Chloe Post DKA

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srk3cats said:
I don't understand what's going on. The past 2 days, her number actually went up after her PM reading. I would think the Prozinc would have kicked in and lowered her numbers by +3.
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Tonight's is within the 20% variance so it's not really an increase. She stayed flat which could be from a bounce. Last night's was an increase and probably the start to a bounce from the 2 units given on the yellow preshot. That's why the mid cycles are important. If she stays in her old routine, I think she will bounce for 3 cycles and then give a good preshot/cycle on the 4th cycle. Edited to add: so probably tomorrow morning preshot will be better and her mid cycle tests will show the insulin working. (my best guess based on your data)
The ketone test is very important. Especially with these high numbers. You might have to stalk her til she goes. Chuck usually goes after eating but even though I know this, he will still get in there as soon as I am not paying attention. Sneaky! So I use the plastic wrap in the box method.
 
Wow. My best guess was wrong.
It's VERY important to get a ketone test! Her numbers are trending up very high. She can end up in DKA again easily.
Get some mid cycle numbers to see why she's so high. If she's dropping fast or low it can cause the bounce too.
I'm very worried for Chloe.
 
StephG said:
Wow. My best guess was wrong.
It's VERY important to get a ketone test! Her numbers are trending up very high. She can end up in DKA again easily.
Get some mid cycle numbers to see why she's so high. If she's dropping fast or low it can cause the bounce too.
I'm very worried for Chloe.
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I think she's sneaking food. I won't leave any food out tonight.
 
Roberta, I'm very worried about Chloe too. I know you said you haven't caught her peeing, but at this point, you need to do WHATEVER it takes to get a ketone test. Please, it's very important.
 
Ketones are fine but her glucose is off the charts! I'm going to raise her dose to a fat 2. I washed out a litter box with water only, then I put it on a piece of old carpet and put a box on one side. I locked her in the room by herself. When I got home a few minutes ago, there was a nice puddle of pee in the litter box and I dropped the test strip in. I also had to bake a cake for a potluck at work. So, I was about 10 minutes late, but at least the students don't start until tomorrow. My principal is anal about us getting to work on time.
 
StephG said:
Is she still getting into the dry?
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No, she was in her room all day. Just water. She had about 1/4 cup of dry just before I tested her, but I don't think it would have affected her BG because I tested her not even 5 minutes later. Does'n it take a little while to get into her bloodstream?
I was surprised she was in the yellow, but it was very close to pink.
 
srk3cats said:
No, she was in her room all day. Just water. She had about 1/4 cup of dry just before I tested her, but I don't think it would have affected her BG because I tested her not even 5 minutes later. Does'n it take a little while to get into her bloodstream?
I was surprised she was in the yellow, but it was very close to pink.
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It does take about 20 minutes to hit their system.
If you are planning on limiting her food again this cycle, please only give 2 units. She's done fine on it before. If you're not restricting her food then the fat 2 would probably be ok. Get a before bed test and if you get up tonight, test then too. Just to see where she's going.
The dry kibble is definitely a part of what's causing these higher numbers.
I would stick with the wet dm and ya dry. Or only give a small amount of high carb dry kibble to keep her safe on the 2 units.
A full curve as soon as you can will help. On just wet dm and YA or on wet dm and controlled small serving of high carb dry.
You have to see where she's going to decide if increasing is the best answer.
If she's going to free feed the high carb dry, an increase is probably needed but plan at least TWO mid cycle tests to make sure it's not too big of an increase.
 
StephG said:
It does take about 20 minutes to hit their system.
If you are planning on limiting her food again this cycle, please only give 2 units. She's done fine on it before. If you're not restricting her food then the fat 2 would probably be ok. Get a before bed test and if you get up tonight, test then too. Just to see where she's going.
The dry kibble is definitely a part of what's causing these higher numbers.
I would stick with the wet dm and ya dry. Or only give a small amount of high carb dry kibble to keep her safe on the 2 units.
A full curve as soon as you can will help. On just wet dm and YA or on wet dm and controlled small serving of high carb dry.
You have to see where she's going to decide if increasing is the best answer.
If she's going to free feed the high carb dry, an increase is probably needed but plan at least TWO mid cycle tests to make sure it's not too big of an increase.
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No more free feeding unless she goes into Fuzma's room, which is highly unlikely. I read this message after I had already given her the fat 2, so I have to keep it like that at least until Saturday when I can do a curve.
I'm going to start a new thread. I'm eating green ice cream right now so I'm going to call it Chloe and Green Ice Cream.
 
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