Help, I just overdosed Chump

Chump gets 1/2 a unit twice a day. I drew 2 units, I don't think I flicked it off and measured it down to 1/2 a unit. I'm not 100% sure.
When I gave him his shot it didn't feel right, pretty sure I have him the full 2 doses.
His blood sugar was at 11.0 at 8 pm just before his shot.

What's the best course of action here? I've got high carb food and treats etc.

 

Do you have a spreadsheet we can see?
What type of insulin? Lantus?
What food do toy normally feed.?
Are you able to monitor the cycle?

 

No spreadsheet.
Lantus insulin
He eats friskies pate
And yes, I've got a monitor.
He's usually in the 9-13range pre shot at 6 hours he's 6-7.

 

Do you have high carb foods or syrup/honey on hand? Are there any vets open where you live? And how far away is the nearest ER vet?

What type of blood glucose monitor do you have? How long has it been since you gave the shot?

Sorry for all the questions, but without a spreadsheet of previous data, we are running a bit blind and need some more info.

 

I will ask @Bandit's Mom to set up a spreadsheet so we can at least see what is happening this cycle.

 

Yep, I've got high carb food and glucose syrup close to hand.
24 hour vet half an hour away. No money at all right now though. Not a great situation.
Contour next test machine thing.
About 2 hours from his shot right now.

 

Can you get a BG (blood glucose) test done now please so we can see what it now is?

 

2 hours from shot he's at 10.2

Thanks for your help.

 

Hi, I have sent you a PM (Private Message) with the details I need to set up your Spreadsheet and Signature. Look for it in the Inbox at the top right corner of this page.
Will be great if you can respond when you have time in between tests.

 

Ok, I'm on it.

 

I would give him a small snack of low carb food now . …about 1 teaspoon….we don’t want to fill him up too much in case we want him to eat more later.
Test again +3 please.

 

OK, until the spreadsheet is up, this is what we have:

PMPS (PM preshot) 11.0
+2 (2 hours later) 10.8

Since Lantus onset's typically from 2-3 hours after the shot, that +3 should really help us decide if you did give too much insulin. BTW, you aren't the first.

 

@Chumpsterthecat can you get a +3 BG now please and post the result? Thanks

 

+3 7.2

I've updated the spreadsheet.

 

I would feed another snack now.
Can you hit the 'like' button in the buttom right corner when you read our posts please so we know you have seen them?

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194)
+3 7.2 (130)

 

@Chumpsterthecat
Dave…can you let me know when you have given Chump some food please?
Also would you get another BG reading at +3.5 please.
that is 1/2 hour after the last BG test.
I would like to see how fast the BG is dropping now the onset of insulin has started.

 

Yep he had a snack 15 mins ago. I'll get his number at 3.5

 

Thanks Dave!

 

3.5 hours he's at 6.1

 

Is he usually a good eater? If we got him to eat another snack now would he keep eating later or do you think he would not want to eat?

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194) Snack Low Carb
+3 7.2 (130) snack low carb
+3.5 6.1 (110) snack low carb

 

He's pretty good with food, I'm pretty sure he'd eat kibble or temptations under any circumstances. I might struggle to get him to eat friskies pate again later.

I've got gravy food, kibble and treats on standby.

 

I opened a fresh can of salmon pate, it's his favorite.
He's eaten again.

 

OK. I would give him another low carb snack and test again at +4. Is that OK Dave?
And are you able to keep the spreadsheet up to date please?
If you don’t know how to add the 1/2 hour BGs in I will tag @Bandit's Mom to do it for you so you can see what needs to be done.

 

Yeah, I don't know how to add the 3.5.

Thanks for all the help.

 

Pleasure to help you

 

+4 hours 5.7

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194) Snack Low Carb
+3 7.2 (130) snack low carb
+3.5 6.1 (110) snack low carb
+4 5.7 (103)

Looks like it could be slowing down a bit.
I think another low carb snack of the salmon pate and then test again +4.5.
Are you OK with that?

 

Yep, I'll give him more food right away. I'll test at 4.5

 

Just a teaspoon please

 

Yep, just a lil bit

 

Hi Dave, I've added the data for +3.5 in your SS. It goes in the same cell as +3. It's a bit of a pain because you have to fill in the colour manually, as well as the numbers in the US sheet for that cell. The formula for the US sheet does not work when you have anything other than a number in the World sheet. To get US mg/dl you multiply the World mmol reading by 18. Don't worry about this for tonight. You have a lot on your plate. I can input any half hour readings in the SS for you.

Btw, are the readings in the SS for 1/1 today's readings entered by mistake?

 

+4.5 hours 5.9

 

Yeah, maybe. I'm not that great with these things and it's hard on a cell phone. I'll take a look but I'm getting pretty tired for some reason.

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194) Snack Low Carb
+3 7.2 (130) snack low carb
+3.5 6.1 (110) snack low carb
+4 5.7 (103) low carb snack
+4.5 5.9 (106) no snack

Looks like he may have slowed right down. I would not give another snack now but I would test again +5 and then we can get on the hourly tests if needed.
Are you happy with that?

 

Yeah, absolutely. I haven't give him any extra food.

 

+5 hours 4.3

 

Sorry I got held up.
Did you give some more food?
I would give some higher carb food as we still have a few hours to go.
Not dry food but higher carb wet food
And test again 30 mins after the last test please
@Chumpsterthecat

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194) Snack Low Carb
+3 7.2 (130) snack low carb
+3.5 6.1 (110) snack low carb
+4 5.7 (103) low carb snack
+4.5 5.9 (106) no snack
+5 4.3 (77)

 

I just gave him food, I'll test him right away.

 

+5.5 hours 6.0

 

That is a surprise!
Did you give him anything to eat after you tested and got 4.3 before I spoke to you?
And what so so you feed him a few minutes ago?

 

I had just decided to feed him when you messaged me. Probably half an hour after the 4.3.
He ate half a teaspoon of pate and then probably close to a teaspoon of fancy feast gravy lovers (as you suggested something higher carb). I tested him 3 mins after he finished eating.

 

Ok good to know.
I think we should test again in 30 minute from the last test to see that he is not dropping again.

 

Yeah, will do. I'd better make some coffee.

Thank-you so much for going through this with us tonight, Chumpster and I are super grateful for your support and guidance.

 

I’m very glad you reached out to us. Yes, coffee sounds a good idea!

 

I have input the numbers in the SS. What a night for you, Dave!

 

+6 hours 7.0
That gravy lovers food has some magic for sure.

 

Thanks for your help tonight. I'll keep up the spreadsheet.

 

Yes it does.
Don’t feed any more of it though.
You can given him a snack of low carb if you like, but no more high carb at the moment
We’ll see how he is in an hour. Are you ok to stay awake?

 

I'll give him a little pate. I'll be ok to stay awake, tomorrow might be a little unproductive but that's ok.

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194) Snack Low Carb
+3 7.2 (130) snack low carb
+3.5 6.1 (110) snack low carb
+4 5.7 (103) low carb snack
+4.5 5.9 (106) no snack
+5 4.3 (77) high carb
+5.5 6 (108)
+6 7.0. (126) low carb snack

 

+7 hours 8.3 awesome.

 

Looks like she is on the way back up again. I’d get one more hourly test in thought to make sure.
When did you give the last high carb food? Was it +5.
We need to monitor for two hours after the last high carb food to ensure the BG is not going to drop again.

 

PMPS (PM preshot) 11.0 (198)
+2 (2 hours later) 10.8 (194) Snack Low Carb
+3 7.2 (130) snack low carb
+3.5 6.1 (110) snack low carb
+4 5.7 (103) low carb snack
+4.5 5.9 (106) no snack
+5 4.3 (77) high carb
+5.5 6 (108)
+6 7.0. (126) low carb snack
+7. 8.3 (149)

 

Yeah, it was + 5. I'll stay awake and get another test in an hour. Food?

 

You could give him a low carb snack if you like. It won’t hurt him and we aren’t trying to get him to surf or anything. We just want him to stay in safe numbers which he has done. How’s his appetite now?
It is so good having a cat who has a good appetite when something like thing happens.!

 

I gave him some more pate. He's always been easy to feed.

 

+8 hours 8.0

 

He’s much the same as +7 given meter variance..
He should be OK now. I don’t know what time it is where you are now.
I would give him a good feed of low carb food and try and get a bit of sleep.
If you are awake again before the next dose I would check the BG again.
It would be good if you kept posting on the forum so we can help you if it is needed.

 

I've gave him some food, he's not that in to it right now. I'll leave it out for him.
It's 4.30am here so I'm going to grab some sleep for an hour or two.
Thanks again for your help.
Will I have to do anything different tomorrow after his morning shot?

 

He's eating his food now.

 

Make sure the preshot is high enough to give the 0.5 unit dose.
And I would monitor the am cycle closely as it will be influenced by the depot of the current cycle because Lantus is a depot insulin and because you gave more insulin this cycle, the depot will be bigger. In other words, the 0.5 unit dose may drop the BG a bit more than usual.

 

Chump has been a very cooperative boy the whole time!

 

How are things today Dave?

 

It's all been good today, his blood sugar went down to 6.5 a few hours ago, just tested him at 8.4 (+8)
No worries.
That's for your help last night. We both appreciate it

 

That’s good to hear things seem back to normal.
Are you going to maintain the spreadsheet? It’s a really good way of keeping track of things.
You are welcome to post here anytime for help or advice or just to say hello.