4/20 Silver AMPS 193 PMPS 158 Ketones 6 +5=214

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You don’t have to do this, but just a suggestion that you may find useful in the future for reference, can you put the ketone readings in the cell near where they occur so you can see trends when the ketones are measured in relation to when he eats, shot time, if they are more frequent in the day cycles vs night, etc.? I think it would be useful.

I also didn’t get a chance to respond to this yesterday

Juliet said:
Okay he has a nice blue tonight - but as his numbers come down his ketones are going UP. This makes NO sense to me. BG - 167 - lowest in the past three weeks. Ketones - 6.1 on the Novamax. This is crazy. Everywhere I have read in this forum says anything above trace is bad. 6.1 is crazy high - yet Silver is acting normally, eating fine, not in the least bit lethargic - he is totally playful. So I do not understand this whole ketones is bad thing. Seems not to be doing him any harm at the moment. Wondering if I should keep testing as the high numbers are not rushing me to the vet - what rushes me to the vet are signs he is unwell.
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If he measures a lower bg and high ketones in the same hour, I don’t think the numbers relate as narrowly as you are thinking they do, you have to see the big picture more, his average bg is too high and he’s making ketones. You have to remember, though it is rare, some cats make ketones regardless of their bg number, low or high. The fact that he is making ketones also means he is losing weight because ketones are a direct result of the body eating its own fat or muscle to make up for an energy shortage. If it were me, I’d feed him more or higher carb/calorie food in conjunction with increasing the insulin until he can make energy from his food and keep some weight on, the ketones should follow suit and decline.

Above trace is bad and is a reason for concern. The fact that Silver seems to be asymptomatic with the level of ketones you are measuring is very much an exception, and just because he isn’t having symptoms today doesn’t necessarily mean that will be the case tomorrow or in future. I know it doesn’t seem that way, but I just wanted to make sure you understood the difference. I think it’s very important that you continue to measure ketones, now and always, as he has shown he has a lean that way.

I agree that you have to use common sense and rushing him the to vet shouldn’t be based on just a number, but the number in conjunction with symptoms. Not unlike how we handle numbers below 50.

Glad to see some movement in the numbers at last! :woot:
 
Stacy & Asia said:
You don’t have to do this, but just a suggestion that you may find useful in the future for reference, can you put the ketone readings in the cell near where they occur so you can see trends when the ketones are measured in relation to when he eats, shot time, if they are more frequent in the day cycles vs night, etc.? I think it would be useful.

I also didn’t get a chance to respond to this yesterday



If he measures a lower bg and high ketones in the same hour, I don’t think the numbers relate as narrowly as you are thinking they do, you have to see the big picture more, his average bg is too high and he’s making ketones. You have to remember, though it is rare, some cats make ketones regardless of their bg number, low or high. The fact that he is making ketones also means he is losing weight because ketones are a direct result of the body eating its own fat or muscle to make up for an energy shortage. If it were me, I’d feed him more or higher carb/calorie food in conjunction with increasing the insulin until he can make energy from his food and keep some weight on, the ketones should follow suit and decline.

Above trace is bad and is a reason for concern. The fact that Silver seems to be asymptomatic with the level of ketones you are measuring is very much an exception, and just because he isn’t having symptoms today doesn’t necessarily mean that will be the case tomorrow or in future. I know it doesn’t seem that way, but I just wanted to make sure you understood the difference. I think it’s very important that you continue to measure ketones, now and always, as he has shown he has a lean that way.

I agree that you have to use common sense and rushing him the to vet shouldn’t be based on just a number, but the number in conjunction with symptoms. Not unlike how we handle numbers below 50.

Glad to see some movement in the numbers at last! :woot:
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The vet told me to hold off the high calorie food so I'd rather keep with his usual as per his instructions. He told me to ignore ketone readings and to get his BG down which is what I am doing.
 
Juliet said:
The vet told me to hold off the high calorie food so I'd rather keep with his usual as per his instructions. He told me to ignore ketone readings and to get his BG down which is what I am doing.
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As always, just food for thought and you can take what you want from it or not. :bighug:
 
Stacy & Asia said:
As always, just food for thought and you can take what you want from it or not. :bighug:
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I'm doing all I can. He's well hydrated, he's eating well and his numbers are coming down. I can't start to get paranoid about this illness or I'll lose my focus and ability to work. I am increasing insulin far more often than SLGS allows as too little insulin is a cause of the ketones in the first place. He is getting his dental. There is nothing more I can do.
 
I really wish these ketones would go away. At least he is no longer dehydrated and continues to eat well. Non symptomatic.
 
Sending good dental vines and no ketone vines! :bighug:
Glad he continues to eat and is feeling good ... that is half the battle!
 
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