Gave Peeka double dose PMPS 352 +2 215

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Peter (Boo) (Peeka GA)

Peter (Boo) (Peeka GA)

Member Since 2020
Needing some help! Gave Peeka her normal dosage when she was at 352. Just now, I accidentally gave her 3u of Vetsulin. Giving her high carb food. Glycobalance. What else am I needing to do??

Edit: She is at 314 one hour removed from her 3u Prozinc.
 
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Tagging @Elizabeth and Bertie, @JanetNJ, @Deb & Wink. This may need a trip to emergency vet, but I'm not an expert.

Do you have the hypo instructions handy? Along with some syrup or honey? The glycobalance may not be enough to get her up if she drops too low.

To be clear you gave 3U ProZinc, then 3U Vetsulin?

You're likely in for a long night :( Just keep an eye on her, test every 30 mins or more frequently, and follow the directions in the hypo thread.

It's a bit hard to say what will happen and when, there's not a lot of mid-cycle data in the spreadsheet. More than likely the food will keep her held up for an hour or two, then you'll see the drops.
 
FrostD said:
Tagging @Elizabeth and Bertie, @JanetNJ, @Deb & Wink. This may need a trip to emergency vet, but I'm not an expert.

Do you have the hypo instructions handy? Along with some syrup or honey? The glycobalance may not be enough to get her up if she drops too low.

To be clear you gave 3U ProZinc, then 3U Vetsulin?

You're likely in for a long night :( Just keep an eye on her, test every 30 mins or more frequently, and follow the directions in the hypo thread.

It's a bit hard to say what will happen and when, there's not a lot of mid-cycle data in the spreadsheet. More than likely the food will keep her held up for an hour or two, then you'll see the drops.
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That’s correct, after the switch to Prozinc, I tried testing more in the later stages. We also just had a baby, so our schedules have been off. Her nadir when she was on Vetsulin was typically around +3-+5. I will keep her eating though if possible with snack. Going to monitor all night if needed.
 
Peter (Peeka&Boo) said:
That’s correct, after the switch to Prozinc, I tried testing more in the later stages. We also just had a baby, so our schedules have been off. Her nadir when she was on Vetsulin was typically around +3-+5. I will keep her eating though if possible with snack. Going to monitor all night if needed.
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Congrats on the baby, I'm due any day now as well!

If symptoms get severe or you don't feel comfortable handling it at home, head to vet.

Keep the 911 on the post still, I don't consider myself qualified enough to stay with you through this. Just wanted to make sure you had some response and tagged users to help. Best I can recommend is keep testing, and if you're seeing symptoms, low numbers, and/or fast drops to get the high carb food or syrup in her.

Edit: forum went out and first reply wasn't complete
 
Peter, You have 2 choices.
1. Try to manage this at home
2. Take Peeka to the 24 hour emergency vet.

Management at home is going to be intensive and you will need to stay up all night.

Trying to tag someone else to help you. My sleep medications are kicking in and I'm not going to be very helpful in about 30-45 more minutes.

@Elizabeth and Bertie
@tiffmaxee

Are either one of you ladies around to help Peter and his cat Peeka? Cat got a double dose of insulin, 3 U Prozinc, then 3U Vetsulin.
 
FrostD said:
Congrats on the baby, I'm due any day now as well!

If symptoms get severe or you don't feel comfortable handling it at home, head to vet.

Keep the 911 on the post still, I don't consider myself qualified enough to stay with you through this. Just wanted to make sure you had some response and tagged users to help. Best I can recommend is keep testing, and if you're seeing symptoms, low numbers, and/or fast drops to get the high carb food or syrup in her.

Edit: forum went out and first reply wasn't complete
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Congrats to you as well! I appreciate you assisting in any capacity.
 
Deb & Wink said:
Peter, You have 2 choices.
1. Try to manage this at home
2. Take Peeka to the 24 hour emergency vet.

Management at home is going to be intensive and you will need to stay up all night.

Trying to tag someone else to help you. My sleep medications are kicking in and I'm not going to be very helpful in about 30-45 more minutes.

@Elizabeth and Bertie
@tiffmaxee

Are either one of you ladies around to help Peter and his cat Peeka? Cat got a double dose of insulin, 3 U Prozinc, then 3U Vetsulin.
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Thanks Deb, going to try and manage at home as best as I can.
 
How afar apart were the 2 different insulin doses given?

Ok, you will try to manage at home.

What food choices do you have for Peeka? What low carb (LC) medium carb (MC) and high carb (HC) foods do you have around?

Ice cream? Maple Syrup? Bananas? Then we have all the ingredients needed for a banana split! Just kidding. But for real, ice cream can be used to bring a cat's BG levels up. Maple syrup or pancake syrup, honey or karo syrup. The sweet stuff wears off quickly.
 
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Test again now. That appears about an hour since Vetsulin dose. You will likely have quick onset with the Vetsulin, and be prepared to continue to test at least every hour, possibly more frequently and intervene as required. I wil, stay for a few hours, but if I see any indication that the numbers are running away from you, I'm going to suggest emergency vet.

I also ask that non essential chat be kept to a minimum so I can watch for the updates.
 
Christie & Maverick said:
Test again now. That appears about an hour since Vetsulin dose. You will likely have quick onset with the Vetsulin, and be prepared to continue to test at least every hour, possibly more frequently and intervene as required. I wil, stay for a few hours, but if I see any indication that the numbers are running away from you, I'm going to suggest emergency vet.

I also ask that non essential chat be kept to a minimum so I can watch for the updates.
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Thanks Christie, just checked again and we’re at 215, about an hour after Vetsulin dose and last check. She’s eating high carb food now, looked at her previous history and she would have major drops at +1 or +2. Her Vetsulin history is at the top.
 
You will need to keep her hungry in case you need her to eat later, so HC food now, then alternate next test in 30 -45 minutes, if lower, give a couple drops syrup. I know it is stressful, but may I ask you to keep your title and SS updated, I may not be the only person who can help, so quickly seeing numbers will help.
 
Christie & Maverick said:
You will need to keep her hungry in case you need her to eat later, so HC food now, then alternate next test in 30 -45 minutes, if lower, give a couple drops syrup.
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Will do, she ate about a handful of HC food. Will retest here in a bit, she’s acting normal for now. Also sprinkled on some FortiFlora, in the past we had noticed her BG wouldn’t decrease as much when she had it on her food, she needs it for GI needs anyways, so it’ll help in both regards.
 
Christie & Maverick said:
My ultimate goal for Peeka given the double dose is that she not go much lower tonight, it is hard to predict how these two insulins will overlap between onsets and through to nadir, which is why monitoring very closely is important. I ultimately want to keep her safe, the numbers may get away from us all too quickly.
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Fair enough, I’ll be ready to go at a moments notice if needed. The vets office is about 25 minutes away, but hopefully we can handle it here.
 
Deb & Wink said:
How afar apart were the 2 different insulin doses given?

Ok, you will try to manage at home.

What food choices do you have for Peeka? What low carb (LC) medium carb (MC) and high carb (HC) foods do you have around?

Ice cream? Maple Syrup? Bananas? Then we have all the ingredients needed for a banana split! Just kidding. But for real, ice cream can be used to bring a cat's BG levels up. Maple syrup or pancake syrup, honey or karo syrup. The sweet stuff wears off quickly.
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Sorry Deb, must have missed this. LC is Dr. Elseys, HC is GlycoBalance. Syrup and honey both in stock, ice cream as well!
 
Peter....I’m with Christie on this and I’ve seen lots of situations with accidental overdoses. Some can be handled at home but with her dropping this fast and those two insulins in conjunction, it’s just not safe for you all to try and deal with this there with the vet 25 mins away and a new baby in the mix.
It will take both of you to deal with a fast drive to the vet and trying to keep her from hypoing if the BG continues to drop this fast.

If things start to go south fast, it’s better for her to be in the vet on an IV drip. Ice cream is ok in a pinch but it wears off really, really fast. Please grab your testing supplies and the syrup and head to the vet.
 
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Marje and Gracie said:
Peter....I’m with Christie on this and I’ve seen lots of situations with accidental overdoses. Some can be handled at home but with her dropping this fast and those two insulins in conjunction, it’s just not safe for you all to try and deal with this there with the vet 25 mins away and a new baby in the mix.
It will take both of you to deal with a fast drive to the vet and trying to keep her from hypoing if the BG continues to drop this fast.

If things start to go south fast, it’s better for her to be in the vet on an IV drip. Ice cream is ok in a pinch but it wears off really, really fast. Please grab the syrup and head to the vet.
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I’m on my way now. 1.75 got to 128. Should be there in 20
 
That may be a bump up because of the HC, but my biggest concern is that you are still early in the cycle, so the HC intervention will wear off quickly. I've seen mid 150s at +3 on Vetsulin go down to low by +6 and that's not combined with another double dose of Prozinc in the mix. I'd have the vet check her out.
 
Ok, they just took her. I was also giving her honey on the way in since she got so low. I’m pretty sure her BG could be elevated due to that and stress. Either way, they will be performing some checks for now and letting me know. Currently waiting to hear back from the vet, but she is probably in the best spot for her right now.

I even had this thought the other day, that despite her neuropathy, I really felt like I was having a handle on her diabetes, or at least trending in the right direction, only for me to mess it up with a stupid mistake like this. I feel horrible for my sweet cat.
 
You absolutely did the right thing in taking her in, and believe me, you aren't the first person here to have mistakenly overdosed. I'm glad you didn't wait until she was too low before acting.
 
Peter (Peeka&Boo) said:
Ok, they just took her. I was also giving her honey on the way in since she got so low. I’m pretty sure her BG could be elevated due to that and stress. Either way, they will be performing some checks for now and letting me know. Currently waiting to hear back from the vet, but she is probably in the best spot for her right now.

I even had this thought the other day, that despite her neuropathy, I really felt like I was having a handle on her diabetes, or at least trending in the right direction, only for me to mess it up with a stupid mistake like this. I feel horrible for my sweet cat.
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You did the best thing, Peter. Don’t beat yourself up. If it had been Lantus, we could have probably worked this differently but Vetsulin is just too harsh and Christie is right....this could have turned around again fast. They will be able to monitor her and react quickly.

They might keep her...I would encourage them to because we don’t know how long that duration of the two insulins will last. Hope you get some rest tonight knowing she’s safe.

Congrats on the new baby!
 
What Bron and Christie said. The diabetes is hard enough to manage, and babies tend to make life feel like the Twilight Zone for a little while. You did the right thing with as fast as she was dropping, with these two insulins it's hard to predict what would have happened and what is still to come. Vet is the best place right now!
 
Marje and Gracie said:
You did the best thing, Peter. Don’t beat yourself up. If it had been Lantus, we could have probably worked this differently but Vetsulin is just too harsh and Christie is right....this could have turned around again fast. They will be able to monitor her and react quickly.

They might keep her...I would encourage them to because we don’t know how long that duration of the two insulins will last. Hope you get some rest tonight knowing she’s safe.

Congrats on the new baby!
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They are keeping her tonight. Should be able to get her back in the morning once everything has run its course. Thank you, definitely feels like a lot going on, but I still love my fur babies and want to provide for them the best way I can.
 
Peter (Peeka&Boo) said:
They are keeping her tonight. Should be able to get her back in the morning once everything has run its course. Thank you, definitely feels like a lot going on, but I still love my fur babies and want to provide for them the best way I can.
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Excellent. I’m really glad they are keeping her. We all really appreciate you taking our advice to get her there quickly. Others have not, sadly. Let’s hope her BG will just head up and she won’t need a drip.

Night, Peter. We all look forward to an update tomorrow.
 
FrostD said:
What Bron and Christie said. The diabetes is hard enough to manage, and babies tend to make life feel like the Twilight Zone for a little while. You did the right thing with as fast as she was dropping, with these two insulins it's hard to predict what would have happened and what is still to come. Vet is the best place right now!
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Thanks for your support tonight, I really wish I would’ve paid half a second more attention. This could’ve all been avoided. Hope to hear good news about Peeks in the morning and get her back home for snuggles.
 
Marje and Gracie said:
Excellent. I’m really glad they are keeping her. We all really appreciate you taking our advice to get her there quickly. Others have not, sadly. Let’s hope her BG will just head up and she won’t need a drip.

Night, Peter. We all look forward to an update tomorrow.
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Thankfully, I’m just smart enough to know I’m not very smart. You all have provided great insight over the last few months. I would be a fool not to follow advice. I will keep everyone posted on the morning!
 
Peter (Peeka&Boo) said:
Thanks for your support tonight, I really wish I would’ve paid half a second more attention. This could’ve all been avoided. Hope to hear good news about Peeks in the morning and get her back home for snuggles.
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Peter, it can happen so easily. You are not the first one this has happened to.
Having a new baby is a big deal and it is exhausting. Congratulations on your new bub!

I would put the vetsulin away in the back of the fridge somewhere wrapped up, where it will take an effort to get to it.
Also a good idea is to put 2 syringes out into a cup or glass each morning to use that day. One for the morning dose and one for the afternoon dose.
I hope you can get some sleep tonight.
 
Bron and Sheba (GA) said:
Peter, it can happen so easily. You are not the first one this has happened to.
Having a new baby is a big deal and it is exhausting. Congratulations on your new bub!

I would put the vetsulin away in the back of the fridge somewhere wrapped up, where it will take an effort to get to it.
Also a good idea is to put 2 syringes out into a cup or glass each morning to use that day. One for the morning dose and one for the afternoon dose.
I hope you can get some sleep tonight.
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I agree but I’d probably try to give the Vetsulin away or sell it on the Supply Closet. If not, toss it. Great suggestion on the syringes.
 
Marje and Gracie said:
I agree but I’d probably try to give the Vetsulin away or sell it on the Supply Closet. If not, toss it. Great suggestion on the syringes.
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Well the Vetsulin is still for my other cat Boo. He has done very well on in for the last year, we have 2 diabetic cats in the house. Boo get 4u of Vetsulin and Peeka gets 3 ProZinc. At this point, I’m not wanting to switch up Boos recovery since he’s been doing so well.
 
Peter (Peeka&Boo) said:
Well the Vetsulin is still for my other cat Boo. He has done very well on in for the last year, we have 2 diabetic cats in the house. Boo get 4u of Vetsulin and Peeka gets 3 ProZinc. At this point, I’m not wanting to switch up Boos recovery since he’s been doing so well.
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That makes it harder for you. You are busy with two diabetic cats and a new baby!
Can you have a separate container for each of the cats and put the syringes in a cup each day in each of them and maybe a rubber band around the vetsulin and keep those insulins in the separate containers as well.
Would that work?
 
Peter (Peeka&Boo) said:
Ok, they just took her. I was also giving her honey on the way in since she got so low. I’m pretty sure her BG could be elevated due to that and stress. Either way, they will be performing some checks for now and letting me know. Currently waiting to hear back from the vet, but she is probably in the best spot for her right now.

I even had this thought the other day, that despite her neuropathy, I really felt like I was having a handle on her diabetes, or at least trending in the right direction, only for me to mess it up with a stupid mistake like this. I feel horrible for my sweet cat.
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You are not the first person. I remember one a new person who thought they were giving 1 unit and gave 10. Mistakes happen and new baby sleep deprivation is a very real thing. Your cat will be fine and you did the safest thing bringing her in. Better safe than sorry. :)
 
Hi Peter,

Quite the night you had! :nailbiting: Well done getting Peeks to the vet OK. :bighug:

On dose tracking, how about getting a small whiteboard for the cats with a row for each cat and columns for AM and PM doses. You could mark the board with the time you give each cat their dose and a simple visual check of the board could help you to easily keep track of which kitty's had what.


Mogs
.
 
Critter Mom said:
Hi Peter,

Quite the night you had! :nailbiting: Well done getting Peeks to the vet OK. :bighug:

On dose tracking, how about getting a small whiteboard for the cats with a row for each cat and columns for AM and PM doses. You could mark the board with the time you give each cat their dose and a simple visual check of the board could help you to easily keep track of which kitty's had what.


Mogs
.
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That’s what the wife and I discussed. It was just such a quick moment, I caught myself in the middle of the shot realizing my mistake. Never felt so bad. Haven’t heard anything yet from the vet which is apparently good news. The vet tech last night said Peeka’s numbers were hardly the lowest she had seen, and suspects she will be fine.
 
JanetNJ said:
You are not the first person. I remember one a new person who thought they were giving 1 unit and gave 10. Mistakes happen and new baby sleep deprivation is a very real thing. Your cat will be fine and you did the safest thing bringing her in. Better safe than sorry. :)
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I had been going through other posts to see how bad it had gotten for some people, even remember seeing one person giving their cat 25u. Vetsulin is just so quick acting, and as @Marje and Gracie had mentioned, her numbers were getting out of hand, quickly. By the time she got to the vet, they started to stabilize some.
 
Update on Peeka: All is good, they had her on dextrose drip, she apparently got pretty high at one point, and as of now is in the 400s, so they took her off. It sounds like it never got too much lower than the 128 I captured before leaving, but at the rate she was dropping, I didn’t want to take any chances. She’s available for pick up this morning, and she will be getting lots of snuggles. Dr recommended normal insulin dosage today, a little extra feeding and close monitoring since her BG never got to hypo. Curious everyone’s thoughts.
 
Peter (Peeka&Boo) said:
That’s what the wife and I discussed. It was just such a quick moment, I caught myself in the middle of the shot realizing my mistake.
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But you caught it straight away, Peter, and got help for Peeka immediately. :bighug:

On the tracking side of things, because of my PTSD my working memory is very, very poor. I use a spreadsheet to track Lúnasa's food, water and meds. I am absolutely dependent on it for meds because I just cannot remember what I gave and when. It works really well and making the quick note of the time she gets a dose becomes a habit really quickly. That's what gave me the idea to suggest a small whiteboard as an aide-mémoire for you (A4 would be fine). Now that Rory's here you guys have many more plates spinning these days and I thought the board might be a really quick and easy way for you to track dose admin for Peeka and Boo.

Be sure to post an update when you hear from the vets.

:bighug:


Mogs
.
 
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