Alex 2/28 AMPS 205, +1 243, +3 252, +5 207, +7 165

Suzanne & Darcy said:
A single layer of a gelatin capsule will completely prevent him from tasting it if you pill it into his mouth (by hand or with a piller.) But if there’s a risk he will chomp down on it, he could be foaming at the mouth. Some pill wraps are things like cream cheese, liverwurst, pill pockets of course. I don’t know if that will work. Maybe you should wait until tomorrow?
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The doctor says that’s what the doctor said… He said the bigger issue right now is the avoiding DKA
 
alexMama said:
The doctor says that’s what the doctor said… He said the bigger issue right now is the avoiding DKA
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I understand. But his ketones are still under 1. I am very worried about DKA, too, with the 500s. But he seems to be holding his own for now. I am sure that is why the vet recommended the higher insulin dose and he can see that you are monitoring him carefully. Hang in there little Alex! You are a strong cat who can recover and stabilize! Oh Maria, I am so grieved by this. I am going to say some more prayers for Alex tonight. We just need to get him through the weekend I really do believe he can be stabilized and get better!
 
i’m at the grocery store right now picking up some baby food as that was recommended… Meat only baby food by either Gerber or Beechnut… To try to get him to eat something. They say the Gerber ones have cornstarch which I can read that they do and might slightly affect his blood glucose levels. have you tried these? My local store has only the Gerber, but I’d have to drive 15 minutes away and would not get back just in time for the 7 PM shot and all of that.
 
alexMama said:
i’m at the grocery store right now picking up some baby food as that was recommended… Meat only baby food by either Gerber or Beechnut… To try to get him to eat something. They say the Gerber ones have cornstarch which I can read that they do and might slightly affect his blood glucose levels. have you tried these? My local store has only the Gerber, but I’d have to drive 15 minutes away and would not get back just in time for the 7 PM shot and all of that.
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I have used Gerber, yes. Many many times. If you look up the overall carb content of Gerber it’s very low. Get some ham if they have it. It’s a magic bullet with many cats.
 
Beech nut may be slightly lower in carbs. At this point it is very important that he eats.

Do you have Forti Flora at home to sprinkle on top of food lightly? Do you have parmesan cheese finely grated sprinkles? Do you have any of the freeze dried chicken treats like Pure Bites that can be finely ground and sprinkled on top of food lightly — that one is extremely palatable to most cats.
 
Suzanne & Darcy said:
I have used Gerber, yes. Many many times. If you look up the overall carb content of Gerber it’s very low. Get some ham if they have it. It’s a magic bullet with many cats.
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and of course, the ham one was the one that I totally did not get! I’ll run back and grab some in the morning… I got the turkey and the beef.. I was able to mix some water in it to make it a little bit smoother and syringe feed him some… his ketones are down to .7 which is good. And I just took him to his litter box and got him to pee again so that’s also good.
So the vet called me again after i sent him a video of Alex tonight walking..He talked to my husband and I for a good 20 mins.. His plan is pretty aggressive to get this diabetes under control..
2.5 tonight
3.0 Tomorrow AM
3.5 Tomorrow PM
4.0 Sunday AM if numbers aren’t going down
He said he would not usually be this aggressive with the average patient but he said most of his people don’t do the amount of monitoring I’m doing..so as long as I’m willing to closely monitor , which I am, then he wants me to check in each day with updates and follow this plan.
 
alexMama said:
Ketones down to.7 at 7pm and down to .5 at 9pm!!!! Yay!!
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How much food did you syringe?

Food is almost like medication when it comes to ketones! It's great that they're coming down....now we just need him to eat on his own!

Come on Lil' Alex! Chow down for your mama! (and Suzanne and me too)

(and don't worry about the tiny amount of cornstarch in the Gerbers....for some reason, most cats don't seem to like the Beechnut as much as they like the Gerbers anyway)
 
He is .3 Ketones at 11:15pm, BG down to 431. He is not wanting to eat, but i did get him to go pee again after giving him water in the tub which for some reason always works!!! So I’m carrying him up and down stairs to bathroom to drink from our tub, then i put him in litter box, and he pees.. but he isn’t going there on his own.. gave him more Gerber baby food with water mixed in, but had to force it..,
 
3:30am PST update :
Checked BG at 2am : 302, Ketones up to .6 from .5 earlier
Took him to litter box and he peed again.
BG at 3am: 270… yellows!! Yay!
Ketones down to .3
Fed him a sauce dish of turkey/gravy Gerber baby food via dropper and got all of it into him. He’s didnt fight me too much.
He’s still weak and back legs notably weak.
But happy to see yellows nonetheless. testing hourly to monitor up until 7am AMPS..
Sick husband, sick kitty.. No fun! 😴😴
 
alexMama said:
and of course, the ham one was the one that I totally did not get! I’ll run back and grab some in the morning… I got the turkey and the beef.. I was able to mix some water in it to make it a little bit smoother and syringe feed him some… his ketones are down to .7 which is good. And I just took him to his litter box and got him to pee again so that’s also good.
So the vet called me again after i sent him a video of Alex tonight walking..He talked to my husband and I for a good 20 mins.. His plan is pretty aggressive to get this diabetes under control..
2.5 tonight
3.0 Tomorrow AM
3.5 Tomorrow PM
4.0 Sunday AM if numbers aren’t going down
He said he would not usually be this aggressive with the average patient but he said most of his people don’t do the amount of monitoring I’m doing..so as long as I’m willing to closely monitor , which I am, then he wants me to check in each day with updates and follow this plan.
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Do you have easy access (close by) to an emergency vet 24/7?
 
5:30am update: BG 255, Ketones .4
Got him to drink more water and syringe and spoon fed a tiny bit of food as well.. Still not eating on his own. Back legs still really weak. He feels like a rag doll.. so light and flimsy.. 🥹
 
we left the prozinc out last night on accident and it’s saying online that I can still give it to him… Because it’s not super warm temperatures. He’s at 2:05 this morning so it’s still going down which is not his usual norm… We are very cautious about how much to give him and are thinking to give and likely more between one and two somewhere thoughts? him definitely not the 3.0 that the vet recommended this morning..
I think we need to be very cautious since his BG has continued to drop since 3:30am.
1-2.0 somewhere… thoughts???
 
Hooray for a yellow AMPS.
We have had members leave their insulin out of the refrigerator for that long of a time and it was still viable. If you give him his dose this morning, you should be able to see if it’s still working. Do not give the dose if you see any floating particles in the insulin, but otherwise it should be safe.
 
Is your vet open today. I am very uncomfortable with him being floppy and weak. Is he any better now that he’s in the yellow numbers? The weakness could mean he needs something we are unaware of … supplemental potassium? Anything. We don’t know and have not got any recent bloodwork on him since they opted not to do any the other night.

How is his respiratory rate this morning? Is he eating?
 
Suzanne & Darcy said:
Is your vet open today. I am very uncomfortable with him being floppy and weak. Is he any better now that he’s in the yellow numbers? The weakness could mean he needs something we are unaware of … supplemental potassium? Anything. We don’t know and have not got any recent bloodwork on him since they opted not to do any the other night.

How is his respiratory rate this morning? Is he eating?
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I have not given him his dose yet as we are waiting to see if he’s still dropping at 8 AM. I’m putting a call into the vet as well and they are there all day today. He did actually eat on his own for the first time in a couple of days this morning. He liked the chicken and gravy baby food by Gerber. He ate a good amount of it and now I just made up a little soup with water and the baby food to get some more hydration in him.
We will wait 15 more minutes to see what his blood glucose level is and then call the vet to decide what to do. We’re not used to seeing his numbers continue to drop between these hours, so are very cautious.

Respiratory rate is normal between 24 and 28 on average. He’s definitely perked up a bit.
The vet does not open until 9 AM so not able to get dosing advice until then. I don’t wanna wait that long, but not sure what to do.
 
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Try 100’s!! 165 at 2 PM today… .2 on the ketones… He’s still pretty lethargic but did get up on his own and go drink water which is great. I’ve had to prompt food and feed with syringe when Feeding him when I left the house with my son and husband in charge. This is usually his low point in the cycle so I am expecting it to go up from here but happy to see that he’s down in the 100s. I am so glad we did not Do anything more than 1.5 this morning.
 
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