PMPS of 70 but full dose of Caninsulin injected

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Capoo

Capoo

Member Since 2016
@Sif is a new member, whose cat has been diagnosed one week ago.

She succeeded her first BG test this evening, the PMPS, and it was 70 mg/ dL.

The full dose of Caninsulin, 2 IU, was unfortunately injected, and it was one hour ago.
Now, the BG at +1 is 66.
 
Merci beaucoup @Capoo.

So :
- 20:32 : 70.1
- 21:10 : shot 2IU :/ honey (just a little little bit)
- 22:08 : 66.6. Behaviour still normal. Again a little little bit of honey.

@Kris & Teasel : I continue here. I will test him again but not every 15 min as he still acts normally. We just succeeded to make him accept the fact that he is tested so I prefer to wait a little bit more to avoid him to be traumatised (I anticipate for the future).

I will test him again around 23:00. Thank you !
 
Sif said:
Merci beaucoup @Capoo.

So :
- 20:32 : 70.1
- 21:10 : shot 2IU :/ honey (just a little little bit)
- 22:08 : 66.6. Behaviour still normal. Again a little little bit of honey.

@Kris & Teasel : I continue here. I will test him again but not every 15 min as he still acts normally. We just succeeded to make him accept the fact that he is tested so I prefer to wait a little bit more to avoid him to be traumatised (I anticipate for the future).

I will test him again around 23:00. Thank you !
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OK. It has to work for you and your kitty. Do you have food with gravy that I asked about?
 
FOR MEMBERS ASSISTING - VET SUPPORT IS POOR

From Welcome Thread:
Sif said:
Yes I was on the phone with the vet.
She did'nt worry at all, I don't understand.
She said "oh 70.2 that's very good compare to when we had him at the vet clinic, it was 372.6 !".
I asked about hypo, she said to give him honey if he has trouble. She said that Caninsulin acts in a few minutes.

For now my cat seems to be ok, just calm. When I show him a toy he wants to play... if it continues like this, that's nice but weird !
Click to expand...

.
 
Sif said:
Ascensia Contour (I followed the advices of Dr. Lisa Piersen).


No I just have a can of wet food brought from France, Almo Nature (0,9 % of carb).

If I well understood the maximum effect of Caninsulin is around 4-6 have after the shot.
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Yes, you are correct. The full effect is usually around that time and that's when BG is lowest. We call it the nadir (point of lowest BG). You gave the injection a short time ago. Instead of giving your clock time when you give your BG values, it will be easier for all of us to understand if you say it as hours since the injection. The injection is the beginning, or time zero. One hour after is +1, one and a half hours after is +1.5, two hours after is + 2, etc. We are located everywhere and it's too confusing if we need to translate the time from a different time zone. For example I'm in Canada, Capoo is in France, etc.
 
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Sif said:
His usual dry food yes. 20% of carb.
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OK. You might have to use this if you need to get his BG up. Honey acts fast but the effect wears off too fast and if you keep giving it your kitty might get an upset stomach from it. You don't want him to be vomiting!

Please tell me your injection and test times in the form below:

PS (pre-injection BG) = 70.1
Dose at time 0 = 2 units of caninsulin
BG at +1 = 66.6
BG at ..... etc.
 
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Sif said:
His usual dry food yes. 20% of carb.
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@Capoo, @Kris & Teasel -

CG needs to feed a meal of HC kibble IMMEDIATELY to abort the cycle. Also give honey on gums to give BG immediate boost.
Recommend getting cat to vet or ER for safety.

If vet visit not possible:
Test every 15 mins & give honey on gums if numbers below 60. Keep doing this till HC kibble gets numbers up and keeps them up.
Need to keep numbers up till at least +7 - +8. Keep feeding HC kibble at intervals.
Test throughout cycle right through to next preshot.
Get CG to post for advice before giving ANY more insulin.

DOSE NEEDS TO BE REDUCED if any more insulin treatment needed. Nadir not recommended to go below 100 on human meter for cats on Caninsulin.

Sorry can't write fuller response.


Mogs
.
 
Critter Mom said:
@Capoo, @Kris & Teasel -

CG needs to feed a meal of HC kibble IMMEDIATELY to abort the cycle. Also give honey on gums to give BG immediate boost.
Recommend getting cat to vet or ER for safety.

If vet visit not possible:
Test every 15 mins & give honey on gums if numbers below 60. Keep doing this till HC kibble gets numbers up and keeps them up.
Need to keep numbers up till at least +7 - +8. Keep feeding HC kibble at intervals.
Test throughout cycle right through to next preshot.
Get CG to post for advice before giving ANY more insulin.

DOSE NEEDS TO BE REDUCED if any more insulin treatment needed. Nadir not recommended to go below 100 on human meter for cats on Caninsulin.

Sorry can't write fuller response.


Mogs
.
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Thanks, Mogs. CG has called vet as you know. CG is also reluctant to test frequently because she's just learning. I've asked her to test frequently and post for advice.
 
That's too low, and increased appetite can be a hypo symptom. High-carb kibble NOW-- don't over-feed because you will need him to eat more later, but get some kibble into him and test again soon (15-20mins)

Is there a 24-hr vet near you?
 
Sif said:
+1:20 : 46.8
No symptoms except starving
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When you wrote +1:20, you meant 1 hour and 20 minutes since the injection, correct? Please verify this for me.

Also - please go read post #14 from Critter Mom above. She's very knowledgeable and is very worried. Your kitty still has 2+ hours before nadir (lowest BG because of maximum insulin effect) and his BG is already very low. This could become an emergency. Feed a small meal of any sort of kibble you have now. Put a little honey on his gums too.
 
Also-- once you have fed your kitty some kibble, I think we need to start a new thread with this information, unless Capoo is still online. Because it was started a while ago, even if people see the 911 they will think it is "old news", and we can't edit the thread title to reflect this new, more alarming, information.
 
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Nan & Amber said:
Also-- once you have fed your kitty some kibble, I think we need to start a new thread with this information, unless Capoo is still online. Because it was started a while ago, even if people see the 911 they will think it is "old news", and we can't edit the thread title to reflect this new, more alarming, information.
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I believe Capoo has retired for the night. She's in Paris.
 
It would be best if Sif can start the new thread, so that we don't have the same problem later-- this situation could potentially continue for another 7+ hours, and I'm not sure I will be able to stay up that long. But the kitty comes first-- feed kibble, then test.
 
Sif, would you please start a new thread now with the 911 on it? Please also let us know what steps you have taken with your kitty.
 
Critter Mom said:
Keep feeding HC kibble at intervals.
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An idea of the intervals ? I give him small amounts of kibble and still honey.

The vet calls me back in a few minutes. She knows he is at 46.8. She told me to feed him and give him honey.
 
Just post the next test as soon as you can.

Honestly, if it were my cat I would be strongly considering just taking him to the vet now (I'm assuming, given the hour, that your vet is at a 24-hr clinic?). She may not be worried when you call on the phone, but it is your cat, not hers.
 
Sif said:
An idea of the intervals ? I give him small amounts of kibble and still honey.

The vet calls me back in a few minutes. She knows he is at 46.8. She told me to feed him and give him honey.
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Usually when we're helping someone in this kind of situation we ask them to test, give a bit of high carb food and test again in 15 minutes. The time between tests can get longer as the kitty gets past the dangerous part of the insulin cycle. you're not there yet. I know you're new to testing BG and didn't want to test as much as this. It's quite important to get the information. Could you manage every 30 minutes?
 
I agree with what Nan has said. If you can get your kitty to the vet clinic now both you and he will be better off. If not, you could be trying to keep your kitty from going lower for several hours tonight and if he does go very low it could become a serious emergency.
 
OK, better!

This is a food-influenced number, but it's a good one!

The general recommendation at this point would be to stop feeding and see if he is rising on his own, but because we are still mid-cycle and because you aren't able to test at a high frequency, I'm more inclined to just keep doling out the kibble and testing as often as you can for the next few hours to make sure he's out of the danger zone.

Or, what tiffmaxee said!
 
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Sif said:
Yes yes we were ready for after this one test.

Epi plays with his ball now !
I will do more tests + will feed him until we will reach the +6.
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Please explain: are you going to the vet clinic or are you staying at home because you think the +4 BG is OK?
 
Kris, I don't think she needs to go to the vet. Her cat is acting fine and eating.

You might need to test beyond +6. He needs to be high enough and then you keep testing for a couple of hours, usually every half hour, to see if he stays up without food. If he is over 80 two hours without food you are okay to stop.
 
tiffmaxee said:
Kris, I don't think she needs to go to the vet. Her cat is acting fine and eating.

You might need to test beyond +6. He needs to be high enough and then you keep testing for a couple of hours, usually every half hour, to see if he stays up without food. If he is over 80 two hours without food you are okay to stop.
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So, when should I stop feeding him ? After +6 ?
80 even if at the beginning before the shot he was at 70 ?
 
Sif said:
So, when should I stop feeding him ? After +6 ?
80 even if at the beginning before the shot he was at 70 ?
Click to expand...
I think you could stop feeding at +6 to be safe. The insulin should start to decline in its effect after that. Keep testing every 30 minutes to about +8 to see if BG stays level or rises slowly.

Did the vet give you any advice about what the next dose should be? I would not give 2 units again if it was my cat.
 
Kris & Teasel said:
think you could stop feeding at +6 to be safe. The insulin should start to decline in its effect after that. Keep testing every 30 minutes to about +8 to see if BG stays level or rises slowly.
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OK!
Kris & Teasel said:
Did the vet give you any advice about what the next dose should be? I would not give 2 units again if it was my cat.
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No :( I won't do it. But I don't know what to do. She will call me... she said...

Everything will be opened again tomorrow so I will buy wet low carb. food. I have to know exactly how to proceed with the insulin while I will do the transition from the dry to the wet food (slowly). I must do it slowly because Epi is subject to gastritis....
 
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Sif said:
So, when should I stop feeding him ? After +6 ?
80 even if at the beginning before the shot he was at 70 ?
Click to expand...

At this point I would try feeding some of his low carb food and check in a half hour. Post then and we will see what to feed. You can't pick an arbitrary time to stop. You move from high carb to low carb to no food providing the numbers stay up.
 
The vet just called me :
she said that I could try the half dose of Caninsulin tomorrow morning (1 IU). I said that I will test the BG and then call the emergency number to know what to do. She agreed.
 
You need to feed his regular food with some honey.

Feed just a small amount. You need him to continue eating. Test again in 20 minutes.
 
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