He is beautiful. Sorry cant offer advise, just cheering section.
Not eating and drinking as much is a sign that more ketone testing is needed. Could you manage twice a day? If he's really agreeable, three times. Do time the test for 15 seconds because the strip colour does keep changing.
He's now drinking more on his own. Ate the rest of his dinner overnight and ate maybe 1/4 of his breakfast. It seems like he actually has an appetite but can't really smell his food very well due to the congestion. So he'll eat a few bites and then have a sneezing fit, and then get over eating. He's acting like he's got more energy than the last few days and is jumping to different levels and using the scratching post. I have not been able to get any more testable urine but have put an plastic liner in his litter box and just a handful of litter and I'll check it often. 
and it was pretty clearly in the negative zone. My color was lighter than what I got for Rusty so his is definitely in the trace zone.
. This lighting makes it look close to moderate but it's definitely the small. Is this like a get him to the vet NOW kind of thing? He's actually got more of an appetite today but isn't drinking very much. I did another round of 100cc fluids an hour or so ago. Not sure what to do?
I'm so glad you took him in. Better safe than sorry. We all disagree with the vet about a good number range. Keep checking for ketones and giving fluids. Did she address the insulin switch or the dosage?
Keep up the ketone testing. You can give subQ fluids and try syringe feeding anything that can be pureed and sucked into a syringe. Adding the vomiting/inappetance to the mix of infection, high BG and "small" ketones earlier makes his situation even more worrying. I hope the vet isn't dismissive.I've still got some major concerns as he has just vomited, is acting nauseous when it comes to food, and at +4 is still 506. He hasn't eaten a thing since last night. I think I'm going to need to force feed now and I'll go search for that link. The vet wanted to keep him on the Humulin N for now (she said 3-4 units) and to not switch it up quite yet.
I've just called the vet to give them the update of the vomiting, continuing to not want to eat, and the continued high BG. I'm not sure what to do at this point. Poor guy
. Please give us daily updates if you can!
They can recover with no lasting effects. However, when he's back home he needs insulin, hydration and calories. You might have to feed higher carb food in order to give high enough insulin doses to keep ketones at bay. If they develop ketones once they can be more prone to do it again.
DKA therapy usually involves the use of fast acting "R" insulin to pull BG down but it doesn't last very long. When you say "continued release" insulin are you referring to Lantus or Levemir? These are known as depot insulins and do have a sort of time release effect. I really hope they can figure it out.So Rusty will be staying another 24 hours. He's now eating on his own but ketones are at Large. They are switching him to a continued release Insulin because the other just isn't bringing his BG down enough. He'll see an internist tomorrow to talk about a possible ultrasound to see if there is something going on in the abdominal cavity that's causing this insulin resistance. They aren't convinced it's the URI alone. He's shown no symptoms of IBD or Pancreatitis so I'm worried about cancer possibly? Not sure how much more we can afford. This is heartbreaking
I understand now. I think that's part of the treatment my guy had when he had his DKA a year ago.
