Ketones? *photos of test*

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Glad to hear his appetite and demeanor are improving! This is such a scary thing, and it's such a relief he's at the vet getting the care he needs!
 
Morning update is a positive one :) His ketones are gone! He was negative this morning, the CRI worked very well for him. They want to switch him to Lantus, rather than then PZI like we planned. As soon as his BG is high enough, they will give him his first dose of Lantus and keep him another night (in boarding rather than ICU) and keep an eye on what that does to his BG. If all goes well and the ketones are still neg tomorrow, he should come home then!
 
SantaCruzSPCA said:
Morning update is a positive one :) His ketones are gone! He was negative this morning, the CRI worked very well for him. They want to switch him to Lantus, rather than then PZI like we planned. As soon as his BG is high enough, they will give him his first dose of Lantus and keep him another night (in boarding rather than ICU) and keep an eye on what that does to his BG. If all goes well and the ketones are still neg tomorrow, he should come home then!
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Fantastic news! Make sure to ask them for specific feeding recommendations for post DKA (calories are essential) and many here have recommended going home with both anti nausea meds and an appetite stimulant.
 
Well, I'm on my way to pick him up after five days at the vet. They said he's perky, hydrated, eating well, but his BG is still all over the place. They currently have him on 6 u's of Lantus and that isn't keeping his BG from getting into the 700's! This morning he was neg for ketones. They want to dispense the Lantus and the Humulin R (as needed). That will be interesting to figure out...

I think we've decided to hold off on the ultrasound (for $$ purposes) because he's not showing any symptoms for what they usually look for in those (pancreatitis or IBD).

Here we go!
 
Whoo-hoo!

Good luck with the Lantus. Get as many BG tests as you can, particularly in the beginning-- there are a lot of factors at play here. When you get a chance, could you put some notes in your signature about the DKA, the insulin history, and any other important info you can think of? Especially if you start posting in the Lantus forum, where there are lots of folks who won't be familiar with Rusty's story, it will save time and help people help you.

So happy he's doing well (other than the BG's, but one step at a time)!
 
I'm glad Rusty is coming home and negative for ketones :bighug: Yay!

Please keep the R insulin in a separate container in a separate part of your refrigerator than where you keep your Lantus, and never take the two vials out at the same time. R insulin is very powerful and fast acting, and you never want to get the two insulins mixed up and accidently give the Lantus dose of R. That would most likely be an immediate trip to the ER. I would highly encourage you to have someone with experience in using R from this forum "be with you" help you when/if you start using it. You will need to test every hour for at least the first 4 hours when giving R to see how he does. We usually start with a dose of like 0.1 (1 tenth) to 0.25 (1 quarter) of unit of R and test a lot for it's duration. Hopefully, you'll post in the Lantus forum soon.
 
Rusty is doing GREAT today! He's super alert and active. Eating and drinking. his numbers are even looking pretty darn good without the use of R insulin! Because it's important to keep him eating, he's been getting dry food that's grain free but not as low carb as I'd like. He's not super interested in the wet food lately but will go for the dry without issue as of now. I think I'll need to get some of the EVO kitten (because the YA is too expensive, given recent events, lol). I haven't tested for ketones today but I will if I can catch him peeing.

Once I get a chance, I'll update my signature with the details and say hello in the Lantus room! :) Thank you all again for the thoughts, advice, and support! This is no walk in the park!
 
SantaCruzSPCA said:
Rusty is doing GREAT today! He's super alert and active. Eating and drinking. his numbers are even looking pretty darn good without the use of R insulin! Because it's important to keep him eating, he's been getting dry food that's grain free but not as low carb as I'd like. He's not super interested in the wet food lately but will go for the dry without issue as of now. I think I'll need to get some of the EVO kitten (because the YA is too expensive, given recent events, lol). I haven't tested for ketones today but I will if I can catch him peeing.

Once I get a chance, I'll update my signature with the details and say hello in the Lantus room! :) Thank you all again for the thoughts, advice, and support! This is no walk in the park!
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I get evo from jet.com at a reasonable price.... Esp when I make a big order and the price comes down. The young again lasts a long time. With 5 cats eating it am 8 lb bag lasts 3 weeks. It could easily last 2-3 months with a single cat.
 
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