Question about low BG, hope someone can help

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Squalliesmom

Member Since 2015
Squallie has really done nothing today but eat and sleep, I can tell he isn't feeling like his usual self. I have noticed last night and tonight that he has still had pretty low PMPS numbers, much lower than in the past. Could this be caused by his digestive problems? I don't know whether or not I should be worried about this. He did not get a shot last night and it looks like he won't get one again tonight.
 
That's a very low preshot for Vetsulin. Have you tested for ketones today, Lucy?
Yes, early this morning, and he was okay. I'm really concerned because, while I wouldn't say he's lethargic, he's certainly not active. He has been sleeping fairly heavily most of the day, and that coupled with such low PMPS #s is starting to worry me a good bit.
 
I feel kind of stupid complaining about low numbers; that's what we're all aiming for, right? It just seems odd to me that his have been so low this long today, and that they were very low last night, too. I just don't know what to think. His appetite is very good, he's been eating well all day. Still haven't seen him drink, though.
 
Does this sound like a ketone problem? So far he has always tested negative. He was negative this morning when I checked him, but it touched the litter so I don't know if there was any contamination and, if so, how that would affect the test result. When he is awake he seems alert, he just isn't awake much. Sometimes I think he's a little unsteady on his feet but that may be me seeing a problem where there isn't one, I'm very good at that. Anything to do with ketones absolutely scares the heck out of me and makes me panicky, partly because I don't know what to look for.
 
I can't help you as I know nothing about Vetsulin, but I think ketones are more of a problem with high numbers.
That's what I thought, as well. But I don't know if his previous, higher numbers could affect ketones now.

As to the unsteady gait, they can develop neuropathy due to the diabetes.
Is neuropathy something that requires immediate veterinary care? I wouldn't think so but I don't know.
 
The neuropathy could require vet care, but not necessarily immediate. My Goof has a little bit in his hind legs., but has gotten mostly better on his own. Not sure on the ketones.
 
The neuropathy could require vet care, but not necessarily immediate. My Goof has a little bit in his hind legs., but has gotten mostly better on his own. Not sure on the ketones.

Thanks! Does Goofus have a herd time jumping up on things? Squallie seems to, now. As far as ketones go, I feel like no matter how much I read the information on them, I just can't wrap my head around the problem; I feel like I'm missing vital bits of information so I'm not understanding, and not really knowing what to look for. I always have a hard time catching Squallie in the LB, and since he's had his tummy issues I've only seen him urinate twice, so that makes it even harder! I did test him this morning but got some litter on the stick, and I don't know what that contamination might do to the reading. Honestly, all I do now is worry about my Squallie, day and night, I'm driving myself crazy.
 
Can you get Squallie into this new, wonderful vet tomorrow? Might be better than waiting till Monday since he's not acting like himself.
 
The litter didn't contaminate the ketone test - I tested that when Doc went ketonic last year. I had 4 different litters in boxes due the my 'great litter experiment' - strips tested the same in fresh catch, walnut litter, clay non-scoop, Tidycat scoopable and something else I can't remember now.

Ketones are a byproduct of burning stored fat in the body for 'fuel' instead of properly using the food they eat (or don't eat). They're sort of like the emissions from poorly running cars that also aren't using fuel correctly. Just like the mechanic being able to measure those emissions, you measure emissions by dipping the litmus strip (ketone strip) in their pee.

HUGS!
 
The litter didn't contaminate the ketone test - I tested that when Doc went ketonic last year. I had 4 different litters in boxes due the my 'great litter experiment' - strips tested the same in fresh catch, walnut litter, clay non-scoop, Tidycat scoopable and something else I can't remember now.

Ketones are a byproduct of burning stored fat in the body for 'fuel' instead of properly using the food they eat (or don't eat). They're sort of like the emissions from poorly running cars that also aren't using fuel correctly. Just like the mechanic being able to measure those emissions, you measure emissions by dipping the litmus strip (ketone strip) in their pee.

HUGS!
Thank you!!! You have no idea how much better you just made me feel! :bighug::bighug::bighug:
 
The litter didn't contaminate the ketone test - I tested that when Doc went ketonic last year. I had 4 different litters in boxes due the my 'great litter experiment' - strips tested the same in fresh catch, walnut litter, clay non-scoop, Tidycat scoopable and something else I can't remember now.

Ketones are a byproduct of burning stored fat in the body for 'fuel' instead of properly using the food they eat (or don't eat). They're sort of like the emissions from poorly running cars that also aren't using fuel correctly. Just like the mechanic being able to measure those emissions, you measure emissions by dipping the litmus strip (ketone strip) in their pee.

HUGS!
I really am making myself nuts, I'm becoming almost obsessed with his well-being. Sometimes I have to take a step back and remind myself that he's a cat. He does the things all cats do, eats and sleeps a lot, and it doesn't mean there's anything else wrong with him. I know this, rationally, it's just hard sometimes to take the emotion out of the situation and insert the rational thought. Thanks again!
 
Can you get Squallie into this new, wonderful vet tomorrow? Might be better than waiting till Monday since he's not acting like himself.
I don't know, he only has office hours till noon on Fridays. That seems real common practice for vets in my area, makes no sense at all to me! There is another vet clinic around his general area, I wouldn't want to use them as a full-time vet but I would take him there in a pinch.
 
That's a good idea having that other vet as a back up plan if you need it tomorrow. Hopefully you won't. The thing about the numbers fluctuating that comes to mind is how Vetsulin works. Are you still giving insulin every 8 hours?
 
That's a good idea having that other vet as a back up plan if you need it tomorrow. Hopefully you won't. The thing about the numbers fluctuating that comes to mind is how Vetsulin works. Are you still giving insulin every 8 hours?
No, that was my now ex-vet's idea that never got off the ground. He was always too low at 8 hrs to shoot, so I just kept him on his 12 hr schedule.
 
That's a good idea having that other vet as a back up plan if you need it tomorrow. Hopefully you won't. The thing about the numbers fluctuating that comes to mind is how Vetsulin works. Are you still giving insulin every 8 hours?
I don't understand why his numbers have been so low the past two nights, I know Vetsulin doesn't have a real long duration so I don't really know what's going on .
 
Well, from looking at today's ss, the AMPS was a little high. But the low #'s haven't been too low and not close to being hypo so that's one less worry :)
Glad you didn't have to give Vetsulin every 8 hours.
 
Well, from looking at today's ss, the AMPS was a little high. But the low #'s haven't been too low and not close to being hypo so that's one less worry :)
Glad you didn't have to give Vetsulin every 8 hours.
His Amps was high because he never got high enough last night for me to give him insulin. Tonight was the same situation, at 113 he was too low to shoot. So his BG will probably be up again tomorrow at AMPS.
 
I don't understand why his numbers have been so low the past two nights, I know Vetsulin doesn't have a real long duration so I don't really know what's going on .

I've seen that happen as well...low numbers in the PM and higher numbers in the AM because of no shot in the PM before. :)
Has Squallie been eating as much as normal lately? If not...that might account for the lower numbers in the PM???
Cats DO sleep a lot but, if this is out of the ordinary for him, it might be a few things.
One...cats tend to sleep up to 19 hours or more, out of a day, spreading their waking hours out over the entire day and night. This is especially true if there's nothing different going on or interesting to keep them awake.
Two...cats can tend to sleep when they're not feeling well so, that tummy upset could have him sleeping until it completely subsides and may be lowering appetite (IF that is the case).

But, if at all concerned...and perhaps, just to put your mind at ease more...perhaps, a call to your vet if he can't see you and explain what you're seeing happening might have your vet reassure you that right now...there's nothing to be concerned about.

By the way, when cats are in pain or have infections etc., their numbers tend to go UP more often than not. So, the fact that he's had one day of being a bit more tired, with no other symptoms, may mean that he's just having a "sleepy day". :)

And, yes...I'm ready to be admitted into a psych ward now too. I worry about anything different that I see and imagine all sorts of things so...I'll have adjoining rooms with you, if you'd like! LOL ;) We can read and eat and watch tv all day and let someone else worry about our cats. ;)
 
Hi Lucy,

Sometimes it's better to give a reduced dose because that lead to two preshots where it's safe to give insulin which would then give more continuous insulin support and smooth out the numbers. We can have a look at that with you. (I've been watching his spreadsheet for the last couple of days and wondering whether a dose adjustment might be a good plan.)

No, [dosing every eight hours] was my now ex-vet's idea that never got off the ground.
Thank goodness. ;)

I don't understand why his numbers have been so low the past two nights, I know Vetsulin doesn't have a real long duration
Remember back to earlier threads, Lucy, where several of us commented that Squallie was getting an unusually long duration of effect on the Vetsulin? The oft-quoted 8-10 hour duration is an average. Every cat is different and, as I said before when myself and others were trying to dissuade you from following the advice of your ex-vet :)D) to dose every eight hours, Squallie's atypical response to Vetsulin meant that TID dosing was really not a good idea in his case.

If he hasn't been getting as much grub as usual then that could also affect his numbers. His pancreas may possibly be recovering a little of its function now that it's getting some support from the insulin. There could be a number of reasons. Time, observation, and home testing will tell.

Make sure that Squallie is properly hydrated. If the lethargy persists, trust your gut and contact the vet. You love Squallie, you know him very well, and you can actually see him. You have good instincts, Lucy: trust them. :)



Mogs
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I really am making myself nuts, I'm becoming almost obsessed with his well-being. Sometimes I have to take a step back and remind myself that he's a cat. He does the things all cats do, eats and sleeps a lot, and it doesn't mean there's anything else wrong with him. I know this, rationally, it's just hard sometimes to take the emotion out of the situation and insert the rational thought. Thanks again!
Lucy don't know if you have seen this Dear Mom letter. Take a read if you haven't.
 
I really am making myself nuts, I'm becoming almost obsessed with his well-being. Sometimes I have to take a step back and remind myself that he's a cat. He does the things all cats do, eats and sleeps a lot, and it doesn't mean there's anything else wrong with him. I know this, rationally, it's just hard sometimes to take the emotion out of the situation and insert the rational thought. Thanks again!
So very true for all of us!
 
I've seen that happen as well...low numbers in the PM and higher numbers in the AM because of no shot in the PM before. :)
Has Squallie been eating as much as normal lately? If not...that might account for the lower numbers in the PM???
Cats DO sleep a lot but, if this is out of the ordinary for him, it might be a few things.
One...cats tend to sleep up to 19 hours or more, out of a day, spreading their waking hours out over the entire day and night. This is especially true if there's nothing different going on or interesting to keep them awake.
Two...cats can tend to sleep when they're not feeling well so, that tummy upset could have him sleeping until it completely subsides and may be lowering appetite (IF that is the case).

But, if at all concerned...and perhaps, just to put your mind at ease more...perhaps, a call to your vet if he can't see you and explain what you're seeing happening might have your vet reassure you that right now...there's nothing to be concerned about.

By the way, when cats are in pain or have infections etc., their numbers tend to go UP more often than not. So, the fact that he's had one day of being a bit more tired, with no other symptoms, may mean that he's just having a "sleepy day". :)

Thank you! He had one meal two nights ago that he didn't want to-eat, that was the same night that he threw up (which I now think was because of the antibiotic). Other than that he's been eating really well. And I do tend to forget that he sleeps almost all the time, even on his best days - gotta get that beauty-sleep!
 
And, yes...I'm ready to be admitted into a psych ward now too. I worry about anything different that I see and imagine all sorts of things so...I'll have adjoining rooms with you, if you'd like! LOL ;) We can read and eat and watch tv all day and let someone else worry about our cats. ;)
Lol! Okay, I've gone ahead and reserved my room - when are you moving in? :)
 
Remember back to earlier threads, Lucy, where several of us commented that Squallie was getting an unusually long duration of effect on the Vetsulin? The oft-quoted 8-10 hour duration is an average. Every cat is different and, as I said before when myself and others were trying to dissuade you from following the advice of your ex-vet :)D) to dose every eight hours, Squallie's atypical response to Vetsulin meant that TID dosing was really not a good idea in his case.

If he hasn't been getting as much grub as usual then that could also affect his numbers. His pancreas may possibly be recovering a little of its function now that it's getting some support from the insulin. There could be a number of reasons. Time, observation, and home testing will tell.

Make sure that Squallie is properly hydrated. If the lethargy persists, trust your gut and contact the vet. You love Squallie, you know him very well, and you can actually see him. You have good instincts, Lucy: trust them. :)

Thank you, Mogs, you are absolutely right about the long duration he seems to be getting. He has been eating very well, thankfully, and seems to be staying hydrated. And I am really pleased to say he seems a good bit better this morning! :)
 
Squallie seems a lot better this morning, and there are actually some firm spots in the LB, can't guarantee any are his but I'm hoping! He ate another great breakfast, and even played a little bit. He spent a long while looking out the window (surveying his kingdom, lol) and now is napping, a pefectly cat-like, normal behavior, I am reminding myself. :):):)
 
He ... even played a little bit. He spent a long while looking out the window ...
Those are excellent clinical signs, Lucy. I'm glad Squallie's feeling better today. :)

I see your boy is out on the sundeck for his AMPS - after no insulin last night. Here's some eye candy for him ...

iu



(Workin' those pentakinis, girls!)
.
 
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The litter didn't contaminate the ketone test - I tested that when Doc went ketonic last year. I had 4 different litters in boxes due the my 'great litter experiment' - strips tested the same in fresh catch, walnut litter, clay non-scoop, Tidycat scoopable and something else I can't remember now.

Ketones are a byproduct of burning stored fat in the body for 'fuel' instead of properly using the food they eat (or don't eat). They're sort of like the emissions from poorly running cars that also aren't using fuel correctly. Just like the mechanic being able to measure those emissions, you measure emissions by dipping the litmus strip (ketone strip) in their pee.

HUGS!

I should have added that a FRESH CATCH is better tho'....glad to see he's doing better today!
 
I should have added that a FRESH CATCH is better tho'....glad to see he's doing better today!
Thank you, he does seem much better today than he has in the last four or so!

Lol, I was trying for a fresh catch but he backed his bum so far up into the corner of the box that I couldn't really get the test stick where it needed to go! :)
 
Hooray for poop!!! Squallie just had a lovely, "normal" poo! Good color and consistency and no whiffiness (thanks, Mogs, for that wonderfully descriptive word!). Is the Hallelujah choir still around, lol? He is also moving around much better, first time in days he's decided to go to his dish rather than me take it to him. Whew, what a weight has been lifted, at least for the time being! :D:D:D
 
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