Please help! Ketoacidosis won't eat, just diagnosed!

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Hello all! Sailawen's husband here and have a question.

I checked her blood this morning at around 10:30 AM and she was at 483. I gave her food and then 2 units of insulin. She is now howling for some food and I just checked her blood a few minutes ago at around 6:30 PM and she is at 83. Since this is the lowest she has been, I am wanting to know if I should still give her insulin after her eating? If so, should it be the full dose of 2 units or should I go for 1 unit?

Thank you all for your help and continued support. Without you all lending a hand in this process we would be so confused as to what to do.
 
If you shot at 10.30am then you wouldnt be shooting till 10.30pm right? By then she may have gone up.

I would wait till 10.30pm and see where she is first, then ask the question. Meanwhile I will see if I can find someone to advise on dose.

BTW 2 units may be too much generally but we need some more mid cycle tests to know how low that 2 units is taking her. ie somewhere 4-6 hours after her shots.

If you could set up a spreadsheet that would be handier for us to advise: http://www.felinediabetes.com/FDMB/viewtopic.php?f=6&t=18207

Wendy

PS you should ask your vet for a sliding scale for this insulin
 
Thanks for helping out while Sailawen is traveling. I'm glad Sailawen has you to help with Rocko. Ask any questions you may have We are all here to help you help Rocko. Eventually, we'll get you guys using one of the longer acting insulins that more of us are familiar with :)
 
I just want to say that you guys did a good job helping Rocko through those ketones. :YMHUG: to both of you.

That 83 is a great number, and a healing number for Rocko.

I agree that you want to wait until +12 to shoot more insulin. I am guessing that you have been giving the insulin every 12 hours, no? One thing that will help both you and us to help you decide on the dose, is if you could test again at +11. That means if you shot at 10:30am this morning, if you could test again at 9:30pm and post that number, that would tell us whether Rocko rising and/or how fast, or if she is just hanging out in these great numbers.

I don't know your insulin, but I do use Novalin R sometimes as a bolus insulin. I know that it is quick acting.
Wendy told me that she has PM'd a couple people that might be on later to help you with the dosing.
If they don't come on, and Rocko is still below 200 at 10:30pm, then maybe giving the 1 unit would be the right thing to do, but again I am not experienced with Novalin N and defer to those that know more.

I am just so glad that Rocko is eating and the ketones are gone. DKA is so serious and ketones can return. Please keep testing for ketones daily for a while, and then whenever she seems off or is hanging out in high numbers.

Keep eating well Rocko cat_pet_icon
 
If you assume that the 83 was as low as it went today, then 2 units of the N dropped her 400 points. That is important to keep in mind at shot time tonight. The dose with N can be adjusted on a shot by shot basis (sliding scale), and it's probably more effective that way.
I'll be around for shot time if I can help.

Getting a test at +11 (now) would help too.
 
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