two sweet one precious
Member Since 2015
Hi, everyone! Glad to see the wealth of knowledge in this site.
I just want to start with one quick question. I have two diabetic cats Casey and Ozzie. Casey is my critical concern at the moment. Has anyone had a meter that gave glucose readings about 300 pts lower (mg/dl) than lab values?
On Friday took her to the vet nausea vomiting, not wanting to eat. Glucose was up to 577, ketones moderate, but she was holding in there. Ph 7.32 a little not to bad, lytes (electrolytes) all with in normal range and bun a little high 41 and creatinine at 1.7. Liver enzymes and pancreatic were normal. We, vet and I, decided to do an inpatient aggressive day IV fluids, antiemetics, freq blood sugars. By 3 pm she was pretty close to her normal self and ate 3oz of a science hill can for the vet. At 6p, he would probably have liked to keep her overnight, but said she was doing much better and could go home, unfortunately money and stupidity trumped. Well, I figure I've got my subcutaneous fluids and my handy glucose monitor and 20 yrs experience treating DKA (in humans) basic principles same, but used to a hospital ICU with bells and whistles most vets could only dream of not the same at home without that equipment. Oh yeah, and emotional involvement. Ignored the biggest thing I never do at work my gut, Knew things were not right.
Any way so as the night goes she is just off. Checking her sugars every 2 hrs. Started at 274 gave PZI 1unit per sliding scale vet put together for her. Next 76, then climb over the next 24 hrs with min dips here and there looking very normal for a cat that will not eat much despite nausea, antiacid, appetite stimulant, and anti anxiety. Did get her to take about 2-3 oz of high protein, low carb calorie dense shake with vitamins. Roughly 90 cal. Talked with the vet gave him her readings and updates on fluids and meds. By Sunday morning really not well glassy eyes, resp rate looking a little labored. She just looked stressed. Her sugar is 215, 5am with still positive mod ketones ( told to expect). Give her 25o more of Normal Saline with lytes and had to go to work. My husband took her back in by 11 am. Her Glucose by lab 589. I did not have one over 240. I know now what I was assigning to me being nervous and her having way to many meds in her with sedating side effects was rebound in to DKA. By 6 tonight they were asking about resuscitation. So hard on this side. Her labs were marginally improving, but she looked wore out. In humans, this is when they get put on a ventilator and let it work to fix the acidosis while you rest and we do all the changing in fluid and lytes.
Anyways, Just wanted to see if anyone had seen huge discrepancies in their glucometers. I had to buy a new one on fri because my decided it was time to quit. My old one was just a CVS glucometer worked wonderfully inexpensive strips, and always was fairly close within usually 5-10 points. I bought a True Test 2 go great test outs in studies, but I just think it was wrong and she was high all day Sat.
Sorry, if I am rambling just a huge weight of guilt and feeling useless while she fights for her life. Thanks for listening and any insight would be appreciated.
I just want to start with one quick question. I have two diabetic cats Casey and Ozzie. Casey is my critical concern at the moment. Has anyone had a meter that gave glucose readings about 300 pts lower (mg/dl) than lab values?
On Friday took her to the vet nausea vomiting, not wanting to eat. Glucose was up to 577, ketones moderate, but she was holding in there. Ph 7.32 a little not to bad, lytes (electrolytes) all with in normal range and bun a little high 41 and creatinine at 1.7. Liver enzymes and pancreatic were normal. We, vet and I, decided to do an inpatient aggressive day IV fluids, antiemetics, freq blood sugars. By 3 pm she was pretty close to her normal self and ate 3oz of a science hill can for the vet. At 6p, he would probably have liked to keep her overnight, but said she was doing much better and could go home, unfortunately money and stupidity trumped. Well, I figure I've got my subcutaneous fluids and my handy glucose monitor and 20 yrs experience treating DKA (in humans) basic principles same, but used to a hospital ICU with bells and whistles most vets could only dream of not the same at home without that equipment. Oh yeah, and emotional involvement. Ignored the biggest thing I never do at work my gut, Knew things were not right.
Any way so as the night goes she is just off. Checking her sugars every 2 hrs. Started at 274 gave PZI 1unit per sliding scale vet put together for her. Next 76, then climb over the next 24 hrs with min dips here and there looking very normal for a cat that will not eat much despite nausea, antiacid, appetite stimulant, and anti anxiety. Did get her to take about 2-3 oz of high protein, low carb calorie dense shake with vitamins. Roughly 90 cal. Talked with the vet gave him her readings and updates on fluids and meds. By Sunday morning really not well glassy eyes, resp rate looking a little labored. She just looked stressed. Her sugar is 215, 5am with still positive mod ketones ( told to expect). Give her 25o more of Normal Saline with lytes and had to go to work. My husband took her back in by 11 am. Her Glucose by lab 589. I did not have one over 240. I know now what I was assigning to me being nervous and her having way to many meds in her with sedating side effects was rebound in to DKA. By 6 tonight they were asking about resuscitation. So hard on this side. Her labs were marginally improving, but she looked wore out. In humans, this is when they get put on a ventilator and let it work to fix the acidosis while you rest and we do all the changing in fluid and lytes.
Anyways, Just wanted to see if anyone had seen huge discrepancies in their glucometers. I had to buy a new one on fri because my decided it was time to quit. My old one was just a CVS glucometer worked wonderfully inexpensive strips, and always was fairly close within usually 5-10 points. I bought a True Test 2 go great test outs in studies, but I just think it was wrong and she was high all day Sat.
Sorry, if I am rambling just a huge weight of guilt and feeling useless while she fights for her life. Thanks for listening and any insight would be appreciated.
