POST DKA

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oh no I wish I would have seen this before...
I am thinking about not giving him the gabapentin this morning, that might have been what lowered it so much last night as it was his first dose.
I tested him after food and it was already going down to 554
gave him the 2u of insulin, and will retest again in an hour.

I HAVE to go to work today, should I leave food out? I will come home to check on him at lunch and test as well
 
Sienne and Gabby (GA) said:
I know you've been swamped with information. I want to add another bit.

Please do not give Onsior or longer than 3 days. It is not meant for long term use and if you (or your vet) goes to their website, they very clearly state it is not recommended for pain management (or anything else) for longer than 3 days. It is a nonsteroidal anti-inflammatory and is hard on the kidneys.

With Lantus, dosing is based on the nadir, not the pre-shot number. Think about where the 2u took George yesterday! I'd consider the 1.5u if you can do that -- I'm not sure you can with the pen.
Click to expand...

Yesterday was the first time taking onsior and gabapentin at dinner with food and insulin shot following.
 
Lauren Gates said:
oh no I wish I would have seen this before...
I am thinking about not giving him the gabapentin this morning, that might have been what lowered it so much last night as it was his first dose.
I tested him after food and it was already going down to 554
gave him the 2u of insulin, and will retest again in an hour.

I HAVE to go to work today, should I leave food out? I will come home to check on him at lunch and test as well
Click to expand...

Yes you should leave food out. Is he a good eater?
As you don’t have a SS set up yet we can’t see when the low numbers occurred. Are you able to get home at other times to test him as well? . If he comes off the bounce he could drop low again.
When do you have to go to work... +what?
 
yes he is a good eater.
I have to leave for work in about an hour, I was going to test him right before I leave which would be +1 after she shot
Will be home for lunch at the +6 hour
 
I really feel like the medication is what threw his numbers off so bad, he has been on the 2u shot for about 2 weeks now doing good with it.
 
Lauren Gates said:
I really feel like the medication is what threw his numbers off so bad, he has been on the 2u shot for about 2 weeks now doing good with it.
Click to expand...
Dosage needs change all the time. Just look at some SS, so we can’t say for sure it was the pain meds. The safe thing to do is to reduce the dose of insulin. As soon as you get the syringes, and test for ketones, we can work out a dose for you.

Are you able to get home at any other time to test the BG? From what you said in your first post today, the BG dropped low around +4, is that correct?
 
Okay, I will do the SS tonight to get all of the information in. getting the syringes and ketostix today as well.

I can not get home any sooner maybe an hour, which would be at +5.
yes, it was at +4 last night that he dropped.
 
Lauren Gates said:
Okay, I will do the SS tonight to get all of the information in. getting the syringes and ketostix today as well.

I can not get home any sooner maybe an hour, which would be at +5.
yes, it was at +4 last night that he dropped.
Click to expand...
I would leave plenty of food out for him to eat. And give him a snack before you leave. Is he the only kitty? Will he graze or eat it all at once?

He is gorgeous btw.
 
just tested George again, at the +1 hour we have went back up from (554 after eating) to 595. (he was 596 before food this AM)
 
We are now at the +4 1/2 mark tested his glucose and it is at 487.
Wondering if the level could be high due to his pain in his paw?
I called vet found out the gabapentin had flavoring in it and she said it could have caused the low BG and to stop using it but she was not sure...
 
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