Extremely low (2.6) at +4 hrs

Discussion in 'Feline Health - (The Main Forum)' started by Ann & Liz, Oct 21, 2017.

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  1. Ann & Liz

    Ann & Liz Member

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    Advice needed please. Lila is 2.6 at +4 hours. She is tucking into her usual meal of low carb right now and seems OK. How long before we should test again please. ?
     
  2. JanetNJ

    JanetNJ Well-Known Member

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    Test again 20 min after the previous test. So in like 10 min.
     
  3. JanetNJ

    JanetNJ Well-Known Member

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    I just realized you are using an Alphatrak..... So 2.6 is way too low. Do you have any high carb food? If not add a little Karo or honey to the regular food.
     
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  4. JanetNJ

    JanetNJ Well-Known Member

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    We wanna see the number up to like a 3.8
     
    Last edited: Oct 21, 2017
  5. JanetNJ

    JanetNJ Well-Known Member

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    Any update????
     
  6. JanetNJ

    JanetNJ Well-Known Member

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    If you don't have any high carb food is there an emergency vet you could get to? Is he still acting normal?
     
  7. Ann & Liz

    Ann & Liz Member

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    All OK regards behaviour etc. We have high carb and gluogel right here. To test now.
     
  8. JanetNJ

    JanetNJ Well-Known Member

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    Ok good. I was worried when you hadn't responded. Cats can go from no symptoms to seizure in a snap so you need to stay vigilant right now.
     
  9. JanetNJ

    JanetNJ Well-Known Member

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    You will want to test every 20 min until the number is up to 3.8 for 3 consecutive tests without the need of food.
     
  10. Ann & Liz

    Ann & Liz Member

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    3.6 now.
     
  11. JanetNJ

    JanetNJ Well-Known Member

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    That's a relief. Test again in 20 min
     
  12. JanetNJ

    JanetNJ Well-Known Member

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    Next time the preshot is that low reduce the dose.
     
  13. Ann & Liz

    Ann & Liz Member

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    Yes we are monitoring closely. Lila has 3 meals usually each cycle. And has almost half of that at +4. So as she ate that totally normally we were slightly less worried although know 2.6 is far too low. Wondering about our dosing scale, as to needing to be lowering to 1 possibly at the lower pre shots? Lila does seem to vary greatly at times and difficult to predict her nadir readings.
     
  14. JanetNJ

    JanetNJ Well-Known Member

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    I think a sliding scale would help. 2.6 was very low..... I'd go to 0.8 when the preshot is yellow.
     
  15. Ann & Liz

    Ann & Liz Member

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    3.5 now ( at + 5.5 hrs)
     
  16. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    That's better. But you do need to watch that she doesn't drop again. Maybe another test shortly just to be sure...?

    You really don't want the kitty's BG dropping below 3.6 mmol/L (65 mg/dL) on an AT meter, as this is getting into hypo range. And some cats may even show symptoms at a little above this level.

    Also, for kitties on Caninsulin/Vetsulin it can be helpful to 'aim' to not let the numbers drop below 5 mmol (unless you have very good control of your kitty's BG); as this gives some buffer of safety if the BG actually drops lower than that.

    Even though your kitty didn't show symptoms (?) that doesn't mean that she didn't experience hypo. Not all hypos have symptoms. ...So, do keep an eye on her over the next few days, and if you see any behaviour that seems 'off' (lack of appetite, depression...) take her for a vet visit.
    Also, 'if' she's experienced hypo her sensitivity to insulin may increase. So, be cautious with your insulin doses (and monitor closely) over the next few cycles just until you can establish how she is responding to the insulin.

    Eliz
     
  17. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    @Ann & Liz ,

    Just saw that the BG was 3.6 49 mins ago, and 3.5 19 mins ago (no change). Can you get another test now just to check that the BG is definitely rising and not dropping?
    .
     
  18. Ann & Liz

    Ann & Liz Member

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    Thank you, she can be hard to predict. Will keep a very close eye on her. Still regular testing ( every 20 mins ) at present.
     
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  19. Ann & Liz

    Ann & Liz Member

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    4.2 !
     
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  20. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Much better! :bighug:
    .
     
  21. JanetNJ

    JanetNJ Well-Known Member

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    Great and that's with no food for awhile, right? How long ago did she eat?
     
  22. Ann & Liz

    Ann & Liz Member

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    Yes no food for last 1.5 hours approx.
     
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