Ketone test at 15.

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Meridith and Zeke

Meridith and Zeke

Member Since 2017
Is there anything that we could do at home for this? I really don't have the funds for an ER vet and our vet is on vacation in Chicago. Anything we can do to make this come down on our own? He is being perfectly normal, playing even.

So my helping ladies also see @MrWorfMen's Mom @Yong
 
We did one after first getting strips when we first started home monitoring and it showed the neutral. I set me a timer on my phone and dip with one hand while starting timer with other. Just in case I did go over time, I did a second one. It hits the 15 mark Farley quickly.
 
Also, was planning on raising him back to .75u this morning since he seems to be staying at a bit higher numbers with the .5u dose. Would that help any?
 
That's "small" according to the chart on my Bayer KetoDiastix. He needs:
  • hydration - as much water as he'll tolerate in his wet food plus whatever you can syringe into him throughout the day
  • high(er) carb food and enough calories so you can give him enough insulin to stall/stop ketone development
  • ketone tests multiple times a day for a couple of days.
Meridith and Zeke said:
Also, was planning on raising him back to .75u this morning since he seems to be staying at a bit higher numbers with the .5u dose. Would that help any?
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Yes!

@Meya14 is the resident ketone expert.
 
Yong said:
How is he acting?
Any vomitting, lethargy, inappetance?
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None at all, there is no change in him what so ever. I was only testing just to make sure there wasn't anything going on since haven't been able to get him to eat as much this last week. Normally close to 3 total cans a day and right now only about 2.
 
Kris & Teasel said:
That's "small" according to the chart on my Bayer KetoDiastix. He needs:
  • hydration - as much water as he'll tolerate in his wet food plus whatever you can syringe into him throughout the day
  • high(er) carb food and enough calories so you can give him enough insulin to stall/stop ketone development
  • ketone tests multiple times a day for a couple of days.

Yes!

@Meya14 is the resident ketone expert.
Click to expand...

We can add the water to his wet. Will have to go get some higher carb, just realized we hadn't saved any back when I finally got all 3 eating pate last week :eek:
 
Extra fluids, little extra calories/carbs (maybe the 10-14% range?), and insulin are important :). We may be able to get them flushed out of him in time :cat:. Try to get another ketone test later too (I know it might be a while since he just pee'd) I think I only have to go out for a little bit so will definitely check in with you guys later :bighug:
 
How often should I be testing his bg today? Also, I know i should test for ketone again, but it isn't the easiest to catch the turkey in the litter box. How often should I shoot for on that today? There is 2 of us who can keep a watch on him.
 
Meridith and Zeke said:
How often should I be testing his bg today? Also, I know i should test for ketone again, but it isn't the easiest to catch the turkey in the litter box. How often should I shoot for on that today? There is 2 of us who can keep a watch on him.
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You're raising his dose so I'd aim for a +2 to start to see where he'd headed. You need to have some HC food on hand in case you need to steer his BG up. There might be extra testing involved if this happens. He needs that extra insulin because of the ketones.

I'm heading out soon for a couple of hours. Will check in later.
 
Yong said:
If he likes Tuna, pick up some cans. You can try to use tuna water to help get more fluids in him and then you guys can eat the Tuna :smuggrin:. Go ahead and run to the store so you're back by +2. :)
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We do have a can of that, will get more! The store is only 15 minutes away, small town lol.
 
Yong said:
If ketones start increasing, you will probably have to get him to a Vet. Hoping we'll get them flushed out today :bighug:
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I was thinking on the BG going up, not the ketones, but yes those definitely need to go down!

Yong said:
Just had another thought, after having some time to let the wheels turn and :coffee:. Is the strip going into straight urine, like via spoon method or being dipped in pee'd litter?
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I bought a ladle from dollar tree, so it is flatter then most and I just slide it under his booty when I hear him peeing. He always gives me one of those looks since I have to take it along close to his backside so it doesn't pick up any litter (he almost sits in the litter when peeing).
 
BG wise there isn't much you can do but wait till tonight's cycle and give him insulin then. I wouldn't worry too much because he's missed shots before and has never skyrocketed into super high numbers. I also don't think you need to test every two hours. Grab a test at +4 to see if he's up or down and then depending on what's he up to, we can decide if another is needed before +8. No need to make him into a pin cushion unless there is activity warranting it.
 
Meridith and Zeke said:
He always gives me one of those looks since I have to take it along close to his backside so it doesn't pick up any litter (he almost sits in the litter when peeing).
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lol so does Maury! Just figured I would ask to make sure litter didn't make the strip react. :)

If BG goes up, just let it ride until PM shot. I'm thinking he did get a little bit of the insulin, so not a complete fur shot :smuggrin:. Keep up with fluids. Are you still sticking to 2 feedings a day? Probably be OK to give him a little LC snack with some more water, like a tablespoon.
 
Ok on the testing.

We do the 2 feedings, but he is a grazer so I try to watch and see how often he goes back to the bowl, then pick up no later then 2 hours before PS if there is anything left. My gremlin is also a grazer.
 
His +4 is 203, so I'm thinking with that steep of drop, another test in 2 hours. Would the extra fluids cause his bg to drop like that?
 
Ok so he either got some insulin today or he's not eating as much and any food bump has passed because he quite often has gone up rather than down in that timeframe. I'm betting he will be fine until +8 but it wouldn't hurt to see where he is at +6 just in case he has more surprises up his sleeve today! While extra fluids can help bring BG concentrations down, I doubt the little bit extra he is taking of his own accord is making that big a difference unless he's hanging over his water bowl and drinking constantly. Dramatic changes would be more likely with SubQ or IV administration of fluids.
 
Ok, I will test him at +6 just to make sure he isn't dropping much more and he has probably ate about 2/3rds a can by now alone with some nibbles of tuna we have given him. When we test at +6 I will open another can of FF for him.
 
After 312 at +6 I'm thinking it is safe to say he is bouncing. Giving him a can of FF to make sure he is getting enough to eat today.
 
HMMM! Zeke is a bit of mystery! The BG is nothing to worry about given he may not have got a full dose this morning. GREAT NEWS on the ketone front!:D Just let him eat whatever he wants today to be sure he's getting enough nutrition. Is it possible for you to get a test in before bed on the evening cycle or if/when you get up to use the ladies in the middle of the night? It may be that he is doing some dropping at night we are currently unaware of and knowing what he does at night might give some more clues about what's going on.
 
She has a lot of issues with anxiety, so her giving shots and testing took a bit. Once we got Zeke used to the shots where he didn't have to he held or anything, she watched very carefully a couple times before actually doing it herself. After that first time, she had no issues with it after that. Was the same for testing. Zeke is also much better behaved for the test when she is calm. :)
 
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