? 12/25: MITTENS - Novolin N (TID) - Ketones Small - MDPS 223

Status
Not open for further replies.
I recommend you get the litter box set up to collect a urine sample and isolate Mittens in the room with you and the box until she pees (she might pee after eating). Need to get that ketone test ASAP.

Do you have another litter box for your other kitty to use in the meantime?
 
Good morning Dan!

We just want to make sure that Mittens has food "on board" when she gets the insulin shot-- this particular insulin hits pretty fast, and especially with the larger dose we don't want it hitting on an empty stomach and possibly causing a crash in BG. The usual order is test, feed, shoot-- you're doing it in the right order.

So now, she's had breakfast, and it is shot time (if you haven't given it already)!
 
Dan&Heather said:
Ok, she is fed. 7.5mL fancy feast
Click to expand...
Great stuff! Sounds like the feeding is going a little quicker now, yes?

I understand it's 09:15 EST when fed. Give 0.5IU Novolin N at 09:45 EST. Post to confirm when dose has been given.

(Now the spreadsheet's up it's easier to update from the 'live feed'. I'll do the updates for now. Will give some hints 'n' tips to you after insulin is on board so that you can add stuff when you feel comfortable doing so.

.
 
Good morning all! I slept past my alarm and just got up. :oops: Glad to see al the help and Mogs you are DA BOMB!:bighug::bighug::bighug::bighug::bighug:

Just wondering if there is a plan to do another round of SubQ fluids today especially since it's been awhile since the last ketone check and the last "small" result. I realize Team Mittens is getting more food and hence more fluid into Mittens now but that still may not be quite enough. The creeping up BG, flatter cycle and possibility of less urine output right now suggests to me fluids may be needed. Perhaps a quick check of Mittens skin turgor and gums would give us a some additional helpful info. More fluids would help bring BG down and more flushing of any ketones.
 
Am I to be testing her at the same intervals that we've been doing (+1.5 +2.5 +4 +6 +7.5)?

MrWorfMen's Mom said:
Just wondering if there is a plan to do another round of SubQ fluids today
Click to expand...

I would like to give her some more fluids, Dan has been sleeping for about 6 hours now, so it shouldn't be that long before he gets back up. I'd like for him to be here with me while I do it.
 
Dan&Heather said:
.5u at exactly 9:45 EST
Click to expand...
Thank you! :)

Now eat something and grab some :coffee::coffee::coffee:!

Will have a chat with Kris and Nan about spreadsheet now via PM but we'll be checking the thread at the same time so post when you need something. Next priority is getting a ketone test.

Also can you keep an eye out to see if Mittens has perked up any since getting her potassium supplement?

:bighug:

.
 
Dan&Heather said:
Am I to be testing her at the same intervals that we've been doing (+1.5 +2.5 +4 +6 +7.5)?



I would like to give her some more fluids, Dan has been sleeping for about 6 hours now, so it shouldn't be that long before he gets back up. I'd like for him to be here with me while I do it.
Click to expand...
Yes, the dose has been increased and we need to see how she responds. Other opinions?
 
@Kris & Teasel can I ask you to run with the SubQ timing along with Mogs and Nan. I am getting ready to go out but wondering whether to drive to Schomberg or not today given the weather so may abort the travel plan. Light freezing rain here too but worse up Schomberg way and I am NOT risking life and limb to go. To be completely honest, I'd really rather stay here and help out. Too many screaming albeit cute kids in the mix of company! :)
 
Dan&Heather said:
Am I to be testing her at the same intervals that we've been doing (+1.5 +2.5 +4 +6 +7.5)?
Click to expand...
I'd suggest doing +1.5 and see where Mittens is at then review. (Otherwise keep to same schedule._

I would like to give her some more fluids.
Click to expand...

I think that's a good plan. I think you need to wait a bit after the insulin dose. (Tired so I can't remember the advice from the previous thread and I've not had to do sub-qs myself.)

Do you know how long to wait after insulin before giving the fluids or would you like help checking back through post history? (Think it's in the thread for 24 December.)
 
Nan & Amber said:
Actually, I think that's a glitch on the spreadsheet-- the subQ were given in the early morning of the 25th, so the note should be in the box below.
Click to expand...
Will check. (It might be because the cycle started on 24 December and I'm recording stuff based on relationship to shot times.)

.
 
Critter Mom said:
I'd suggest doing +1.5 and see where Mittens is at then review. (Otherwise keep to same schedule._



I think that's a good plan. I think you need to wait a bit after the insulin dose. (Tired so I can't remember the advice from the previous thread and I've not had to do sub-qs myself.)

Do you know how long to wait after insulin before giving the fluids or would you like help checking back through post history? (Think it's in the thread for 24 December.)
Click to expand...

I believe the recommendation was to do the subQ at least 1-1.5hrs before the shot, because the fluids might bring BG down artificially and make the shot hit on too-low BG. I don't know if there was a recommendation about how much buffer to leave when doing it in the opposite order.
 
"The subQ can dramatically and temporarily lower the BS levels due to dilution. Once the water is processed by the kidneys the BS will start to rise again. I think probably best time to give is about 1-1.5 hour prior to insulin to allow time for blood sugars to begin to rise so dose can be given safely. Also, insulin should not be given in the scruff area as it won't absorb well with fluids, you can give it in the flank (side tummy near the back leg) on days you give fluids."

From Meya's post on the 24th.
 
Freezing rain is no joke! Snow is so much easier to deal with (well, at least for the first few inches!).

If she isn't having a super-active cycle, what do you think of possibly doing the fluids a bit earlier than that? She just got the AM shot, so 1.5hrs before MD isn't until 4:15pm EST, which is a ways away.

I'm very anxiously awaiting the next ketone test...
 
Nan & Amber said:
Freezing rain is no joke! Snow is so much easier to deal with (well, at least for the first few inches!).

If she isn't having a super-active cycle, what do you think of possibly doing the fluids a bit earlier than that? She just got the AM shot, so 1.5hrs before MD isn't until 4:15pm EST, which is a ways away.

I'm very anxiously awaiting the next ketone test...
Click to expand...
That could work. Any time there's a bit of a lull in the schedule is good I think because it's an as needed therapy, not a timed, regular med.
 
Nan & Amber said:
Actually, I think that's a glitch on the spreadsheet-- the subQ were given in the early morning of the 25th, so the note should be in the box below.
Click to expand...
Here's the thread SITREP for that time, Nan.

The date the fluids were administered was 25 Dec, but they were given in the previous insulin cycle which started on 24 Dec.

I've clarified the spreadsheet Remarks for 24 Dec thus:

PM+8.00 - *** - Sub-q fluids 100ml given some time between +7 and +8 (05:30 - 06:30 EST 25 Dec)
Click to expand...

.
 
Nan & Amber said:
If she isn't having a super-active cycle, what do you think of possibly doing the fluids a bit earlier than that? She just got the AM shot, so 1.5hrs before MD isn't until 4:15pm EST, which is a ways away.
Click to expand...

Been rethinking and I think this is a suggestion well worth consideration.

I would suggest that you review how the cycle is going at +4 to see whether it would be safe to give fluids earlier.

Maybe Dan & Heather could try syringing some water in the meantime? (Not ideal but might help; throwing out ideas here.)



I'm very anxiously awaiting the next ketone test...
Click to expand...
Ditto.

.
 
Critter Mom said:
Has Mittens eaten anything since her preshot feed?
Click to expand...

Not yet, I've been trying to give her 2-3 hours in between so it's still frequent but gives her a little time in between to rest. I planned on feeding her next right after the +2.5 test, in about 45 minutes.
 
Dan&Heather said:
Not yet, I've been trying to give her 2-3 hours in between so it's still frequent but gives her a little time in between to rest. I planned on feeding her next right after the +2.5 test, in about 45 minutes.
Click to expand...
Do you think you might be able to keep to the same schedule but get her to eat a little extra at each feed - say, 10ml? (If it doesn't work, it doesn't work but perhaps worth a try to maybe get a few more calories into her for the insulin to work with.)
.
 
@Kris & Teasel If you go through the email you can edit. If you just click on link in this thread, you can't. If you keep Teasel's sheet open and are signed into Google, you should see Mittens sheet in the list of sheets you have viewed or own or can edit. If you open Mittens' sheet from there, you should be able to edit. I had the same problem yesterday. :)
 
Critter Mom said:
Been rethinking and I think this is a suggestion well worth consideration.

I would suggest that you review how the cycle is going at +4 to see whether it would be safe to give fluids earlier.

Maybe Dan & Heather could try syringing some water in the meantime? (Not ideal but might help; throwing out ideas here.)




Ditto.

.
Click to expand...
Critter Mom said:
Been rethinking and I think this is a suggestion well worth consideration.

I would suggest that you review how the cycle is going at +4 to see whether it would be safe to give fluids earlier.

Maybe Dan & Heather could try syringing some water in the meantime? (Not ideal but might help; throwing out ideas here.)




Ditto.

.
Click to expand...
Has this been put on Dan & Heather's list of upcoming things to do?
 
Status
Not open for further replies.
Back
Top