911 INJECTED TWICE!

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Deena and Malby

Deena and Malby

Member Since 2016
help! My husband injected Malachai at 7:10am w/ a new dose of 3units. He didnt tell me and I injected him again at 8:10! That's 6 units!!!
Please look at his sheet. He has never been below 259 however I'm worried he could go hypo at 6units!!!!
What do I do!!!! Freaking out!!!
 
How far to your nearest ER vet or regular vet that could take you in and deal with this? I would call your vet and put them on standby for an emergency. Do you have plenty of test strips and high carb food available? Can you stay at home or do you have to go out?

Please test again now.
 
Deena, I'm afraid I am going to need to go to work soon-- hoping someone else will be on shortly to talk you through this, and I should be able to check back in an hour or so. That should be before the Lantus onsets.

Oh thank goodness, Wendy is here! I agree about having the ER plan in place-- these double-shots don't always produce major effects, but going from the previous dose of 2.75U to 6U is an enormous jump, and nothing to fool around with.

Wendy, are you going to be around for the next hour or so?
 
Hello. Yes I can stay home today. I have plenty of test strips. I just tested him at 411. So still high.
Vet gets in at 9am. Just talked to tech and they are aware of situation. Vet will call soon when he's in.
He's has 3 cans on FF already since he was double fed. I have high carb food on hand. Should I feed that to him now? Will this affect his numbers when I test him?
When should I feed him high carb food and at what point (BG) would you take him in. Again, he usually Nadirs around +5 -+7 and luckily he's not regulated yet. Most of his numbers are usually in the high 200's-300's. I don't feel safe with 6units though. Not sure at what number I should bring him in. I'm never seen him in the blue or green before.....
 
Don't overfeed him, we want him to be hungry if needed.
What was his preshot number, for each shot? Just wondering how that 411 fits into the picture. and which may impact when to test next.
 
@Nan & Amber i will be around for a little bit, but I am beat and looking to head to bed. (Hard rowing practice at 5:30). I will try to stay up for an hour.
 
Wendy&Neko said:
@Nan & Amber i will be around for a little bit, but I am beat and looking to head to bed. (Hard rowing practice at 5:30). I will try to stay up for an hour.
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Hate to make you stay up, I hope someone else can come and cover before then, but I really need to go in now. I'll be back online in less than 1hr (around quarter past the next hour).
 
What was his preshot number today? I don't see it in the spreadsheet and would like to know if he's trending up or down already. Could you tell me if this summary is correct?

7:10 No preshot test - dosed 3 units
+1 no test - dosed an additional 3 units
+1.75 - 411

If the above is true, it's now over 2 hours since the first shot - could you test again?

I see that most of his preshot numbers are missing on the spreadsheet. We strongly recommend you always get preshot numbers so you know it's safe to inject. I see just one preshot value listed since he was on 1.75 units. We can talk about it later but I don't know how you decided on the increases.

@Nan & Amber I can be up for a bit. You can head off now.
 
Yes that is correct. His first test was done 2hrs after the FIRST injection. So I just tested him 30min ago (9:30 pacific time). 411 would be normal for him at this time but your right, I don't know if he's headed up or down.
I decide on the increases from the nadir. He has never been below +259.
I usually don't pre-test because his numbers have always been high. Once I got his numbers lower, I was going to start doing that to be safe.
He is pretty consistent with high numbers in the AM, onset is usually +3, nadir at +6 and then starts going back up to the 500's.
How often should I be testing him? Every 30min?
At what point would should I bring to ER? Again, I have never seen him below 259 although I know he is safe until roughly 70....I would have him at the vet before I saw this number through.
Freaked out! Help!
 
He's pretty high right now, but the first shot should be starting to onset soon, if it hasn't already. I would test one more time now, then based on that you may be able to go longer to the next one.

Has your vet called back yet? I also don't want to wait for him to get low before deciding an ER trip is required. If he's dropping a lot, then I'd head to the ER with your test kit and karo. Some kitties go higher after a larger dose, some drop. Just gotta figure out which scenario you will see today. Sometimes the effects of a larger dose are seen in a later cycle, like tonight.
 
Hi, Deena--I don't have enough experience to guide you through this stressful day, but you are in the absolute best possible hands with Nan & Amber and Wendy & Neko! You're doing what you can--you have all the supplies and food you need, your vet is on alert, you're testing regularly and listening to the advice of the veteran members, and best of all, you're able to be with him and observe his behavior. Hang in there!
 
Wendy-
Later in the night as in AM hours? Yes, the vet called. I told her he is a Bengal and gets very stressed at the vet and I didn't want inflated numbers. We discussed that I would test often and as soon as i saw something I was uncomfortable with (150?) I would rush him in. Just don't know how quickly he can drop and if I should take him in at a higher number? Thoughts?
I will test at 10am to see what his numbers are.
 
Well he is dropping, thankfully not excessively, but this is not the time to be complacent.
The second shot may yet have to onset, I would test again no later than +4
 
Hey, I'm back!

So, dropping a bit but not too fast at the moment. That's good, but we'll want to continue to keep a close eye on things. I agree, no later than +4 for the next test.
 
Ok, thanks. That was probably the first shot onsetting. The second should be doing the same again soon. I agree with Gill that a +4 is a good one.
 
One other thing, at some point you'll want to modify your spreadsheet. He got 3 units at AMPS time, and another 3 units at +1. You can just put 3u L in the +1 box so we know there was an hour between the two shots.
 
Ok I'll test again at +4 or right before...

Gill- my vet is 15min away however my old vet (who I have not spoken to yet, they are a really small facility) is only 2 min.
Vet is on standby.

I'll post +4 test but I'm wondering at what point should I take him into vet? I've never seen him below 250 so low numbers scar me although I know the vet won't do anything differently than me until he is in unsafe numbers...
what number should I start feeding him high carb food or Karo?
 
Deena Traina said:
I'll post +4 test but I'm wondering at what point should I take him into vet? I've never seen him below 250 so low numbers scar me although I know the vet won't do anything differently than me until he is in unsafe numbers...
what number should I start feeding him high carb food or Karo
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I'd save the food for now, he's in high numbers, so quite a bit of head room at the moment. Just keep on top of the testing.
If we were to see a sharp drop at +4, then we might look at giving some HC then and checking in 30 min to see if the HC had the desired effect, if it didn't and depending on where he was numbers wise, and how fast he was dropping a trip to the vet might be necessary.
 
Yes, I agree with Gill-- it's not so much a matter of setting a cutoff number as looking at the pattern and the speed of the drop (if he drops). So the key to keeping him safe will be staying on top of the monitoring so you can catch any drops.
 
Deena - You've got Gill and Nan around now, so I am going to find my pillow for a bit. You will have to keep on this testing for a while, perhaps even late into the cycle. The rate and timing of his drops will determine whether this will be a non event or a vet trip. Hence the need for ongoing tests.
 
Well still dropping, but again not excessive, looks like that second shot has onset with that 50 point drop.
No HC yet, you could give him a teaspoon of LC now if he will eat it.
But I think we should check again in an hour. As Wendy mentioned, he could still drop and it could be quite late into the cycle and we need to keep on top of the testing to catch the drop if it happens.
 
Yes, I will test again at +5. He will always eat. He is not regulated so he always wants food. Food obsessed.

I'll update you at +5.
How late in the cycle can cats drop? I just don't know if I need to be testing every hour for how long?
 
Following and sending smooth sailing vibes for you guys to ride this out. Remember to breath. We got your back. Keep testing, you got this.
 
Deena Traina said:
ow late in the cycle can cats drop? I just don't know if I need to be testing every hour for how long?
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ECID. Most cats start climbing again sometime after +6, but some nadir later (and some earlier). With a second shot onboard, you'd want to go by that cycle, so at the very least, after +6 from then. Personally, I'd be watching him well into his nighttime cycle, although not necessarily testing every hour at that point.
 
Deena Traina said:
How late in the cycle can cats drop? I just don't know if I need to be testing every hour for how long?
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Unfortunately, they can drop anytime, all the way to the end (or beyond-- as Wendy said, sometimes the effect of a double shot isn't seen until the next cycle!). We might be able to ease up a bit as time goes on, but especially since that second shot is running an hour behind (so, we're only at +3 for that one), I'd keep testing frequently.
 
Deena Traina said:
How late in the cycle can cats drop? I just don't know if I need to be testing every hour for how long?
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With an overdosed kitty it can go on for 18hrs, but it doesn't mean that you will need to test hourly.

It may turn out to be a non event.
While he is still dropping I think we need to keep up with the hour testing, then take it from there. After +7+8 if he's rising or flat we can spread the tests out a little more.

Deena Traina said:
He will always eat.
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That's helpful when dealing with low numbers, my BFG was a bit like that, one very long morning he got through 9ounces of HC as well as his 3 ounces of regular breffs
 
You're doing great! As is Malachai-- watch him just take this whole thing in stride while we are all watching him anxiously all day. :p

Whatever you do, don't tell him that he'll get extra munchies if he goes low, you don't want him getting any ideas!
 
Looks like things are under control and he is still in nice safe numbers but as others have said, he could still drop later in the cycle. Also, looking at your SS it appears that you don't get testing in through the PM cycle which you are going to have to do especially tonight due to the double shot and the depot getting bigger because of that.

It would really help the dosing if you could get that information as a lot of kitties go lower during the PM cycle and he could be going low and then bouncing in the AM and you could be missing that and raising him dose just on the AM numbers.

So glad you could stay home to monitor him today. :cat:
 
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Tricia- is Harvey an Abyssinian? He's very handsome – I've always wanted one.
Malachi has been diabetic for six months. My husband has actually never injected him in the a.m. before – I've been sick so he wanted to be nice and do it for me. Unfortunately, he made the mistake of just texting me instead of leaving a blatant note somewhere. Not very smart considering we're dealing with life.
Gill- he's had a little food. I'll see how that helps out his +6.
 
Bobbie And Bubba said:
Looks like things are under control and he is still in nice safe numbers but as others have said, he could still drop later in the cycle. Also, looking at your SS it appears that you don't get testing in through the PM cycle which you are going to have to do especially tonight due to the double shot and the depot getting bigger because of that.

It would really help the dosing if you could get that information as a lot of kitties go lower during the PM cycle and he could be going low and then bouncing in the AM and you could be missing that and raising him dose just on the AM numbers.

So glad you could stay home to monitor him today. :cat:
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Hi Bobbi,
I switched over from Vetsulin. I thought I was supposed to look at his Nadir for dose increases on Lantus and not the Preshot numbers?

Posting his +6 in 15minutes....
 
Deena Traina said:
I was supposed to look at his Nadir for dose increases on Lantus and not the Preshot numbers
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With Lantus we use the nadir for dose increase and decreases with consideration to the pre shot number. The pre shot number will tell you if it's safe to shoot and the nadir tells you how low the dose is taking him. So, during the PMPS cycle, suppose he were hitting some nice green numbers that you missed because you aren't testing and during the AM cycle he was bouncing and looking high and you would assume he needed a dose increase after you held the dose for 3 days in following TR or 7 days if following Start Low Go Slow (SLGS) method. That is why it is so important to test during both cycles.

Are you following TR or SLGS ?

Malachai is beautiful BTW!
 
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