Is this bg getting in dangerous territory?

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bbwyo said:
could the Vetsulin not been mixed enough? I try to watch that it's all consistent but when I was first learning to give shots I would turn the bottle up and some would squirt out. Maybe the potency was effected?
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Those drops happen once in awhile, its why I try and always get a +2. That most likely won't be the last time you experience a drop like that.
 
Squalliesmom said:
Possibly, but doubtful. How do you mix it?
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I try to be very gentle. tip back and forth slowly and watch the white stuff swirl a little, then I very gently roll it in my palm a couple of times. I'm wondering if when I tip the vial up to insert the syringe possibly it is more concentrated
 
bbwyo said:
I try to be very gentle. tip back and forth slowly and watch the white stuff swirl a little, then I very gently roll it in my palm a couple of times. I'm wondering if when I tip the vial up to insert the syringe possibly it is more concentrated
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I was told to repeatedly roll it gently between my palms for a minute or so, so it wouldn't get foamy.
 
Squalliesmom said:
Awesome! That's without any more food, right?

Well, that was a very big drop, and technically it could still be considered a hypo event because she dropped so low so fast, into numbers she is not used to being in.
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yes no food since before the 126
 
I would consider a drop of 40 or 50 to be a significant drop from 270. Over 100 is a dive. If your cat was feeling lethargic, it is a hypo event. Depending on the cat and meter range, hypos with symptoms can happen under 80. Its just that many cats are symptom free at 40 even, but some experience it higher.
 
babyBoo said:
I would consider a drop of 40 or 50 to be a significant drop from 270. Over 100 is a dive. If your cat was feeling lethargic, it is a hypo event. Depending on the cat and meter range, hypos with symptoms can happen under 80. Its just that many cats are symptom free at 40 even, but some experience it higher.
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Yes, dropping into lower numbers than a cat is used to can create a hypo, even if the numbers are above the technical cut-off, if you know what I mean.
 
I was just looking at her spreadsheet from yesterday and remember when I got the higher reading of 332 this morning thinking it was strange because she had seemed to be settling in. This same thing could have happened last night except not to this extent. In the morning I may see a similar bounce...right?
 
The high carb dry food should help keep the bg higher and longer than if you used the quicker acting high carbs like karo or fancy feast gravy from gravy lovers cans. It just takes awhile to elevate the bg with it, maybe an hour or more. The karo and gravy can bring the bg numbers up in 20 or 30 minutes. I think the fastest and quickest method if you need it is syrup on the gums. Which works even if your cat is not eating or even unconscious.
 
bbwyo said:
I was just looking at her spreadsheet from yesterday and remember when I got the higher reading of 332 this morning thinking it was strange because she had seemed to be settling in. This same thing could have happened last night except not to this extent. In the morning I may see a similar bounce...right?
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Yes, I think you probably will. May be even higher.

When I was still new to this I was testing when my vet had told me to stop, too. She had my guy on 7 units of Vetsulin twice a day, and wanted me to go to three times a day! Anyway, I kept on testing, and it's a good thing I did because he dropped down to 34, then to 22. I was a wreck! Thank heavens for FDMB! They talked me through it and obviously, everything came out alright. But so scary! And the vet told me to stop testing!!!! No reputable vet should ever discourage home testing. It's the ONLY way to ensure the safety of your beloved kitty!
 
Here's a link that has a post by Jill&Alex in it(#17 in the thread) concerning hypos and meter readings. Champagne(the cat) had bad hypo symptoms at about a 70 on the alphatrak meter. Shoeskitty mentioned the alphatrak and relion tests they did on same blood drop was consistant 90 on their alphatrak was 48 on relion.
Basically Jill&Alex wanted to point out that hypo symptoms at higher numbers are not to be ignored just because the meter says it shouldn't be a hypo.

link to post.
http://www.felinediabetes.com/FDMB/...-3-9-2-75-3-8-3-4-7-3-25-4-9-3-50-5-8.178169/
 
Squalliesmom said:
Can you get one more test, just to make sure she's holding her own still, without the aid of food?
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will do. How long should I wait? mid 300's is about as high as she has been going. could I expect her to be much higher than this in the morning? and if so doesn't it seem like she would definitely need the morning insulin shot?
 
bbwyo said:
will do. How long should I wait? mid 300's is about as high as she has been going. could I expect her to be much higher than this in the morning? and if so doesn't it seem like she would definitely need the morning insulin shot?
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She could go up into the high 300s or more, potentially. There's really no way to tell. The reason you don't give increased insulin is because you will drop bg too low again which will trigger the whole bounce cycle over again. It just keeps on feeding itself if you keep increasing insulin. She may well be high enough to have her morning shot, but since this dose put her so low tonight, you might want to reduce it.
 
bbwyo said:
so instead of giving regular dose reduce a bit? or just give normal does don't increase?
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That's why I said to test her in the morning and then post for dosing help. Without knowing her numbers there's no way to tell. But it's worth considering reducing a bit, since this dose dropped her so low so fast.
 
Squalliesmom said:
That's why I said to test her in the morning and then post for dosing help. Without knowing her numbers there's no way to tell. But it's worth considering reducing a bit, since this dose dropped her so low so fast.
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got it! How much longer do I need to wait before next test? It's been 20 mins
 
i gave her an extra capsule of Dasquin this evening. Usually just one in am but she was creaking a bit. Would this have had an impact?
 
bbwyo said:
403:-( seems like everything we've been working for is out the window!
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I know it may seem like that, but it hasn't! Remember, she's had a lot of food and some of it has been hi-carb. And her liver is busily dumping glycogen, thinking it needs to bring her bg up, too. This will all subside, but you need to be patient; it won't go away in just a few hours. But it WILL go away! :):):)

I think you can probably go to bed now, I don't think she's going to drop back down, at least not enough to be worrisome. How long till her morning shot?
 
Her bg will probably come back down some before then, but don't worry if it doesn't. Better too high for a day than too low for a moment - too low can kill. She may bounce for a few days, or she may clear the bounce sooner, every cat is different and there's no way to predict.
 
well thank you again. I hope you are able to get some sleep now. We will wait and see what another day brings. definitely a pretty steep learning curve with FD
 
bbwyo said:
definitely a pretty steep learning curve with FD
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Yes, it definitely is that!
You are very welcome. Hope you can get some sleep, too. I'll try to check in on you guys tomorrow and see how you're doing. And try not to let the higher numbers dismay you too much, they will come back down! :bighug::bighug::bighug:
 
Update: 05/26/17 AMPS was 355 at 7 am. talked with Vet this morning before dosing. She advised to go ahead and give shot this morning but to skip evening shots. She said N2CA and that the low #'s were an indication her pancreas were producing at this time of day. Makes sense we exercise thru day and into evening now that days are long and warm. She's very active when she's outside. I'll be watching her closely today but will be very happy if we can go to .5 1x daily. Really appreciate the help last night and so glad things didn't deteriorate like they could have.
 
bbwyo said:
Update: 05/26/17 AMPS was 355 at 7 am. talked with Vet this morning before dosing. She advised to go ahead and give shot this morning but to skip evening shots. She said N2CA and that the low #'s were an indication her pancreas were producing at this time of day. Makes sense we exercise thru day and into evening now that days are long and warm. She's very active when she's outside. I'll be watching her closely today but will be very happy if we can go to .5 1x daily. Really appreciate the help last night and so glad things didn't deteriorate like they could have.
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So glad Kitty is doing well this morning! I hope the once-a-day dosing works for her. Please don't stop testing, though! :):bighug::cat:
 
Squalliesmom said:
So glad Kitty is doing well this morning! I hope the once-a-day dosing works for her. Please don't stop testing, though! :):bighug::cat:
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Never! One thing I don't understand is that I thought Vetsulin only had a 12 hr. active time? But Vet said it depends on cat. Again it's a real learning curve on the meds/animal/FD! Shot at 7 this am getting ready to do another test. She's been outside but in sleeping now. Need to make sure she's sleeping and not something else! Hope you catch up on your sleep. I hope to get a nap today.
 
bbwyo said:
Never! One thing I don't understand is that I thought Vetsulin only had a 12 hr. active time? But Vet said it depends on cat. Again it's a real learning curve on the meds/animal/FD! Shot at 7 this am getting ready to do another test. She's been outside but in sleeping now. Need to make sure she's sleeping and not something else! Hope you catch up on your sleep. I hope to get a nap today.
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Lol, I overslept this morning, and later took a little nap, as well!

Most insulins won't last longer than about 12 hours in a cat, especially the fast-acting ones like Vetsulin. Cats have very fast metabolisms, at least three times as fast as a human's! But I hope for yours and Kitty's sake that it works for her. Every Cat Is Different (ECID)!

If there is any way you can take her completely off the dry food she would do better, maybe even become just diet-controlled. The dry is way high in carbs, and will keep her bg numbers high. Just don't do it all at once and make sure you test frequently, because her insulin needs could drop by quite a bit, and I know you don't want another hypo!:):bighug:
 
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