Ketone positive-need help

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Has he ever had DKA? His numbers have really shot up...are you aware of any infections he has?

DKA is caused by infection + not enough insulin + not enough food/water

Is he eating? How about fluids....is he drinking and do you ever give him subqs? I'd be sure he is getting plenty of food and water or fluids and I'd keep a close eye on the ketones. If they start to go higher at all or don't come back down with the food and fluids, I'd get him to the vet immediately. Ketones can develop quickly and also progress into DKA quickly.

Even if you get them back to negative in quick order, I'd take him in as soon as possible and see if he has a dental issue, UTI, etc...any kind of infection. His numbers are high which could also be indicative of infection.
 
I 2nd everything Marje said! Do whatever you can to make sure he eats and stays hydrated, and keep a close eye on his numbers. If things don't improve quickly, get him to the vet asap. They can go from "trace" to DKA quickly, and anything higher than "trace" is best treated by your vet or the ER.

Carl
 
Marci

I just saw a link to your post last week about Buddy having pancreatitis and a heart murmur. So he does have infection and you do have to carefully balance the fluid issue because of his murmur because you don't know if he actually has a heart issue or just a murmur.

I think under the circumstances, I might be more prone to get him to the vet (ER) and let them decide how much fluid he can have but I've found with alot of ERs that they don't work at feeding. And if Buddy hasn't been eating any better this week, that's an additional concern. I would make sure they will allow you to come in and make sure he is eating. He needs food.

Please keep us posted.
 
Thank you everyone--Buddy is eating well. he's never had DKA.
He is currently being treated for Ptitis, first time. He is neg. now, but i will keep a close eye on him.
thanks everyone for your help. I will update his SS .
 
So glad he is eating and doing better :-D

You are welcome to post in the lantus TR ISG. There are many of us lev users there and there are just more folks around to answer questions a little quicker if you need help. You don't have to be using the TR protocol to post there.
 
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