6/3/10 - Max - 112 - Is vomitting normal at first?

[laurentusa00]

Thank you all for your responses and assistance.
Max is vomitted at 2:00am and during the day again. Is it kind of normal as his body needs to get used to the insulin? We started the treament only a week ago.
When Max reached 47 (yesterday morning) I gave him some corn syrop but no insulin. His next reading at 11:00am improved to 204 and 336 at 7:10pm. Max has been vomitting at 2:am this morning and during the day, today. Is it normal? His morning reading was 371 at 6:10am and 112 at 6:50pm today (therefore no insulin tonight).
Max greeted me this evening. First time since we started the treatment a week ago.
Thank you again

 

[Ella & Rusty & Stu(GA)]

Hi Laurent, I don't think vomiting is because of the insulin. Max might have something else going on. If it keeps up, you should definitely have your vet check him out. In the meantime, I hope that someone with more knowledge than I will be along to help you with your dosing schedule and your dose, when to feed and what to feed in conjunction with insulin injections, etc. Your spreadsheet is rather unusual and therefore not easy to read or to see from it how Max is trending. Have you looked at the Tech Forum, where there are instructions on how to set up the FDMB spreadsheet template?
It is a good sign that Max is greeting you again. That means that he's beginning to feel better. There is so much to learn about how to cope with feline diabetes and it is all pretty overwhelming at first. But if you read and re-read the "Stickies" at the top of this forum you will begin to get a handle on how to deal with FD.
Welcome to Lantus Land. I know that you will get the help you need here.

Ella & Stu

 

[paige]

Laurent - I would say that the vomiting from Lantus is not normal. Not that it can't happen, but it's not common. Looking at your SS I see that you do not get any spot checks between shot times. How much insulin are you giving?

 

[Sienne and Gabby (GA)]

It will help us enormously if you can use the spreadsheet template in the Tech Center. It will provide us and you with a means of tracking Max's test data and doses. The spreadsheet you are using is very different from the template that we all use and makes it much form difficult for those of us who are reading all of the spreadsheets here in the Lantus forum.

Vomiting from insulin is not typical. If it persists, it could be an indication that something else is going on and it would be important to have Max seen by your vet. It could also be something as unrelated and innocuous as a hairball.

 

[Jill & Alex (GA)]

hello and welcome to the group!
no, vomiting is not normal. it *could* be a symptom of something else. it sounds like a vet visit would be a good idea.
are you testing for ketones? has max ever developed ketones?

 

[Supermax (GA)]

Welcome Max from another Max There are a lot of Max's on this board, but it seems to be a good name to have if your diabetic I think there might be a Max club at the falls...

My Max used to vomit badly when he was not on insulin, the vomitting actually stopped when he got treatment, so no, insulin should help the vomitting not make it worse or bring it on. I would say that looks like an underlying issue.

I would really urge to to make up a spreadsheet in the format at the tech boeard, it's just so much easier to see what's going on and where he is. Good Luck

 

[Blue]

Hi Laurent,
Here are some links to help you get set up in a way that better ables others to help you and Max.
Spreadsheet Template and Instructions
Profile Creation
New to the Group
List of Hypo symptoms
Help with signatures/links/images/avatars
Creating spreadsheets & attaching them to your signature
Binky’s Food Lists

Your spreadsheet is nice but with Lantus and Lev, you really need to see more numbers from testing between the shots.
Your dose should be based on your nadir, the lowest point of a curve, but your sheet shows only the tests at shot times.
Please click on the links in my signature for Shadoe and Oliver and you will see that LOTS happens in the 12 hours between shots.
if you can start a sheet using the template others are using, you can just add your info from your own sheet, then start to take some more tests when able. When I am at work, I can't test during the daytimes but in the eves and on weekends, I have more time to get some tests.
Below is in one of the links above but here are the changes you may see when you test at times between the shots.
Example of a typical curve:
+0 - PreShot number.
+1 – Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number.
+3 - Lower than the PreShot number, onset has started.
+4 - Lower.
+5 - Lower.
+6 – Nadir/Peak (the lowest number of cycle).
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (may dip around +10 or +11).
+12 - PreShot number.
If you look at Shadoe's sheet, you will see that her BG may be high at shot times but they can dip pretty low in the middle, and that's the info you need to be able to best select the right dose for Max.

With a profile and a spreadsheet, in the form used by others on this site, you will be able to help others on this site help you.

 

[Mindy & Max]

My Max was a puker too--I have lots of ideas on what could trigger it, but need some more info from you. Most likely it is not from the insulin...but I suspect for some kitties, if their glucose levels swing really hard, it makes them a little pukey. Without more tests and data from you, I have no idea if this could be the case.

What is he eating, specifically? How often, and how much? It's likely it's his food, but without knowing what that is, I can't help much. For us, Max was puking several times a week on dry food. Vet put him on prednisone, which stopped the puking, but induced the diabetes. After the diabetes diagnosis, and the switch to all wet food, the puking returned in limited fashion--either from a hairball he couldn't get up, or from over-eating/eating too fast (that still happens occasionally, unfortunately). I also discovered he threw up when we changed flavors too often--particularly if the flavors varied in carb content. I now have him on only two flavors of Friskies, both with exactly the same protein/fat/carb ratio...and for the most part, the puking has stopped.

For some cats, too much fat in their food will cause puking...but I think this is usually related to pancreatitis.

There area variety of other issues that could cause frequent vomiting. We can try to help, but most likely you're going to need to visit your vet again.