High BG

DavidJ

DavidJ

Active Member
I've just about completed a 12 hour GB curve for Charly. Her readings seem very high. She is

I'm a bit concerned. I've seen all the advice for low GB - is there anything I should be doing at these high BG levels other then check for ketones?

her next dose is due in about 1 hr

@Suzanne & Darcy
 
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You did very well to get all those tests today. I would say that you could increase her dose to .75 units tonight, based upon your current data. This is if you can get a few tests in tonight. If you get a +2, that should be a good indicator of the cycle to come. Then, since we really just have today’s data, I would get a +4 also and see where she is.
 
Normally, if nadirs were pink (which they are) I would recommend a full half unit increase, but since today is the first day that we’ve had a lot of data, I am proceeding with caution. I want to make sure that her high numbers today are not in response to a lower number. I do not think so, but let’s be cautious as long as she’s not producing ketones. No ketones, right?
 
i've not checked for ketones today. i wasn't really worried about her until that last test and she hasn't weed since. no ketones yesterday when i was trying out our new keto strips. and no history of ketones. and behaviourally she is no different this evening than she has been previously. my instinct is we are ok to be cautious
 
DavidJ said:
i've not checked for ketones today. i wasn't really worried about her until that last test and she hasn't weed since. no ketones yesterday when i was trying out our new keto strips. and no history of ketones. and behaviourally she is no different this evening than she has been previously. my instinct is we are ok to be cautious
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Yes. If her behavior, energy level, appetite, etc. are all pretty much normal for her, then that’s a very good indicator that she’s okay. I still wouldn’t want to be cautious if we can because she is so new to insulin.
 
well normal for her at this time of night since she came back from the vets as a diabetic. not normal normal.

i was thinking maybe to feed her a little bit less than usual with the dose? is that a good idea? or a bad one?
 
DavidJ said:
well normal for her at this time of night since she came back from the vets as a diabetic. not normal normal.

i was thinking maybe to feed her a little bit less than usual with the dose? is that a good idea? or a bad one?
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I would feed her quite a bit of food. You can split it up, of course, but don’t try to withhold the calories, because in those high numbers that she’s in right now, she needs a lot of food. She can’t make use of much of the nutrients she’s taking in because she doesn’t have adequate amounts of insulin. Diabetic cats are kind of slowly starving. I’m sure she has lost weight, hasn’t she? Also, feeding a generous amount of food helps keep the ketones away.
 
ok. will do.

she lost a lot of weight before diagnosis but she is actually slowly putting it back on since she started insulin.

i'll put some coffee on. looks like its going to be a late night here.
 
DavidJ said:
ok. will do.

she lost a lot of weight before diagnosis but she is actually slowly putting it back on since she started insulin.

i'll put some coffee on. looks like its going to be a late night here.
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Are you the sort who can sleep and set an alarm and wake up and then go back to sleep? If you wanted to wait and do the increase tomorrow, it would have been fine. I am sorry, I should have mentioned this before.
 
ha:) no worries, i have some work to do anyway so i will stay up for the +2 and maybe set the alarm for the +4
thank you so much for your help, i'd be very stressed now and probably up all night looking up vetinary journals if I was trying to figure this out on my own!
 
Oh. Okay. It would be good to know where she was at that time because we don’t have anything to compare it to - we don’t know the rate of drop. I guess we can assume she was probably still in the black or perhaps a high red number. I don’t anticipate her dropping too much, but we actually would like to see a lower number at +4. Do you think you can wake up in a couple of hours to check?
 
yes sorry. i kind of assumed she was only going up from the +10 and there was a big part of me didn't want to know how high
 
was nervous about this mornings amps but its not as bad as i had feared.

i'm thinking just to do pre shots and one midcyle for each shot today? I wanted to get a full cycle yesterday because my instinct was that she needed an increase and I wanted to gather the evidence to do it safely. But it was all a bit stressful and I don't think I can do it again just yet!
 
Good. Then tomorrow you can get a +4 and we can gradually fill in the checkboard on her spreadsheet. A lot of cats on ProZinc will nadir around +6, but some do it earlier. I would like to get an idea of her nadir.
 
This is a good initial response to the increase to .75. So we will most likely be holding this dose for 7 days total (14 cycles)while you get some more testing data. Then we will see about another increase to 1 unit. That is if she keeps having yellow nadirs.
 
I’m really happy. I never get over being happy when our diabetic cats start to improve. I get excited to see every little improvement. It’s going to make Charly feel so much better and you are going to start seeing her feel better, act better… you will get your healthy cat back!
 
What hour do you plan to test tonight?
Many cats will drop a little lower at night, although I see it go the other way, too. It shouldn’t be anything dramatic though. You probably need some rest.
 
i'll be up until about +2. but i'm hoping to be in bed before +4. i was going to have a night off testing but i guess we could do the +2 seeing as i'm here!
 
its gone up at +2. that's not what i was expecting!

she was looking so good too just after the dose. for about a half hour she was recognisable as her old self.
 
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DavidJ said:
its gone up at +2. that's not what i was expecting!

she was looking so good too just after the dose. for about a half hour she was recognisable as her old self.
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That’s good about her acting like her old self. Since the +2 is higher then I hope you will/have gone to bed.
 
i've got a few tests in today and this evenings pmps but i feel like i need a good nights sleep tonight so i'm not thinking to test again this tonight.

a lot of red again since our nice yellow yesterday. is this what bouncing looks like?
 
This could be a bounce, yes. If she has a period of sustained high numbers. With that PMPS, you should be okay to go to sleep. Normally, I would suggest a +2 in order to see where she’s headed… but you probably do need the sleep.
 
I bet you were unhappy to see that black this morning. I see she’s now gone down into pink so a little bit better— can you get a +6 today to see if she gets down into yellow (we can hope.)
 
yes i was. but i'm learning not to be too despondant about any one reading....

I need to got out at about +6. but i was thinking to do a +5 and then the +6 about 15 minutes early. I'm actually quite optimistic she will get into yellow still. shes got a little bit of spring in her step and shes been grooming herself and generally looking more comfortable so i'm hopeful she is still heading lower.
 
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