Low Pre-Shot Blood Sugar

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Amy M

Member Since 2019
Hi there,

I'm new to this forum but have had a cat with diabetes for over a year. I am looking for advice.

Background. My grandma cat is 15, almost 16 years old. (Love this cat like life itself!) We got her diabetes stabilized when she was diagnosed 1+ years ago. About 4 months ago she went hypo, meowing, throwing up, etc. I gave her Karo syrup and took her to the vet. She was relatively "ok" and I just sat with her and watched her for 24 hours. "Ok" but she hasn't stabilized since. I came to this forum because the way the vet had me monitoring her for a year seemed to no longer be working (doing a curve every once in a while to ensure she was ok). I started taking a pre-shot blood sugar reading every morning and evening before her shot about 7 weeks ago, trying to adopt some of the best practices you have established here.

She's on Lantus. Her dose has fluctuated a lot, going from 1 1/2 and 2 1/2 units. She has been at 2.5 units for 3 weeks. I feed her Purina DM dry and Purina DM wet. I free feed the dry and she gets a half a can of the wet in the morning and the rest at night. She eats a very consistent amount. (Or she and the dog might - I suspect the dog eats her food when I leave so her consumption is most likely the can of wet and about a half cup of dry give or take daily). Her weight is good for her right now. She's fluctuated as low as 8 pounds and as high as 12 through this process and is just under 10 right now. (It did take an inordinately long amount of time for them to identify diabetes in the first place so she was skin and bones before they figured it out. She also was peeing all over my house.)

Her pre-dose sugar has been an average of 275 over the last 7 weeks, trending lower since I increased her insulin dose 3 weeks ago. Her insulin has been under 100 the last two mornings. Yesterday it was in the 70's. I waited an hour and then it was in. the high 400's so I gave her 2.5 units. By +8 she was at 105. (Her low is at +8 not +6). But it dipped again to under 100 at +11. I waited and it bounced back up so I gave her +2. She is sleeping next to me and seems fine now. Haven't taken her blood sugar yet today as it's only 5 am here. She is not throwing up, not meowing, hasn't had urine accidents since we got her stabilized over a year ago. She seems ok to me behavior-wise.

Apologies for the mile-long post. Love this cat and wish this was easier!

Thanks,
Amy

PS - just read post on dry food. Maybe I should cut out the dry food completely? She doesn't eat most of it but I was feeding it because the vet said it was ok. She has been on mostly wet since diagnosis ...
 
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thanks! .. I'm a mom .. to a human with a disability ... and in graduate school ... and I work ... and I have class all day today and two presentations to give because it's near the end of our quarter. So I cannot do this today ... and no, have not been testing overnight ... had to sleep.... I will see if I can test during the day between classes & presentations. Story of my life .. .5000 creatures and tasks to care for at all times!
 
Always try and get a before bed test in to check kitty is not dropping too low. Cats often drop lower at night.
Ask lots of questions. We are happy to help.
 
Hi there,

PS - just read post on dry food. Maybe I should cut out the dry food completely? She doesn't eat most of it but I was feeding it because the vet said it was ok. She has been on mostly wet since diagnosis ...

Yes, it would be best to remove all dry food if your kitty eats wet just fine. It tends to be higher in carb and even if you do have the low carb, wet is better for the kidneys. If you like to give treats for testing, a lot of people had good luck with freeze dried chicken or bonito flakes. Besides the spreadsheet mentioned above, adding a signature is very helpful as it will give us info about insulin, dosage, location, food/snacks given, any other health issues and your spreadsheet. Just go to the top right corner, hover the mouse over your account name and it should pop up several items. Click on signature and fill.
 
Just a caution when you remove the dry food. You will need to do it when you are able to test the blood sugar levels frequently because removing dry food can drop the blood sugar levels a lot and it is important you are testing to see kitty does not drop too low. You may need to reduce the dose once the dry has been removed.
 
Since I removed the dry food from my cat's diet his numbers have been fantastic. You can see it on his spreadsheet, I stopped with dry food on 5/7 and you can easily see the difference. I didn't do it earlier as he was on this food due to constipation, I now use Miralax and cooked plain pumpkin instead.
Definitely something to consider.
 
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