911 HYPOGLCEMIA

ThailandKitty

ThailandKitty

Member Since 2013
HELLO,

I have a cat who was hypoed a few hours ago. I found her almost unconcious. Gave her honey on the teeth and karo syrup a few syringes full. She cam back a little and then she started seizures. It lasted over an hour. Then about every 10 min or so for a minute (2 hours). Now having seizures again...long one again. I have tested her numbers. Started at 45 when I found her and then 111, 235, now 85. Tried giving a little juice in syringe and thats when seizure started again. But there is no vets open late where i live...have to wait a few more hours for them to open. Any siggestion? Help. Before she had like this hypo but got it back up with blood sugar...not sure why its not working this time.

Thanks
Thailand kitty
 
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Please go back to your title and put a red 911 in front of it
Go to the word Thread Tools to the right, tap on it and then tap on Edit Title and put the 911 Help in front of Hypoglycemia

Where do you live, ok I see you live in Thailand
 
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The syrup wears off quickly, I'm not sure what insulin you are using or where you are in the cycle, but with a cat having seizures, I would suggest if you have some lubricant, you should try to give the syrup rectally. Rubbing the syrup on gums or cheeks also is best when a cat is seizing, don't squirt the syrup into their mouth, they can choke on it. This is a real emergency, you'll need to get your cat to emergency as soon as they open.
 
Christie & Maverick said:
The syrup wears off quickly, I'm not sure what insulin you are using or where you are in the cycle, but with a cat having seizures, I would suggest if you have some lubricant, you should try to give the syrup rectally. Rubbing the syrup on gums or cheeks also is best when a cat is seizing, don't squirt the syrup into their mouth, they can choke on it. This is a real emergency, you'll need to get your cat to emergency as soon as they open.
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How much do you think I should give anal? How do you do just a syringe?
 
Christie & Maverick said:
I would think just inside, maybe a cm or two, just so that syrup is definitely in.

How is she now?
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Still seizing but having some pauses...I put some more honey in her gums too. Just tested her she is 70. Long seizure again...still 3 hours until they open. She has been like this already 6 hours
 
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Just tested again. She had a long break 15 min no seaizure then started again few min and stopped again. Tested she is 95 +16.5 hours past last shot. Breathing is very short and fast. I managed about 1/2 the syringe...so maybe 3ml (not sure what the measurement is). And honey on the gums. Any idea how long that lasts for? I have no idea
 
Christie & Maverick said:
Oh boy, ok. What dose did you give earlier?
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I was giving her a 3.0 but she was not eating. Being very picky with food. Since a week already. I took her to the vert few days ago said she was fine. Very small infection I should give her antibiotics for but didnt start them yet. So I lowered it to 2.0...then she still wouldnt eat. Finally got her to eat at about +4 but not her normal food....something that was less calories.
 
This is very difficult to manage at home, with continued severe symptoms, as Sienne said ideally the best solution is help from an emergency clinic, there's nothing like that near you?

I'd like to try and get some food in her, but with the continued seizures, I don't think that's a good idea just yet. So keep going with the syrup, give more again rectally in 20 minutes and rub some more honey on gums, and if you can test again, just to see where she is at, after 20 minutes or so please.
 
Christie & Maverick said:
This is very difficult to manage at home, with continued severe symptoms, as Sienne said ideally the best solution is help from an emergency clinic, there's nothing like that near you?

I'd like to try and get some food in her, but with the continued seizures, I don't think that's a good idea just yet. So keep going with the syrup, give more again rectally in 20 minutes and rub some more honey on gums, and if you can test again, just to see where she is at, after 20 minutes or so please.
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Yes no emergency place...trust me I would go if there is one
 
I tried the anal again...she is seizing long time maybe 30 min without break. Tried to put anal but maye only got 1 ml. Put some on honey on her gums
 
Shes 50 now maybe will try some more in the butt cause she stopped seizing now. I will leave for the vet in 30 min
 
Yes, more syrup. I'm glad at least the seizing has stopped. Bring honey/syrup when you go, and keep giving her some on gums if you can, that's if you have another person to help when you go to the vet.
 
Do you find she's coming out of it a little, or is she still unresponsive? Would she possibly eat some higher carb food, even a little gravy from the food, or are the seizures still close together?
 
I dont think possible to eat anything. When i gave the food last time thats when the seizures started again and long. Almost instantly
 
I think that's to be expected, a little leakage. Ok, let's not mix up anything with attempting food. More honey on gums or cheek 10 minutes before you go. Hoping for the best, and that trip to vet's is a quick one. Is she moving around at all, or still out of it?
 
Keep in mind going forward, with such a severe hypoglycaemic event, she will be very sensitive to insulin, so a reduction in dose would be strongly suggested, Something is definitely going on; I see you've had previously another recent symptomatic hypoglycaemia with your kitty back in July, so I would urge some caution in dosing, and closer monitoring of her BG levels if you aren't already doing so, to make sure you keep her in safe ranges.

We can help you in managing her diabetes if you'd like.

Hoping vet will help normalize things with a dextrose drip, and please keep us posted - if you get a chance to update when you can :bighug:
 
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Couple of quick notes:
- Vet will likely need to put her on a dextrose IV drip and monitor BG carefully. If they don’t do this, I’d push back. Lantus hypos can last a very long time.

- Vet will likely need to give a medication to control/interrupt the seizures. This is very important. I’ve seen Valium used; I’m not sure what the current drug preferences are.

- Make sure the vet tests for ketones. You mentioned inappetance and probable infection. Those are two of the three ingredients for ketones to develop.

- Cats can be extremely sensitive to insulin post- hypo. Be very careful with dosing and testing when/if re-starting insulin.

I’m very concerned about your kitty. What you’re describing is a very severe and life threatening situation. Please stay on top of giving honey. If she’s comatose or “out of it,” it’s probably safer not to put too much honey in the mouth (risk of aspiration into lungs) but rather focus on the rectal route. But do whatever you need to do to get the BG back up.

Please come back with an update. (I can’t stick around but will check back later). Best wishes.
 
Hello all thanks for your help. I am at the vet, she had 2 shots to stop seizures, and yes on some drip but not sure what. Ans in the oxygen machine. I will check about the keystones…I asked about it a few days ago but they didn’t have the test strikes. So need to buy online. Yes I hope she is ok too. Will let you know a little later
 
She has been at the vet 7 hours. They gave her IV drips and several shots to control the seizures, glucose drip, I tested her number only once and it was 222 (no lantus has been given since yesterday). But she seems completely unaware, lost and out to space. She is still having little mini seizures...likes shocks running through her. The doctor said her brain may have gotten damaged....and maybe won't improve. Does anyone know the normal time for the brain to recover from something like this? She said if its wasn't better by nighttime she didnt think it would get better. Anyone have difference of opinion? I could take her to the doctor in the main city for specialists.....but not sure anything can be done....
 
I'm so sorry this is happening. I've lived where there isn't vet access for hours. It's such a hopeless feeling when your kiddo is in crisis. I don't have any good input, but I'm keeping you both in my thoughts.
 
It can take quite a while for the body and brain to recover from such a severe hypo—definitely longer than a few hours. Your girl has been through a very physically traumatic experience and it can take days, sometimes even longer, to bounce back. In some cases, they can recover; in others, there might be permanent damage. Only time will tell.

Assuming the vet can keep the seizures under control and her BG up, I wouldn’t make the “final” decision just yet. I’d opt to wait a few days and reassess at that point (assuming there was no dramatic downturn in the meantime). But that’s just me. Cats have amazing healing capabilities — and sometimes all we can do is give them medical care and support and let them make the decision. I’ve seen animals live who should have died, and animals die who should have lived. If only we had a crystal ball.

However I want to be brutally honest … what she went through is bad. Very bad.

For what it’s worth, it’s not at all uncommon for them to be limp, spaced out, and even blind at this point. Patience is important. Supportive medical care is important. The blindness is often temporary.

Your kitty has been through a traumatic experience, but so have you. Helplessly watching a cat seize for 30 minutes straight and multiple times over the course of hours is not for the faint of heart. Please remember to take care of you, too.

And please do let us know what happens. We care.
 
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ThailandKitty said:
She has been at the vet 7 hours. They gave her IV drips and several shots to control the seizures, glucose drip, I tested her number only once and it was 222 (no lantus has been given since yesterday). But she seems completely unaware, lost and out to space. She is still having little mini seizures...likes shocks running through her. The doctor said her brain may have gotten damaged....and maybe won't improve. Does anyone know the normal time for the brain to recover from something like this? She said if its wasn't better by nighttime she didnt think it would get better. Anyone have difference of opinion? I could take her to the doctor in the main city for specialists.....but not sure anything can be done....
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Hope you are able to get some rest for yourself. Sleep is very important now and your kitty is apparently in good hands at the vet.
 
Update on Sassy: So far she look about the same...but I will wait for a few days. Also spoke with a great doctor in another city who defiantly gave more hope than than I had. She said seizures may take 3-5 days to stop completely. Also need to take medicine for brain swelling. Which may fix quite a few things. So I am more hopeful than I was earlier in the day when the current doctor said today or nothing. Thanks for all your love and support and suggestions! Every little bit helps! I have great gratitude for everyone of you who reached out to us in our time of need! I do live in the most gorgeous place on earth koh phangan, thailand (goole it) but yes lack of off hour doctors sucked!
 
Thanks for the update, praying for that beautiful girl of yours. Sassy is such a gorgeous girl :bighug::bighug::bighug: I just googled where you live and you are right, it's just gorgeous :cat:
 
Hi there, I have been following your situation and hope you and your kitty will bounce back from this frightening episode. I also hope that you will post here regularly with Sassy's numbers on a spreadsheet and ask for advice regarding dosing. This forum has saved thousands of cats over the years, from hypoglycemia, hyperglycemia and many many other health issues unrelated to diabetes that can strike a cat. You've been a member here for a long time, with a another diabetic cat it looks like. We can help you through the days when there is no crisis, so that you can prevent the possibility of it occurring again. Many of us on the Lantus forum post every single day so that other members can follow the progress of your cat. The better we know you, your circumstances, and the particularities of your cat, the better we can help you. :bighug:

Here is a post, when you have the time and mental space, for setting up a spreadsheet: https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/. Here is also another one for setting up your signature with information about you and Sassy: https://www.felinediabetes.com/FDMB...saglar-levemir-land-experience-updated.46014/
 
I'm so glad Sassy pulled through last night and I pray for no permanent damage. Please, do as PerfumedCatMom said. You need to set up a spread sheet and post every day if you can. You will get so much great help here. I cannot imagine what you and your kitty have been through. My worst nightmare when my girl was still alive.
 
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