KleineMue
Member Since 2014
HELP PLEASE!! 
picked Pedro up from the clinic in London on Friday, bright and happy cat, vocal on the journey home. We stopped at a friends where he came out of the carrier, are a little, sat on a kitchen chair while we chatted, the kids playing.
Pedro has shown to be sensitive to insuline, this is the vets' suspicion, and so they reduced his variable dose again, reducing the maximum dosis from 2 units to 1.25 max:
if blood glucose <10mmol/l, give 0.5 unit glargine s/c
if blood glucose 10.1 - 12.5 mmol/l, give 0.75 unit glargine s/c
if blood glucose 12.6 - 15.5 mmol/l, give 1 unit glargine s/c
if blood glucose >15.6 give 1.25 unit glargine s/c
At my friends I tested him at injection time around 8.30pm (17.7 mmol/L, 319) but forgot the syringes at the clinic, so could not inject him. Tested again when I was home later that evening around 11.30pm and injected him with 1.25 units.
Saturday morning I tested at usual injection time around 8.30am and he was 3.9 mmol/L, 70) and I thought this was probably the end of e nadir. I left Graham with instructions to test him around 10.45am and inject him according to the shooting schedule. At 10.45am he was 4.9 mmol/L, 88) and as per plan he injected him with 0.5 units.
Graham didn't respond to these low numbers with quite the urgency I would have and he didn't test him again until 1.30pm when Pedro was down to 2.3 mmol/L, 41. He noticed that Pedro wasn't interested in food and tried to call me, but my phone was off due to a faulty battery. He tested him again at 3pm (1.5mmol/L 28) and then net to pick me up from work.
We were home 35mins later and I tested him straight away (1.8mmol/L, 43), smeared some honey into his mouth and then tried to get him to eat but to no avail. To make matters worse he ran off and hid and we couldn't work out where he had gone.
Graham found him 35mins later tucked away in a hard to reach spot in the back bedroom and we got him out. Tested again (1.6mmol/L, 29) and took him straight to our vets, had called them earlier.
The nurse noticed him having a tremor and helped us jumpy the cue. Tested him for the vet with our Alphatrak (2.4mmol/L, 43) and they took him to the back to administrat glucose intravenously. 10mins later he was positively more perky, a bit more lively, but happily going into his carrier.
When we got home he was and stayed on 10.3mmol/L 183 at 5.3opm and 7.30pm and at his previous shooting time of 8.30 he was up a little to 10.7mmol/L 193.
As we are approaching the adjusted shooting time I tested him, he has come down a little to 9.9 mmol/L 178, but he still hasn't eaten anything. He drank a tiny amount when we came in from the vets, there are sorts of cat foods there readily available but he showed little interest. We had fish & chips for dinner and he hadn't tiny amount of fish, but nothing more. He spent the evening curled up on the sofa head rest behind me next to the warm heater sleeping with periods of loving and warm cuddles and strokes and purring. He also had a wee in the garden after we have come home from the vets.
So, my question is: to inject or not to inject...? If I would inject him I don't think I would go to sleep because I wouldn't want him to drop low. I am concerned that the glucose injection seemed to see him stuck on that 10.3/183 for several hours without movement. I am concerned he is coming down right now again. My instinct is telling me not to inject.
He has been low before and actually this week Monday night to Tueaday, the night before I dropped him off in London he reached a crazy all time low of 1.8mmol/L 32 and for the first time showed signs of hypoglycaemia. It took all night to get him back up, hence th vets adjusting th variable dose. I am emailing them checking to see if there is a cutoff point, ie no injection if below such and such....
.
I can't get hold of the night nurse at the clinic.
What do I do?
Mue x
picked Pedro up from the clinic in London on Friday, bright and happy cat, vocal on the journey home. We stopped at a friends where he came out of the carrier, are a little, sat on a kitchen chair while we chatted, the kids playing.
Pedro has shown to be sensitive to insuline, this is the vets' suspicion, and so they reduced his variable dose again, reducing the maximum dosis from 2 units to 1.25 max:
if blood glucose <10mmol/l, give 0.5 unit glargine s/c
if blood glucose 10.1 - 12.5 mmol/l, give 0.75 unit glargine s/c
if blood glucose 12.6 - 15.5 mmol/l, give 1 unit glargine s/c
if blood glucose >15.6 give 1.25 unit glargine s/c
At my friends I tested him at injection time around 8.30pm (17.7 mmol/L, 319) but forgot the syringes at the clinic, so could not inject him. Tested again when I was home later that evening around 11.30pm and injected him with 1.25 units.
Saturday morning I tested at usual injection time around 8.30am and he was 3.9 mmol/L, 70) and I thought this was probably the end of e nadir. I left Graham with instructions to test him around 10.45am and inject him according to the shooting schedule. At 10.45am he was 4.9 mmol/L, 88) and as per plan he injected him with 0.5 units.
Graham didn't respond to these low numbers with quite the urgency I would have and he didn't test him again until 1.30pm when Pedro was down to 2.3 mmol/L, 41. He noticed that Pedro wasn't interested in food and tried to call me, but my phone was off due to a faulty battery. He tested him again at 3pm (1.5mmol/L 28) and then net to pick me up from work.
We were home 35mins later and I tested him straight away (1.8mmol/L, 43), smeared some honey into his mouth and then tried to get him to eat but to no avail. To make matters worse he ran off and hid and we couldn't work out where he had gone.
Graham found him 35mins later tucked away in a hard to reach spot in the back bedroom and we got him out. Tested again (1.6mmol/L, 29) and took him straight to our vets, had called them earlier.
The nurse noticed him having a tremor and helped us jumpy the cue. Tested him for the vet with our Alphatrak (2.4mmol/L, 43) and they took him to the back to administrat glucose intravenously. 10mins later he was positively more perky, a bit more lively, but happily going into his carrier.
When we got home he was and stayed on 10.3mmol/L 183 at 5.3opm and 7.30pm and at his previous shooting time of 8.30 he was up a little to 10.7mmol/L 193.
As we are approaching the adjusted shooting time I tested him, he has come down a little to 9.9 mmol/L 178, but he still hasn't eaten anything. He drank a tiny amount when we came in from the vets, there are sorts of cat foods there readily available but he showed little interest. We had fish & chips for dinner and he hadn't tiny amount of fish, but nothing more. He spent the evening curled up on the sofa head rest behind me next to the warm heater sleeping with periods of loving and warm cuddles and strokes and purring. He also had a wee in the garden after we have come home from the vets.
So, my question is: to inject or not to inject...? If I would inject him I don't think I would go to sleep because I wouldn't want him to drop low. I am concerned that the glucose injection seemed to see him stuck on that 10.3/183 for several hours without movement. I am concerned he is coming down right now again. My instinct is telling me not to inject.
He has been low before and actually this week Monday night to Tueaday, the night before I dropped him off in London he reached a crazy all time low of 1.8mmol/L 32 and for the first time showed signs of hypoglycaemia. It took all night to get him back up, hence th vets adjusting th variable dose. I am emailing them checking to see if there is a cutoff point, ie no injection if below such and such....
.
I can't get hold of the night nurse at the clinic.
What do I do?
Mue x
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. I think its upset his system.
Another arrangement I've seen used is a large dog crate that was enough for a bed, and LB in one.