? My cat max bg is 305 . Not hungry . Do I give insulin ?

Status
Not open for further replies.
Katie & Max

Katie & Max

Member Since 2021
Max bg is 305 . He has been sick and throwing up the last few days and isn’t very hungry rite now . I don’t know if I should give insulin ?
Max is on 4 units of pro zinc twice a day. He’s been on insulin 2 years and is over weight and has ALWAYS been hungry . He has a severe skin infection for a long time that nothing seems to help . The recent anti biotics made him very sick which is why he isn’t hungry I think . My vet is closed today and I’m not sure what to do about his morning insulin dose rite now
 
Especially with him not eating and an active infection, the last thing you want to do is skip the insulin. The "recipe" for DKA is Not enough food + not enough insulin + infection/inflammation.

I would give at least 3U. If you can get him to eat or you can get food into him using a syringe, you could probably give the entire 4U.

Do you know how to syringe feed? Getting food into him, even if it's high carb kibble is very important so you'll need to syringe feed if you can't find anything he'll eat on his own. Right now, don't worry about the carbs..he needs whatever he'll eat.
 
Last edited:
Not great . He was given some fluid yesterday but is still vomiting . It’s day 5 . He will be put on iv today and get blood tests done . His blood glucose was 154 this morning though which is the lowest it’s ever been . He is eating on his own now but throws it up so I’ve been giving small amounts only . I’m still trying to learn what are acceptable numbers and how to adjust the insulin accordingly
 
If you could set up the spreadsheet and signature we could help you a lot more.
Are you giving any antinausea medications. Ask the vet for ondansetron and cerenia. If he’s still vomiting he may need an injection of cerenia.
 
Thank you for this link . I will try and get that all set up today . Max’s pancreas blood test just came back positive today . Are there files somewhere on how to adjust the food accordingly for pancreas problems ?
 
It sounds as if he has pancreatitis, is that correct?
If so he needs to have regular pain medications such as bupe, regular antinausea medications such as ondansetron and cerenia and possibly sub q fluids … ask the vet about those.
Until you are giving regular antinausea meds he will not want to eat or could vomit. Pancreatitis causes nausea, lack of appetite, is painful and the cats can become dehydrated.
I will ask @Bandit's Mom to help you with the spreadsheet and signature
 
Yes he has pancreatitis. The vet had prescribed cerenia and Metoclopramide . I am nervous about the Metoclopramide because I’ve read it causes food to digest faster and can potentially cause diebetic cats to go hypo easier . He gets it 30 minutes prior to insulin . I am going to test him before insulin shot and then 2 hours later once insulin kicks in . What is a dangerous number to give insulin at ?
 
I’m not sure I would give the Metoclopramide. Also called maxalon. It’s given a lot to humans but I’ve not heard it given to cats.
Ask the vet for ondansetron (zofran). It’s a human medication but cats can take that up to 3 times a day for nausea

Katie it would help a lot of you could get up the spreadsheet and signature. I’m going to ask @Bandit's Mom if she can help you set them up as we really do need data to help you.
Until we can see data I would hesitiate to shoot under 200 but with pancreatitis and not eating much, DKA is a concern.
I’m going to ask @FrostD and @Suzanne & Darcy to comment on the dose as they are Prozinc users.
Post when you have the Preshot BG
 
Bg is 227 rite now . I gave the medication before checking your response . I’m wishing I had followed my gut and not did it . I will discontinue . I’m also pulling out my lab top to see if I can get the spread sheet figured out
 
i gave him 3 units instead of the normal 4 and i am going to check his bg 2 hours after dosing.
He seems to have his appetite back thankfully
 
Katie & Max said:
Yes bg 73 . No I have alpha trak pet meter
Click to expand...
Ok. By my calculations it must be about +2 in the cycle. BG of 68 on the alphatrak meter is when you need to take action and give high carb food or honey. HOWEVER because you are so early in the cycle I would give some high carb food now if you have some. About 2 teaspoons. If you don’t have any, give a few drops of honey or karo. About 3 drops in some food. . And test again in 20 minutes
 
No not gravy lovers . I think the carb is higher then 10% though . I just gave him more of that with syrup … I will need to buy higher carb and hunny tomorrow
 
I doubt if it was even medium carb…I can’t look now but I will later. You need to get the gravy lovers and put the number of carbs in the top with a texta pen so you know what you are giving at a time like this.
For now the Karo or honey should bring him up. What are you giving?
 
Oh lol . Sorry ! Like the size of a marble or like a your thumb nail … my syrup doesn’t drip out so I had to eye it
 
Katie & Max said:
It is now 92
Click to expand...
Phew!
That’s good. the BG could wobble up and down now for several hours so you are going to have to keep monitoring it for quite a while.
I would not give any more of the maple syrup for now and see how he is in 30 minutes.
The syrup will wear off in about 1 to 1 and a half hours so you need to be aware the BG could drop again.
I would just keep feeding the normal low cat food for now…but we don’t want to give him too much and fill him up so he won’t eat later in the cycle if we need him to.
Keep the syrup in case he drops again.
I would test 1/2 hourly for 2 hours and if he doesn’t drop, move that to hourly and see how he goes. I will be around for a few hours yet so keep posting…I will watch out for your posts.
Re the dose…. Because he has dropped to 68 on the alphatrak and he is on Prozinc, I would reduce the dose down to 2.5 units if he is high enough at the next preshot and stay at that dose unless he drops low again. i will tag @FrostD as she is a Prozinc user and I am not, for her to double check the dose moving forward.
 
Okay , it’s 12:30 am here .I keep waking him up to test him lol . I will set my alarm to keep checking on him and post if it drops back low again . Really hoping it doesn’t .
 
It’s really important that you can monitor for the next few hours as he could well drop again so if you are going to go to sleep, make sure you don’t sleep through the alarm.:)
 
Without more info I'd say 2.5U is safest bet. How well did he eat last night at shot time, and in the few hours after that? Including those lower numbers?

When was last dose of metoclopramide?
 
FrostD said:
Without more info I'd say 2.5U is safest bet. How well did he eat last night at shot time, and in the few hours after that? Including those lower numbers?

When was last dose of metoclopramide?
Click to expand...

He ate well at shot time and was willing to get up and eat when the numbers dropped low . I fed him a table spoon the first time and second time a table spoon with syrup in it .

The Metoclopramide was given 13 hours ago and I am going to ask the vet for something else .

when using ProZinc at what bg reading should I not give insulin ?
 
Bron and Sheba (GA) said:
Katie have you got up to check Max’s BG since the 92?
Click to expand...
I’m glad Max was OK.
Katie, would you mind, when someone is helping you in a situation such as low BGs, that you keep in touch with them. I had no idea what was happening and I was concerned when you did not post or add anything to the SS.
I knew you were probably having a nap but was very concerned you had not woken up to test again. Just a quick post to say all is ok or an update … thanks:)
 
Status
Not open for further replies.
Back
Top