? 7/23 Velcro AM +5=Hypo level; PMPS=427; +2 =453; +3.5=hi

Neko registered “Hi” several times. Felt icky due to high BG, but it was just an ugly bounce. Take a ketones test when you can, but don’t worry about short term high numbers otherwise. They will pass.
 
Wendy&Neko said:
Neko registered “Hi” several times. Felt icky due to high BG, but it was just an ugly bounce. Take a ketones test when you can, but don’t worry about short term high numbers otherwise. They will pass.
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Velcro is now recording “hi”. Again, that’s where he was when he was hospitalized. We have SubQ fluids for him daily right now, should I give him an extra dose to try and flush out his glucose? Should I take him to the emergency vet? A 0.25 insulin dose (guessing this is the worst option).
 
I don't think this is an emergency unless Velcro starts developing ketones or not eating/vomiting/etc. How is he doing right now?

High numbers are typical after going low or diving. It's what we call a bounce and should only be temporary. it's also called a panicky liver. The body released extra sugars when Velcro went low in order to combat it. Like Wendy said, don't worry about the short term high numbers.

Do you have a way of testing for ketones? Either with ketone urine strips or a ketone meter?
 
Also it's not recommended to give another insulin shot - even when you accidentally shoot insulin in the fur. You never know what went into the body and how the insulin will work. Insulin is a hormone and works differently than a drug. A more experienced member might be able to explain better than me.

In special circumstances, with much guided help, a kitty might receive short acting insulin to bring high numbers down. But this is not the case right now imo.
 
Crista & Ming said:
I don't think this is an emergency unless Velcro starts developing ketones or not eating/vomiting/etc. How is he doing right now?

High numbers are typical after going low or diving. It's what we call a bounce and should only be temporary. it's also called a panicky liver. The body released extra sugars when Velcro went low in order to combat it. Like Wendy said, don't worry about the short term high numbers.

Do you have a way of testing for ketones? Either with ketone urine strips or a ketone meter?
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I do not have a way to test for ketones yet. Velcro isn’t really acting any different except drinking water a little more frequently. I haven’t offered any food because of the high BG and because he ate more earlier in the day than usual. He does definitely want some of his brothers’ hard food. No vomiting.
 
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Crista & Ming said:
Also it's not recommended to give another insulin shot - even when you accidentally shoot insulin in the fur. You never know what went into the body and how the insulin will work. Insulin is a hormone and works differently than a drug.
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Thank you - that is what I expected but thought I’d check. I just feel so bad about today for him.
 
AEHawkeye said:
I do not have a way to test for ketones yet. Velcro isn’t really acting any different except maybe drinking water a little more frequently. I haven’t offered any food because of the high BG and because he ate more earlier in the day than usual. Burn he does definitely want some of his brothers’ hard food. No vomiting.
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When BGs are high, they usually want to eat and drink and pee more. Maybe seem lethargic. Depends on the cat. When Ming was used to high numbers, he would not feel so great when he went to low numbers but when he went back up, he'd be playing. It's because his body thought that high = normal. That's changed a lot now. He acts much better in lower numbers.

I think you can give him an LC snack if you want. It's a balancing act. You don't want their BG to go up but you also want them to eat enough when they're high to avoid ketones. Ketones develop when there's not enough insulin + not enough calories + high BG.

You can get ketone measuring sticks from the pharmacy or online. It's a good tool to have but don't feel like you have to go out now to get it. It can wait and you can get some much needed sleep.

AEHawkeye said:
Thank you - that is what I expected but thought I’d check. I just feel so bad about today for him.
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It's great to ask questions :) And you're doing great. It's just unfortunate our cats have FD and all these reactions are typical of the disease. You're doing your best to make him feel better and that's what counts. The positive is he's not acting very different despite the low and the highs today.
 
Crista & Ming said:
I think you can give him an LC snack if you want. It's a balancing act. You don't want their BG to go up but you also want them to eat enough when they're high to avoid ketones. Ketones develop when there's not enough insulin + not enough calories + high BG.
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I gave him some baked chicken, his favorite.
 
Worth repeating - Crista's great advice.:)
Don't ever provide a second dose within 12 hours.
If you do a furshot - no second dose. (just cuss a lot and pet your kitteh)
If they are high, no second dose.

Additional dosing with a second insulin, or within 12 hours is a very advanced prototol and not appropriate for Velcro.

Next time you are shopping get Ketostix from Walgreens. $20 and you will probably never use all 100.
https://www.walgreens.com/store/c/k...urinalysis-ketone-test/ID=prod6144848-product
 
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