? 12/16/25 Benny, Vomiting Same Time Past 3 Nights

Katie & Benny

Katie & Benny

Member Since 2025
Last Post: '12/14/25, Benny, AMPS: 371, +2: 418, +4: 613, +6: 492, +8: 424, +10: 365, PMPS: 334'
? - 12/14/25, Benny, AMPS: 371, +2: 418, +4: 613, +6: 492, +8: 424, +10: 365, PMPS: 334

Benny seems to be learning more ways to scare me.

For the past three nights, between 2-3am, Benny has vomited. Each night he has vomited less and less and he acts relatively normal afterwards. He scratches his scratchy cardboard and basically settles in the kitchen to wait for breakfast at 6:30am. He is still interested in food and we have checked his BG afterwards and it’s never too low or overly high, it is still sitting within a range that he is adjusting to. He has never vomited throughout the day. Because of Benny’s history with DKA and his current state of large ketones in his urine, I worry if this is DKA? His overall energy is quite low but we did just increase him to 2.5 units last night and he’s been adjusting back to Lantus since being hospitalized on 12/9 through 12/11. He is frequently urinating but no excessive thirst, no diarrhea, no trouble with breathing.

I am also wondering if possibly this is his stomach becoming irritated from no food for hours? He has three meals during the day with some snacks through the afternoon but the last time he eats is at 6:30pm and then he doesn’t eat until the next morning at 6:30am. Yesterday evening, his PMPS was 282 at 6:30pm. We checked him again at 10:40pm and he was 563. After he vomited at 2:30am he was 375 so he seems to be going through some significant jumps through the night without food to help him out. I feel that this has been a new development since Benny’s numbers have started to go down in the past couple of days.

Benny’s new specialist has been emailed and we should hear from her in the morning but I would love some advice from the group since I’ve had quite a few sleepless nights lately and I don’t totally trust that I am thinking straight right now.
 
KatieL09797 said:
Last Post: '12/14/25, Benny, AMPS: 371, +2: 418, +4: 613, +6: 492, +8: 424, +10: 365, PMPS: 334'
? - 12/14/25, Benny, AMPS: 371, +2: 418, +4: 613, +6: 492, +8: 424, +10: 365, PMPS: 334

Benny seems to be learning more ways to scare me.

For the past three nights, between 2-3am, Benny has vomited. Each night he has vomited less and less and he acts relatively normal afterwards. He scratches his scratchy cardboard and basically settles in the kitchen to wait for breakfast at 6:30am. He is still interested in food and we have checked his BG afterwards and it’s never too low or overly high, it is still sitting within a range that he is adjusting to. He has never vomited throughout the day. Because of Benny’s history with DKA and his current state of large ketones in his urine, I worry if this is DKA? His overall energy is quite low but we did just increase him to 2.5 units last night and he’s been adjusting back to Lantus since being hospitalized on 12/9 through 12/11. He is frequently urinating but no excessive thirst, no diarrhea, no trouble with breathing.

I am also wondering if possibly this is his stomach becoming irritated from no food for hours? He has three meals during the day with some snacks through the afternoon but the last time he eats is at 6:30pm and then he doesn’t eat until the next morning at 6:30am. Yesterday evening, his PMPS was 282 at 6:30pm. We checked him again at 10:40pm and he was 563. After he vomited at 2:30am he was 375 so he seems to be going through some significant jumps through the night without food to help him out. I feel that this has been a new development since Benny’s numbers have started to go down in the past couple of days.

Benny’s new specialist has been emailed and we should hear from her in the morning but I would love some advice from the group since I’ve had quite a few sleepless nights lately and I don’t totally trust that I am thinking straight right now.
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Hi Katie, is sounds like Benny could benefit from a small meal overnight to avoid the acid buildup in his stomach, causing vomiting.

It’s a common issue we see here and a small feeding can help reduce that acid. Maybe a few teaspoons or so of low carb food fed around +8 or +9.
Do you have an auto timed feeder?
That’s ideal for overnight feedings and it can take away the food prior to 2 hours before his next meal.

Also, most of us give several small meals (a few teaspoons) after the main meal in both cycles.
I feed Ivy small snacks at +1, +2, +3 both cycles as the insulin is inserting to try to prevent steep dives.
(You can try to figure out what schedule is best for Benny).

You’d want to reserve the amount from his main meal and feed that at the snacks.

Human diabetics eat the same way to keep blood sugar level, eating small snacks through each 12 hour cycle.

I hope this helps him to feel better 😻💖😻
 
My non-diabetic cat Jack had the same issue. I now make sure to give him a small evening meal, and at first gave him Cerenia, which he no longer seems to need.
Having some food in his tummy overnight solved his issue.

Wishing you the same resolution.

Slippery Elm is also excellent for coating the stomach, gently, and has other benefits.
 
Hi Katie-a couple of follow up items when you talk to your vet. Vomiting is quite common in post DKA cats, so it would be worth asking for some Ondansetron or Cerenia to help with the nausea. Also, how is Benny’s hydration? If you pull up the scruff does it bounce back quickly, or does it only slowly go back down? Gums shiny and slick or sticky? If they are sticky, that’s another sign of dehydration, which means the extra water in his food that you are giving is currently not keeping him hydrated enough, and you may need to ask your vet for subq fluids to give at home. Any ketone smell on his breath?

You’re doing a great job monitoring things. Remember, post DKA feed as many calories as you can, 1.5 times more calories than he would usually get, multiple snacks during the day every couple of hours and at night along with his main meals.
 
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