11/15 B the C AMPS:567, PMPS:HI, +3:414ish :(

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kotek

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Definitely high, as expected, but not off the glucometer scale which is the small thing I was hoping for...yay! :smile:

As of today we are going to try subQs twice a day, as many of you have suggested. The vet agrees this would be preferable, it makes good sense to me...and, after reflecting, I am hoping that since it is the feeling of the liquid going in she doesn't like, combined with sitting still during that feeling, that more less often might actually be preferable to her.

Have a great day all!
 
Re: 11/15 B the C AMPS:567, PMPS:HI, +3:414

Frustrated and sad here with B...

She was home today, and looks like her 1 unit did very little for her. Checked in with the vet because she was "HI" for her AM +11, and had only eaten about half her normal (as of late) amount during the day.

I brought her in briefly so they could again give her 1 unit of fast-acting/Humulin (I think we've decided it is R) in addition to her 1 unit of Lantus.

As you can see, it really isn't even bringing her down to a good level. She has a small amount of ketones (and the vet tested her during the fast-acting shot and said the same). So she'll be going in tomorrow for more fluids/fast-acting. Meanwhile, she isn't feeling good, and we had a scary episode where she needed to have a BM and kind of collapsed. What she passed wasn't hard, and she recovered after a few scary minutes, so we are watching. Unless things get very dire I really don't want to bring her to emerg again -- I want to stick with our regular vet, who has the history and knows us.

I don't know about this connection with her BMs, and am going to ask more questions. She has had an ultrasound recently, but I wonder if it would have caught her colon or if something might be going on there.

Meanwhile, I'm just getting really scared about all the ketones and spiky BG levels. I am worried she is getting near the end. It can't be good that we can't get her ketones/BG settled. The thing is, she isn't consistently poorly...the other day she was seeming on the mend, more energetic, more herself. This up and down is really hard on all of us. Up would be great, and we could deal with the horrors of down. She has multiple health issues, and they are hard to balance, and I know it makes things difficult because they play off each other. And she is not young. I just want to do what's best for her and I'm not sure what that is, and I hate it. :cry:
 
I think talking to your vet about using R at home may be necessary. As it is, probably 1 unit of Lantus isn't enough insulin. 1.0u of R is a lot. It's short acting and won't give you the ultimate control you need.
 
((((Kotek)))). I'm so sorry you are having to watch your best friend be so ill. FWIW, we've had a few LL kitties that I can recall that were so, so sick with DKA ...a couple times in and out of the hospital...and they all pulled through.

I'm really surprised the "R" is not bringing her down. I think it would be worth asking about increasing the lantus by .25 to .5 u. With these nadirs, I'd think a .5u increase would not be out of hand.
 
Thanks everyone. I think the suggestions about using R at home and increasing the Lantus are good ones. I will connect with the vet about these things tomorrow.

The last time she was spiky like this, she was also off the readability of the vet's glucometer, which goes up to 720. Yikes! I think they eventually gave her 2 units of R kind of sequentially, and that finally got her down to a decent level where the Lantus could take over.

I deeply appreciate your encouraging words, and your thoughts.
 
Sorry to hear she is having problems, hopefully things will get under control soon... She was doing so well for a while there and hopefully will again soon!
 
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