New Member Priscilla is in remission but hypo

DeTomasoSarah

New Member
Hello,

I've never posted in the group although I've been reviewing the information here for some time.

Our cat Priscilla was diagnosed as in remission last week after a week with no insulin and no numbers over a 120.

She had previously been on hills glucosupport dry food, but we recently switched her to hills glucosupport wet because she also has stomatitis, which sometimes makes her not want to eat the dry food because her gums are sore.

Over the last week and a half. I have been consistently getting readings on a human glucometer in the upper to mid-40s before time to feed her and at night before I go to bed after she's had her evening meal.

Since she is eating and has no insulin I can't find any reason why her blood sugar would be continuing to go this low. Our vet recommended I get an alpha track and try it just to see if maybe the variation between the two meters is to blame and I did, but before dinner this evening she read a 62 on the alpha track, which is also too low.

I also know that the hills glucosupport tends to be higher in carbs than some of the other meat foods recommended on this site, so I'm doubly confused.

Any advice?
 
Hi and welcome to the forum.
Congratulations getting Pricilla into remission. She will need to remain on a low carb diet for like now.

A cat that is not on insulin cannot have a hypo.
Some cats naturally have BGs in the 40s and it is nothing to be concerned about.

Are you feeding her the two main meals and then some snacks during the day and before bed?
This is better for the pancreas.

Also there is no ed to eb feeding the prescription food. There is nothing in the food that is special.
Any low carb food you can buy at the pet store or supermarket is fine.
Here is a link to hour FOOD CHART
Look for foods that are 10% or under carbs
 
We are feeding the two main meals, and when I get the low bg before bed I've been giving her a snack to bring it up, but today I tried giving the snack preemptively and it was 111 at bedtime so much better! Thank you.

I guess I'm not understanding what you mean by she can't be hypo if she doesn't have insulin. Even if her blood gluecose is at a number that would be considered dangerously low, is it not something to be concerned about unless I'm giving her insulin to lower it?
 
guess I'm not understanding what you mean by she can't be hypo if she doesn't have insulin. Even if her blood gluecose is at a number that would be considered dangerously low, is it not something to be concerned about unless I'm giving her insulin to lower it
A cat will not go hypo if it is not getting insulin.
I think if you give her some regular snacks you will find her BG will be better but in the 40s is normal for some cats
 
Hello,

I've never posted in the group although I've been reviewing the information here for some time.

Our cat Priscilla was diagnosed as in remission last week after a week with no insulin and no numbers over a 120.

She had previously been on hills glucosupport dry food, but we recently switched her to hills glucosupport wet because she also has stomatitis, which sometimes makes her not want to eat the dry food because her gums are sore.

Over the last week and a half. I have been consistently getting readings on a human glucometer in the upper to mid-40s before time to feed her and at night before I go to bed after she's had her evening meal.

Since she is eating and has no insulin I can't find any reason why her blood sugar would be continuing to go this low. Our vet recommended I get an alpha track and try it just to see if maybe the variation between the two meters is to blame and I did, but before dinner this evening she read a 62 on the alpha track, which is also too low.

I also know that the hills glucosupport tends to be higher in carbs than some of the other meat foods recommended on this site, so I'm doubly confused.

Any advice?

I have a hypo cat off insulin!

Hi! I've just signed up to specifically reply to this post after reviewing these forums on and off when my cat SupSup was diagnosed with diabetes last year around June. She went into remission VERY quickly and is what the vets called, a complex case..apparently. This is the longest story with no real ending sorry but this has been my VERY costly experience these past 9 months.

After many hypos with insulin I stopped providing it to her and was referred to a specialist. She had a libre attached this time around, for 2 weeks, just for the specialist to say She no longer has diabetes.
During the monitoring though she would go low, often, mostly before rest and during sleeping or if she felt unwell 2.8 and 3.0 (I suppose it's a human meter so maybe a little higher). Shes a free feeder. After all her insulin induced hypos, I have ptsd on low numbers now. The specialist advised "we're not worried about low as she's not on any insulin"... I let it go.. reluctantly.

Late November I came home to SupSup panting and seemingly in some pain. I could see she had done a clear vomit and a poop, nothing unusual though. Without going into all of her possible symptoms, tests etc (possible ckd but that only changed 7weeks after this episode , however nothing iron clad that any vet or test can be linked to this episode).
A focus at emergency though was hypo. They stabilised her just with oxygen and glucose... Emergency is her same specialist vets too. Sigh. One comment on the day and with their after care call was a huge concern over low glucose. I of course was frustrated after spending a lot of money talking about why its so low to be informed, don't worry. Now I'm being informed to worry as its a symptom of something else that's using her energy And we need to find the cause or it can happen again.

Since Nov SupSup has had 2 visible low glucose episodes (that ive seen because something made me test it) , othwrwise i stipped testing regularly. One just last week which was not a good one as it involved dizziness and slight stumbling. 2.3, Im glad I was home. Funnily enough she seemed great all day, even 15mins before. She did a large poop. It happened after that. I had to stop testing her so much last year and try to rely on visible triggers but I've been testing a bit this week 1 to 2 times a day if she seemed lethargic or not bright). Her glucose has been fine since.
All her low episodes have seemed to follow something digestive though but not everytime.

She's had bloodwork xrays and ultrasounds. No uti, no bacteria, and a huge list of maybes. Because we dug, the ultrasound showed the most.. chronic pancreatitis, possible kidney issues and bladder stones. The vet still can't align anything to her attack though but about 4 weeks later she wasn't feeling good again and her kindeys went from 0 to 100 so I've been battling ckd for the past 10 weeks, though yes I questioned how it's so extreme so fast. Since her low glucose issue 2 weeks ago, she was good for a week and this week she's very unwell and has lost weight in such a short period. It's why I'm back on this forum as I don't know how to help this poor girl. She was managing for so long!

A very long story for a very costly last few months with no real answer and after the past few days I'm going to have to go back for more bloods as something else is happening to make her super nauseas and reject food. I thankfully have some app stim from her diabetes diagnosis which helped today but 10hrs later and she's drooling and put off food again.

I often question if her diabetes diagnosis was real or transient and they overlooked something else. The droolin g she has now is what I originally took her in for but they saw high glucose and tunnel vision on it. I don't know how her kidney tests went from fine to sever in a 4 week time frame, she gets her annual tests and everything was always good. All her other stats were good but with her getting sick just this week maybe some other things are getting worse now.

The emergency vets focus on low glucose suggested cancers or tumours. None were found. I know she's not well anymore but even with her lack of food and weakness and nausea this week, he glucose is good.
I can't explain it!
 
In the vast majority of cases, unless you are administering insulin, numbers will not drop into hypoglycemic range or if they do, your cat will not be symptomatic. We consider normal range to be 50 - 120 on a human meter. The only reason I can think of for a cat to experience symptomatic hypoglycemia without insulin is if there is an insulin producing tumor (i.e., insulinoma), certain adrenal and pituitary tumors, or a glycogen storage disorder. It may also be that your cat's "normal" is on the low end of what is normal blood glucose numbers.

If Pricilla is asymptomatic, I wouldn't worry. However, you could increase the percent of carbs that you're feeding Pricilla. The canned MD is 13% carbs. Alternatively, you can feed your cat more often. It's possible that your cat has a fast metabolism and is burning through the food you're giving her and her blood glucose drops. Frequent, small meals may help to prop up her blood glucose.
 
In the vast majority of cases, unless you are administering insulin, numbers will not drop into hypoglycemic range or if they do, your cat will not be symptomatic. We consider normal range to be 50 - 120 on a human meter. The only reason I can think of for a cat to experience symptomatic hypoglycemia without insulin is if there is an insulin producing tumor (i.e., insulinoma), certain adrenal and pituitary tumors, or a glycogen storage disorder. It may also be that your cat's "normal" is on the low end of what is normal blood glucose numbers.

If Pricilla is asymptomatic, I wouldn't worry. However, you could increase the percent of carbs that you're feeding Pricilla. The canned MD is 13% carbs. Alternatively, you can feed your cat more often. It's possible that your cat has a fast metabolism and is burning through the food you're giving her and her blood glucose drops. Frequent, small meals may help to prop up her blood glucose.
Thank you, we have moved to more frequent small meals and her numbers are better. She has never had any symptoms of a low, just the bg test number, so this is encouraging.
 
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