New member. Glucose keep on staying high. Aug 12th 23

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Fistuk & Shelly

Member Since 2023
Hello everyone. It’s my first post here and I’m writing in the middle of my night as I’m so concerned for my cat.

My cat was diagnosed with diabetes about two weeks ago. Few days after his ketones went high and he was hospitalised for three days. He was given Lantau one unit twice a day.

after diagnosis had a tough week that included eating less till not at all and diarrhea.

Back from hospitalisation just a week ago he was much more alert and showed some Positive signs of getting back to the personality he has. He started eating more. And he glucose was getting higher. They put on him the LifeStyle button that measures his glucose all the time until we get a pictures of what’s up. With him. Since it was often read ‘high’ the vet suggested increasing to 1.5 units.
It was around 22 or 24 before breakfast but during the day and some time after supper it went to ‘high’ again.

I’m the past two days his back legs become weak again. His energy is still good and he gets up to eat but seeing him tripping in his walk and sitting down to eat after few steps is heart breaking.
Yesterday evening as per the vet’s advice he hot 2 units— and he’s glucose reads just ‘high’. Didn’t even come down after the evening’s shot.
I give him chicken tips mouse that I cook so he’s been eating homemade low cat very moist food.

I don’t know how to read the situation. The vet is a hospital vet so difficult to reach. We don’t really have a local vet. As per my understanding it’s really not good that his glucose stays high for so long. I’d love to make sure I give him the best treatment and best chances to get into remission.

any advice would be hopeful. I’ve been in a very steep learning curve about diabetes for the past two week.
Thanks
 
Just another thing that just happened - the sensors didn’t read his glucose. So I took measures with blood and it’s 23.3!! I then measure again with the attached to his body sensors and it read ‘high’. I wonder how reliable this sensor is. The highest read with the sensor meter I had was close to 28 so I guess that any glucose level beyond that reads just as ‘high’. I wonder if anyone has an experience with this Ensor in compared to blood measure.
 
Hi and welcome to the forum.
Do you know if your kitty (name?) had DKA or just ketones when he was hospitalised?
Either way it is really important that he eats plenty of food. So give him the 2 main meals and then lots of snacks during the day and evening and leave out some food for overnight.
I'm going to write more but I just want you to see someone had answered you
Bron:)
 
I can’t tell you how much I appreciate having your response and feeling less alone.

yes, Fistuk (his name :)) was diagnosed DKA at the hospital. Don’t really know what’s the difference between just high ketones and DKA but maybe for later :)

it’s helpful to know about the snacks because he’s been asking to eat every 2-3 hours and I’ve given him as much as he asked for.

At the moment I don’t have any dry food to leave him because I’m afraid of the starch and other carbs they stuff in. I found not shop simply dry krills but was hesitating.
The other problem I have with food is that his brother, Prince, will eat any food left so if I leave Fistuk food he’ll just hoover it
 
The sensor will read BGs up to a point and then it will just say high. The hand help meters do the same thing over a certain reading. So don't be concerned about that. It just means that he is high either way.

Here is what you need to be doing if your kitty has had DKA and also if he was hospitalised with ketones
  • you need to give one and a half times as many calories as he normally eats. Offer snacks every couple of hours during the day and evening as well as the 2 main meals. Food is like a medicine and helps keep ketones away. If he won’t eat the low carb food, feed him whatever he will eat as eating any food is better than not eating,
  • Don’t skip any doses of insulin as insulin helps keep ketones away. If the BG is not high enough to give the dose…stall, dont feed and test again in 20 minutes and post and ask for help.
  • Test daily for ketones. Put the results of the tests into the remarks column of the SS so we can see. Please report any trace ketones at all. You will need a bottle of KETOSTIX which you can get from Walmart or a pharmacy to test the urine for ketones.
  • Give antinausea medication if needed. Ondansetron is better but you can also use cerenia. Ask the vet for some if he is not eating well
  • Give appetite stimulant if needed after the antinausea medication
  • Give extra fluids. If kitty will tolerate warm water in the food, put a teaspoon into each snack..
  • Ask the vet about subQ fluids
  • Set up a spreadsheet and test the BG frequently
  • Post daily with updates and ask for help as often as needed.
If you can set up a spreadsheet and fill it in for us, we can help you with dosing and see what is happening. If you have trouble setting it up, let me know and I will get @Bandit's Mom to help you. Also the signature is important so we can lern about your kitty. It appears at the bottom of all your posts and we read that and the SS before we help you.
You will find the link to setting up the SS and signature in HELP US HELP YOU

Are you testing the BG before every dose? And again during the cycles?
What food are you feeding him?

Diabetic neuropathy is common in diabetic cats and should improve as you get the BGs back into normal range. There is a medication you can give him called ZOBALINE which you get from lifelink.com
Ask plenty of questions. We are here to help you:)
 
Thank you so much for all this!
I will reply to everything and follow up with what you recommended regarding tracking tests sheet and and other later. I’ll go and get some sleep now.

I’m wondering what to do if I need to leave the house for a few hours. It’s gotten quite warm yesterday. I wonder about just leaving the wet food out so he could eat (and hopefully Prince won’t finish it all)
 
Hi Fistuk :cat:...I'm sorry you have been sick but it sounds as if your mama is doing a great job helping you get better.

With DKA in the recent past you will need to concentrate on the food, the insulin, giving extra fluids in the food, and testing daily for
ketones.

There are freeze dried foods you can give from Ziwi Peak. They are low carb.
The only dry food you want to be feeding really is the low carb foods. I cant find my list of suitable dry foods at the moment but Ill tag @Diane Tyler's Mom ...she will be able to give you suggestions.

The other problem I have with food is that his brother, Prince, will eat any food left so if I leave Fistuk food he’ll just hoover i
That is a common problem. You can put Fistuk in another room if the cats will tolerate that or you could buy an automatic feeder that has a chip that only allows one cat to eat from it. You might want to get Prince an auto feeder as ell so he doesnt feel left out. I would also swap them both to the low carb food so Fistuk doesn't eat high carb but mistake

Thank you so much for all this!
I will reply to everything and follow up with what you recommended regarding tracking tests sheet and and other later. I’ll go and get some sleep now.

I’m wondering what to do if I need to leave the house for a few hours. It’s gotten quite warm yesterday. I wonder about just leaving the wet food out so he could eat (and hopefully Prince won’t finish it all)
You could put him in another room or feed him just before you leave or leave plenty of food out and hope he gets some...depending on how long you will be away
 
One of the reasons he could be so high is he could be bouncing. Once we see all his BG data we will be able to see what is happening.
What insulin is he on? Sounds like he is on Lantus as you wrote lantau. That is a great insulin for cats
Explanation on bouncing
  • Bouncing - Bouncing is simply a natural reaction to what the cat's system perceives as a BG value that is "too low". "Too low" is relative. If a cat is used to BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose drops too low and/or too fast.The pancreas, then the liver, release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". *Usually*, a bounce will clear kitty's system within 3 days (6 cycles).
 
Hello and welcome to FDMB! :-)
I can help set up your spreadsheet and signature. Will send you a PM with the details I need. Look for it in the Inbox at the top right corner of this page.

Your profile says you're in Switzerland? If yes, then this is the low carb food list available in UK and many of them are available in the EU as well. Zooplus is a site that EU members use to order food. The list also has some low carb dry foods at the very end.
https://docs.google.com/spreadsheets/d/1J5JpMe6TDXrHq_aTl9hUtHy6Gs9oRBqlz4nPGKxtySA/pubhtml

The Libre is becoming more and more common and can be a useful tool, but it doesn't take place of testing with a blood glucose meter. Even the Libre instructions tell you if you get a very low or high number, you should verify it with a re-test with a meter. Also, the Libre will occasionally produce an icon that looks like a magnifying glass next to a blood drop which is it's way of telling you that you need to verify the number. Our experience has been that the Libre does give wonky readings and tends to read much lower in the normal range of numbers.

Here's a detailed document on the Libre:
https://docs.google.com/document/d/...f13UiOiEM-6MsrFNpR9ztaPawF6dLk2b906QZ6VP6/pub

Once his blood sugar is brought under control, the neuropathy should resolve. Some caregivers have found that giving their cats a supplement of methycobalamin B12 helps with the neuropathy.
https://www.felinediabetes.com/FDMB/threads/feline-diabetic-neuropathy-weak-back-legs.178252/
 
Thank you so much everyone. The past two weeks have been so stressful. I’m overwhelmed and overstretched and it’s so encouraging to revive your support and care.

I had to go to work for few hours today so I’ll follow up with all replies tomorrow

I have one questions that bothers me — is there a reason there should be a difference between the glucose m reading with the sensor to the BG I take in the ear?
This morning before breakfast the eat test have 20.6 but the sensor ‘high’
About three hours after BF & insulin ear 19.8 and sensor 25.6
It’s quite a huge difference !

Thank you!
 
What type of manual meter are you using? Is it a pet meter or a human meter.?
You will find that meters will not all be the same and there will be a difference. That is why we say choose one meter and stick with it. Otherwise it will drive you crazy. We tend to look at trends as much as the actual BG although we do also monitor more if the BG os lower.
There is also meter variance which can be up to 20%.
 
The only dry food you want to be feeding really is the low carb foods. I cant find my list of suitable dry foods at the moment but Ill tag @Diane Tyler's Mom ...she will be able to give you suggestions.
@shellys
I don't know if you can get these in the Switzerland or any pet store or if the following ships to the UK
Here are some low carb dry foods ,they are about 5 or 6% carbs
None of them are cheap
You need to order them online
Dr Elseys you can buy on chewey site
https://www.chewy.com/dr-elseys-cleanprotein-chicken/dp/146269?utm_source=google-product&utm_medium=cpc&utm_campaign=12791446238&utm_content=Dr. Elsey's&utm_term=&show-search=1&gclid=EAIaIQobChMI0PvU2Zj79wIVRIdbCh3JawEkEAQYASABEgIInfD_BwE

Young again on their web site
https://www.youngagainpetfood.com
Take a look at the young again zero or the zero mature

Dr Elsey's also at Walmart
https://www.walmart.com/ip/Dr-Elsey...ViI3ICh0suwO_EAQYAiABEgJrOPD_BwE&gclsrc=aw.ds

Dr Elsey's Amazon
https://www.amazon.com/dp/B07FCJHDPR/ref=twister_B09GHFJY65?_encoding=UTF8&psc=1

the Dr Elsey's comes in different size bags
None of these can be bought in stores

Also
Wysong Epigen 90
 
@Diane Tyler's Mom - I don't think those foods are available in Europe. She would also need to purchase through Amazon that's specific to her country because of the currency exchange.

Shellys - you're absolutely correct. The first few weeks are a steep learning curve and truly overwhelming. Hang in there!!

I'm wondering if the food you're using is high in carbs. It may be one reason that you're not seeing much of a change in your cat's numbers. There are cat food carbohydrate calculators on the web. They won't give an exact percentage of carbs since the data that the manufacturer's provide is typically the guaranteed analysis and not the "as fed" information about the food. We consider low carb to be under 10% carbohydrate and most of the members here feed their cat a diet that's somewhere in the neighborhood of 5%.

Please let us know if you have questions. We have members here from all over the world so there is usually someone around 24/7. We're here to help.
 
Just another thing that just happened - the sensors didn’t read his glucose. So I took measures with blood and it’s 23.3!! I then measure again with the attached to his body sensors and it read ‘high’. I wonder how reliable this sensor is. The highest read with the sensor meter I had was close to 28 so I guess that any glucose level beyond that reads just as ‘high’. I wonder if anyone has an experience with this Ensor in compared to blood measure.

I do.
I have a lot of comparison data, and it's not very positive unfortunately. I have been blindly using the FreeStyle Libre 2 sensor on my cat after the initial few readings have somehow matched with his blood glucose.
Things have taken a very dark turn after a month or so, and I decided to pull out the old meter and check his blood for glucose - the discrepancy was crazy! I have kept the sensor on him and continued to test his blood, and I have found that anywhere above 8-10 mmol/L blood glucose, the Libre sensor gives diabolical discrepancies. The higher the blood glucose, the higher the discrepancies. For this reason, I would urge you to stick with blood testing, if you can.
I have made several dosing mistakes within that month when I have only followed the readings the Libre has given me. HI reading is anything above 27.8 mmol/L on the Libre, which I was getting constantly... turns out, he was closer to 15-18 mmol/L on those occasions, sometimes even less.

I have found that the Libre seems to assume how a curve should go, and gives you numbers based on that assumption.
Libre is a human meter. I have decided to purchase and test my cat with a human meter, in fact, a meter of the same brand/make -FreeStyle Freedom Lite- for more accuracy. Still, the Libre 2 has remained incredibly unreliable.

I have a month and a half worth of data, where I tested his BG at least 6 times a day, comparing those numbers to the Libre attached to him. Feel free to reach out privately, should you like to see.
 
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yes, both are human meters.

At home I measure with the ear with Free Style Freedom Lite. At the hospital the put on his body the Free Style Libre.

The reason I tried the ear last night was because the sensor didn’t work and his readings were all day high even after increased insulin from 1.5 to 2 units as the vet suggested. So I got worried the sensor didn’t work and tried the ear and the measure was lower

Yes it does drive me crazy and I feel now that I can’t trust this sensor. He’s not happy with me pricking his ear though at first he was ok with it. Maybe it’s because he was too weak before and didn’t resist much or maybe he’s just had enough of people pricking him after a stay at the hospital. He’s also not happy with the insulin shots

I will fill out the sheet first thing tomorrow morning
I do.
I have a lot of comparison data, and it's not very positive unfortunately. I have been blindly using the FreeStyle Libre 2 sensor on my cat after the initial few readings have somehow matched with his blood glucose.
Things have taken a very dark turn after a month or so, and I decided to pull out the old meter and check his blood for glucose - the discrepancy was crazy! I have kept the sensor on him and continued to test his blood, and I have found that anywhere above 8-10 mmol/L blood glucose, the Libre sensor gives diabolical discrepancies. The higher the blood glucose, the higher the discrepancies. For this reason, I would urge you to stick with blood testing, if you can.
I have made several dosing mistakes within that month when I have only followed the readings the Libre has given me. HI reading is anything above 27.8 mmol/L on the Libre, which I was getting constantly... turns out, he was closer to 15-18 mmol/L on those occasions, sometimes even less.

I have found that the Libre seems to assume how a curve should go, and gives you numbers based on that assumption.
Libre is a human meter. I have decided to purchase and test my cat with a human meter, in fact, a meter of the same brand/make -FreeStyle Freedom Lite- for more accuracy. Still, the Libre 2 has remained incredibly unreliable.

I have a month and a half worth of data, where I tested his BG at least 6 times a day, comparing those numbers to the Libre attached to him. Feel free to reach out privately, should you like to see.

Thank you! That's very useful to know!
I have also seen a discrepancy of 8-10 points and find it very unsettling that there should be such a difference. This morning before BF the sensor read High but the ear was 17.6!! +2.5 post the morning shot it was 23.6 with the sensor and 14.8 with blood.
That's very worrying. And I started getting concerned that it'll get him to hypoglycaemia unnecessarily.

I didn't want to use it but when I brought him to the hospital last week they insisted on putting it on, saying it'll be much better and also more cost-effective. They've already estimated his hospitalisation time at 3-3.5K CHF for the weekend. And after seeing how lousily the assistant tried to measure his blood from the ear I thought it was better they'd put it. But I think I'll have it removed in the coming week because if it's unreliable why have just another thing attached to his body.
 
@shellys
I don't know if you can get these in the Switzerland or any pet store or if the following ships to the UK
Here are some low carb dry foods ,they are about 5 or 6% carbs
None of them are cheap
You need to order them online
Dr Elseys you can buy on chewey site
https://www.chewy.com/dr-elseys-cleanprotein-chicken/dp/146269?utm_source=google-product&utm_medium=cpc&utm_campaign=12791446238&utm_content=Dr. Elsey's&utm_term=&show-search=1&gclid=EAIaIQobChMI0PvU2Zj79wIVRIdbCh3JawEkEAQYASABEgIInfD_BwE

Young again on their web site
https://www.youngagainpetfood.com
Take a look at the young again zero or the zero mature

Dr Elsey's also at Walmart
https://www.walmart.com/ip/Dr-Elsey...ViI3ICh0suwO_EAQYAiABEgJrOPD_BwE&gclsrc=aw.ds

Dr Elsey's Amazon
https://www.amazon.com/dp/B07FCJHDPR/ref=twister_B09GHFJY65?_encoding=UTF8&psc=1

the Dr Elsey's comes in different size bags
None of these can be bought in stores

Also
Wysong Epigen 90

Unfortunately, I can't get them in Europe as @Sienne and Gabby (GA) said.

So far I've given him mainly food that I cook for him. I boil chicken wings with the tips and blend it all (without the bone) to a thick soup. He loooves it.
I keep whatever's left from the liquid in a separate box. He just looooves licking it from a spoon (@Bron and Sheba (GA) ). It keeps him hydrated well and it's very nourishing because it has all the gelatine from the chicken.

I changed his food to low carb immediately. Luckily it was the first piece of information I stumbled on once we've gotten the diagnosis and I started looking into what it meant. I gave his brother the same because he can get very jealous and i think it's anyways better for him

A tin that I love and is low carb is Yarrah:
https://www.yarrah.com/en/organic-cat-food-pate-with-fish-can/

I can get it from the local bio shop. Or as mentioned Zooplus, an online pet food shop that has a Swiss branch.

There's another brand which I think is Swiss and I can't remember its name so when I go shopping tomorrow.
 
One issue with homemade food... Cats require certain supplements in their diet in order for the food to be nutritionally complete. Taurine is one of those supplements but there are others, as well. This is a link to information on making food at home with the necessary supplements. I don't know if pre-mixes are available in Europe. These are powders that you mix with water and add to the food. Many of us that feed our cats a raw diet use these since all of the necessary supplements are in the powder.
 
I believe the highest discrepancy I saw on mine was +12-14 mmol/L.
It does get better in the lower numbers, for this reason I have mainly use(d) it to track whether my cat's BG is dropping too fast. I found the Libre readings semi-consistent with his BG in the 3.0 - 6.0 mmol/L range.

You can remove the Libre by yourself, to save you on additional costs. (Same way you can apply it yourself, but vets like to charge astronomical amounts of money for basics like these.)
I use coconut oil either on a cotton pad or an earbud, which I gently rub along the edge of the sensor between that and his skin, moving further toward the centre. Mind that it may take quite some time, especially if your vet has used actual skin glue, and not only a SkinTac wipe.

I'm glad you have caught on quick regarding the Libre, and that you have made the decision to ear test, with a human meter as well.
Fistuk is on Lantus, and it seems like you, Shelly, are a quick learner and doing your uttermost best. Your boy is lucky to have you!
 
I use coconut oil either on a cotton pad or an earbud, which I gently rub along the edge of the sensor between that and his skin, moving further toward the centre. Mind that it may take quite some time, especially if your vet has used actual skin glue, and not only a SkinTac wipe.
Thank you for the instructions. Yes they do charge and in Swiss francs, everything is much more expensive :(
 
One issue with homemade food... Cats require certain supplements in their diet in order for the food to be nutritionally complete. Taurine is one of those supplements but there are others, as well. This is a link to information on making food at home with the necessary supplements. I don't know if pre-mixes are available in Europe. These are powders that you mix with water and add to the food. Many of us that feed our cats a raw diet use these since all of the necessary supplements are in the powder.
Thank you for that. I was aware that I'll need to add supplements and wanted to ask about that. I bought a supplement mix from Dr. Jones and wanted to put a post and ask if anyone here has experience with this. I will create a new post
 
I’m here in the middle of the night again
Fistuk seemed low yesterday. He’s eaten well. But normally he gets up at around 3am for a snack (some time even at 1am and then 3/4am).

I just woke up, I guess feeling something’s not quite right that I didn’t hear him moving around. So I turned on the light and after few moments of cuddles he got up to eat. I started leaving a plate of food for him by his bed (which is by my bed) to make it easier for me to go back to sleep after night’s Lee and cleaning and feeding etc. He ate and then went back to sleep. Normally he’d get up to pee.

he peed outside the box quite a few times. Yesterday before bed he peed in the bedroom. Didn’t even go to the living room where he usually pees on the floor if he doesn’t go to his box.

No sign of ketones on pee stick. -Is pee reliable? Is there blood meter for ketones?

In the morning after snack he came to the living room to bask in the sun and groomed himself which was an encouraging sign.

maybe it’s nothing but I’m afraid of missing out on something and it’s all very new still.

I guess I’m still traumatised from last week that I had to rush him to the hospital bc he hasn’t eaten and was apathetic. At hospital learners he had ketones. He’s not apathetic at all no but he hasn’t been so awake and with energy as he’s been in the last couple of days. He was quite wobbly on his back legs
 
I just saw your other post about diarrhea. I would not start a new post for each issue if tge same day as we dint get the full picture. Did you switch the food all at once? That could explain tge diarrhea and lack of energy. Having ketones is a problem. He needs to eat and drink a lot more food and get enough insulin. Do you think he’s nauseous?
 
Bron wrote this on another condo about ketones.

,To keep ketones away:
  • getting enough food (try and give 1 and a half times as many calories as normal a day). It is more important that he eats, than what he eats at this point.
  • getting enough insulin... don't skip any doses
  • getting enough fluids
  • test daily for ketones...please put results into the remarks column of the SS please
  • giving antinausea meds first before appetite stimulants
  • giving pain meds if needed
 
I just missed the shot!! I put the needle in but after I took out the syringe I saw there was still insulin inside that haven’t been injected. What do I do????
 
Please report any trace ketones at all. You will need a bottle of KETOSTIX
Hi. Do you think the urine tests are enough? Or shall I get blood meter to be more certain

subQ fluids
Is there a recommendation to how much a day and how often?
Vets here are not so abundant with support. They keep wanting me to bring him over and I don’t want to stress him more than he already is. I just went there to get more fluids and she wasn’t so easy with giving it to me
is there more info on what the medication is doing? I’ve ordered the methylcobalamin which I think you referred in another post. It’ll take some time to arrive. I’m the meantime he’s getting very weak and I see it’s a real effort for him to stand and walk so he’s been mostly in bed since yesterday. Must say it’s very stressful and worrying

thanks for your help
 
PLEASE HELP!
I don’t know what to do anymore. just have him Sun Q. Places it this time on his flab as I’ve seen in a video. I started it and not sure it flowed well and I didn’t notice. Though when the needle was out and I opened the stopped water just sprang out. He really didn’t like it. I tried giving him food that he likes in the meantime. It helped a bit. I think I managed 50mll in.
it looks like he has a bit of a bulge on the right side where I put the needle in. Did I hurt him?? Did I I cause damage?
 
Do you think the urine tests are enough? Or shall I get blood meter to be more certain
The urine ketone test is fine. The only issue some people have is they cant get near their kitty to get a sample of urine. I never had an issue with getting a urine sample but some people do.
Is there a recommendation to how much a day and how often?
Has the vet said it is OK for Fistuk to have sub Q fluids? Its important that the vet gives the OK first and makes sure there is no issues with the heart, otherwise you could run into trouble. If the vet has said it is OK, I would ask him how much a day you can give.
I would not give more than 100mls a day. 50ml or 75ml may be plenty a day. And you need to make sure that the sack of fluid in the tissues has completely gone before you give the next days fluids.
s there more info on what the medication is doing? I’ve ordered the methylcobalamin which I think you referred in another post. It’ll take some time to arrive. I’m the meantime he’s getting very weak and I see it’s a real effort for him to stand and walk so he’s been mostly in bed since yesterday. Must say it’s very stressful and worrying
My Sheba had to stop every few steps and rest when her neuropathy was bad. Once the BG come down to more normal range it should start to get better. Shebas took about 6 months to resolve.

It looks as if the BGs dropped lower overnight on 13/8 as he had an AMPS of 9.5
You might like to try and get some later PM BG tests in if that is at all possible.
 
PLEASE HELP!
I don’t know what to do anymore. just have him Sun Q. Places it this time on his flab as I’ve seen in a video. I started it and not sure it flowed well and I didn’t notice. Though when the needle was out and I opened the stopped water just sprang out. He really didn’t like it. I tried giving him food that he likes in the meantime. It helped a bit. I think I managed 50mll in.
it looks like he has a bit of a bulge on the right side where I put the needle in. Did I hurt him?? Did I I cause damage?
I answered you on another post about sub Q fluids. I agree with Elise to just have one thread in future so we can keep a track of all the issues.
50 ml is plenty. Did you ask the vet first about giving the sub Q fluids.?
The bulge where the fluids went in is normal and it will get absorbed over the period of several hours. Just leave it alone.
When giving the sub Q fluids you need to be careful you don't give too much as it can run in quickly.
 
The urine ketone test is fine. The only issue some people have is they cant get near their kitty to get a sample of urine. I never had an issue with getting a urine sample but some people do.
That's good to know. It's not difficult with Fistuk either. One less needle.

Has the vet said it is OK for Fistuk to have sub Q fluids?
He was given one for home when he was released from hospital last week. I had to give him 125ml for two consecutive days. Yesterday I stopped there to ask for more. The assistance hasn't asked the vet so I don't necessarily has an ok as such.

It's so damn difficult to get the vet on the phone since he's treated by a hospital. He was quite flat since yesterday and I thought it'll be ok to give him some fluids. At the hospital they checked his heart and it was ok. After the fluids it leaked a bit but it seemed that his face was bit brighter. He had a good go on food and now resting.

My Sheba had to stop every few steps and rest when her neuropathy was bad. Once the BG come down to more normal range it should start to get better. Shebas took about 6 months to resolve.
Fistuk does as well. he fund it difficult to walk in straight line last night. But he does get up for BF, lunch and supper. He eats very well if I feed him in his bed. Perhaps I'm just too frightened when he's so weak that it's ketones. I think I did by now two tests today and there's no traces.

There's so much to learn in such a short time and everything is so important and immediate. It's tough.

It looks as if the BGs dropped lower overnight on 13/8 as he had an AMPS of 9.5

I have't had yet the time to update the sheet today. Last night I took a measure and it was 5 something. It felt wrong so I took another one with a bigger spot of blood sure enough it was 23 something. So I don't know if that low measure was enough blood. But now I can't remember. It's been rather high since yesterday.

I give him the shot at 8PM and normally measure at 10PM. Later I normally don't. I will try.
 
I agree with Elise to just have one thread in future so we can keep a track of all the issues.
Sure. Im new here so I'm still learning. Shall I just keep on updating on this thread? I realise now that I have a few threads. I don't know how to bring them all together.

Did you ask the vet first about giving the sub Q fluids.?

He was given one for home when he was released from hospital last week. I had to give him 125ml for two consecutive days. Yesterday I stopped there to ask for more. The assistance hasn't asked the vet so I don't necessarily has an ok as such.

It's so damn difficult to get the vet on the phone since he's treated by a hospital. He was quite flat since yesterday and I thought it'll be ok to give him some fluids. At the hospital they checked his heart and it was ok. After the fluids it leaked a bit but it seemed that his face was bit brighter. He had a good go on food and now resting.

The bulge where the fluids went in is normal and it will get absorbed over the period of several hours.
Thanks. That's good to know.
 
Vet gave the OK for IV and suggested 50-100ml a day if he's comfortable or every other day.

Fistuk really dislikes the needle. I'm told it's not painful for cats but he's really growling. It pains me and stresses me when he's making noises of suffering.

I tried giving him a treat with it, brushing, signing to him.. everything he likes but it doesn't help. Any suggestions would be helpful.

He's also not happy with the insulin injections. He's jumping, trying to get away, growling. It seems to get a bit worse every day. Especially if he had IV earlier.

Could it be that some cats are just more sensitive? Going like that for weeks and months feels daunting when it's like this.
 
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