11/29 PMPS 385 +2 220 +3 268 +6 289 +10 273 +11 247 ~ Hypo after going low

Sushi

Sushi

Member Since 2018
Sushi last injection was 10.75 hours ago at 5:35pm
He received 1 unit

AMPS 39

He eating his wet food
Wellness Complete Chicken & Herring
Wellness Sliced Turkey Entree

11/28 Post
 
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Looking back I can see this happened yesterday morning. I agree don’t feed any more just yet but do test again in 1/2 hour.
I’d skip the insulin dose this morning
 
Sushi said:
Will do, my only concern is I have work to go to work soon :(
My mom can watch but doesn't test.
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How much time do you have? If you really can’t stay I’d skip the dose and leave her with low carb food to graze on.
 
Because if the recent history of DKA it is really important to try and give insulin but he is too low this morning to give it. I think you will need to reduce the dose or give higher carb food to keep the BSLs up.
How is his appetite now?
68 is good but too low for a newbie to shoot snd you won’t be there to test
 
Make sure he eats well and drinks well today. It is important he keeps eating and drinking.
Also can you ask you Mom to test the urine for ketones please when she can get a urine specimen.
 
Sushi said:
I think the problem is that he's just not eating enough.
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After DKA it is really important that kitty is eating enough, drinking enough and getting insulin. Because his BSL is so low and you can’t test this morning we can’t give the insulin, but try and get him to eat as much as you can, put some warm water in the food if he will eat that, to help with the fluid intake.
Is he nauseated? Did they give him anything for nausea to bring home?
 
Bron and Sheba said:
After DKA it is really important that kitty is eating enough, drinking enough and getting insulin. Because his BSL is so low and you can’t test this morning we can’t give the insulin, but try and get him to eat as much as you can, put some warm water in the food if he will eat that.
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I do have Mirtazapine 15mg is time to give it to him? He was drinking this morning.
 
Sushi said:
I do have Mirtazapine 15mg is time to give it to him
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What dose is prescribed to give? Mine are 7.5mg and Gizmo doesn't tolerate but a sliver (less than an 1/8th of the 7.5mg). Less is better until you know how he will respond to it.
 
How much is he eating on his own?
if you think it will help him to eat I would give him a dose but I have never used it so I don’t know much about it sorry.
 
LizzieInTexas said:
What dose is prescribed to give? Mine are 7.5mg and Gizmo doesn't tolerate but a sliver (less than an 1/8th of the 7.5mg). Less is better until you know how he will respond to it.
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The tabs were quartered for me by the vets.
 
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Sushi said:
Sniff and looks away
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That sounds like nausea. Can you ask your vet for some cerenia tablets and some ondansetron tablets as they will help with the nausea. Or the vet may give him an injection of cerenia. It is not good to give an appetite stimulant if the cat is nauseated.
The important thing is to get him eating
 
Bron and Sheba said:
That sounds like nausea. Can you ask your vet for some cerenia tablets and some ondansetron tablets as they will help with the nausea. Or the vet may give him an injection of cerenia. It is not good to give an appetite stimulant if the cat is nauseated.
The important thing is to get him eating
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Neg for ketone in urine.
He has a appointment tommorow. We are checking up on his anemia. Will have have to ask the vet for the anti-nausea meds. i cant go due to work and the location of the hospital. So im sending my brother with his testing supplies and log book. Is there anything else that need to brought to the vet?
 
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Sushi said:
Neg for ketone in urine.
He has a aappointment tommorow. We are checking up on his anemia. Will have have to ask the vet for anti-nausea meds.
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That’s great no ketones in urine.
When you go to the vet tomorrow if Sushi were mine, I would ask for an injection of cerenia for nausea and some cerenia and ondansetron tablets to take home. Sushi does sound nauseated and cats won’t really eat much if they are nauseated. Both those tablets I mentioned are very good for nausea in cats.
Get the vet to check for dehydration as well.
Keep checking for ketones as often as you can.. at least once a day at the moment.
And get Mom to try and get him to eat and drink.
I am going to tag a couple of people about the dose of insulin Sushi should have considering he dropped low again.
You are doing a grand job looking after Sushi.
How’s the BSL now?
Would you mind taking down the 911 now that things have settled down please:)
Bron
 
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Bron and Sheba said:
That’s great no ketones in urine.
When you go to the vet tomorrow if Sushi were mine, I would ask for an injection of cerenia for nausea and some cerenia and ondansetron tablets to take home. Sushi does sound nauseated and cats won’t really eat much if they are nauseated. Both those tablets I mentioned are very good for nausea in cats.
Get the vet to check for dehydration as well.
Keep checking for ketones as often as you can.. at least once a day at the moment.
And get Mom to try and get him to eat and drink.
I am going to tag a couple of people about the dose of insulin Sushi should have considering he dropped low again.
You are doing a grand job looking after Sushi.
How’s the BSL now?
Bron
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+13 75
He feeling a little better moms brushing and hes loving it.
 
If you can’t go to the vet yourself I would write down everything you want the vet to address and give you and give that to your brother so nothing is missed.
I’m not sure what dose of insulin the vet will recommend but do check in with people here before you give a dose.
 
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Sushi said:
Neg for ketone in urine.
He has a appointment tommorow. We are checking up on his anemia. Will have have to ask the vet for the anti-nausea meds. i cant go due to work and the location of the hospital. So im sending my brother with his testing supplies and log book. Is there anything else that need to brought to the vet?
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How is he being treated for the anemia?
 
@Wendy&Neko @Bobbie And Bubba
Sushi is a newly diagnosed FD on 11/20 and spent 5 days in hospital with DKA. Has been home 2 days on Lantus (sent home on 2 units and reduced to 1 unit the second day here on the forum). Dropped to 42 first day and 39 second day.....this cycle. Obviously needs a reduction. Suchi has had to skip 2 doses which is not ideal with a DKA history. . Sushi is not eating very well, sounds like he needs nausea meds which Kim is going to ask for at vets tomorrow. Ketones negative today. Can you have a look at the insulin dose please and see what you think? I was thinking going down to 0.5, what do you think?. Hopefully if he can start eating better the dose can be raised. Or maybe he needs some higher carb foods so he can get some insulin. Thanks.
 
Sorry, i have to post quick. Per mom he was eating at 11am. Went #2, runny.

11:50am 355
 
Sushi said:
Sorry, i have to post quick. Per mom he was eating at 11am. Went #2, runny.

11:50am 355
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Plain boiled mashed pumpkin is good for loose poos. Nothing else added. A teaspoon in food 2 or 3 times a day. Or maybe you can buy canned plain mashed pumpkin. Nothing else added.
If you don’t have any higher carb canned food at home, can you buy some cans as Sushi might need to have some higher carb food for a few days til he starts eating well, to kept his BSL from dropping too low when he has insulin.
Are you feeding him during the cycle as well as at shot time?
 
A question about Sushi's diabetes diagnosis, did he have an infection or inflammation at the time? If so, did he get anything for it? Here is a great post on ketones and DKA. From that post "The basic recipe for developing DKA = an insufficient supply of insulin + inappetance + infection OR other systemic stresses". Mostly I'm wondering if addressing the underlying infection/inflammation is lower his needs for insulin.
 
Wendy&Neko said:
A question about Sushi's diabetes diagnosis, did he have an infection or inflammation at the time? If so, did he get anything for it? Here is a great post on ketones and DKA. From that post "The basic recipe for developing DKA = an insufficient supply of insulin + inappetance + infection OR other systemic stresses". Mostly I'm wondering if addressing the underlying infection/inflammation is lower his needs for insulin.
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+23 385

An ultrasound detected inflammation of the gallbladder and pancreas.
The first vet gave him Covenia, don't recall why.
Hospital gave him Doxycycline in case fleas gave him an infection and if that is causing his anemia.

Sorry, I forgot he on Ursodiol 30mg (sleep-deprived brain)
 
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Bron and Sheba said:
Plain boiled mashed pumpkin is good for loose poos. Nothing else added. A teaspoon in food 2 or 3 times a day. Or maybe you can buy canned plain mashed pumpkin. Nothing else added.
If you don’t have any higher carb canned food at home, can you buy some cans as Sushi might need to have some higher carb food for a few days til he starts eating well, to kept his BSL from dropping too low when he has insulin.
Are you feeding him during the cycle as well as at shot time?
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Sushi prefers to eat smaller meals, so he eats during the cycle and shot time.
 
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I work 6am-2/3pm. What time is the earliest I can give his shot tomorrow?
Right now it's 6:06pm he ate a good portion ~1.5oz.
I'm giving him is 0.5 units now
 
Good luck with the 0.5 dose. With those two really low numbers two mornings in a row, I wouldn't shoot earlier tomorrow, rather keep it 12 hours later. Usually, to regain your schedule you can shoot up to 30 minutes earlier a day or 15 minutes earlier in each cycle.
 
You did well getting some extra tests in last night. If you can do that again tonight but also if you can get some later tests in at say +7 and +9 (you will have to set the alarm to get up) to try and catch any big drops.
If the +3 is lower than the preshot, that usually means an active cycle. Last night Sushi dropped a lot at +2 then stayed much the same for a few hours but dropped low in the early hours of the morning. So be aware of that tonight and give some food during the night. Good luck with the 0.5 dose
 
Sushi said:
+23 385

An ultrasound detected inflammation of the gallbladder and pancreas.
The first vet gave him Covenia, don't recall why.
Hospital gave him Doxycycline in case fleas gave him an infection and if that is causing his anemia.

Sorry, I forgot he on Ursodiol 30mg (sleep-deprived brain)
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If Sushi has had pancreatitis, it is not unusual to have loss of appetite and that is another good reason to ask for cerenia and ondansetron for the nausea. Convenia is an antibiotic.
 
Bron and Sheba said:
It has to be 12 hours after the last shot. So 6am tomorrow is when the next shot is due.
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Okay, 6am it is. I'm going to inform my managers in advance I'm coming in later, maybe for a couple of days.

Bobbie And Bubba said:
Good luck with the 0.5 dose. With those two really low numbers two mornings in a row, I wouldn't shoot earlier tomorrow, rather keep it 12 hours later. Usually, to regain your schedule you can shoot up to 30 minutes earlier a day or 15 minutes earlier in each cycle.
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Gotcha

Bron and Sheba said:
If Sushi has had pancreatitis, it is not unusual to have loss of appetite and that is another good reason to ask for cerenia and ondansetron for the nausea. Convenia is an antibiotic.
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Thanks, I'm typing out questions for my brother to ask the vet tomorrow as we speak.
 
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