hello! I'm new to the site and joined out of curiosity about whether or not anyone has experienced the same situation that I'm currently in with my cat. I have a 13 year old tabby cat named Pumpkin who recently had a severe hypoglycemic episode about a week ago. Pre-hypoglycemic episode he was at 4 units twice a day, and the apparent cause of the hypoglycemia was a change in his insulin needs (even though his levels were just checked at the vet a few weeks before). Post-hypoglycemic episode he is now at 2 units twice a day although his blood sugar levels have been very erratic. The vet says that the trauma he has gone through from the hypoglycemia makes it harder to regulate his blood sugar. My main concern has been with his recovery since the episode. The first day or so after he had a few grand mal seizures (with convulsions), one of them leaving him blind. These seizures seemed to stop for a little over a day and then he began to experience petite mal seizures (without convulsions) semi-regularly throughout the day, at one point they occurred every hour on the hour. His vet described these petite mal seizures as being "residual" due to the damage done to his brain and said that these seizures, as well as the blindness, should go away with time as his brain heals. He did not prescribed anti-seizure medication right away. All was well with Pumpkin for a few days despite these petite mal seizures and behavior wise he was acting like himself, and was even able to navigate my room and appeared to be getting his sight back. He has also been eating, drinking, and grooming himself throughout his recovery. However on Wednesday he had another grand mal seizure and it left him in a very withdrawn state, he seemed to be in constant fear of having another seizure, his vision also appeared to be getting worse. At that point my vet prescribed him phenobarbital, but told us it was not a good sign that he was still having seizures and that this may be "the beginning of the end." We gave the medicine but it did not seem to do much since he was still having regular petite mal seizures and then had multiple grand mal seizures again on Thursday night. On Friday my mother contacted our vet again, and he prescribed us Keppra (levetiracetum) since it apparently is stronger and has a quicker effect than phenobarbital (which apparently only kicks in after two weeks?). I don't want to jinx anything but since starting the new anti-seizure medication Pumpkin has not had another seizure, either grand mal or petite mal. It has now been over 24 hours since his last seizure and he is becoming more of his old self and has been purring for the first time in days. However, I'm not sure what to expect from here on out. The state he was in before starting Keppra had us considering putting him to sleep if he had not improved in a few days, since with each seizure he was acquiring more and more brain damage. It's not a decision we came to lightly at the time, but it had been awful to see him suffer through multiple seizures a day, especially at his age. However since he has been improving we have obviously disregarded putting him to sleep as an option for now. I was wondering if anyone else has ever experienced something similar to this situation, and if so how did their cat do recovery wise? My main concerns at the moment are that he has not appeared to have really slept since we brought him on Monday. He seems to doze in and out while laying down, and he may be sleeping at night while I am also sleeping. He also is a little uncoordinated, and still appears to have slight head shaking which kind of looks like a tremor. He also has only had one bowel movement since he's been home, which I guess may be an effect of the medication he's on as well. I'm sorry for the lengthy description! It's been an eventful week to say the least. Any insight about Pumpkin's current situation would be greatly appreciated!