Recovering from ketoacidosis

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JBat75

JBat75

Member Since 2022
Help... my baby was in a Ketosis coma last month. We switched insulin from Novolin to ProZinc (2 units) took her to the vet today for another followup, she's still reading at 517. They suggested going up to 3 units. I am worried because I changed her diet to 1/2 can fancy feast and 1/4 cup WD crunchy food. She used to just eat free through the day. She seems hungry most of the day and they told me No snacks. Why is she still reading so high? I should also mention she's had diabetes for 4 years and seems like she's always read high. I also need to note I don't test her at home...
 
So unfortunately without home testing or curve data, we can't give dosing advice. That said, I think you are wise to be cautious about such a large increase, especially with a diet change. We recommend 0.25U increases/decreases. May I ask why you don't test at home?

There is no reason she can't have smaller meals during the day, feeding twice a day is a bit old school. You just don't want to feed much, if anything, behind about 6 hours after her shot. The insulin is wearing off and it will just send her BG higher. Most of us feed larger meals at shot times, and then another 2 smaller snacks during the day, and again at night. She is going to be hungry because it sounds like she is unregulated. How is her weight?

We can however give advice about post-DKA treatment. @Bron and Sheba (GA) will pop by when she gets a chance
 
I've been afraid to hurt her and she's very high strung when it comes to her ears. She doesn't like them touched
 
JBat75 said:
I've been afraid to hurt her and she's very high strung when it comes to her ears. She doesn't like them touched
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You can also test the paw pad. Does the vet use her ears? How does she respond?

Most people arrive with the same sentiments, but find with a little perseverance (and a lot of treats!) it's no big deal.

Also, I edited my post above with more food and dose info and want to make sure you see it, so please re-read it
 
Thank you, I reread it and feel better giving her a little something.
I think the vet uses her ear but she is a different kitty for the vet, especially when she's scared.
I worry about her and that happening again. She is my baby! I am so upset after today's visit.
 
Here's what I suggest - assuming you're in the US - go get a ReliOn meter and strips from WalMart, some lancets, Vaseline, cotton rounds, and a bottle of urine ketone strips. And low carb treats. All said, probably $35-40 trip. Give it a week of trying to test her 2-3 times a day, lots of tips and tricks here. Lots of tips here.

I don't want to scare you, just make you aware of how serious this is - she is very much at risk of developing ketones again and another DKA hospitalization. Unregulated cats, with a history of DKA, are still prone to them. DKA is caused by not enough insulin + inappetence + infection or systemic stress. So something as simple as a UTI or URI could cause serious problems. So from where I sit, the $40 Walmart trip is worth possibly preventing another DKA. Some info on DKA here and here
 
I don't know. They've never told me. I'll call tomorrow and ask.
I'm concerned increasing her dose an entire unit. Sounds like a lot....
 
Hi and welcome to the forum
@FrostD has given you some great advice.
If your kitty has had ketosis, there are a few really important things you can do to help her to recover fully and to stop it happening in the future.
  • She needs to be eating a lot more than you are feeding her at the moment. Food is one of the ways to help prevent ketones developing again. So I would feed her every couple of hours. Feed before the insulin doses, then every couple of hours except for the two hours before the next preshot as I am hoping you will be able to hometest the blood glucose and we don’t feed for the 2 hours prior to this so the result won’t be food influenced. It sounds like she has a good appetite so that is good.
  • You need to be testing the urine most days for ketones in the urine. It’s a simple test. You need to buy a bottle of Ketostix from Walmart or a pharmacy and follow the direction on the bottle. HERE is a link with hints how to collect the urine sample.
  • I would really encourage you to think about hometesting the blood glucose. It’s so important that you know what the blood glucose before you give the dose and then again a few hours later to see how much the insulin has dropped the BG (blood glucose). You can buy a ReliOn Premier meter at Walmart for $9 and the test strips for $17.88 when you go in to buy the Ketostix.also get a box of lancets26 or 28 Gauge and some cotton rounds put behind the ear when testing. Link to hometesting hints HERE. If you give her a treat every time you test, whether successful of not, I think she will surprise you have much she will cooperate.
  • Where did you get the reading 517 from? Was it the vet? And how long after the dose was it? It’s impossible for us to give any dosing advice at all, except to say don’t go up in 1 unit increments! For all we know, she could be dropping low and bouncing high up at the next preshot and the vet thinks the dose should be increased, when maybe it should be decreased……..until you see testing we won’t know. so please think about home testing. We can help you with it.
  • Encourage fluids…..add a teaspoon of warm water to each snack if she will allow.
I can get someone to set up a spreadsheet for you if you would like. We would also like you to set up a signature which is very simple and only takes a couple of minutes. It tells us about your kitty so we done have to keep asking you about her.
Look in HELP US HELP YOU link fordetails.,

please keep asking questions while we help you get your kitty back to good health
 
FrostD said:
Here's what I suggest - assuming you're in the US - go get a ReliOn meter and strips from WalMart, some lancets, Vaseline, cotton rounds, and a bottle of urine ketone strips. And low carb treats. All said, probably $35-40 trip. Give it a week of trying to test her 2-3 times a day, lots of tips and tricks here. Lots of tips here.

I don't want to scare you, just make you aware of how serious this is - she is very much at risk of developing ketones again and another DKA hospitalization. Unregulated cats, with a history of DKA, are still prone to them. DKA is caused by not enough insulin + inappetence + infection or systemic stress. So something as simple as a UTI or URI could cause serious problems. So from where I sit, the $40 Walmart trip is worth possibly preventing another DKA. Some info on DKA here and here
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Now im worried, she already had a UTI, she just finished 2 weeks antibiotics.
 
JBat75 said:
Now im worried, she already had a UTI, she just finished 2 weeks antibiotics.
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That is good she has had the course of antibiotics. Have all the symptoms she had in the beginning gone?
Please read what I have written above and follow up with all the suggestions. Ketosis is something that needs to be taken seriously and there are many things you can do to ensure she remains healthy.
 
Bron and Sheba (GA) said:
Hi and welcome to the forum
@FrostD has given you some great advice.
If your kitty has had ketosis, there are a few really important things you can do to help her to recover fully and to stop it happening in the future.
  • She needs to be eating a lot more than you are feeding her at the moment. Food is one of the ways to help prevent ketones developing again. So I would feed her every couple of hours. Feed before the insulin doses, then every couple of hours except for the two hours before the next preshot as I am hoping you will be able to hometest the blood glucose and we don’t feed for the 2 hours prior to this so the result won’t be food influenced. It sounds like she has a good appetite so that is good.
  • You need to be testing the urine most days for ketones in the urine. It’s a simple test. You need to buy a bottle of Ketostix from Walmart or a pharmacy and follow the direction on the bottle. HERE is a link with hints how to collect the urine sample.
  • I would really encourage you to think about hometesting the blood glucose. It’s so important that you know what the blood glucose before you give the dose and then again a few hours later to see how much the insulin has dropped the BG (blood glucose). You can buy a ReliOn Premier meter at Walmart for $9 and the test strips for $17.88 when you go in to buy the Ketostix.also get a box of lancets26 or 28 Gauge and some cotton rounds put behind the ear when testing. Link to hometesting hints HERE. If you give her a treat every time you test, whether successful of not, I think she will surprise you have much she will cooperate.
  • Where did you get the reading 517 from? Was it the vet? And how long after the dose was it? It’s impossible for us to give any dosing advice at all, except to say don’t go up in 1 unit increments! For all we know, she could be dropping low and bouncing high up at the next preshot and the vet thinks the dose should be increased, when maybe it should be decreased……..until you see testing we won’t know. so please think about home testing. We can help you with it.
  • Encourage fluids…..add a teaspoon of warm water to each snack if she will allow.
I can get someone to set up a spreadsheet for you if you would like. We would also like you to set up a signature which is very simple and only takes a couple of minutes. It tells us about your kitty so we done have to keep asking you about her.
Look in HELP US HELP YOU link fordetails.,

please keep asking questions while we help you get your kitty back to good health
Click to expand...
Bron and Sheba (GA) said:
Hi and welcome to the forum
@FrostD has given you some great advice.
If your kitty has had ketosis, there are a few really important things you can do to help her to recover fully and to stop it happening in the future.
  • She needs to be eating a lot more than you are feeding her at the moment. Food is one of the ways to help prevent ketones developing again. So I would feed her every couple of hours. Feed before the insulin doses, then every couple of hours except for the two hours before the next preshot as I am hoping you will be able to hometest the blood glucose and we don’t feed for the 2 hours prior to this so the result won’t be food influenced. It sounds like she has a good appetite so that is good.
  • You need to be testing the urine most days for ketones in the urine. It’s a simple test. You need to buy a bottle of Ketostix from Walmart or a pharmacy and follow the direction on the bottle. HERE is a link with hints how to collect the urine sample.
  • I would really encourage you to think about hometesting the blood glucose. It’s so important that you know what the blood glucose before you give the dose and then again a few hours later to see how much the insulin has dropped the BG (blood glucose). You can buy a ReliOn Premier meter at Walmart for $9 and the test strips for $17.88 when you go in to buy the Ketostix.also get a box of lancets26 or 28 Gauge and some cotton rounds put behind the ear when testing. Link to hometesting hints HERE. If you give her a treat every time you test, whether successful of not, I think she will surprise you have much she will cooperate.
  • Where did you get the reading 517 from? Was it the vet? And how long after the dose was it? It’s impossible for us to give any dosing advice at all, except to say don’t go up in 1 unit increments! For all we know, she could be dropping low and bouncing high up at the next preshot and the vet thinks the dose should be increased, when maybe it should be decreased……..until you see testing we won’t know. so please think about home testing. We can help you with it.
  • Encourage fluids…..add a teaspoon of warm water to each snack if she will allow.
I can get someone to set up a spreadsheet for you if you would like. We would also like you to set up a signature which is very simple and only takes a couple of minutes. It tells us about your kitty so we done have to keep asking you about her.
Look in HELP US HELP YOU link fordetails.,

please keep asking questions while we help you get your kitty back to good health[/QUOTE

Thank you so very much for all your help! I have PTSD from that ordeal, I know it sounds silly but she means so much to me!
The 517 reading was done at the vet today, they did a fructosamine test, told me it would be more accurate.
T
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FrostD said:
Here's what I suggest - assuming you're in the US - go get a ReliOn meter and strips from WalMart, some lancets, Vaseline, cotton rounds, and a bottle of urine ketone strips. And low carb treats. All said, probably $35-40 trip. Give it a week of trying to test her 2-3 times a day, lots of tips and tricks here. Lots of tips here.

I don't want to scare you, just make you aware of how serious this is - she is very much at risk of developing ketones again and another DKA hospitalization. Unregulated cats, with a history of DKA, are still prone to them. DKA is caused by not enough insulin + inappetence + infection or systemic stress. So something as simple as a UTI or URI could cause serious problems. So from where I sit, the $40 Walmart trip is worth possibly preventing another DKA. Some info on DKA here and here
Click to expand...

I will do this for sure! Thank you so very much! ♥️
I
 
@Bandit's Mom would you be able to help JBat75 get set up with the SS and signature please. She is struggling. Thanks!
The fructosamine test is great for diagnosing but that’s about all. After that it just gives an average of the past few weeks BGs ( which helps to diagnose) but it doesn’t tell you if it’s high or low so you don’t really know. Only home testing will tell you that.
If the 517 was a fructosamine test that is useless as far as what dose to give.
Think about home testing. We can help you and walk you through it. :bighug:
 
Bron and Sheba (GA) said:
@Bandit's Mom would you be able to help JBat75 get set up with the SS and signature please. She is struggling. Thanks!
The fructosamine test is great for diagnosing but that’s about all. After that it just gives an average of the past few weeks BGs ( which helps to diagnose) but it doesn’t tell you if it’s high or low so you don’t really know. Only home testing will tell you that.
If the 517 was a fructosamine test that is useless as far as what dose to give.
Think about home testing. We can help you and walk you through it. :bighug:
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I want to home test for sure! I can't handle worrying about that happening again! I'm in tears as I'm so worried now... its so overwhelming
 
Always aim for the sweet spot warm the ears up first, you can put rice in a sock and put it in the microwave, test it on the inside of your wrist to be sure it's not to hot, like you would test a babies bottle. You can fill a pill bottle with warm water and roll it on the ears also.Just keep rubbing the ears with your fingers to warm them up
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fec17d29-5ab4-44a8-912b-3a91944c3954-jpeg.57073

6. As the ears get used to bleeding and grow more capilares, it gets easier to get the amount of blood you need on the first try. If he won’t stand still, you can get the blood onto a clean finger nail and test from there.
When you do get some blood you can try milking the ear.
Get you finger and gently push up toward the blood , more will appear
You will put the cotton round behind his ear in case you poke your finger, after you are done testing you will fold the cotton round over his ear tostop the bleeding , press gently for about 20 seconds until it stops
Get 26 or 28 gauge lancets
You can also use a little Vaseline on the ear if you want to so the droplet of blood will bead up
 
A little background....

DKA typically results if there's some underlying infection or inflammation plus not enough insulin plus not enough calories. It sounds like your kitty had a UTI which may have set this in motion. Did the vet get a sterile. urine sample (i.e., using a needle to into the bladder to get the sample) and then run a culture and sensitivity (C & S)? The latter tells you if the antibiotic is specific to the kind of bacteria causing the UTI. It can be important since UTIs can be stubborn!

As Bron noted, you want to make sure your cat is eating and probably eating more than her usual amount. I'd also suggest sticking with a lower carb diet. The WD dry food is very high in carbohydrates. While a high blood glucose level isn't the only reason a cat can experience DKA, it can also contribute. If you've been feeding WD since your cat was diagnosed, it's probably the reason that numbers have been in the higher ranges. FWIW, the "prescription" foods aren't really prescriptions. If you read the label, there's nothing in that food that is medically necessary and, frankly, it's not a very high quality food. You could buy a premium cat food for what the prescription food costs.

I learned about DKA the hard way -- my kitty was a survivor. I had 2 vets tell me that she might not survive, but she did. It was terrifying especially since she was diagnosed with diabetes at the time so the learning curve was huge. For now, as you're learning to home test, also be attentive to your cat's behavior. You know her best and know what she's typically like. When I'm advising members here with cats at risk for DKA, the warning sign for me is when someone describes their cat as becoming lethargic.

You can also test for ketones at home. You can either use urine test strips (Ketostix or other brands) that you can find pretty much at any pharmacy. There are also blood ketone meters but the strips are very expensive. Being able to test for ketones will also let you know how your cat is doing.
 
Sienne and Gabby (GA) said:
A little background....

DKA typically results if there's some underlying infection or inflammation plus not enough insulin plus not enough calories. It sounds like your kitty had a UTI which may have set this in motion. Did the vet get a sterile. urine sample (i.e., using a needle to into the bladder to get the sample) and then run a culture and sensitivity (C & S)? The latter tells you if the antibiotic is specific to the kind of bacteria causing the UTI. It can be important since UTIs can be stubborn!

As Bron noted, you want to make sure your cat is eating and probably eating more than her usual amount. I'd also suggest sticking with a lower carb diet. The WD dry food is very high in carbohydrates. While a high blood glucose level isn't the only reason a cat can experience DKA, it can also contribute. If you've been feeding WD since your cat was diagnosed, it's probably the reason that numbers have been in the higher ranges. FWIW, the "prescription" foods aren't really prescriptions. If you read the label, there's nothing in that food that is medically necessary and, frankly, it's not a very high quality food. You could buy a premium cat food for what the prescription food costs.

I learned about DKA the hard way -- my kitty was a survivor. I had 2 vets tell me that she might not survive, but she did. It was terrifying especially since she was diagnosed with diabetes at the time so the learning curve was huge. For now, as you're learning to home test, also be attentive to your cat's behavior. You know her best and know what she's typically like. When I'm advising members here with cats at risk for DKA, the warning sign for me is when someone describes their cat as becoming lethargic.

You can also test for ketones at home. You can either use urine test strips (Ketostix or other brands) that you can find pretty much at any pharmacy. There are also blood ketone meters but the strips are very expensive. Being able to test for ketones will also let you know how your cat is doing.
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If she prefers her crunches, is there a brand or kind you prefer? When she was diagnosed with DKA, they said they didn't find any ketones in her urine, they found it in her blood. That also makes me worry. Her UTI symptoms didn't show until about a month after she recovered. The vet did run other tests to see If she had another underlying issue, they never found one. Now I just worry sick!
 
JBat75 said:
If she prefers her crunches, is there a brand or kind you prefer
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If you want to feed a little dry food

Dr Elsey's Clean Protein chicken flavor


Wysong Epigen 90

Young Again Zero Mature

I pretty sure if you call them they will send you a sample to see which one she likes

They are a little expensive
I'm pretty sure they are 5% carbs
 
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There were likely ketones in her urine. It's also far more likely that the vet was running blood tests since it's much easier to get a blood ketone level if they were getting blood to monitor her electrolytes -- which is what they need to do to be sure your cat was recovering.

The foods that Diana listed above are the only dry foods that are low in carbs.
 
I did it!! First try I was able to get blood from her ear, I did while she was eating. It's been 12 hours since her morning dosage and her reading was 472. Still really high right? I gave her 2 1/2 units like I did this morning. Should I be increasing? Or wait for a few more readings??
 
Awesome job!

So dose is based on nadir, or how low they go during the cycle. We do not change dose based on preshots; that said if you get an unusually low number (below 200) you might consider a one time temporary reduction (stall, dont feed, post and ask for help).

Its impossible to say if dose is low, good, or high from one test. Depending on your schedule you can do a curve (test every other hour for 12 hours), or you can just grab tests at random times over the course of a few days - so a +2 and +7 her, a +3 and +6 the next day, etc - goal is to fill in the blanks and get a picture of how her cycles go. I actually prefer that method, because sometimes curves happen on days they're bouncing, which is miseading data

Make sure she fasts for 2 hours before preshot, for consistency. She does not need to fast before any other tests.
 
FrostD said:
Awesome job!

So dose is based on nadir, or how low they go during the cycle. We do not change dose based on preshots; that said if you get an unusually low number (below 200) you might consider a one time temporary reduction (stall, dont feed, post and ask for help).

Its impossible to say if dose is low, good, or high from one test. Depending on your schedule you can do a curve (test every other hour for 12 hours), or you can just grab tests at random times over the course of a few days - so a +2 and +7 her, a +3 and +6 the next day, etc - goal is to fill in the blanks and get a picture of how her cycles go. I actually prefer that method, because sometimes curves happen on days they're bouncing, which is miseading data

Make sure she fasts for 2 hours before preshot, for consistency. She does not need to fast before any other tests.
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What is nadir? And fasting is without food and water? Or just food?
 
FrostD said:
Nadir is the lowest BG of the day, it's when insulin action has reached its peak and is about to start wearing off

No food, water is fine
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Do you know when peak time is for ProZinc? It's been a month since her Coma and I'm terrified of it happening again. I also bought the ketone urine testers. How do I do that with 2 cats and litter?
I'm so sorry to bother everyone! I'm just so worried about her! She's my baby!
 
Ask away, we're here to help :bighug:

For ProZinc, nadir is usually around +6, but can vary from +4 to +8 or so depending on the cat. It can also be different each cycle, but is usually pretty close to the same time.

Most people stalk the cat and use a dedicated soup ladle to catch it while they're in the box. If that won't work, do you have multiple litterboxes? Can you separate the cats when you need a sample? They do make blood ketone meters where you test the blood just like you would test BG; I use the NovaMax Plus, it does BG and ketones. But the ketone strips are rather expensive. ADW Diabetes runs a promo fairly often where if you buy strips, the meter is free.
 
Congrats on getting a test, now that your spreadsheet is set up please enter the BG you got so you can keep track of Kaia's numbers, so members can help you :cat:
 
JBat75 said:
I did it!! First try I was able to get blood from her ear, I did while she was eating. It's been 12 hours since her morning dosage and her reading was 472. Still really high right? I gave her 2 1/2 units like I did this morning. Should I be increasing? Or wait for a few more readings??
Click to expand...


Congrats on getting a test, now that your spreadsheet is set up please enter the BG you got so you can keep track of Kaia's numbers, so members can help you :cat:
Was the 472 at PMPS on 1-15-22 ( the pre shot at night , meaning 12 hours from her morning dose )
Now you need to be sure that you test her during each 12 hour cycle to see how the insulin is working and how low she's dropping as Melissa (frostyD) noted in her post # 25 ( the post numbers are on the right hand side of everyone's reply)
During the other tests you get in try and take her to the same place for testing so she gets used to it. Even if it's a failed test give her a treat so she associates getting a treat after being tested, Tell her she's a good girl .
For low carb treats most members feed freeze dried treats. I'll name a few give me a minute
 
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You can give her any freeze dried treats for a snack
most members give freeze dried treats , they are low carb, you can probably find them in some local pet stores also

I did a search for you on here and copied what some members said they use,

When testing you can give them a treat so they will associate after testing they will get a reward, any freeze dried treats are ok such as
PureBites Freeze-Dried Cat Treats with Chicken Breast 2.3 oz ()https://www.amazon.com/dp/B071P

Also chewys has freeze dried treats also


The freeze dried treats you can get at petsmart, petco and order from chewy. Purebites is popular (cheaper if you buy the dog food ones). My crew like vital essentials it's dehydrated freeze dried raw comes in flavors

freeze dried minnows, made by Vital Essentials. I also buy the ones made for dogs. They're the same as the freeze dried minnows for cats. just cheaper. They also carry other freeze dried treats. I ordered mine through Amazon.

I think the vital essentials are more of a crunchy texture than the purebites

If you cat likes any of these you can buy the bigger bags for dogs they are the same ,you will get more for your money just break then up into smaller pieces
.

You can Google freeze dried treats and see what other ones there are and different flavors
Just make sure that is the only ingredient in them meaning turkey, chicken, minnows etc

Here is another one , I see you can get these in different flavors also just look
You may have to break any freeze dried treats in half if they are too big
https://www.amazon.com/dp/B01B78672I/?tag=felinediabetesfdmb-20
 
I noticed on one package of freeze-dried treats it said to re-hydrate with water for 1 minute, but the other two kinds my wife picked up do not say this. Does everyone generally rehydrate their freeze-dried treats?
 
Diane Tyler's Mom said:
Congrats on getting a test, now that your spreadsheet is set up please enter the BG you got so you can keep track of Kaia's numbers, so members can help you :cat:
Was the 472 at PMPS on 1-15-22 ( the pre shot at night , meaning 12 hours from her morning dose )
Now you need to be sure that you test her during each 12 hour cycle to see how the insulin is working and how low she's dropping as Melissa (frostyD) noted in her post # 25 ( the post numbers are on the right hand side of everyone's reply)
During the other tests you get in try and take her to the same place for testing so she gets used to it. Even if it's a failed test give her a treat so she associates getting a treat after being tested, Tell her she's a good girl .
For low carb treats most members feed freeze dried treats. I'll name a few give me a minute
Click to expand...
Good evening! I don't know what PMPS means. Her 472 reading was pre-shot last night. I tried several times this morning and this afternoon (before and after her shot) and was unable to get any blood for reading. I FINALLY got a reading pre-shot tonight (used a flashlight) and her reading this evening was 510. Still high, I'm so afraid of DKA again that I can't sleep!!
 
JBat75 said:
Still high, I'm so afraid of DKA again that I can't sleep!!
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Are you testing the urine for ketones yet?
Is Kaia eating lots of food?
If there are no ketones in the urine, she is eating well and she is not lethargic, and you are giving the insulin, she should not be in any immediate danger of DKA.
Continue to try and get some tests in during the cycles to see how low the dose of insulin is taking Kaia.


JBat75 said:
I don't know what PMPS means. Her
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PMPS means PM preshot. So last night her preshot was 472….so the PMPS was 472
AMPS is am preshot…so the test you do in the morning before the dose of insulin.
 
Bron and Sheba (GA) said:
Are you testing the urine for ketones yet?
Is Kaia eating lots of food?
If there are no ketones in the urine, she is eating well and she is not lethargic, and you are giving the insulin, she should not be in any immediate danger of DKA.
Continue to try and get some tests in during the cycles to see how low the dose of insulin is taking Kaia.



PMPS means PM preshot. So last night her preshot was 472….so the PMPS was 472
AMPS is am preshot…so the test you do in the morning before the dose of insulin.
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Thank you! ♥️ I haven't been able to check for ketones yet. I'm planning blood ketone tester as I'm not able to get urine from the litterboxes..
 
JBat75 said:
Thank you! ♥️ I haven't been able to check for ketones yet. I'm planning blood ketone tester as I'm not able to get urine from the litterboxes..
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Please get the ketone meter as soon as you can as we like to see the ketone level each day when recovering from DKA. It’s a very good indicator of where your kitty is.
Please continue to feed lots of food, give the insulin and give extra fluids.
 
Ok.. I did it. KAIA morning numbers were 307 before insulin and a little over 5 hours later she was at 173. I had given her 2 1/2 units this morning.
Her glucose was 510 last night pre dose.
 
If she's in the 300s again I would try 2U and try to get another +5 or so. I am curious if her dose is too high and that's why you were seeing high numbers...could also be infection resolving though
 
Please!! What would cause it to jump so hi after just 5 and half hours?? She did not eat
 
JBat75 said:
Please!! What would cause it to jump so hi after just 5 and half hours?? She did not eat
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This is most likely a bounce from the 173 she got yesterday or maybe she went lower than that. Cats can bounce when their BG drops too fast, too low or lower than they are used to. When this happens the cat dumps stored glucose and regulatory hormones into the system and the BG goes up high
Bounces can last from 1 to 6 cycles and there is nothing you can do but wait it out.
So don’t be too stressed about the hi.
Make sure she is eating well and you keep giving the insulin and fluids. I will tag @FrostD about the dose as I don’t use Prozinc.
Have you managed to get the ketones meter yet. If it is going to take days, please go out and buy some Ketostix from Walmart so you can test the urine for ketones…..it is important we know if there are any in the urine /blood or not.
 
Bron and Sheba (GA) said:
This is most likely a bounce from the 173 she got yesterday or maybe she went lower than that. Cats can bounce when their BG drops too fast, too low or lower than they are used to. When this happens the cat dumps stored glucose and regulatory hormones into the system and the BG goes up high
Bounces can last from 1 to 6 cycles and there is nothing you can do but wait it out.
So don’t be too stressed about the hi.
Make sure she is eating well and you keep giving the insulin and fluids. I will tag @FrostD about the dose as I don’t use Prozinc.
Have you managed to get the ketones meter yet. If it is going to take days, please go out and buy some Ketostix from Walmart so you can test the urine for ketones…..it is important we know if there are any in the urine /blood or not.
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Ok, I'm getting the blood ketone testing tomorrow.. I may take her into vet to have them double check. I'm scared
 
Her 173 was only 5 hours ago. I've ordered low carb crunchy cat food that this forum suggested. Just waiting for it to arrive. I'm just in tears because she's all over the place, I've never been able to get her regulated. I can't lose her!!
 
JBat75 said:
Her 173 was 5 hours ago... im in tears
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This is not uncommon for this to happen. Kaia’s body probably thinks that the higher BGs are the normal BGs now and her body “panics” when the BG drops down lower than she has been used to lately. When this happens and the BG goes up high …it is called a bounce.
If you look at this SS you will see that Benny bounces from lower numbers too….he’s One of many cats who do this.
https://docs.google.com/spreadsheet...3ZF3jKGuo7SL_I1aQEiBdlhANA/edit#gid=802184096

We will help you get her regulated. The main things you need to do at the moment is make sure she is eating lots of food. Put some fluids into the food if she will let you ….about a teaspoon each time of warm water….., make sure you give the insulin and test when you can, test daily for ketones in the urine or blood and post here daily so we can help you.
 
Thank you so much!! I can't stop crying but you're truly helping me feel better, it means so much to me. Most people yell me to just put her down, put her out of her misery.. no one understands what she means to me. I also have another cat (Suki) who needs medication twice daily for hyperthyroidism, I'm overwhelmed. I've been struggling for 4 years with this...
 
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