I made a big mistake with insulin dose

[Nan & Amber (GA)]

Adding to the comment about not feeding too much, with a number as low as 27 you'll probably want to stick to nutrical for a little while. Looking at the ingredients, it seems like it's got a lot of corn syrup and things like that, so it should act like honey and hit the system quickly. We want to bring him up from there fast!

What's your kitty's name, by the way?

 

[Paul & Kit-10]

Try getting one more reading to make sure it wasn't from too small of a sample. If it's still low like that get him some high carb food and honey on the gums pronto. On a human meter anything under 50 is too low.

 

[Paul & Kit-10]

Try getting one more reading to make sure it wasn't from too small of a sample. If it's still low like that get him some high carb food and honey on the gums pronto. On a human meter anything under 50 is too low.

 

[Paul & Kit-10]

37 and yes. He's been given high Carb food and the stuff on his gums

 

[JanetNJ]

37 and yes. He's been given high Carb food and the stuff on his gums

Heading in the right direction. Give more high carb and test again in 20. You're doing an awesome job. we want to get him over 50 and then see if he can maintain a number over 50 once the high carbs stop.

 

[Nan & Amber (GA)]

Janet just posted almost word-for-word what I was going to say!

 

[Bron and Sheba (GA)]

I would also put a couple of drops of honey on his gums. Put some on your fingers and rub it on his gums.
He is still very low and has had a lot of insulin over the past week.

 

[Bron and Sheba (GA)]

What is the high carb food you are giving Paul?
You are doing a great job helping your boy

 

[Bron and Sheba (GA)]

My main concern is that this kitty has been getting a very large dose of Lantus for several days, the depot is going to be huge and if we can’t get the BG up higher quickly, I think Paul needs to think about taking his kitty to the ER as he may need a glucose drip,
So just to be on the safe side Paul I would make sure you have a plan in place and know where you are going, including the phone number in case this needs to be done.

 

[Diane Tyler's Mom GA]

My main concern is that this kitty has been getting a very large dose of Lantus for several days, the depot is going to be huge and if we can’t get the BG up higher quickly, I think Paul needs to think about taking his kitty to the ER as he may need a glucose drip,
So just to be on the safe side Paul I would make sure you have a plan in place and know where you are going, including the phone number in case this needs to be done.

I think that's a good idea Bron

 

[Paul & Kit-10]

Nutrical and honey plus the dry foodhe use to eat. I got a feeling this reader is not accurate. Shouldn't I be seeing abnormal signs.

 

[JanetNJ]

Nutrical and honey plus the dry foodhe use to eat. I got a feeling this reader is not accurate. Shouldn't I be seeing abnormal signs.

my cat never shows signs of hypo. She was 30 points below the bottom of normal and still acting fine. I would have had no idea if I hadn't tested her.

 

[Diane Tyler's Mom GA]

Is the high carb food you are giving dry, do you have any wet high carb food in the house.

 

[Bron and Sheba (GA)]

I got a 22 once with Sheba and the only sign was she was suddenly hunger.
Dry food takes longer to be digested. Wet high carb is better if you have any.

must be time for another test?

 

[Nan & Amber (GA)]

Try testing yourself to see if the meter is giving odd readings.

Shouldn't I be seeing abnormal signs.

Not necessarily. Depends on the cat, depends on the day. The problem is that sometimes, especially at these kinds of numbers, they don't show any symptoms for a while, then suddenly go into severe hypo.

How many hours has it been since the last shot? Again, we're likely mostly dealing with the depot here, but just so we know where we are.

 

[Diane Tyler's Mom GA]

Nutrical and honey plus the dry foodhe use to eat. I got a feeling this reader is not accurate. Shouldn't I be seeing abnormal signs.

Test it on yourself, what meter are you using, is there an expiration date on the test strip bottle

 

[Diane Tyler's Mom GA]

Try testing yourself to see if the meter is giving odd readings.



Not necessarily. Depends on the cat, depends on the day. The problem is that sometimes, especially at these kinds of numbers, they don't show any symptoms for a while, then suddenly go into severe hypo.

How many hours has it been since the last shot? Again, we're likely mostly dealing with the depot here, but just so we know where we are.

Nan I was typing the same thing to test on himself

 

[Red & Rover (GA)]

how many strips came with your neighbour's meter?

 

[Paul & Kit-10]

OK I'm not going to sleep well tonight so I'm taking him to the vet and make the walk of owner shame

 

[Bron and Sheba (GA)]

OK I'm not going to sleep well tonight so I'm taking him to the vet and make the walk of owner shame

Do you mean you are going now?
Can you ring ahead to make sure someone is there?
you need to make sure someone will be at the vet all night and he’s not left on his own.
Have you tested again?

 

[Nan & Amber (GA)]

You have nothing to be ashamed of! Really, really, really. Your vet let you down, but you are going above and beyond to fix that and keep your guy safe!

 

[JanetNJ]

OK I'm not going to sleep well tonight so I'm taking him to the vet and make the walk of owner shame

well the important thing is 1. he's definitely going to be safe 2. you learned how to test and are prepared for the future. You did awesome tonight.

 

[Diane Tyler's Mom GA]

OK I'm not going to sleep well tonight so I'm taking him to the vet and make the walk of owner shame

I'm glad you are taking him Paul, please let us know what happens

 

[Paul & Kit-10]

Do you mean you are going now?
Can you ring ahead to make sure someone is there?
you need to make sure someone will be at the vet all night and he’s not left on his own.
Have you tested again?

 

[Paul & Kit-10]

Yes we are here. I have a 24 emergency clinic nearby.

 

[Paul & Kit-10]

You have nothing to be ashamed of! Really, really, really. Your vet let you down, but you are going above and beyond to fix that and keep your guy safe!

 

[Paul & Kit-10]

Thanks but the vet only went by what I was telling her. I should have known better but thanks

 

[Bron and Sheba (GA)]

Yes we are here. I have a 24 emergency clinic nearby.

So you are at the 24 hour vet now?
Did you manage to test again before you left?
Did you give more food/honey.
You have done a great job keeping your boy safe Paul tonight. Don’t feel bad. The vet should have shown you where to draw up the insulin to.
Please keep us posted. You are part of the family now and we care?

 

[Nan & Amber (GA)]

Thanks but the vet only went by what I was telling her. I should have known better but thanks

No, really-- the vet should have done a demo of the 1U dose. We've seen exactly this confusion many, many times in exactly the same way. That 1U simply doesn't "look right", so it's easy to talk yourself into going up to the 10 mark. That's why the demo is needed, whatever the client says or the vet believes.

Glad you're at the vet! Hopefully your little guy will start coming up soon.

 

[Paul & Kit-10]

As I wait. Can someone explain or send me a link on the Depot. I'm sure its what it sounds like but would like to be sure

 

[Nan & Amber (GA)]

from the lantus forum: What is the Insulin Depot?

 

[Bron and Sheba (GA)]

Paul, while you are waiting, can you feed him some more or do another test?
Do they know that he has had too much insulin and has very low BG?
Did they give you a timeframe of how long you are waiting?

 

[Paul & Kit-10]

Paul, while you are waiting, can you feed him some more or do another test?
Do they know that he has had too much insulin and has very low BG?
Did they give you a timeframe of how long you are waiting?

 

[Paul & Kit-10]

Oh they know. They took him in the treatment room. With this vivid thing you have to wait in your car while.they take them in

 

[Paul & Kit-10]

Oh they know. They took him in the treatment room. With this vivid thing you have to wait in your car while.they take them in

 

[Paul & Kit-10]

Sorry for mis grammar stress deminishs fine motor skills and I'm using my phone

 

[Paul & Kit-10]

from the lantus forum: What is the Insulin Depot?

 

[Paul & Kit-10]

Thanks for the info on Depot. Don't have my head quite wrapped around it but enough to give me a OH SH** moment. Never knew about this concept.

 

[Bron and Sheba (GA)]

Oh they know. They took him in the treatment room. With this vivid thing you have to wait in your car while.they take them in

Oh I see. They have taken him in. That’s good!
Yes, we all have to wait outside in the car at the vets. I’m in Australia and we have to do the same thing.
Lantus is a great insulin for cats.
I’m sure you are stressed but he’s in the best place now to get the BG up to normal.
What is his name?

 

[Paul & Kit-10]

Oh I see. They have taken him in. That’s good!
Yes, we all have to wait outside in the car at the vets. I’m in Australia and we have to do the same thing.
Lantus is a great insulin for cats.
I’m sure you are stressed but he’s in the best place now to get the BG up to normal.
What is his name?

Kitten

 

[Nan & Amber (GA)]

OK, midnight here. Now that Kitten is at the vet, I think I'll log off for now and check back later to see how he's doing. Good luck!

 

[Paul & Kit-10]

OK, midnight here. Now that Kitten is at the vet, I think I'll log off for now and check back later to see how he's doing. Good luck!

 

[Paul & Kit-10]

Thank you. His bg is 102. Still waiting to talk to vet

 

[Bron and Sheba (GA)]

Thank you. His bg is 102. Still waiting to talk to vet

That is better. In normal range now. Just concerned the BG will be able to stay up on its own with the size of the depot which can still influence the numbers for up to 6 cycles.

Ask the vet were those numbers taken with a pet meter or a human meter. The pet meter reads higher than the human meter so it makes a difference. The human meter is fine....most of us use those but when comparing numbers we need to compare apples with apples.

 

[Bron and Sheba (GA)]

Oh he’s a beautiful ginger boy...my favourite!

 

[Paul & Kit-10]

That is better. In normal range now. Just concerned the BG will be able to stay up on its own with the size of the depot which can still influence the numbers for up to 6 cycles.

Ask the vet were those numbers taken with a pet meter or a human meter. The pet meter reads higher than the human meter so it makes a difference. The human meter is fine....most of us use those but when comparing numbers we need to compare apples with apples.

 

[Paul & Kit-10]

I'll ask about the meter. How long is a cycle?

 

[Wendy&Neko]

Paul, you just saved your cat's life today with home testing - well done! Kitties that have been overdosed with insulin can be even very sensitive to insulin afterwards. When he comes back home, we'll be suggesting a slow approach to dosing.

A cycle is the time between shots - so 12 hours.

 

[Paul & Kit-10]

Just ok'd a full blood panel to check all his functions. Ill know all the results in 30 minutes. I know everyone will be asleep by then.

 

[Bron and Sheba (GA)]

Just ok'd a full blood panel to check all his functions. Ill know all the results in 30 minutes. I know everyone will be asleep by then.

Not me. I’m in Australia and it’s just after 2.30 pm.
Ask for a copy of the blood results. They can either give you a hard copy or send a copy to your email address. then you can post them here. We have people who can read them really well and give you feedback.