are a definite call for action, but they don't always mean there is an actual hypo going on....yet. You did a great job getting her up to safety and posting for help. I'm sure your heart was pounding. I know the couple of times I got numbers in the twenties my hands were shaking so hard I could hardly type, let alone test.

    This also means Ducia gets a .25 unit dose reduction. Congratulations

    One last note: Please take the 911 down when you have the chance. You have eyes on you now and the crisis has thankfully passed. :bighug:
     
  19. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    Feb 25, 2017
    6am BG 272, 20ml CN slurry ate on her own, ETube all the meds, then Lantis 1u shot.
     
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  20. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Wow that was a big drop.
     
  21. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    @Nan & Amber , are you okay to stay with Tanya? . I need to get my mom some lunch.
     
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  22. Nan & Amber

    Nan & Amber Well-Known Member

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    Yep, I'm here and can stay at least another hour or two.

    I'm also wondering about the syringes, given that you were using Vetsulin (which uses a different size syringe) this weekend. Something else that is very common on the first dose or two is to mistake the scale on the syringe-- one unit is a very small amount, and it just "seems wrong", so sometimes people think that they are supposed to draw up to the 10 mark. Here's a picture of typical syringe markings on the proper (U-100) syringes:

    upload_2017-2-28_15-14-10.png

    One unit, on the right-hand scale, is just to the very first short line from the top (the longer line at the very top is zero). Does that look right?
     
  23. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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  24. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    I must be doing something wrong read BG 484, moment later 43, moment later 33
    put some honey on
    letragic, diluted pupil
     
  25. Squalliesmom

    Squalliesmom Well-Known Member

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    Jun 26, 2015
    Can you test again? When you say she got honey all over her, does this mean the blood sample you're testing may be contaminated with honey?

    EDIT: If necessary, take a washcloth with warm water and wipe down her ears to remove any honey.
     
  26. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    12:23 pm 29
     
  27. Squalliesmom

    Squalliesmom Well-Known Member

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    She is still dropping, keep giving her honey. Do you have any high carb food that you can give her. I think she may need veterinary intervention at this point. If she is lethargic, with dilated pupils, I would take her to the vet. Do you have anyone who can go with you, in case Ducia needs to be given more honey on the way there?
     
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  28. Nan & Amber

    Nan & Amber Well-Known Member

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    I'm extremely concerned about the direction this is going. Is it possible to take her to a vet at this point?

    Definitely give her a bit of honey.

    I'd also like to get some real food into her. If she will eat on her own, can you give her either some high-carb food (with gravy), or else whatever food you have on hand with a little bit of honey in it? Not too much, try giving her a teaspoon or two.
     
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  29. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    Feb 25, 2017
    my meter must be wrong
    484 - 43-33-29 What is it ?!
     
  30. Nan & Amber

    Nan & Amber Well-Known Member

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    I think the low numbers are probably right, but there's always a possibility of an error or a bad battery. Can you test yourself to see if you get a number that makes sense?
     
  31. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    she is 29 at 12:23pm, severely lethatgic
    cannot go to vet until after 5 - no car
    what to do and to expect
     
  32. Squalliesmom

    Squalliesmom Well-Known Member

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    Tanya, since the high number is the one that is the farthest out, I think we have to assume that the low numbers are the correct ones. Can you take Ducia to the vet?
     
  33. Squalliesmom

    Squalliesmom Well-Known Member

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    Is there a friend or family member who can take you to the vet? Taxi, if necessary?
     
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  34. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    may get transport to vet in hour she looks very bad more honey to the gums
     
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  35. Squalliesmom

    Squalliesmom Well-Known Member

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    When was the last time you gave her honey?
     
  36. billysmom (GA)

    billysmom (GA) Member

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    When you go to the vet, take the syringes and meds if they are handy. Take honey with you.
     
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  37. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    maybe in an hour, we own only one car and my husband works
     
  38. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    some improvement she is bad not not swallowing honey, it almost drips out of her mouth now 12:40PM
     
  39. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    3 min ago and several times with minutes interval before that
     
  40. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Until you can get her to the vet, keep giving her food with honey mixed in it. If she will not eat for you , put a glob of honey on your finger and swab her gums with it.
     
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  41. Nan & Amber

    Nan & Amber Well-Known Member

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    We are now at about +6.5, for anyone following along. Last test was 29.
     
  42. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Put some honey on your finger then and swab her gums with it. Swipe across her gums with the honey.
     
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  43. billysmom (GA)

    billysmom (GA) Member

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    And take meter and strips.
     
  44. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    I was swabing gums repetedly 6-8-9 times, put on her toung a little to
    Some fo10 ml slurry went in thru etube at about 10:20am
     
  45. Squalliesmom

    Squalliesmom Well-Known Member

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    Tanya, I think it's important that Ducia gets to the vet ASAP. Isn't there a neighbor, friend, family member, anyone who can take you sooner than an hour from now?
    Yes, you may need to give more honey on the way there.

    Can you please test her again?
     
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  46. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    12:44pm BG42
    yoweles lethargic
     
  47. Nan & Amber

    Nan & Amber Well-Known Member

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    Not sure what this is?

    I agree that the very best thing to do would be to go to a vet now-- this is urgent. I don't know why her numbers are so low at this point, but she is in very dangerous territory.
     
  48. Nan & Amber

    Nan & Amber Well-Known Member

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    Less lethargic? Or yowling and lethargic?
     
  49. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    I agree, please see if you can get someone to take you to the vet and like everyone said, take the honey with you so you can keep giving it to her as needed. Take the syringes you are using to confirm they are the correct ones and that you are clear about the dose.
     
  50. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    I will be rubbing in honey every 7 min
    she does not react
    meowed twice
    immobile
    I may be able to get her to vet in an hour
    what the vet can do for her and what to expect
    honestly please
    I can barely draw any blood at all
    Is it a plan?
     
  51. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    How much honey is too much and much?
     
  52. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    odd mouth movements, tail tremble, same lethargic, howels stopped
     
  53. Nan & Amber

    Nan & Amber Well-Known Member

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    We're concerned about the insulin dose, not the amount of honey. At this point, she needs the honey to keep BG up somewhat.

    At the vet, they can put her on a glucose drip to maintain BG safely.
     
  54. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    At this point, you can't give too much honey. We need to get those numbers up. If you could get a teaspoon or so into her at a time would help.
     
  55. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    mouth moves as if hissing
    what is it?
    add more honey?
     
  56. Squalliesmom

    Squalliesmom Well-Known Member

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    You need to keep giving her honey and, hopefully, if you have it, some high carb food until you can get her to the vet. It is critical to get her bg up at least to 50. The sooner you can get her to the vet the better. She needs emergency care.
     
  57. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    she howeles after I put more honey
     
  58. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    She is exhibiting true hypo symptoms. Is there any way to get her to the vet immediately? Call a taxi?
     
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  59. Judy and Boomer

    Judy and Boomer Well-Known Member

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    Hi Tanya, I agree you need to get Ducia to a vet. Either your own or an emergency clinic, whichever is closer. Can you take a cab? Take your meter, strips, and honey with you and keep giving Ducia the honey. If you can, call the vet/clinic and warn them you are on your way.
     
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  60. billysmom (GA)

    billysmom (GA) Member

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    If you can't get enough blood go for the vein. You don't usually want to do this but it's important now that you get a good sample. If you think ears might have honey on them then try the paw pad.
     
  61. Squalliesmom

    Squalliesmom Well-Known Member

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    Tanya, this is really an emergency, she needs to see a vet as soon as humanly possible. I don't think this is something that can be dealt with at home, now.
     
  62. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    No, I am alone
    should I keep on honey
    she breathes thru her mouth violatly
     
  63. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Yes, keep giving the honey. Can you call a taxi to come and take you to the vet?
     
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  64. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    no car, no cab money, cards max out on diagn and supplies
    My husband be here in 40 min
    will she survive
    another 15 min to vet
     
  65. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    more honey even it dripps off her mouth?
     
  66. Judy and Boomer

    Judy and Boomer Well-Known Member

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    I would keep on giving honey.
     
  67. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Yes, just keep applying it on her gums.
     
  68. Squalliesmom

    Squalliesmom Well-Known Member

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    Rub the honey on her gums. Can your husband leave early and come get you? I don't think you should wait. She needs a vet NOW.
     
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  69. Judy and Boomer

    Judy and Boomer Well-Known Member

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    Is there a neighbour or friend that can drive you?
     
  70. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    she has convulsions, mouth opened, put in some honey. What's next?
     
  71. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    I'd walk with her if I could. Hubby tries he's best, its a long commute
     
  72. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    no one
     
  73. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    teeth are clunking
    going to give more honey
     
  74. Squalliesmom

    Squalliesmom Well-Known Member

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    If you can't get to the vet please call them now and ask them what you can do to help her.
     
  75. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Do you have a feeding syringe, one with out a needle? if so get some honey into the syringe and give it to her rectally.
     
  76. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    is there a honey overdose?
     
  77. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    No not with a hypo event. Try watering down the honey with water as you said earlier and give it in her etube.
     
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  78. Nan & Amber

    Nan & Amber Well-Known Member

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    No, the signs all point to low BG-- she needs the honey.
     
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  79. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    No this is a hypo event. Got to get her numbers up . Do you have a syringe with out a needle? One for syringe feeding? if so put honey in it an give her honey rectally. She is in serious trouble.
     
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  80. Judy and Boomer

    Judy and Boomer Well-Known Member

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    Is there another vet closer to you?
     
  81. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    I deluted 0.5 cup warm water + 1/2 noney gave rectally 2 ml, was it right?
     
  82. Nan & Amber

    Nan & Amber Well-Known Member

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    At this point, I think you can do straight honey in the syringe.
     
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  83. Judy and Boomer

    Judy and Boomer Well-Known Member

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    How is Ducia acting now?
     
  84. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    half cup water with 1/2 tsp honey 2 ml rectally enough?
     
  85. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    @Jill & Alex (GA) we need help. Cat my have been overdose and not responding to coming up with honey. Etube is in place, will watered down honey in the tube help or is giving rectally a better choice?
     
  86. Judy and Boomer

    Judy and Boomer Well-Known Member

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    I think you can give straight honey that way.
     
  87. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Yes, give the honey full strength rectally.
     
  88. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    mouth opened , lays lethargicly rapid breath
     
  89. Judy and Boomer

    Judy and Boomer Well-Known Member

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  90. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    I really do not how to use the board,
    is there a honey overdose or not?
     
  91. Squalliesmom

    Squalliesmom Well-Known Member

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    Can you test her again, please?
     
  92. Judy and Boomer

    Judy and Boomer Well-Known Member

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    Are you able to test her?
     
  93. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    @Gill & George help please, cat not responding to honey. Going to give honey rectally.
     
  94. Nan & Amber

    Nan & Amber Well-Known Member

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    No, PLEASE CONTINUE TO GIVE HONEY!!!!!!! Honey (no water) in the feeding syringe, and administer rectally. This is an EMERGENCY!
     
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  95. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    No , please get some more honey into her ASAP and then get another test and post the number .
     
  96. Judy and Boomer

    Judy and Boomer Well-Known Member

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    There is no honey overdose. Please give straight hone (no water) rectally. Get a test when you can.
     
  97. Tanya and Ducia

    Tanya and Ducia Well-Known Member

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    Feb 25, 2017
    The car is here in 10, taking Lantus needles to check the dosage Dusia is bad
    pray for us
     
  98. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Tanya, you cannot overdose on honey. If nothing else, she will throw it up, but not if you give it rectally.
     
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  99. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Many prayer, keep rubbing honey on her gums as your travel. Call the vet and let them know you will be bringing your cat in soon with a hypo event.
     
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  100. Judy and Boomer

    Judy and Boomer Well-Known Member

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    Please continue to give her honey on the way to the vet.
    Please let us know!
     
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