Help with Elmo Hypo

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Beth 73

Beth 73

Member Since 2016
May have overdosed ....have given 8 carb food at 15 minute intervals 3 times with BG of 60 then 50 then 50 and just now 42...rubbed syrup on gums ab 5 minutes ago
 
Hi Beth,

Just saw the 911. Glad you've given syrup. Just to double-check:

- are you still using an Alphatrak meter and treating with Prozinc (always like to make sure when numbers are low)

- how long after shot time were the readings taken?

- have you got any carby wet food with gravy?


Mogs
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Using alpha trak and vetsulin..husband is sure he gave only 0.5 dose with morning PS of 173....got 60 at +2 then every 15 minutes of 50, then 50 then 41....at 41 stopped food and went to syrup rubbed little on gums
 
Critter Mom said:
Hi Beth,

Just saw the 911. Glad you've given syrup. Just to double-check:

- are you still using an Alphatrak meter and treating with Prozinc (always like to make sure when numbers are low)

- how long after shot time were the readings taken?

- have you got any carby wet food with gravy?


Mogs
.
Click to expand...
Elmo is on Vetsulin, Mogs.
 
Beth 73 said:
Using alpha trak and vetsulin..husband is sure he gave only 0.5 dose with morning PS of 173....got 60 at +2 then every 15 minutes of 50, then 50 then 41....at 41 stopped food and went to syrup rubbed little on gums
Click to expand...
Ta, Beth. You're still early in the cycle so keep checking.

BRB ...

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His nadir is usually around +4 according to his SS so if you dosed around 7 AM (?) he's into the lowest BG phase. If you have a minute, could you post all your BG numbers since his AM dose in one column on here so it's easier for us to see what's happening?
 
Rub some more syrup on gums before replying - you need to get numbers above 70 at minimum as soon as possible and then work to keep them up.

I would prefer to see them a lot higher than 70 because of where you're at in the cycle.

AMPS - 173 [Beth: did Elmo eat OK before his dose?]
Dose: 0.50 IU Vetsulin

AM+2.00: 60 - gave 8% carb food
AM+2.25: 50 - gave 8% carb food
AM+2.50: 50 - gave 8% carb food
AM+2.75??: 41 - rubbed syrup on gums
AM+??????: 60 - c. 5 mins after syrup on gums

Is this correct?

You're still very early in the Vetsulin cycle and the most powerful fraction of the insulin is in full force at the moment. Have the car ready to go in case you need to take Elmo to the vets.

.
 
Just keeping an eye on this posting. Where exactly are you at in the cycle right now...I am thinking +3...is this correct??
 
A bit rattled but settling down ( me not Elmo).... our desk top computer is lagging so why I'm posting BG here too
 
@Tuxedo Mom -

I'm glad to see you here, Mary Ann; I'm not in such good shape right now so it's good to have more eyes on this.

I don't know how carby DM is with gravy. If Elmo's numbers don't come up soon I'd recommend a vet trip for safety; 41 on an Alphatrak this early in a Vetsulin cycle is very hairy.

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OK..If you are at +3.5 and have Elmo up to 71, I would give a small amount of HC gravy and then retest in 20 minutes. I was looking at your S/S and when he hit 37 on Oct 30 you were able to get him up with just HC food according to your notes. so it seems Elmo is quite carb sensitive. The syrup will be wearing off shortly so please post after the next test. He is at an acceptable number right now.

You are doing great!! :bighug:
 
Beth 73 said:
A bit rattled but settling down ( me not Elmo).... our desk top computer is lagging so why I'm posting BG here too
Click to expand...
Beth,

Just post the BG and the feedings here for the time being. Ideally post info in the same form as I did in the list above.

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@Critter Mom I don't have the actual number but the DM with gravy is a higher carb and should work ok.


ETA Go get some rest Mogs...I will keep an eye out here and there are a few others on that can also help. :bighug:
 
Tuxedo Mom said:
give a small amount of HC gravy and then retest in 20 minutes.
Click to expand...
Beth,

Remember not to give too much food at a time because you don't want Elmo to get too full; you may need to get him to eat more to keep his numbers up as the cycle progresses.

.
 
Tuxedo Mom said:
@Critter Mom I don't have the actual number but the DM with gravy is a higher carb and should work ok.
Click to expand...

Maybe mix a little bit of syrup into the gravy to bump up the carb level if numbers slip?

ETA Go get some rest Mogs...I will keep an eye out here and there are a few others on that can also help. :bighug:
Click to expand...
Thanks, Mary Ann. I've been really overdoing things the last few days and worrying about the Noodle is making me panicky (another thing that makes the fatigue worse).

:bighug::bighug::bighug:


Mogs
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Better summary: +2 ..60..1t high carb........+2 1/4...50...3t high carb"......+2.5...50..3t hi carb........+2.75..41...syrup on gums and he licked a little......+3...61...1t high carb...........+31/4....71....1/2 t high carb.......next reading will be his usual nadir at +4........advise ?????
 
Tuxedo Mom said:
@Critter Mom I don't have the actual number but the DM with gravy is a higher carb and should work ok.


ETA Go get some rest Mogs...I will keep an eye out here and there are a few others on that can also help. :bighug:
Click to expand...
The DM chunks with sauce is 10.2% carbs according to the product monograph at my vet's office. The pate is 5.7% carbs. I'm in Canada so I don't know if that makes a difference. It shouldn't.
 
Beth,

Mary Ann is now keeping an eye on you two. Fingers and paws crossed that Elmo stays in safe numbers for the rest of the cycle. Good catch on that scary low; thank the gods for home testing.

:bighug:


Mogs
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:bighug::bighug:
Critter Mom said:
Maybe mix a little bit of syrup into the gravy to bump up the carb level if numbers slip?


Thanks, Mary Ann. I've been really overdoing things the last few days and worrying about the Noodle is making me panicky (another thing that makes the fatigue worse).

:bighug::bighug::bighug:


Mogs
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Click to expand...
Bless you, Mogs....please go get sleep...will be keeping u and Noodle in thots and prayers
 
Beth 73 said:
Better summary: +2 ..60..1t high carb........+2 1/4...50...3t high carb"......+2.5...50..3t hi carb........+2.75..41...syrup on gums and he licked a little......+3...61...1t high carb...........+31/4....71....1/2 t high carb.......next reading will be his usual nadir at +4........advise ?????
Click to expand...


Thanks for the summary..this is easier to follow. Right now he is ok at the 71. Let's see what your +4 reading is...the syrup should have worn off by then so we can see what is needed
 
Speaking of kitty cavalry ...

iu


I'll get me coat ...


:bighug:
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Beth 73 said:
Better summary: +2 ..60..1t high carb........+2 1/4...50...3t high carb"......+2.5...50..3t hi carb........+2.75..41...syrup on gums and he licked a little......+3...61...1t high carb...........+31/4....71....1/2 t high carb.......next reading will be his usual nadir at +4........advise ?????
Click to expand...
+4.....91
 
Critter Mom said:
Haven't seen you around much lately otherwise I'd have given you a heads-up earlier.)
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Been running around with some family issues so haven't been on the board as much as usual...was just checking in periodically but not posting much. :(
Love the cavalry pic! :D

@Beth 73 That +4 is looking encouraging but Elmo still needs to be watched. I'd test again in 30 minutes with no further food/syrup for now so we can see if he holding his own or if that number is food influence.
 
Just about to sign off.

A reading of 91 at +4 isn't very far above the Alphatrak hypo threshold level. Remember that the crystalline fraction of the Vetsulin is going to kick in - typically anywhere from about +7. If it were my cat I'd be looking to get numbers comfortably into the 100s before then and I'd keep testing until after +10 even if numbers are safe. The plus is that Vetsulin's an in-out but I'd be cautious about how much to give (if any) this evening; today's low might make Elmo more sensitive to the insulin.

:bighug:


Mogs
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Critter Mom said:
Just about to sign off.

A reading of 91 at +4 isn't very far above the Alphatrak hypo threshold level. Remember that the crystalline fraction of the Vetsulin is going to kick in - typically anywhere from about +7. If it were my cat I'd be looking to get numbers comfortably into the 100s before then and I'd keep testing until after +10 even if numbers are safe. The plus is that Vetsulin's an in-out but I'd be cautious about how much to give (if any) this evening; today's low might make Elmo more sensitive to the insulin.

:bighug:


Mogs
.
Click to expand...


Sounds like good advice. The last hypo of 37 on Oct 30 Elmo did continue to go up without more intervention, but it is always best to be safe.
 
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