HYPOGLYCEMIC - NEED HELP PLEASE

Discussion in 'Feline Health - (The Main Forum)' started by Tritt3180, Jan 15, 2018.

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  1. Tritt3180

    Tritt3180 Member

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    Hi friends! I hope someone is awake to help me out...

    Ringo went hypoglycemic tonight for the first time. He seems to be acting normal other than very thirsty. Below is how the night has gone since his PMPS:

    "P: (1702) Glucose 269mg/dl on a ReliOn glucometer; 1 can I/D (100%); zofran; 2 units pvi; thirsty; @2141 34mg/dl - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after mid-check @2141; recheck @2216 51mg/DL (15min after eating ~30% of DM and rubbing a drop of honey on his lip/gums); small hand full Blue Wilderness ""Mature"" given and ate a few pieces immediately before 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom; @2230 50mg/DL; @2247 48mg/DL; @2300 60mg/DL; @2317 47mg/DL; @2330 ""Hi""; @2332 68mg/dl; @2335 73mg/DL; @0000 67mg/DL; @1234 74mg/dl; @0055 59mg/dl; @0115 48mg/dl; @0131 42mg/dl; @0145 46mg/dl; @0202 39mg/dl "

    I've been putting honey on his gums almost every 15 minutes, or after each check when he won't eat anything else. I tried giving g him some warm milk even after the last check.

    I've tried to follow the hypoglycemic outline best I could with what I have. I don't have any suppositories. He is walking around normal even. What else can I do until my vet opens?
     
  2. Tritt3180

    Tritt3180 Member

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    @0230 55mg/DL.
     
  3. Critter Mom

    Critter Mom Well-Known Member

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    Which insulin are you using?

    Have you any higher carb wet food with gravy in the house?

    .
     
  4. Critter Mom

    Critter Mom Well-Known Member

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    What time did you give insulin and what dose?
     
  5. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    I gave him 2 units of pvi at 1730 for a glucose of 269. Normally he's OK. The AMPS was 280 and he got 2 units piv then, too.

    I have the dog food he used to eat, but he hasn't gone near it since being home. He's smelled it, but then walked away. I'll open a can and try it.

    Just checked him again and its 60mg/DL.
     
  6. Tritt3180

    Tritt3180 Member

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    It is now 0249 my time, so he is 9 hours past insulin administration at this point.
     
  7. Critter Mom

    Critter Mom Well-Known Member

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    PMPS: (HUMAN METER READINGS)

    1702 - 269 - 1 can I/D (100%); zofran; 2 units pvi [ED: PZI insulin???]; thirsty;
    2141 - 34 - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after + drop honey on gums
    2216 - 51 - (15min after eating ~30% of DM canned and rubbing a drop of honey on his lip/gums); sm handful Blue Wilderness Mature given / ate few pieces immed bfe 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom;
    2230 - 50 - honey given
    2247 - 48 - honey given
    2300 - 60 - honey given
    2317 - 47 - honey given
    2330 Hi [ED: possible duff strip?] - honey given
    2332 - 68 - honey given
    2335 - 73 - honey given
    0000 - 67 - honey given
    0034 - 74 - honey given
    0055 - 59 - honey given
    0115 - 48 - honey given
    0131 - 42 - honey given
    0145 - 46 - honey given
    0202 - 39 - honey given
    0230 - 55 - honey given

    0249 - 60 - PM+9

    .
     
    Last edited: Jan 15, 2018
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  8. Critter Mom

    Critter Mom Well-Known Member

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    Hang in there. You've done really well to keep his numbers up so far (and this is not an easy situation).

    I'm relieved to read that he's now quite well along in the cycle at +9 hrs after PM dose.

    >>> If you have any food with gravy, squeeze the gravy off and give Ringo a few teaspoons of it. Slather it on his gums if you have to.

    >>> Please then confirm that you've given him the gravy (and the time, too). If you haven't got gravy food tell me straight away.

    .
     
  9. Tritt3180

    Tritt3180 Member

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    That is a lot clearer than mine. Thank you,and sorry it was so jumbled... Typing in a hurry. But yes, PVI insulin, and the HI I believe was a false reading, which is why I took it again.
     
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  10. Critter Mom

    Critter Mom Well-Known Member

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    I'm not the one dealing with the hypo! :nailbiting:

    Much easier to make things pretty when you're just sitting on the sidelines. ;)
     
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  11. Tritt3180

    Tritt3180 Member

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    His 0305 glucose was 46mg/dl.

    I tried the gravy from the dog food he used to eat. Have to try and remelt it. He fought me. But I got a little on at 0307. Going to melt the rest and try again before the next check. I also put more honey on his gums.
     
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  12. Tritt3180

    Tritt3180 Member

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    And no other gravy foods in the house. I have canned beefaroni??
     
  13. Critter Mom

    Critter Mom Well-Known Member

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    Haven't a clue about the beefaroni. Best stick with the cat food and honey.

    >> What's the HIGHEST CARB wet cat food you have in the house?

    >> Just so I know your situation better, how far away are you from the nearest emergency vet?

    .
     
  14. Critter Mom

    Critter Mom Well-Known Member

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    Again so I've got a complete picture:

    >> EXACTLY what time did you give the insulin dose?

    .
     
  15. Tritt3180

    Tritt3180 Member

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    I have DM pate by Purina. I checked his PMPS at 1702, so after he ate... No later than 1730 for the pzi. I am about an hour from the nearest emergency vet. I have a Walmart about 15 min away. I can run and get something else - even gravy. Would just take about a half hour to 45 min to get back home and check him again.
     
  16. Tritt3180

    Tritt3180 Member

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    The DM is the only wet good we have. I gave him the Blue Wilderness dry food. Its for mature cats, but was the closest we could get without a prescription card in the beginning.
     
  17. Critter Mom

    Critter Mom Well-Known Member

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    (HUMAN METER READINGS)

    AMPS: 280 - Dose: 2.0IU PZI

    PMPS:
    1702 - 269 - 1 can I/D (100%); zofran; 2 units pvi [ED: PZI insulin???]; thirsty;
    2141 - 34 - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after + drop honey on gums
    2216 - 51 - (15min after eating ~30% of DM canned and rubbing a drop of honey on his lip/gums); sm handful Blue Wilderness Mature given / ate few pieces immed bfe 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom;
    2230 - 50 - honey given
    2247 - 48 - honey given
    2300 - 60 - honey given
    2317 - 47 - honey given
    2330 Hi [ED: possible duff strip?] - honey given
    2332 - 68 - honey given
    2335 - 73 - honey given
    0000 - 67 - honey given
    0034 - 74 - honey given
    0055 - 59 - honey given
    0115 - 48 - honey given
    0131 - 42 - honey given
    0145 - 46 - honey given
    0202 - 39 - honey given
    0230 - 55 - honey given

    0249 - 60 - PM+9
    0305 - 46 - PM+9.25 - gave sm amt gravy from dog food + honey
     
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  18. Tritt3180

    Tritt3180 Member

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    0315 was 48mg/dl
     
  19. Tritt3180

    Tritt3180 Member

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    0330 98mg/DL (error?)
    0331 61mg/DL
    0333 59mg/dl
     
  20. Tritt3180

    Tritt3180 Member

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    Honey given
     
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  21. Critter Mom

    Critter Mom Well-Known Member

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    Don't leave the house to go to Walmart - he's not holding up his numbers long enough to stay safe till you get back.

    >> How long is it since Ringo ate any kibble? Was it DM or Blue Wilderness.

    >> What is the carb value of Blue Wilderness kibble?

    .
     
  22. JanetNJ

    JanetNJ Well-Known Member

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    Oh my you've been having quite the night. Good job keeping him safe.
     
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  23. JanetNJ

    JanetNJ Well-Known Member

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    Do you have any old treats like temptations or party mix?
     
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  24. Tritt3180

    Tritt3180 Member

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  25. Critter Mom

    Critter Mom Well-Known Member

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    (HUMAN METER READINGS)

    AMPS: 280 - Dose: 2.0IU PZI

    PMPS:
    1702 - 269 - 1 can I/D (100%); zofran; 2 units pvi [ED: PZI insulin???]; thirsty;
    2141 - 34 - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after + drop honey on gums
    2216 - 51 - (15min after eating ~30% of DM canned and rubbing a drop of honey on his lip/gums); sm handful Blue Wilderness Mature given / ate few pieces immed bfe 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom;
    2230 - 50 - honey given
    2247 - 48 - honey given
    2300 - 60 - honey given
    2317 - 47 - honey given
    2330 Hi [ED: possible duff strip?] - honey given
    2332 - 68 - honey given
    2335 - 73 - honey given
    0000 - 67 - honey given
    0034 - 74 - honey given
    0055 - 59 - honey given
    0115 - 48 - honey given
    0131 - 42 - honey given
    0145 - 46 - honey given
    0202 - 39 - honey given
    0230 - 55 - honey given

    0249 - 60 - PM+9
    0305 - 46 - PM+9.25 - gave sm amt gravy from dog food + honey
    0315 - 48 - ???
    0333 - 59 - PM+10 - honey given after [OTHER TESTS AT THIS TIME: 0330 - 98 (error?); 0331 - 61 - working off lowest result as safety precaution]

    .
     
  26. Tritt3180

    Tritt3180 Member

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    I have old treats, but he won't eat anything he used to eat. He likes cheese...

    0330 98mg/DL
    0331 61mg/DL
    0333 59mg/DL honey on gums

    0350 54mg/dl
     
  27. Critter Mom

    Critter Mom Well-Known Member

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    Please confirm the TIME that Ringo last had:

    >>> DM Kibble - and how much of it he ate.

    >>> Blue Wilderness - and how much of it he ate.

    >>> DM wet paté - and how much of it he ate.

    (Need to really understand this in detail so I can get a better picture of what's happening and have a better idea of what to feed and when - don't want to risk filling Ringo up and him not eating anything at all.)

    .
     
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  28. JanetNJ

    JanetNJ Well-Known Member

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    He's still acting normal?
     
  29. Tritt3180

    Tritt3180 Member

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    Blue wilderness is grain free.
     
  30. JanetNJ

    JanetNJ Well-Known Member

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    Grain free doesn't mean carb free
     
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  31. JanetNJ

    JanetNJ Well-Known Member

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    FDC1AB36-88C2-4088-8779-118712215A6C.png The blue buffalo should be about 22% carb so that's the one to feed to get the numbers up
     
  32. Critter Mom

    Critter Mom Well-Known Member

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    @JanetNJ -

    The guaranteed analysis on the Blue Wildnerness page is incomplete (no figure for crude ash).

    Guaranteed Analysis (from manufacturer website)
    Crude Protein 38.0% min;
    Crude Fat 14.0% min;
    Crude Fiber 5.0% max;
    Moisture 10.0% max;
    Magnesium 0.14% max; Taurine 0.15% min; Omega 3 Fatty Acids* 0.5% min; Omega 6 Fatty Acids* 3.5% min

    As best I can guestimate using the Scheyderweb calculator it comes out in the 20-30% range (using a nominal value of 5% or 10% crude ash). I doubt if it's less than 20%. Do you think this is a fair guestimate?

    .
     
    Last edited: Jan 15, 2018
  33. Tritt3180

    Tritt3180 Member

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    DM kibble: maybe a bite here and there between 1/13 and 1/14. Prior, he had eaten >1/2 cup in a day. It us left out to graze, and that he does - sometimes more than others.

    BW: I changed out the kibble after 2216 check. He only ate a few pieces after the 2216 check.

    DM pate: 1/2 can given at 2145. He ate about 30%.
     
  34. Tritt3180

    Tritt3180 Member

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    I have the "Mature" one for senior cats... So, higher protein than normal kind.
     
  35. Tritt3180

    Tritt3180 Member

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    Yes. He is acting normal... Idk if he's getting used to me poking his poor ears, or if that is a behavior change, but when he's had enough he definitely puts up a fight.
     
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  36. Tritt3180

    Tritt3180 Member

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    0400 57 mg/dl
     
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  37. Critter Mom

    Critter Mom Well-Known Member

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    Looks like Ringo hasn't eaten enough this cycle.

    How's his nausea been during this cycle?

    What dose of Zofran did you give him at PMPS?

    Which food do you think he would be more likely to eat right now (DM paté or BW kibble)?

    .
     
  38. Critter Mom

    Critter Mom Well-Known Member

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    (HUMAN METER READINGS)

    AMPS: 280 - Dose: 2.0IU PZI

    PMPS:
    1702 - 269 - 1 can I/D (100%); zofran; 2 units pvi [ED: PZI insulin???]; thirsty;
    2141 - 34 - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after + drop honey on gums
    2216 - 51 - (15min after eating ~30% of DM canned and rubbing a drop of honey on his lip/gums); sm handful Blue Wilderness Mature given / ate few pieces immed bfe 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom;
    2230 - 50 - honey given
    2247 - 48 - honey given
    2300 - 60 - honey given
    2317 - 47 - honey given
    2330 Hi [ED: possible duff strip?] - honey given
    2332 - 68 - honey given
    2335 - 73 - honey given
    0000 - 67 - honey given
    0034 - 74 - honey given
    0055 - 59 - honey given
    0115 - 48 - honey given
    0131 - 42 - honey given
    0145 - 46 - honey given
    0202 - 39 - honey given
    0230 - 55 - honey given

    0249 - 60 - PM+9
    0305 - 46 - PM+9.25 - gave sm amt gravy from dog food + honey
    0315 - 48 - ???
    0333 - 59 - PM+10 - honey given after [OTHER TESTS AT THIS TIME: 0330 - 98 (error?); 0331 - 61 - working off lowest result as safety precaution]
    0350 - 54
    0400 - 57

    .
     
  39. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    The mature formulas often even higher in carb. Either way is still going to be higher in carb then the dm so that's the one you wanna feed to get the numbers up.
     
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  40. Nan & Amber

    Nan & Amber Well-Known Member

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    Yikes! What a night!

    So, it looks like he's now had three readings (0333 59, 0350 54, 0400 57) over 50. I don't know PZI action (though this cycle strikes me as unusual) and I can't access your spreadsheet for some reason so I don't want to jump in with advice here, but I think that's a good sign!
     
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  41. Critter Mom

    Critter Mom Well-Known Member

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    @JanetNJ -

    For info, Ringo has had nausea issues (hence the Zofran).

    Bearing in mind how hard it has been to keep his numbers up this cycle with honey I am waiting to hear back from @Tritt3180 to see what he's most likely to eat (and whether he can get another dose of meds).

    The DM wet food with a little honey mixed through would probably get carbs into his system faster than the kibble and get his numbers up a bit more. Some dry kibble after that might keep them up better. It would be easier to assist feed the wet food if that's required to get some food into Ringo right now.

    .
     
  42. JanetNJ

    JanetNJ Well-Known Member

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    Exactly. Honey with a kibble chaser.
     
  43. Tritt3180

    Tritt3180 Member

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    He had been off his zofran for 3 days before I got more. The vet closest to us ordered it online, but it isn't here yet. His other vet farther away had it in stock and we got some, but not until he vomited at home on 1/10. I got the zofran and started it that night twice/day. He is on 2mg q12°. I don't remember the exact time I gave it though. I just wrote down I gave it. He still sometimes makes the gagging face if i push him to eat a lot for his insulin. He won't eat anything. I have all the food out right now, and he just turns his nose up to it. I have homemade chicken soup in the fridge... Maybe he'll eat that?

    0415 109mg/DL right ear
    0416 78mg/DL right ear
    0417 73mg/DL right ear
    0418 73 mg/DL left ear
     
  44. Tritt3180

    Tritt3180 Member

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    His zofran was around 1700, so he'll be due at 0500. I'll give it asap!
     
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  45. Tritt3180

    Tritt3180 Member

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    The peak for pzi is @ 6hours post administration. He got it no later than 1730 last night. He would be due at 5:30 this morning if his numbers were high enough.
     
  46. Tritt3180

    Tritt3180 Member

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    That's in 1 hour my time.
     
  47. Critter Mom

    Critter Mom Well-Known Member

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    Give the Zofran now and syringe a little water to get it down OK.

    >>> DEFINITELY HOLD OFF ON THE INSULIN - he's too low to give any more!!!!


    .
     
  48. Critter Mom

    Critter Mom Well-Known Member

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    Also:

    >> Do you have a feeding syringe in the house?

    >> Do you have any appetite stimulant meds in the house? (Cyproheptadine or mirtazapine)

    .
     
  49. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    He's drinking on his own fine. He won't let me put a syringe near his face. I definitely won't give him any insulin this morning! I will have to go to work, though, and leave in 3 hours... His vet (far away) opens at 0630, so I'll have to leave in 2 to get there in time. I have him mirtazipine on 1/13 in the morning.
     
  50. Tritt3180

    Tritt3180 Member

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    0430 50mg/dl
     
  51. Critter Mom

    Critter Mom Well-Known Member

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    At least he's not dipping down as much now. Hold off on the honey and test again in 15 minutes.

    >>> Do you have a feeding syringe?

    ETA: Just absorbed your comment about his dislike of the syringe.

    >>> Would you be able to get some of the DM wet food into him by hand feeding?

    .
     
  52. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    I already gave him the honey, so I'll hold off after this next check.

    I have a 10cc syringe. Is that big enough? I believe that's what one of the bets gave me.
     
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  53. Tritt3180

    Tritt3180 Member

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    I just went to go check him and he's eating the gravy from the dog's food on his own... Going to make fresh pate and see what happens. I may wait until 0500 to check him again.
     
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  54. Critter Mom

    Critter Mom Well-Known Member

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    Has he had the Zofran?

    .
     
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  55. Critter Mom

    Critter Mom Well-Known Member

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    (HUMAN METER READINGS)

    AMPS: 280 - Dose: 2.0IU PZI

    PMPS:
    1702 - 269 - 1 can I/D (100%); zofran; 2 units pvi [ED: PZI insulin???]; thirsty;
    2141 - 34 - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after + drop honey on gums
    2216 - 51 - (15min after eating ~30% of DM canned and rubbing a drop of honey on his lip/gums); sm handful Blue Wilderness Mature given / ate few pieces immed bfe 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom;
    2230 - 50 - honey given
    2247 - 48 - honey given
    2300 - 60 - honey given
    2317 - 47 - honey given
    2330 Hi [ED: possible duff strip?] - honey given
    2332 - 68 - honey given
    2335 - 73 - honey given
    0000 - 67 - honey given
    0034 - 74 - honey given
    0055 - 59 - honey given
    0115 - 48 - honey given
    0131 - 42 - honey given
    0145 - 46 - honey given
    0202 - 39 - honey given
    0230 - 55 - honey given

    0249 - 60 - PM+9
    0305 - 46 - PM+9.25 - gave sm amt gravy from dog food + honey
    0315 - 48 - ???
    0333 - 59 - PM+10 - honey given after [OTHER TESTS AT THIS TIME: 0330 - 98 (error?); 0331 - 61 - working off lowest result as safety precaution]
    0350 - 54
    0400 - 57
    0418 - 73 - [LOWEST READING USED. Other tests at this time: 0415 - 109 (suspect?); 0416 - 78; 0417 - 73.]
    0430 50 - honey given (Zofran @ c. 0500) Ringo ate a little dog food gravy c. 10 mins after this.

    .
     
    Last edited: Jan 15, 2018
  56. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    His 0500 glucose was 41. So, I opened a fresh can of DM pate and added chicken broth and honey (ew!) to it. Warmed it up and made sure it was soupy enough to put in a syringe. We got the better part of 6cc in him before he got loose. Should I check him at 0515 or wait until 0530 since we just got done?
     
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  57. Critter Mom

    Critter Mom Well-Known Member

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    Great job on getting some of the DM wet and honey syringed!

    Given that he dipped to 41 after the last dose of honey I'd test now to be on the safe side. (Will take a little bit for the DM/honey mixture to get into his system.)

    .
     
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  58. Critter Mom

    Critter Mom Well-Known Member

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    BTW, this is not an easy situation and you are playing an absolute blinder. :bighug:
     
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  59. Critter Mom

    Critter Mom Well-Known Member

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    Can you confirm that Ringo's had his Zofran, please!
     
  60. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    0515 65mg/DL. He tried to attack me she I tried to get a second reading. Getting dressed to go to the vet now.
     
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  61. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    He has.
    At about 0500.
     
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  62. Tritt3180

    Tritt3180 Member

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    0530 52mg/dl
     
  63. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    (HUMAN METER READINGS)

    AMPS: 280 - Dose: 2.0IU PZI

    PMPS:
    1702 - 269 - 1 can I/D (100%); zofran;
    1730 (latest) 2 units pvi [ED: PZI insulin???]; thirsty;
    2141 - 34 - attempt to syringe feed honey unsuccessful; 1/2 can DM given immediately after + drop honey on gums
    2216 - 51 - (15min after eating ~30% of DM canned and rubbing a drop of honey on his lip/gums); sm handful Blue Wilderness Mature given / ate few pieces immed bfr 2216 check; 1/2 cup DM kibble replaced with 1 cup Blue Wilderness kibble in kitchen and 1/2 cup in bedroom;
    2230 - 50 - honey given
    2247 - 48 - honey given
    2300 - 60 - honey given
    2317 - 47 - honey given
    2332 - 68 - honey given [ADDITIONAL READING AT THIS TIME: 2330 Hi (Possible duff test strip?)]
    2335 - 73 - honey given
    0000 - 67 - honey given
    0034 - 74 - honey given
    0055 - 59 - honey given
    0115 - 48 - honey given
    0131 - 42 - honey given
    0145 - 46 - honey given
    0202 - 39 - honey given
    0230 - 55 - honey given

    0249 - 60 - PM+9.25
    0305 - 46 - PM+9.50 - gave sm amt gravy from dog food + honey
    0315 - 48 - ???
    0333 - 59 - PM+10 - honey given after [OTHER TESTS AT THIS TIME: 0330 - 98 (suspect?); 0331 - 61. Working off lowest result as safety precaution]
    0350 - 54
    0400 - 57
    0418 - 73 - [LOWEST READING USED. Other tests at this time: 0415 - 109 (suspect?); 0416 - 78; 0417 - 73.]
    0430 - 50 - honey given; Ringo ate a little dog food gravy c. 10 mins after this.
    0500 - 41 - Zofran 2mg; syringe fed c. 6cc warmed DM wet food mixed with chicken broth & honey.
    0515 - 65
    0530 - 52 - +12 hrs after last insulin dose [SKIPPING SHOT. NO FURTHER INSULIN GIVEN AT THIS TIME.]

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    Last edited: Jan 15, 2018
  64. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I think it's a smart move taking Ringo to the vets. Although he's currently above 50 most of the time on the human meter it's taking a lot of intervention to keep him there and you're at +12 hours since the last insulin dose.

    Try to syringe a little more of the wet DM/honey if you can (use a towel to wrap him in a 'kitty burrito', maybe?). If he won't take the syringe feed, try to see if he will eat some from a raised dish (now that he's had the Zofran he might eat a bit on his own).

    Try to see if he will eat some of the Blue Wilderness kibble dipped in honey.

    Bring the honey with you and give him some more at intervals during the journey to the vets to be on the safe side.

    I suggest asking the vet about giving an Rx for cyproheptadine to use instead of the mirtazapine, because you can give it more often than the mirtazapine and it might better aid Ringo to have a more consistent appetite (c. 1/8 of a 4mg tablet q8hrs - ETA: for 10lb cat). (Safety note: cyproheptadine is contraindicated in cats with high blood pressure, glaucoma, or with liver problems.)


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    Last edited: Jan 15, 2018
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  65. Critter Mom

    Critter Mom Well-Known Member

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    Might be an idea to print out one of my posts with the most up-to-date running BG results/feeding info to give to the vets.

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  66. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Ask the vet to check Ringo's ketone status as a precaution.
     
  67. Nan & Amber

    Nan & Amber Well-Known Member

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    Good luck at the vet-- I agree, it's the safest place for him right now. Great job keeping him safe so far-- he hasn't made it easy!
     
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  68. Critter Mom

    Critter Mom Well-Known Member

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    Also, when you're out today be sure to pick up a supply of cat food with gravy for your hypo kit (e.g. Fancy Feast Gravy Lovers). It might be an idea to also get some plain meat 'n' broth only baby food (I think Beechnut is one that's OK - make sure there's no onion, garlic or other dodgy ingredients). It may be a good stand-by to have in the house in case you're having trouble getting Ringo to eat anything. Some Temptations high carb treats would be another helpful addition for the hypo toolkit. (We know they're high carb!)

    And don't forget to replenish your supply of test strips for the meter! :) (It has been a busy night.)


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    Last edited: Jan 15, 2018
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  69. Critter Mom

    Critter Mom Well-Known Member

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    Thank Heaven that Ringo's good when it comes to getting his BG checked!


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  70. Nan & Amber

    Nan & Amber Well-Known Member

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    Mar 19, 2016
    No kidding! I was all agog looking at that list of test times (some with multiple tests!)!

    He's definitely earned a break after all this is over, with lots of hugs and scritches for being such a good boy!
     
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  71. Critter Mom

    Critter Mom Well-Known Member

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    @Nan & Amber -

    And maybe a dab of Neosporin with pain relief ointment! :) Ringo's been an absolute trooper. (((Ringo)))


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  72. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    OMG! What a stressful session! :eek: So glad you were here to help, Mogs - and kudos to you for keeping those clear situation reports updated.
     
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  73. Critter Mom

    Critter Mom Well-Known Member

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    I really need the SITREPs in order to keep track, Kris. Because of the PTSD my 'working memory' just doesn't function - at all - so it's impossible for me to hold information in my head any more. It's so bad that if someone is talking to me I can't even fill up a glass of water and take in what they're saying at the same time (a sorry state to be in for a former project manager). :(


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  74. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
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    I understand, Mogs. :bighug: Even without those issues, it's hard to sort out key info when it's in a massive block of text.
     
    Last edited: Jan 15, 2018
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  75. Critter Mom

    Critter Mom Well-Known Member

    Joined:
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    If you get stuck with an out-of-stock situation like this again, I'd suggest ringing round local pharmacies to check if they've got any generic ondansetron in stock. If yes, your vet could give you a written Rx and you could fill it at the regular pharmacy straight away (even if it's just for enough doses to tide you over till the vets get it back in stock again).


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  76. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    make sure the chicken broth has no onions cooked in it
     
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  77. Critter Mom

    Critter Mom Well-Known Member

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    Ringo's mama did a great job of keeping the information flowing too, Kris. That makes a world of difference in situations like this.


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  78. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    Good job! I would of freaked out!Imagine not having this forum!!
     
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  79. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I agree! It's so scary for the advice giver when there's little back and forth with the owner. It leaves us imagining the worst.
     
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  80. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    BTW, pun intended?

    :woot:

    (I'll get me coat ...)


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    Last edited: Jan 15, 2018
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  81. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Tell me about it. There have been a couple of occasions in the past when I was on hypo watch where I ended up yelling, "PLEEEEEEEEZE TELL ME YOUR CAT'S BG AND FEED IT NOOOOOOOW!!!!" at the screen ( :oops: ) only to be greeted by a roaring silence. Not fun ...


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    Last edited: Jan 15, 2018
  82. Kris & Teasel

    Kris & Teasel Well-Known Member

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    :D:D:D!
     
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  83. Tritt3180

    Tritt3180 Member

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    Dec 23, 2017
    So thankful for all the help in what could have been a very sad event!!:bighug::cat:

    I brought Ringo to the vet and had to leave him there so I could go to work. I just received a call from the vet with good news so far...

    His blood sugar is now 125, so back to normal. He has gained a pound, and the Dr thinks it may be time to lower his long acting insulin dose. She is sending a fructosamine level and that will determine what we do from here. I am SO RELIEVED!! Wasn't sure if I'd get to see my baby again, and I'll get to take him home after work.

    Note... COFFEE!!:coffee::coffee::smuggrin:

    Again, thank you, MOGS, for all your help. I see now things I can update and change to be better prepared if this happens again. You're a lifesaver... Literally!
     
  84. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Not at all. I was just the cheerleader; you did all the saving! :D

    That was a seriously prolonged run of low numbers but you kept your head and handled it incredibly well. As I mentioned above, I'd like to thank you for keeping all the updates coming because that really helps members here to help you (and does wonders for our blood pressure! ;) ).

    Glad to hear that Ringo's back in safer numbers and holding steady at the vets. I'd be very interested to find out how his BG was in the first few hours at the vets (to determine whether there might have been any carryover of last night's dose into this morning's (skipped) cycle; it would be very valuable data to secure for future reference).

    No thinking and no maybes required here. Ringo absolutely needs to have his dose lowered. I know that he didn't eat enough but even so, based on what his levels were like during this cycle, there is a real possibility that Ringo's pancreas may have also been getting in on the act.

    >> Is there any chance you could post the link to Ringo's spreadsheet here in this thread so we can have a look-see?

    I'd also suggest that, if possible with your schedule, maybe you could give Ringo his Zofran dose with a water chaser about an hour or so before you're due to give him his pre-insulin feed? Perhaps it might help him to eat more at injection time?

    >> Any joy with an Rx for cyproheptadine?

    If you do get the cypro Rx you could then try administering that dose about 30 minutes before injection time (again with a syringed water chaser to wash the pill down properly), or at injection time itself. Even if it doesn't kick in right at injection time, it might help Ringo to eat a bit of extra food in the early part of the cycle.

    You're a phenomenal cat mama! Enjoy your well-deserved (and probably desperately-needed) coffee! :D

    :bighug:


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    Last edited: Jan 15, 2018
  85. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Fingers and paws crossed it won't but, for future reference, if Ringo is on the low side and you need to post for help on Feline Health be sure to set the '911' prefix against the thread title to let members know you need urgent assistance. Also, if ever Feline Health is quiet in such a situation go to the Lantus and Levemir ISG board and post a 911 there too so as to 'get more eyes' on your situation. (There's a lot of traffic on that board but many of the contributors don't visit the FH board very much.)


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  86. LuanneP

    LuanneP Member

    Joined:
    Jul 24, 2017
    Wow, what a night @Tritt3180 ! I went through that for 3 cycles in a row starting Fri night & it was so stressful. You did great! And I'm glad @Critter Mom was around to help & provide support. This group is so amazing & helpful!

    Because you're home testing, I don't think you need to have the Fructosamine test done. A reduction is definitely called for after what you & Ringo just went through. And you have the data on your spreadsheet so the Frustosamine test isn't going to give any more info that what you already have. If your vet has already requested it that's fine but for future reference you can save money by not doing that test.
     
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  87. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    :eek::eek::eek:

    Have you any nails left?


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  88. LuanneP

    LuanneP Member

    Joined:
    Jul 24, 2017
    It was stressful that's for sure! I finally went with a No Shot Saturday night to get a bit better control of things.
     
  89. Tritt3180

    Tritt3180 Member

    Joined:
    Dec 23, 2017
    Turns out Ringo's steroid shot for his asthma the culprit behind all this (i had a feeling it was). He got it about 3.5 weeks ago, and that would explain the quick drop in his glucose. The frictosamine level was 369(?). According to the lab, a reading <500 is "excellent control." She thinks Ringo will be able to make a full recovery and as long as he's on the diabetic food he can see remission.
     
  90. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    A-ha! It helps so much to find the reason(s) behind a low run.

    So glad that Ringo is safe and well after all the high jinks overnight. What has your vet advised about insulin dosing in light of these discoveries?


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  91. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    And thank goodness you're home testing! :cat:


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  92. JeffJ

    JeffJ Well-Known Member

    Joined:
    Jul 7, 2016
    Well handled by everyone here. Burning the night oil too - very stressful.

    That is a good point about the steroid shot. Leo gets daily prednisolone shots, and each one raises his BG. I compensate for that by an increased AM dose, then a normal PM dose.
     
  93. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    @Tritt3180 -

    Just checking in to ask how Ringo's doing. How did things go with the vets (esp. re insulin dose)?


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  94. Tritt3180

    Tritt3180 Member

    Joined:
    Dec 23, 2017
    Sorry I didn't respond sooner. i didn't get a notification of your post...

    His glucose came up and she changed his insulin similar to 1unit if needed q12•. So for, he's doing well. No insulin since the morning of the 19th. :) He had three nights this past week where he vomited around the same time each night. Each time 3 times. I got up and have him his famotidine, and he was fine all day. I've been wanting to give it to him before bed, but haven't been able to between his zofran and getting him to eat a little before bedtime. Lots of blue's on his spreadsheet.
     
  95. Tritt3180

    Tritt3180 Member

    Joined:
    Dec 23, 2017
    I have been giving him zofran in the morning and at night, though I found a partially disintegrated pill this morning on the floor. Not sure how old it is.
     
  96. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    @Tritt3180 -

    Ta for the update. Glad to hear Ringo's doing OK.

    Any chance you might post a link to his spreadsheet in this thread (link in your signature isn't working).

    Does giving the famotidine before his pre-bed snack put him off his grub?


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  97. Tritt3180

    Tritt3180 Member

    Joined:
    Dec 23, 2017
    I am still having problems since I have not made it to a location where I can use a computer to link my spreadsheet. I can pay a picture, though, it's not as good as the link.

    I may try to give just the famotidine at night and zofran in the morning. I did that yesterday, and he vomited during the day yesterday, and not at night last night. I gave him zofran today and he hasn't vomited yet. Idk... My schedule is cramped at night so I didn't want to give both meds and his dinner close together so everything digests properly - and he's usually pretty hungry when I get home to feed him. Plus, giving any medication seems like such a traumatic event for him.... If he's eating, I don't want to interrupt him for medication and have him associate it with something negative. I'll try to change things up this weekend and see what results follow.
     
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