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Kate & Toby

Kate & Toby

Member Since 2019
Toby I think had a hypo on Saturday night (not testing yet) he ate a little dinner on sunday morning so j gave him 1iu (nit his usual 2iu) then sunday evening he wouldn't eat anything so I haven't jabbed him. I've woken up to a floppy sleepy boy this morning, who again wont eat. Do I jab him or not?
It's a bank holiday here in the UK so it mean ER, my vet is open tomorrow a d he us due there at 8am.

Thanks in advance guys. X
 
Kate & Toby said:
Toby I think had a hypo on Saturday night (not testing yet) he ate a little dinner on sunday morning so j gave him 1iu (nit his usual 2iu) then sunday evening he wouldn't eat anything so I haven't jabbed him. I've woken up to a floppy sleepy boy this morning, who again wont eat. Do I jab him or not?
It's a bank holiday here in the UK so it mean ER, my vet is open tomorrow a d he us due there at 8am.

Thanks in advance guys. X
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Can you go to the Prozinc forum and post with a 911 for help? Do not shoot (jab) if you haven't already.
 
It might be best to take him to the ER if he won’t eat and is lethargic. With a History of ‘Keto episode’ I am concerned he might have ketones which will need prompt attention from the vet
If you have Ketostix to test the urine I would test now and see if he has ketones in the urine. If you are unable to do that I would take him to the ER and mention the previous episode of ketones. With ketones it is far better to get them treated early.
If he won’t eat and is lethargic don’t leave it til the next day to see the regular vet. I would take him to the ER
Please keep us posted
 
It's certainly very hot here in the UK at the moment and this could be contributing to the floppiness and lack of appetite up to a point - but it's always better to be safe than sorry so a visit to the ER might be in order, yes. Ketones can be very serious so the possibility is not to be under estimated.
Hope he will be ok.
 
Its confirmed he is is ketoacidosis, they are doing their best but it's not looking good. I'm just leaving the vets, I'm in pieces.
 
Oh no... sending as many positive thoughts as possible that he will pull through... the vets will do everything possible I'm sure.
Thinking of you...
 
Kate & Toby said:
Its confirmed he is is ketoacidosis, they are doing their best but it's not looking good. I'm just leaving the vets, I'm in pieces.
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I'm so sorry that Toby is not well. I suggested not shooting (jab) as he had not eaten and called for some more experienced help. I think it's best that you took him in the ER. Rooting for Toby to be well and come home soon:bighug:
 
That's great news, , prayers that Toby continues to improve, he is such a handsome boy, I didn't know what a snowshoe cat was so I looked it up. I read they are rare, that face of his is just too adorable
 
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Further update from the vet, fluids going in nicely, his BG has dropped a little low so he is on a slow glucose drip too now, he still wont eat but hes happy enough. Bloods being done again at 830pm to get a ketone update which will be 12 hours after fluids started. Apparently they are slow to react. His heart was a little gallopy earlier so they slowed the fluids down and its regular again. ER vet said he is a total poppet and a pleasure to treat even purring when they take his blood, that's my lovely boy.

Thank you all so much for thoughts and well wishes, no one else "gets it" and just says im a crazy cat lady.

Thanks again guys. Xx
 
Good to hear this report, Kate - we do all worry here! It sounds as if things are going in the right direction so let's hope it carries on like that.
We certainly "get it" here - I really think there's no place like FDMB for cat people!
 
Red & Rover (GA) said:
Thanks for the update.
Is the ER vet checking for infection? I see from your Introductory post that Toby has had a recent history of hard to get rid of urinary infections.

DKA link from the forum. Please read. http://www.felinediabetes.com/FDMB/...oacidosis-dka-and-blood-ketone-meters.135952/
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Thank you for the link, this certainly rings true. As for the infection, it's a good shout, I'll ask when I phone for an update later. I thought urine infections were a "symptom" of FDM?

Thank you for your well wishes once again x
 
Diane Tyler's Mom said:
That's great news, , prayers that Toby continues to improve, he is such a handsome boy, I didn't know what a snowshoe cat was so I looked it up. I read they are rare, that face of his is just too adorable
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Ahh bless you Diane, thank you. Yes they are quite unusual, I had his brother too who was a throw out as was a black and white moggy and bears no resemblance to a snowshoe. He is true to breed in every way, chatty, needy, devoted to me. I love him so much, hes my little rock.
 
Kate & Toby said:
Ahh bless you Diane, thank you. Yes they are quite unusual, I had his brother too who was a throw out as was a black and white moggy and bears no resemblance to a snowshoe. He is true to breed in every way, chatty, needy, devoted to me. I love him so much, hes my little rock.
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I'm so glad to hear Toby is headed in the right direction, I know you will keep us updated. What a mellow kitty he is being at the hospital
 
Kate & Toby said:
Further update from the vet, fluids going in nicely, his BG has dropped a little low so he is on a slow glucose drip too now, he still wont eat but hes happy enough. Bloods being done again at 830pm to get a ketone update which will be 12 hours after fluids started. Apparently they are slow to react. His heart was a little gallopy earlier so they slowed the fluids down and its regular again. ER vet said he is a total poppet and a pleasure to treat even purring when they take his blood, that's my lovely boy.

Thank you all so much for thoughts and well wishes, no one else "gets it" and just says im a crazy cat lady.

Thanks again guys. Xx
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Praying for you and Toby to get an even better report later. Come on and eat for Mommy,Toby :kiss:
 
Latest from the vet is that they've hand fed him a little, yay! Hes had a wee! And his bloods are showing 50% less ketones than 12 hours ago, and his BG is stable, it would appear we are out of immediate danger.
I'm beyond grateful to the amazing ER team, and to you all for your well wishes and healing prayers and thoughts. I collecting him at 730am to transfer him to our regular vet, where they will keep the fluids and food and BG monitor for the day.
The ER vet said her gut feeling is there is something wider going on and is recommending a Hypothyroidism test and pituitary dysfunction test. That's all for tomorrow, right now, my little fella is doing good.
Xx
 
I’m so glad he is improving.
For when he comes home make sure you either have Ketostix urine strips or a blood ketone meter to test for ketones as it will be important you test daily for them when he first comes home.
We are all crazy cat people here.. so welcome!! I feel sad for people who don’t get it!!
Sending many more get better vines to Toby
 
Bron and Sheba (GA) said:
I’m so glad he is improving.
For when he comes home make sure you either have Ketostix urine strips or a blood ketone meter to test for ketones as it will be important you test daily for them when he first comes home.
We are all crazy cat people here.. so welcome!! I feel sad for people who don’t get it!!
Sending many more get better vines to Toby
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Thanks Bron, yes I definitely want to get some sticks, am I right in my understanding that I'm better with a blood monitor as this is "real time" as opposed to the urine sticks as these are a delayed reaction. In which case what monitor is recommended? Thanks for your words x
 
The blood Meter is easier because you can do it when you want, not when the cat wants to pee. Strips are cheaper. It depends on what you can afford. The Meter would be superior but strips are good too.
I live in Australia so don’t know what meters are available in the UK but @Diana&Tom will be able to help.

Another thing to do is get a variety of low carb foods and some higher carb foods (wet/canned) as well for when Toby comes home. His appetite may not be great so you may have to tempt him.

And make sure when he is discharged, you have some cerenia and/ or ondansetron antinausea tablets to give him at home. Cats that are recovering from DKA are often still nauseated and don’t want to eat. And eating is really very important for their recovery!
 
Morning Kate
Hoping Toby has had a good night. I bet you can't wait to see him!

Bron has given you some excellent advice above. If you need any help with food suggestions, just shout - some cats are pickier than others of course and will only eat certain brands or flavours, but there's usually something in the UK food list that I think was linked before (?) that ticks all the boxes ;)

I'm afraid I have no knowledge of ketone meters but if anyone in the UK does, it will be @Elizabeth and Bertie - let's see what she says. There are a few of us UKers - Elizabeth and I are in Surrey and have been members of FDMB for more than ten years; others are more recent but if you have any future queries about UK supplies, just put UK in the thread title and more people will see it.

Getting Toby home and giving him loads of TLC will be your priority now of course but do keep in touch here, ask any questions you like or even just say hello!

Hoping for another good day and steady improvement now :)

ETA actually, I think Elizabeth may be away at present, not sure - meanwhile, have a look on Amazon for ketone meters, there may be some useful reviews there. Good luck.
 
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Hi @Kate & Toby, it's great news that your boy is improving. :bighug:
I just asked about ketone meters on the UK Facebook group (support group for folks with diabetic kitties in the UK), and there are recommendations for the 'On Call GK Dual' ketone meter:
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I'm just catching up with this setback. I think you being quick to get help and not waiting really made all the difference. Well done. I have a blood ketone meter. My cat is pretty stealthy about the box and I don't think would take too kindly to a spoon or test strips under her backside. Lol. Hope she's doing well soon. Glad they got her to eat.
 
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Thank you lovelies, I will be ordering the ketone meter too on that good recommendation, although I still have many questions, like what do I do if his ketones are high when I test?. My Alpha Trak is on the courier van as I type so that's great.

I collected him from the ER this morning and took him to our normal vet, he was very subdued and quiet, clearly had no energy whatsoever, his ketones have dropped really well and his BG is under control but he still won't eat. I mentioned the anti sickness meds (thank you for the top tip Bron) and the vet said she would give him some, so hopefully this will enable him to eat a little. I am desperate to get him home where I can feed him by hand, he likes his Fish in Jelly Sheeba pouches, or I have some fresh cod or a tin of tuna to offer, and I can poach some chicken which is usually always a hit, does that sound OK?
Thanks again to you all, forever grateful for this amazing online community x
 
Kate & Toby said:
Thank you lovelies, I will be ordering the ketone meter too on that good recommendation, although I still have many questions, like what do I do if his ketones are high when I test?. My Alpha Trak is on the courier van as I type so that's great.

I collected him from the ER this morning and took him to our normal vet, he was very subdued and quiet, clearly had no energy whatsoever, his ketones have dropped really well and his BG is under control but he still won't eat. I mentioned the anti sickness meds (thank you for the top tip Bron) and the vet said she would give him some, so hopefully this will enable him to eat a little. I am desperate to get him home where I can feed him by hand, he likes his Fish in Jelly Sheeba pouches, or I have some fresh cod or a tin of tuna to offer, and I can poach some chicken which is usually always a hit, does that sound OK?
Thanks again to you all, forever grateful for this amazing online community x
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i would bring some of his regular food to the vet. He might not like what they are offering.

Of you see any numbers over a trace in the home meter you will contact the vet immediately. It will catch the problem early. If the numbers are only a trace you will know to have him do extra drinking, possibly extra insulin depending on his bg, and to keep a close eye on him.
 
Just seeing this. I’m so glad he’s doing better. Be sure to ask the vet for a syringe in case you need to assist feed for a bit. Hills A/D is a good food for that. High calorie, smooth and not too bad in carbs, although right now feed him anything he’ll eat and adjust insulin as needed.
 
I have spoken to the vet, he's much the same, his BG has risen so they have given him a small amount of insulin, hes still going on his fluids and they have given anti sickness. he still wont eat though. The vet has said that the stress of the transfer to the ER might not be the best for him so she said I am competent to take him home overnight to see if I can get him to eat and give him a chance to rest up in the peace of his own home, then take him back in the morning.

I need you guys more than ever to help me with his recovery from this. I am going to start a new thread with "DKA Recovery".

Thank you all so so much xx
 
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