Isaac vomited and I'm unsure If I should give him his insulin

[Mythield]

Hello,

I gave Isaac his canned food today and he seemed fine this morning. I gave him his injection as normal, and then I headed off to work. I got back from work and fed him one and a half cans of Fancy Feast. Shortly after, he started making some odd sounds and vomited a lot of it up.

He's very difficult to get a glucose number on, I've been trying and I'm only have successfully managed it twice. Today was the second time, I'm convinced it was out of per desperation on my part. His number was a 76 on the ReliOn. Which seems rather low from the last time I did it which was a few days ago and that was a 255.

He's eating again and I'm just hoping that he is going to be able to keep it down this time. He's due for his insulin shot any minute now, I am unsure if I should even give it to him. Tomorrow he is going in for a blood curve at the vets.

Any suggestions would be extremely helpful. I live in a very small town so I can't really get him into any emergency vets if needed. My best luck is to get him into the vets tomorrow and go from there.

He gets his insulin exactly at 7:30 am/pm.

 

[Christie & Maverick]

Skip the dose. Without much data and assuming 76 is accurate, since you cannot monitor best to be safe and skip the shot. Better a day too high than a minute too low.

Usually we recommend on the main health forum to not shoot under 200 until you have enough data and are able to continue to monitor the cycle if you do give insulin. I'd also suggest 2u is too much insulin, usually we start off with a lower dose, particularly if you cannot monitor /test. Again, if that 76 is accurate, seems to me 2u is too much insulin. For Lantus, we have two dosing methods we follow here on the forum, and given that you have difficulty with testing, I'd suggest following SLGS for the time being, which means you'd reduce to 1.75u next shot, since with SLGS any number under 90 calls for a reduction in dose.

Dosing Methods

One and a half cans of FF is a lot in one sitting, are you just feeding 2 main meals? He may have done a scarf and barf (was hungry and ate too fast, threw it up). Might be worth seeing about feeding smaller amounts more frequently. Most diabetic cats do better with smaller feedings more frequently vs. only two feedings a day.

 

[Mythield]

Skip the dose. Without much data and assuming 76 is accurate, since you cannot monitor best to be safe and skip the shot. Better a day too high than a minute too low.

Usually we recommend on the main health forum to not shoot under 200 until you have enough data and are able to continue to monitor the cycle if you do give insulin. I'd also suggest 2u is too much insulin, usually we start off with a lower dose, particularly if you cannot monitor /test. Again, if that 76 is accurate, seems to me 2u is too much insulin. For Lantus, we have two dosing methods we follow here on the forum, and given that you have difficulty with testing, I'd suggest following SLGS for the time being, which means you'd reduce to 1.75u next shot, since with SLGS any number under 90 calls for a reduction in dose.

Dosing Methods

One and a half cans of FF is a lot in one sitting, are you just feeding 2 main meals? He may have done a scarf and barf (was hungry and ate too fast, threw it up). Might be worth seeing about feeding smaller amounts more frequently. Most diabetic cats do better with smaller feedings more frequently vs. only two feedings a day.

Thank you!

I'll skip the dose and shorten the dose in the morning. I agree it's too much Insulin as well, he was in the 600s for a while and had a horrid UTI. But the UTI is gone right now and he finished all of his antibiotics too. Plus he is now on a low carb diet now.

It's harder to do more than two feeding times since I work very long hours, but I'll try to feed him alot less next time and wait before I give him more. I am hoping I'll be able to get better at home testing, he is extremely difficult to home test.

 

[Christie & Maverick]

With a previous infection taken care of, and change to low carb diet, those can both contribute to needing less insulin. It may be that even a reduced 1.75u is too much given the circumstances you've noted. I have an automatic feeder that works well to portion things out, is Isaac an only cat, or do you need to feed others at the same time? Home testing will definitely come easier there are some tips here to start you off : Home Testing Links and Tips

Good luck with the curve at the vet tomorrow, if you can get the data and add it to your SS, that will be good info to have