29 July Radar - eating has been minimal +7/51,45,43 +8.15/ 73 +9/103- pmps 199 BFCD

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Jan Radar (GA)

Jan Radar (GA)

Member Since 2015
yesterday's post

Radar doesn't feel well today. :( He threw up this morning and wants to hide under the bed. He wouldn't eat very much at shot time this morning and although I kept trying to get food into him he just didn't cooperate very well. Poor little guy. I think his tooth is hurting and his tummy is upset from not eating much. I'll give him some SEB and hope that helps settle things down so I can keep him eating :nailbiting: I also have some ondansetron that I'm thinking about giving him to help ease the nausea. Maybe he needs pain meds to get him through to Wednesday?? Should I call the vet? Any other ideas?
 
Jan Radar said:
yesterday's post

Radar doesn't feel well today. :( He threw up this morning and wants to hide under the bed. He wouldn't eat very much at shot time this morning and although I kept trying to get food into him he just didn't cooperate very well. Poor little guy. I think his tooth is hurting and his tummy is upset from not eating much. I'll give him some SEB and hope that helps settle things down so I can keep him eating :nailbiting: I also have some ondansetron that I'm thinking about giving him to help ease the nausea. Maybe he needs pain meds to get him through to Wednesday?? Should I call the vet? Any other ideas?
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What you already know - do what it takes to get/keep him eating. I don't have enough experience with sensitive tummy kitties to advise very well on that.
 
So now my problem is that Radar' s number is 51 and has been for the last hour. He's a reluctant eater at the moment so it's been a little difficult to boost that number...... am watching carefully to keep him safe
 
You may want to call the emergency vet clinic near you and see what they suggest. Reason I am saying this is I can see that not eating and throwing up is affecting his numbers, he is pretty low at the moment. Wednesday seems far away if it is bother him that much, I am also concerned about infection. I he on antibiotics?
 
He should be very close to, or just past nadir. Hoping he comes up for you.

I would try the ondansetron. Just remember to not give anything within 2 hours of the SEB (it inhibits absorption of other meds/supplements).

Could it be a pancreatitis flare? Do you have any pain meds on hand?
 
Marvin's Mom - Nat said:
You may want to call the emergency vet clinic near you and see what they suggest. Reason I am saying this is I can see that not eating and throwing up is affecting his numbers, he is pretty low at the moment. Wednesday seems far away if it is bother him that much, I am also concerned about infection. I he on antibiotics?
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Radar is not on antibiotics, but the vet said I can give bupe that I have.... my concern is to get him to go up. He did eat a few spoons of baby food with maple syrup....
 
How close is the ER vet? Asking just in case. Are they 24 hours?

Cleaning himself is s good sign. Do you have any forti flora? Any thing he absolutely goes nuts for?
 
LizzieInTexas said:
How close is the ER vet? Asking just in case. Are they 24 hours?

Cleaning himself is s good sign. Do you have any forti flora? Any thing he absolutely goes nuts for?
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there is a 24 hour ER vet... I just gave him a little more baby food and some kibble dust ...:eek: it will take a little longer to bring the number up but it's something
 
Be sure to document on your SS what you used, how much and what finally worked! You may need the info again (hope not). If he had been in the 30's and earlier in the cycle I would have been headed to ER. He was low but he wasn't dropping.


Whew! Deep breaths. :bighug:

Were you able to get the ondansetron into him?
 
I am glad his numbers went up a bit, I would at least call the clinic and see what they say. you may want to consider NS this PM or very BCS. I am just concerned that if he doesn't start eating a bit more, Wednesday is just too far away.
 
So now I have to ask the dose questions... I understand that after 5 units that we can increase by 0.5 instead of 0.25 which is what I did only last night.

Radar is a long term diabetic so his numbers today do not earn an automatic reduction.

Do I hold for another 2 drops in the 40-50 range? or does the drop on 7/21 also count? and then I'd only need to have one more drop into the 40-50 range for an earned reduction. ??
With his reluctance to eat right now, is it safer for him to skip the shot tonight and let the depot drain a bit?
or could I just reduce by 0.25?

help I don't know what to do! @Sienne and Gabby (GA) @Wendy&Neko
 
Marvin's Mom - Nat said:
I am glad his numbers went up a bit, I would at least call the clinic and see what they say. you may want to consider NS this PM or very BCS. I am just concerned that if he doesn't start eating a bit more, Wednesday is just too far away.
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Thanks Nat, I am also concerned that Wednesday is really really far away. We have some bupe which the vet told us we could give to help him feel better. With trying to keep his numbers up I didn't even try to administer bupe ... :eek: in the midst of all that honey and maple syrup and baby food. lol
 
LizzieInTexas said:
Be sure to document on your SS what you used, how much and what finally worked! You may need the info again (hope not). If he had been in the 30's and earlier in the cycle I would have been headed to ER. He was low but he wasn't dropping.


Whew! Deep breaths. :bighug:

Were you able to get the ondansetron into him?
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We did not try to get the ondansetron into him.... the honey and the maple syrup was enough to deal with. We ate chocolate from the hypo kit and felt much better ... We've never been that close to taking him to the ER. Like you, if he'd been that low early in the cycle I would have been headed for the ER
 
Do you have any Cerenia? It is a better solution if vomiting is involved. If not, I would try getting the ondansetron into him maybe an hour before PMPS, so it will be on board and working before dinner. I would decide on dose based on where his numbers are and if he eats a decent meal. I maybe twice reduced Neko because of lack of appy. Usually poor appy meant she wasn't feeling well and that would increase the numbers. And I could always assist to get calories into her. When she gave me a lowish green at night, that changed things.

I would also give the bupe. You want to stay ahead of pain. Pain can also increase numbers so that also factors into dosing if you fix any pain. Any chance you could get in sooner for the dental? I once had an emergency with Neko and the dentL vet found a sooner slot for me.

The drop on 7/21 does not count. You count per dose.

And yes, chocolate is essential for the hypo kit!
 
Wendy&Neko said:
Do you have any Cerenia? It is a better solution if vomiting is involved. If not, I would try getting the ondansetron into him maybe an hour before PMPS, so it will be on board and working before dinner. I would decide on dose based on where his numbers are and if he eats a decent meal. I maybe twice reduced Neko because of lack of appy. Usually poor appy meant she wasn't feeling well and that would increase the numbers. And I could always assist to get calories into her. When she gave me a lowish green at night, that changed things.

I would also give the bupe. You want to stay ahead of pain. Pain can also increase numbers so that also factors into dosing if you fix any pain. Any chance you could get in sooner for the dental? I once had an emergency with Neko and the dentL vet found a sooner slot for me.

The drop on 7/21 does not count. You count per dose.

And yes, chocolate is essential for the hypo kit!
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I don't have any Cerenia. Radar has not been one who vomits much until recently.... Great suggestion to get the ondansetron into him so it's working in time for dinner. We will definitely do that. :) I tried to insist at the vet's office that Radar needs his dental as soon as possible but the quickest I could get was Wednesday :( Should the bupe come now rather than closer to dinner? I will continue eating chocolate to help myself feel better :)
 
Jan Radar said:
lol the chocolate is so the humans don't loose their minds while trying not to panic and give in to the urge to dip the cat in syrup. repeatedly if necessary until the numbers come up...
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I am such a :loser: lol, I love it, I am picturing Marvin covered in Maple Syrup, would probably have to shave him after that, doubt it could be washed up :)
 
Marvin's Mom - Nat said:
I am such a :loser: lol, I love it, I am picturing Marvin covered in Maple Syrup, would probably have to shave him after that, doubt it could be washed up :)
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What a sticky mess that would be :eek: and you'd most likely have a really annoyed cat... My kitchen and dining room has now been put back in order and all remnants of today's sticky foods have been put in the dishwasher... we've successfully given Radar 0.2ml of bupe hoping that will ease his pain. He has decided that now he needs to occupy my lap for some cuddles. :cat: we will give ondansetron about an hour before shot time and hope that he will eat a proper dinner.
 
I just did Radars preshot and he's 199. I gave him a tablespoon of warm chicken and he was willing to eat it. :woot: I'm so worried that he may not eat enough dinner to keep him from going really low tonight... this was the first chicken he's been willing to eat since last nights before bed snack. We had to work really hard to get him up today and I really don't want to repeat that scary situation and end up at the ER so we are going with a BFC dose.
 
Radar is holding steady in the low 200s but he's not really eating very much so I'm glad we did a reduced dose. Since the depot is still in play we are watching him closely and testing and continuing to offer foods we think he may be willing to eat.
 
Here's the info from the German Lantus forum on dosing:

...if the nadir glucose concentration is 40 - <50 mg/dl at least three times on separate days, try lowering the dose. If the cat drops below 40 mg/dl once, reduce the dose immediately! The reduction is done very slowly in a step-by-step manner (0.25 or 0.5 IU increments). At each newly reduced dose, try to make sure the cat is still stable in the normal range before reducing the dose further./QUOTE]

Do you have ondansatron in pill or injectable form? If the former, you may want to ask your vet to give you an Rx for a vial. The injectable form is actually cheaper and you don't have to worry about your kitty throwing it up. You may need different syringes.

How's Radar doing today?
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