01/14 Casper AMPS 464 +7 57 Discharged from ER yesterday

[tiffmaxee]

Hi Bandit's mom, I think the renal function got corrected by the treatments at the ER. Thought that was the issue caused by toxins with unregulated diabetes. Do I also need to update that?

Don’t add that now since it could have been a temporary or even an acute attack that will correct itself. You won’t know until the next set of labs.

 

[Yuling & Casper (GA)]

Don’t add that now since it could have been a temporary or even an acute attack that will correct itself. You won’t know until the next set of labs.

Yes, Ma'am!

 

[Bron and Sheba (GA)]

@Bron and Sheba (GA) Do you think she should have shot .75? I was worried about a big drop like earlier.

Casper technically earned a reduction down to 0.75 and with DKA in the history we don’t want to drop the insulin too low, but in saying that the SS is incomplete and has only two readings in the PM cycle so we don’t really know what is happening for half the story. He’s bouncing big time from something and I don’t think it’s only those three lime green numbers.
So I think erring on the side of caution and safety was a reasonable call.
And Casper tested negative for ketones which is good.
Yuling now needs to get some tests in during the pm cycles so we can see what is happening at the moment.
It’s hard to work out how long the bounces are lasting and if it is only low numbers that are triggering the bounces or if Casper is also dropping fast (like he did on 12/27.)
@Yuling & Casper do you think you could put a blank line inbetween the 1/3 and 1/14 please, so we can see they were not consecutive days?

 

[Yuling & Casper (GA)]

do you think you could put a blank line inbetween the 1/3 and 1/14 please, so we can see they were not consecutive days?

Done.

 

[Yuling & Casper (GA)]

@Bron and Sheba (GA) Do you think she should have shot .75? I was worried about a big drop like earlier.

Agree with Bron. I think your suggestion on the dose tonight is correct. Since his numbers are all over the place, it's safer to go with that route.

 

[Bron and Sheba (GA)]

Done.

Thanks. Much easier to understand!

 

[Yuling & Casper (GA)]

Thanks. Much easier to understand!

Thank you!

419 mg/dl at +4.
Should I continue at 3AM or actually give him a break tonight?

 

[Bron and Sheba (GA)]

419 mg/dl at +4.
Should I continue at 3AM or actually give him a break tonight?

That’s a big drop in 2 hours....160 points
Did you give a snack?
I don’t know when 3am is (I am in Australia) but I think I’d get a test around +8 or +9 just to see if he’s going to drop low. And it’s good data.
Would that be ok?

 

[Yuling & Casper (GA)]

No, he didn't have any snack. His PM shot was at 9PM PDT. He had 30ML food 5 mins before the shot and had some water after +2, +4 tests.
I can do +8 reading, will report back to you tomorrow morning. Thanks for your time and support tonight!

 

[Bron and Sheba (GA)]

No, he didn't have any snack. His PM shot was at 9PM PDT. He had 30ML food 5 mins before the shot and had some water after +2, +4 tests.
I can do +8 reading, will report back to you tomorrow morning. Thanks for your time and support tonight!

I probably won’t be online in your morning as it will be the middle of the night for me, but I’ll look when I get up.
One way to stop fast drops is to feed the curve. So as you gather data you will see when he is most likely to drop and if you give him a snack before that drop you will hopefully be able to slow it down.
I would give him a snack before you go to bed. You have I hope you can get some sleep in between the tests. That’s important.

 

[Yuling & Casper (GA)]

No worries, we will talk more tomorrow when you got time. I let Casper sleep for now, will check on him at +6. If he is still sleeping at that time, I wouldn't bother him but will check on him at +8 for a BG reading.

 

[Yuling & Casper (GA)]

Casper just had some chicken, now he is all curled up in bed again.

 

[Sienne and Gabby (GA)]

Yuling --

First, welcome to the board.

I've done a pretty rapid skim of the posts above. You've gotten some great suggestions. I want to add a few housekeeping notes and thoughts.

For today (Saturday), please start a new thread. We typically suggest one condo (aka thread) per cat per day. You'll want to copy and paste the link from this thread into the new thread. That makes it easier to backtrack for information as well as not having to read tons of posts from an aging condo.

With a cat that is recently post-DKA, you want to do what you can to not skip shots. DKA arises as a result of an infection or inflammation + not enough calories + not enough insulin. Some cats are very sensitive to any variation in that combination of factors and we don't want Casper back for another hospitalization if it can be avoided. If catching a urine sample to test for ketones is inconvenient, there are blood ketone meters. The ones that have historically been used ar the Precision Xtra and NovaMax. However, in recent years with the Keto Diet becoming popular, there are lots of ketone meters around. The strips are expensive -- about the cost of the AlphaTrack strips -- but you don't need to use as many.

If you get a pre-shot number that's lower than expected, please post and ask for help. (You will want to put a note in your subject line that you need input.) Again, this is because you really don't want to skip a shot due to Casper being on the recovery from DKA.