hypoglycemic atacks

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Lillie

Member Since 2017
I read the information here about what to do if your cat goes into a hypo state but there is no mention on whether to still give an injection or to skip the injection if you think he may be hypo. If it looks like he is just too lethargic and you are not sure he is hypo is it better to skip a dose until he can be checked? Leo is looking just too lethargic right now and I'm getting worried. He is still eating but not moving around much.
Should I skip his evening dose?
 
I read the information here about what to do if your cat goes into a hypo state but there is no mention on whether to still give an injection or to skip the injection if you think he may be hypo. If it looks like he is just too lethargic and you are not sure he is hypo is it better to skip a dose until he can be checked? Leo is looking just too lethargic right now and I'm getting worried. He is still eating but not moving around much.
Should I skip his evening dose?
Short of seeing extreme symptoms like stumbling, disorientation, staring, etc. there's no way to know without testing blood glucose. If a hypo is confirmed you would not give insulin. High numbers can also make them lethargic.
 
Thank you. I haven't had any time since this whole thing started to get everything together for home testing yet. I can see where this is extremely important to do. It would certainly help me right now. I'm just not sure whether I should skip tonight's dose just in case. I guess I will be pulling an all nighter to keep check on him.
 
Is he a cat that is usually agreeable when handled? Start by touching/ stroking/massaging his ears and follow up with a low carb treat. Do this several times a day so he learns to associate ear handling with treats. The sooner you get a testing routine set up the sooner you'll have some peace of mind.
 
He just came home yesterday from 5 days at the vet hospital so right now is not thrilled about anyone touching his ears after constant checking. He's a little stubborn and very strong when handling but he never hisses, scratches, or bites. I'm new at this so I'm getting panicky over everything.
 
Those first few blood tests and shots can be very challenging. Just remember you are helping your kitty. And from your notes, I can tell you care enough to get good vet care.

I would not give Leo insulin without testing. Home testing is the only way (at home) to know what your cat's blood sugar level is at.
 
I had to look back at your posts to see that he wasn't in the hospital for something like DKA. Now that I see it was only for the vet to start insulin and curve (just to line his pockets... :) ), I wouldn't risk shooting until you can test to be sure it's safe. He needs insulin but until you can get a test kit and start, anything unusual should be an alert. You can't base that decision on whether he has classic hypo signs - for some that's too late.

HUGS! You can do this!
 
Thank you- my gut told me to not shoot tonight because I don't have home testing and I didn't want to take the chance so I didn't. I actually feel a little relieved because I sure would have felt awful had I put him in a coma over night.
 
After skipping his shot tonight and eating quite a bit he is no longer lethargic. I'm getting the home testing stuff as soon as I can. I surely don't want to be going through this doubt every day!
 
Here's something I wrote up for others that needed help with testing...maybe it'll help you too!

It can be really helpful to establish a routine with testing
. Pick one spot that you want your "testing spot" to be (I like the kitchen counter because it's got good light and it's at a good height....it also already blocked 2 escape routes due to the wall and the backsplash) It can be anywhere though...a rug on the floor, a table, a particular spot on the couch...wherever is good for you. Take him there as many times a day as you can and just give his ears a quick rub and then he gets a yummy (low carb) treat. Most cats aren't objecting so much with the poking..it's the fooling with their ears they don't like, but once they're desensitized to it and learn to associate a certain place with the treats, they usually start to come when they're called! Or even when they hear us opening the test kit!

You also have to remember...you're not poking him to hurt him...you're testing him to keep him safe and understand what's going on inside his body. There's just nothing better than truly understanding what's going on inside your kitty's body and with this disease, the more knowledge you have, the more power you have against it. The edges of the ears have very few pain receptors, so it really doesn't hurt them. Also, if you're nervous and tense, it's going to make your kitty nervous and tense too. As silly as it might seem, try singing! It forces you to use a different part of your brain!

It's also important to make sure his ear is warm.
A small sock filled with a little rice and microwaved or a small pill bottle filled with warm water (check temp against your wrist like you would a baby bottle) works well.

When you're first starting, it's also important to use a lower gauge lancet, like 25-28 gauge. Most of the "lancet devices" come with 33 gauge lancets and they are just too tiny to start with. The bigger lancets (that are lower numbers) make a bigger "hole". As you poke more and more, the ears will grow new capillaries and will be easier and easier to get blood from...we call it "learning to bleed"

Finding the right "treat" will be a great help too!
Freeze dried chicken, bonito flakes, little pieces of baked chicken...whatever low carb treat you can find that he really enjoys will help him to associate the testing with the treat! China's Achilles heel was baked chicken, so I'd bake a piece, chop it into bite sized pieces, put some in the refrigerator and freeze the rest to use as needed. It didn't take long for her to come any time I picked up the meter!
 
Great decision to start the testing! Chris and China have given you an excellent summary to work from. Try to be as calm and clinical as you can when you do the ear pricking. You're doing the best thing to keep him safe. Once it's done, lavish praise on him and give a treat. Freeze dried meat treats work very well. One brand is Purebites but I use Orijen brand myself. Teasel loves the wild boar from this brand.
 
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