? Ketones in urine

[chuckstables]

Hey,

So sam tested positive for ketones, the stick was in between trace and low (5mg and 15mg). I had my dad test him as he was super high this morning (over 400 mg), and has now lost 0.6 lbs in 3 weeks. Figured i’d get some more answers over here. He had reduced his insulin dose from 3 units to 1 due to the very generous reductions called for by SLGS. Unsure what needs to be done.

 

[Sienne and Gabby (GA)]

With SLGS, the reductions are 0.25u. It looks like on occasion, you were taking larger reductions. I'd also be wary of taking back-to-back reductions. The insulin depot needs to stabilize.

We do not typically become overly concerned if ketones are at a trace level. However, I would be sure to add water to Sam's food and to not skip a shot if you're seeing ketones in the "low" range. Remember, the recipe for ketones is not enough insulin + not enough calories + an infection/inflammation. The latter element may or may not be a factor in a cat that is prone to developing ketones. It's good that you're monitoring.