Mac BG 55 5 hours after shot

Mac88

Mac88

Member Since 2020
So I just brought Mac home tonight and at 730pm before we left, the vet tech gave him 3 units and fed him 30 mins prior. His BG has bounced between 700 to 67 over the last few days at the hospital and was 439 before am shot. They've been playing with the dose and said to continue the 3 units. We came home and fed him again as he acted hungry. I did notice he was a bit restless but chalked it up to being nervous to be home and monitored him. I just had a feeling something might be up and tested him. His BG was 55 and I tested my other cat to confirm the meter wasn't faulty and the other cat was around 300 so normal for him preshot.

As it was only 4-5 hours since Mac's shot, I did apply a bit of honey but not the full amount recommended and offered food (he ate a good bit). Is there anything else I should be doing? ER vet is over an hour away. And I'm guessing definitely lower his dose in the morning if he's high enough to give it at all? It is worth noting that aside from sleeping, Mac is acting normal, eating, drinking and moving around. I've just had a cat go into hypoglycemia before and he seized so I am wanting to avoid the same happening to Mac.
 
55 is a normal number on a human meter. You didn't need to give him honey. How about giving him a couple tsps of low carb food and testing again 1/2 hour after that to make sure he's still above 50. How is Mac's appetite tonight?

Tomorrow however, he needs to get a lower dose. Was today his first day on insulin? Since you are following SLGS, a reduction was earned by going under 90. If it was only his second shot ever, I might got lower. 3.0 units is pretty high to start.

In your signature, you might want to change the "Butter Spreadsheet" to say "Butter and Mac's Spreadsheet".

Here's the link to your post on Feline Health, for more details for people to read.
 
Thanks! I just tested 20 mins after that reading and it's 79. His appetite is good, but he is eating small amounts of food, just fairly often (at least hourly). I guess I just panicked because he's been pretty sleepy tonight and I wasn't sure if that was the lower BG or just exhaustion from being hospitalized for a week.

To clarify, he went on insulin last Friday night after getting admitted for DKA. They took him off the IV insulin and transitioned him to Lantus on Monday. Tuesday it was in the 400s so they raised him from 1 to 2units per dose. Then it was in the 400-500s so they raised him to 3. That got it down to around 60 something so they lowered him to 2. Then it went up to 700. So they increased again to 2.5 and got it to 439 this morning where they discharged because they knew I could monitor at home. They told me to keep on the 3unit which I thought was a bit much but as they had already given his PM dose I couldn't do much about it. He is negative for ketones and has been since Sunday I believe. He's had a great appetite for them since Sunday evening.

I'll get my sig updated as well.
 
I'm glad you have Mac home. Have you managed to test for ketones at home yet?
Have you set up Mac's SS yet? ETA...I see Macs SS now!
I would say Mac has been bouncing at the vet from the low BGs (60) and then they have been increasing the dose again.
 
Like Wendy suggested
In your signature, you might want to change the "Butter Spreadsheet" to say "Butter and Mac's Spreadsheet".

I would do this so members are aware Mac has a spreadsheet set up too can you add the 79 BG to Mac's SS when you get a chance
@Mac88
 
Bron and Sheba (GA) said:
I'm glad you have Mac home. Have you managed to test for ketones at home yet?
Have you set up Mac's SS yet?
I would say Mac has been bouncing at the vet from the low BGs (60) and then they have been increasing the dose again.
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Just picked up a ketone monitor and strips tonight and going to start testing.

The SS is setup, however only filled in with today's data as I didn't get all the numbers from the vet. They did advise he needs a glucose curve (testing every 2 hours for 12 hours) within 6-7 days of discharge. They said I could bring him in for that or do it at home and report the numbers.

Yes, it sounds like they have been adjusting the dose based on the bounces rather than sticking with one dose for several doses at least.
 
Can you label the 2 SS more specifically please to stop any confusion. At the moment they both say Butters and Macs SS.
I think you would be better to follow tight regulation if possible with having DKA so recently. It means we can respond with the dose changes more quickly.

Mac88 said:
They said I could bring him in for that or do it at home and report the numbers.
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I would definitely do the curve at home. If you are testing frequently, you don't need to do a curve if doing TR.
Are you feeding any dry food at all?
 
Could you update Mac's portion of the spreadsheet to at least show the dosing you know of done at the vets. So we know starting day/dose and when increased. That'll help us know what the depot looks like.

Bron has a good question about food. I think you said originally he was getting W/D?
 
The 79 is good, but I'd test again in 1/2 hour to make sure he's staying up there. The numbers could wobble down again once the honey has worn off.

Could you also take off the 911 now that you have eyes on this post and he's in normal numbers.
 
Bron and Sheba (GA) said:
Can you label the 2 SS more specifically please to stop any confusion. At the moment they both say Butters and Macs SS.
I think you would be better to follow tight regulation if possible with having DKA so recently. It means we can respond with the dose changes more quickly.


I would definitely do the curve at home. If you are testing frequently, you don't need to do a curve if doing TR.
Are you feeding any dry food at all?
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Sorry, to clarify each cat has his own tab within the spreadsheet. I have updated the spreadsheet as best I can with the numbers they told me over the phone. They're not exact but are the range they reported.

We are feeding some blue Buffalo dry food with est 31% carbs. Butters enjoys it but both cats now prefer wet pate (Mac especially).

They did discharge Mac with WD wet and dry food. Mac enjoys the wet but isn't super fond of the dry. I have gotten both cats to eat 9 lives pate tonight, we also have fancy feast pate and friskies pate in case they get picky.

I'll repeat the test. Next insulin dose is due in 5 hours so will see what it is before dosing again. Thanks for your help, dealing with a DKA cat is new to me, especially one bouncing so much.
 
Low carb wet food is better for diabetic cats but will also lower insulin needs. 31% is very high carb.
 
Mac88 said:
hey did discharge Mac with WD wet and dry food. Mac enjoys the wet but isn't super fond of the dry. I have gotten both cats to eat 9 lives pate tonight, we also have fancy feast pate and friskies pate in case they get picky.
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Are you planning on changing over to low carb now or continuing with the WD for the time being?
Will Mac eat the low carb OK do you think?
We are talking about the dose moving forward....please ask here before giving the next dose.
Can you change the top of the two SS to say just one of the cats please to stop any confusion thanks
 
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It would be good if you could get a test in now so we can see what the insulin is doing.....I see you got 79 about 45 minutes ago so maybe leave it for an hour
 
Bron and Sheba (GA) said:
Are you planning on changing over to low carb now or continuing with the WD for the time being?
Will Mac eat the low carb OK do you think?
We are talking about the dose moving forward....please ask here before giving the next dose.
Cab you change the top of the two SS to say just one of the cats please to stop any confusion thanks
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I think it'll be a mix of 80% canned and 20% dry as Butters likes a mix, but from what the vet has said Mac mostly prefers wet. The canned food we are feeding is under 10% carbs.

I have tried feeding lower carb dry food like Tiki cat but they got tired of it.

I just tested Mac's BG and it is 81, so slowly climbing and not declining. Mac is sleeping pretty deeply but like I said he was super active at the vet and for the first hour or two after coming home so he seems super tired.

I have better labeled the spreadsheet and added the cats name to each tab.
 
Mac88 said:
I have better labelled the spreadsheet and added the cats name to each tab.
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From what i can see it is still saying Butters and Mac's SS at the top.

Mac88 said:
Mac is sleeping pretty deeply but like I said he was super active at the vet and for the first hour or two after coming home so he seems super tired.
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Poor fellow, He is probably finally relaxing now he is home with his family!

Mac88 said:
I just tested Mac's BG and it is 81,
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Would you mind adding the last 2 BGs to the SS please.

Mac88 said:
I think it'll be a mix of 80% canned and 20% dry as Butters likes a mix, but from what the vet has said Mac mostly prefers wet. The canned food we are feeding is under 10% carbs.
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Do they have to have the same food?
If he will eat it, the low carb is better. But the most important thing is he eat and eats well.

If you are able to get a ketone test done before the next dose is due that would be great. And if you could put the results of all ketone tests into the remarks column of the SS where we can see that would be very helpful thanks!
 
Thanks guys, we ended up getting a bit of sleep. He's due for insulin now but BG is 246. He had three units last dose, so how much should I lower it?

I'll work on getting a ketone test shortly. Mac is eating bits at a time and drinking well.
 
What are you going to be feeding? Wd or low carb during this cycle ?
Are you going to be able to test during the cycle? And have some high carb food and honey?
 
Yes I will be around today and all weekend. For Mac it will be either wd canned or 9 lives pate as that's what he's been eating. I am less sure about the tight regulation method as we have an upcoming trip in two weeks and I'll be having my sister come over to take care of him twice daily. I am hoping I can get her to test him as well.

Edit to add he's 10lbs down from the 13 he previously was.
 
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Hello there. I understand the anxiety and stress of a DKA as my cat went through that as well. Where are you in Mac's cycle now?

OBTW, @Bron and Sheba (GA) asked me to look in on you as she had to go. Let me go take a look at the spreadsheet. I hope I will be able to see the two different ones as others were having problems, it seems.
 
ETA: I now see the reply about food and monitoring!)

I did not see a reply to the question about whether you would be at home all day to monitor or about what food you will be feeding them today. The W/D (even the wet) is very high carb. I did see that you had Fancy Feast available as well. It will make a difference as to the recommendation of how much to shoot today. If the high carb, then probably 2.5 units. If you are changing to a different food (which I would recommend would be done VERY gradually since he's on insulin and it can really lower BG to switch to low carb food.) So at the vet he was eating W/D? Or other similar high carb food (when he was eating, of course.)
 
Mac88 said:
For Mac it will be either wd canned or 9 lives pate as that's what he's been eating.
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So this is what Mac has been eating? Are you mixing them together (creating a somewhat lower carb mixture?) Or are you giving one or the other at certain times of the day? (Morning, evening, snacks?)
 
Mac88 said:
I am less sure about the tight regulation method as we have an upcoming trip in two weeks
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I would recommend following the TR method for now, as he is just post DKA and also because you are going to be leaving in two weeks -- we need to be able to adjust the dose more rapidly (every six cycles). Then when you are away, depending on the ability of your sister to test (or not), you may need to give him what we call a "vacation dose" which would be a temporary reduction to keep Mac safe.
 
Suzanne & Darcy said:
So this is what Mac has been eating? Are you mixing them together (creating a somewhat lower carb mixture?) Or are you giving one or the other at certain times of the day? (Morning, evening, snacks?)
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Right now I'm feeding whatever he's interested in. So far he likes the wet wd for most meals (feeding every 2-3 hours) and the 9 lives pate maybe for 1-2 of those meals. So I would say he's slightly higher carb for now. The vet said he mostly ate wd wet and did not care for the dry.

I did hold off two hours on the dose and he got up to 431 so I gave him 2.5 units of Lantus now and have both cats on the same twice daily insulin schedule now. I will be testing frequently today and tomorrow at least. He is getting up to eat, drink and use his box every so often but mostly sleeping. I don't blame him as I imagine it feels good to be home and in a quieter environment.
 
Suzanne & Darcy said:
I would recommend following the TR method for now, as he is just post DKA and also because you are going to be leaving in two weeks -- we need to be able to adjust the dose more rapidly (every six cycles). Then when you are away, depending on the ability of your sister to test (or not), you may need to give him what we call a "vacation dose" which would be a temporary reduction to keep Mac safe.
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OK I'll read up on the tight regulation method now as it's different to what I'm doing for butterscotch. As long as I can keep him out of hypo I'm all for it.
 
Mac88 said:
Right now I'm feeding whatever he's interested in. So far he likes the wet wd for most meals (feeding every 2-3 hours) and the 9 lives pate maybe for 1-2 of those meals. So I would say he's slightly higher carb for now. The vet said he mostly ate wd wet and did not care for the dry.

I did hold off two hours on the dose and he got up to 431 so I gave him 2.5 units of Lantus now and have both cats on the same twice daily insulin schedule now. I will be testing frequently today and tomorrow at least. He is getting up to eat, drink and use his box every so often but mostly sleeping. I don't blame him as I imagine it feels good to be home and in a quieter environment.
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I would not have waited until he was that high. The depot insulins are not designed to shoot down low numbers like the single cycle insulins can do a little better). Consistency in timing of doses every 12 hours and consistency in doses (when at all possible of course) is very important with depot insulins like Lantus. It's the way to get flatter curves without the highs and lows. It is a process though and you will get there. If you are ever in doubts about a preshot number, please post here for help. There's almost always someone around to help and someone who will walk through the cycle with you. We are all about safety here.

Oh, and you can switch between the SLGS and TR methods. TR is the way to get a cat into better numbers more quickly (but still safely) and with a cat who has been DKA that's very important. You don't want to risk another DKA.
 
Suzanne & Darcy said:
I would not have waited until he was that high. The depot insulins are not designed to shoot down low numbers like the single cycle insulins can do a little better). Consistency in timing of doses every 12 hours and consistency in doses (when at all possible of course) is very important with depot insulins like Lantus. It's the way to get flatter curves without the highs and lows. It is a process though and you will get there. If you are ever in doubts about a preshot number, please post here for help. There's almost always someone around to help and someone who will walk through the cycle with you. We are all about safety here.

Oh, and you can switch between the SLGS and TR methods. TR is the way to get a cat into better numbers more quickly (but still safely) and with a cat who has been DKA that's very important. You don't want to risk another DKA.
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Thank you, it is very overwhelming because this is the first time I've had to deal with DKA. So basically even if he's below 300 at preshot after a low BG that cycle, give the shot on schedule and food 30 mins before shot? Again I've got the fear of hypo and the fear of him going into DKA so it's pretty scary.

It has only been about 20-30 mins since shot. Shot was given at 14 hours from the last one the vet gave. I now know I should've given it at 12 hours instead and will do that moving forward. I guess I just thought to wait because it was 246 after 12 hours and was worried about pushing him too low.
 
Mac88 said:
Thank you, it is very overwhelming because this is the first time I've had to deal with DKA. So basically even if he's below 300 at preshot after a low BG that cycle, give the shot on schedule and food 30 mins before shot?
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You certainly could have shot that yellow number this morning, yes. As long as you can monitor, you are in control. And usually the test, feed, shoot procedure is all completed within about 10-15 minutes. Test cat, Feed cat, Shoot insulin, in that order. No need to wait 30 minutes to shoot. With other types of insulin (Vetsulin/Caninsulin for example) it is recommended to wait 30 minutes before shooting. That is because those are much harsher insulins that can hit hard. Lantus is a much more gently insulin. The typical onset for a cat on Lantus is +2. That would be a good time to start testing. Now there are exceptions to that as some cats start seeing downward movement of BG in the first hour. Have you ever used Lantus before?
 
Mac88 said:
Again I've got the fear of hypo and the fear of him going into DKA so it's pretty scary.

It has only been about 20-30 mins since shot. Shot was given at 14 hours from the last one the vet gave. I now know I should've given it at 12 hours instead and will do that moving forward. I guess I just thought to wait because it was 246 after 12 hours and was worried about pushing him too low.
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I totally understand this!! Two things that we will avoid (hence, the recommendation of the reduced dose this morning!) Yesterday's cycle wasn't bad really. The 55 is a safe number, but we need to hold this dose for six cycles (unless he drops below 90 if following SLGS or below 50 if following TR) at any point in the cycle.
 
Suzanne & Darcy said:
You certainly could have shot that yellow number this morning, yes. As long as you can monitor, you are in control. And usually the test, feed, shoot procedure is all completed within about 10-15 minutes. Test cat, Feed cat, Shoot insulin, in that order. No need to wait 30 minutes to shoot. With other types of insulin (Vetsulin/Caninsulin for example) it is recommended to wait 30 minutes before shooting. That is because those are much harsher insulins that can hit hard. Lantus is a much more gently insulin. The typical onset for a cat on Lantus is +2. That would be a good time to start testing. Now there are exceptions to that as some cats start seeing downward movement of BG in the first hour. Have you ever used Lantus before?
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This is good to know as the vet tech last night told me feed 30 mins before but I think they're basing that on the cheaper shorter acting insulin many of their cats are on.

I use Lantus for Butters and have slowly learned that consistency is important and so is going gradual with dose increases. I have managed to get his preshot numbers to around 300-350 and sometimes around 250. It's a big improvement because his BG was bouncing before up to 550 and now I feel like we are gradually bringing it down without going into hypo.

Sadly both ER vet and regular vet don't know as much about diabetes when it comes to using Lantus rather than the short acting stuff.

I will test Mac after 2 hours since his shot to see where he's at.
 
Mac88 said:
Sadly both ER vet and regular vet don't know as much about diabetes when it comes to using Lantus rather than the short acting stuff.
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I can tell that is true because of the way they were jacking his dose around based on preshot readings. That's not the way it works with the depot insulins. Doses are based upon the nadir and not preshot numbers (only small consideration is given to preshot numbers.) Remember, you aren't shooting the preshot number, you are shooting where they will be in a couple of hours (for most cats). They will rise from preshot to the time of onset (about two hours for most cats.)

We can help you with Butters too. To get into much better numbers. I don't like seeing cats above the kidney threshold. So hard on them for that and other reasons.
 
Mac88 said:
This is good to know as the vet tech last night told me feed 30 mins before but I think they're basing that on the cheaper shorter acting insulin many of their cats are on.
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The only time I would recommend doing this is if you have a cat who frequently vomits up their breakfast and then won't eat again. In a cat who is eating, even small meals spaced out (which is actually good) then there's no need to wait with a depot insulin.
 
I just looked at Butter's spreadsheet too. You should hold the 2.25 dose for 14 cycles and then increase to 2.5 units. You definitely can get sweet Butters into better numbers by following SLGS if that's what you are comfortable with. Try to be as consistent as you can in giving the 2.25 units for now. Don't reduce with a yellow preshot. If you get a preshot number that you are uncomfortable with, then please post on the LLB board and put HELP in your title. If possible , it's always a good idea to check them a little before preshot time (+10, +11) and if it looks like you may be dealing with a lower than expected preshot number go ahead and post on the Board and let people know that you may be wanting some advice/support for the cycle. This way (1) you won't be surprised by the preshot number) and (2) you can get people on Board and aware of the situation before your actual shot time, which will help prevent delays in shooting (to help keep the shots on schedule.) A lot of times, it's really just a matter of knowing that there are people out there who will be with you to assist you all the while. We have a lot of very wonderful and experienced people here.
 
Just thinking more about food here. Can you try to feed the 9-Lives (I assume it's lower carb but don't know the flavor or exact carbs) later in the cycle? Feeding high carb during the latter part of the cycle will shorten the duration of the insulin.
I guess the first preshot test you got was before food and the much larger number later was after some W/D? Big food bump.
 
Oh, sorry but I almost forgot. Would you please put the 431 into the preshot column since that was the actual preshot number. Was it an hour late? You could put both of the numbers in there and put 431 @ 13 into that cell. Then you will have to manually color code the cell. You can add something to the remarks area that says you initially got a 246 and stalled until he was at 431.
 
Thanks, just fixed the sheet. 431 was his preshot, 246 was +13 hour after last insulin shot so I added a +13 column and moved the number there. I just tested him 2 hours after shot this morning and it was 363 so coming down. Ketones on blood tester were 0.2, I've heard anything below 0.6 is good for cats so I am assuming we are good there. How often should I test for ketones? Daily? Every other day? I've never had to do it before.

I also realize I made a mistake. They actually gave me DM wet food and WD dry food as they were out of WD wet food. It looks like DM wet food is lower carb but still not as low as 9 lives (9 lives is 7-10% carb, DM looks to be 18% from googling). I can definitely try mixing in some 9 lives with the WD or try straight 9 lives later in the cycle.

For Butters, that is good to know about the renal threshold. I will hold the 2.25 dose for at least 14 cycles and then increase as you say based on the protocol. I was nervous with the 250 number but knowing that lantus is a longer acting, gentler insulin makes me less worried about him going hypo as he did in the past on novolin. He has ran higher for a longer time so I suppose his body got used to it, but I am eager to bring it down and maybe even get him into remission again.

Yeah, it's disappointing that the vets aren't super knowledgable about diabetes. My regular vet usually ends up pulling out this big book and looking in there to tell me what number to dose at. The info here seems better than that book and the spreadsheet has been very helpful so far to figure out what my boys BG is doing.
 
I'm glad you shot 2.5 units - good instincts. Hopefully with the reduction in carbs he's now getting, that will be a better place to start.
Mac88 said:
Thank you, it is very overwhelming because this is the first time I've had to deal with DKA. So basically even if he's below 300 at preshot after a low BG that cycle, give the shot on schedule and food 30 mins before shot? Again I've got the fear of hypo and the fear of him going into DKA so it's pretty scary.
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With DKA, you will have to learn to shoot lower preshots. Lantus is great at keeping low numbers flat and low. Take a look at some of the posts of other people here, and see what happens when they shoot lower numbers. Recent DKA means it is very important to almost always get his insulin. Even if you have to feed higher carb food, such as the W/D, that's OK. At least until DKA is a lot further in the past.

We also don't feed 30 minutes before the shot. We test, feed, and shoot, all within about 15 minutes. Lantus takes a couple hours to onset, so you have time to get food in him.

Good to see you are testing regularly for ketones too.
 
Mac88 said:
Thanks, just fixed the sheet. 431 was his preshot, 246 was +13 hour after last insulin shot so I added a +13 column and moved the number there. I just tested him 2 hours after shot this morning and it was 363 so coming down. Ketones on blood tester were 0.2, I've heard anything below 0.6 is good for cats so I am assuming we are good there. How often should I test for ketones? Daily? Every other day? I've never had to do it before.

I also realize I made a mistake. They actually gave me DM wet food and WD dry food as they were out of WD wet food. It looks like DM wet food is lower carb but still not as low as 9 lives (9 lives is 7-10% carb, DM looks to be 18% from googling). I can definitely try mixing in some 9 lives with the WD or try straight 9 lives later in the cycle.

For Butters, that is good to know about the renal threshold. I will hold the 2.25 dose for at least 14 cycles and then increase as you say based on the protocol. I was nervous with the 250 number but knowing that lantus is a longer acting, gentler insulin makes me less worried about him going hypo as he did in the past on novolin. He has ran higher for a longer time so I suppose his body got used to it, but I am eager to bring it down and maybe even get him into remission again.

Yeah, it's disappointing that the vets aren't super knowledgable about diabetes. My regular vet usually ends up pulling out this big book and looking in there to tell me what number to dose at. The info here seems better than that book and the spreadsheet has been very helpful so far to figure out what my boys BG is doing.
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I would test for ketones once per day for now. Then if he stays low, you could probably stretch it out to every other day. That’s excellent that his were so low. I bought a NovaMax Plus blood ketone meter from ADW diabetes supply. The strips are expensive, but it was worth it to me to not have to try to catch him in the litter box.

I am happy to see he has come down a bit. Can you get. +4 today?
 
Noted about the DKA and insulin importance. I'll take a look at others sheets and see if I can spot some trends. We are lucky in that they were able to get rid of the ketones within 2 days of hospitalization, I am really hoping this doesn't happen again but know there's something like a 40% chance of recurrence. What makes it tricky is Mac was diagnosed with DKA, pancreatitis and diabetes all at once, it all came on so suddenly and he was at death's door with high kidney, WBC and liver levels. Those all came down by discharge. He's on antibiotics for the next 7 days at least as they sent us home with a good sized bottle and the instruction to give twice daily 2ml til gone. He hates it but we are managing to get it in him.

The ketones monitor I bought is the ketosens as that seemed to get good reviews on Amazon. It was $41.99 for 50 strips, $30 for the tester itself so not super cheap like the BG tester but not as bad as some. We are stocked up on testing strips for both the BG and ketone testers, kinda went overboard but with two cats I know we'll go through a lot.

I can definitely get a +4 as well. Luckily he is much like Butters and is very easy with his testing and shots.

Thanks again for the help everyone, it is making me feel like I can actually handle this and keep both my boys healthy.
 
403 at +4. Worth noting that since the last reading he ate a bit and was stressed to get his antibiotic via mouth. He is a very picky eater and not a fan of the 9 lives, so we tried a bit of friskies meaty and he ate a smaller amount.
 
Did the vet say why he's getting an antibiotic? It's not what cats usually get for pancreatitis. More information here: A Primer On Pancreatitis Were you sent home with fluids, something for pain relief, and anti nausea like ondansetron and/or Cerenia?
 
Wendy&Neko said:
Did the vet say why he's getting an antibiotic? It's not what cats usually get for pancreatitis. More information here: A Primer On Pancreatitis Were you sent home with fluids, something for pain relief, and anti nausea like ondansetron and/or Cerenia?
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I believe it's for the pancreatitis but they did not say. I asked for the Zofran/ondansetron but they said he had been off it for 3-4 days so they didn't think it was necessary. I am thinking it might have been as he's still recovering from the DKA/pancreatitis. I do have 8mg zofran tablets for myself (suffer from migraine but don't use the Zofran often) but I know those would have to be chopped up to get a dose appropriate for a cat. My regular vet is open Monday so I could go in there and see if they'll prescribe. ER vet is an hour away so I don't want to go down there unless it's necessary.
 
How much does Mac weigh? Do you have a pill splitter? You can get them at most pharmacies. I think you could use those 8mg tablets. Dosing is based on weight of cat. I was just a little worried because you said he was being picky and he's just gotten home, and it's the weekend. I always liked having some ondansetron around, just in case.
 
Wendy&Neko said:
How much does Mac weigh? Do you have a pill splitter? You can get them at most pharmacies. I think you could use those 8mg tablets. Dosing is based on weight of cat. I was just a little worried because you said he was being picky and he's just gotten home, and it's the weekend. I always liked having some ondansetron around, just in case.
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He is 10lbs now. Yes, he will eat and drink but only smaller amounts like maybe a sixth of a 3oz can at a time. I guess at the vet they were only feeding a can and dry twice a day (that's what they recommended to me) and he was ravenous with his eating. Here he eats more frequently but smaller amounts. I am wondering if the antibiotics could be contributing to his smaller appetite as I know they make me feel nauseous sometimes, or if it's just that I'm feeding more frequently so he eats less. The vet also said he was pretty active there, but given his reaction to being caged I'm wondering if it was just stress and now that he's home he needs his sleep to recover. Of course I worry about the DKA happening again so I'm checking him all the time to make sure he's OK. But I also worry that I'm worrying for nothing too. :/

He did just have a good pee (out of the litter box but not unusual for him) and ate a little and drank a bit.
 
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