Resolved - possible Hypo - Loki 1/18/26

Loki'sMom82

Loki'sMom82

Member Since 2025
First time with possible hypo.. :nailbiting:

Loki's PMPS was 46. No hypo symptoms whatsoever. I skipped giving him tonight's insulin and immediately gave him a can of high carb food. 20 min. later, his BG is 148.

I think I'm supposed to give him 1 teaspoon of honey and then retest him every 15-20 minutes until his numbers are safe again.
If they are, I should keep testing / monitoring him all night. If his numbers remain good, do I need to do anything else?
And what should I do if his numbers start to go back down?

Also, what does this mean for tomorrow's insulin shot?

Some background:
His AMPS and PMPS numbers have been all over the place for a while, and he's on his 3rd month of insulin.
He's had diarrhea 2 x day (no solid poops) for the past few weeks. Vet put him on a probiotic with each meal, but no improvement.
Vet also decided to put a Freestyle Libre on him this Friday.
 
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Looks like Loki is one of those cats that nadirs at the end of the cycle when clearing a bounce. Does he get small meals during the day? Numbers can keep calling without food through the cycle.

If you are following SLGS, a drop below 90 earns a reduction. I see that he has dropped below 90, but you haven't taken a reduction?

You would go down to 2.25U tomorrow.

How long is it since the 148? Please do not hold back any high carb food for now?
 
Thank you so much for responding!!

Yes, am doing SLGS.

Oh no .. I didn't realize I should decrease his dose at 90. I thought that, for a newly diabetic cat, a drop below 50, not 90, earned a reduction. So it's 90, not 50, when you're doing SLGS?

15 minutes ago, he was 148. For the past 15 minutes, he ate more of that high carb food. No honey yet. Will test again in 5 minutes.
 
Sorry I missed one of your questions. Yes, he eats most of his meal but saves some to graze on during the day.

(after 2-hr fast) PMPS: BG 46
(20 min. later) ate 3/4 can high carb food: BG 148
(15 min. later) ate additional 1/4 can high carb food: BG 304
 
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Loki'sMom82 said:
Oh no .. I didn't realize I should decrease his dose at 90. I thought that, for a newly diabetic cat, a drop below 50, not 90, earned a reduction. So it's 90, not 50, when you're doing SLGS?
Click to expand...
Yes, with SLGS, the reduction point is 90 and not 50. Every drop below 90 is a reduction.


Loki'sMom82 said:
Yes, he eats most of his meal but saves some to graze on during the day.
Click to expand...
You want to get him into the habit of having a couple of small meals in the first have of the cycle. Do you think you can do that? Many of our members use a timed auto-feeder. You could try getting him to eat a snack at +2 and +4. Food helps reduce diving and flattens the curve.


Loki'sMom82 said:
(after 2-hr fast) PMPS: BG 46
(20 min. later) ate 3/4 can high carb food: BG 148
(15 min. later) ate additional 1/4 can high carb food: BG 304
Click to expand...
It's now nearly 2 hours since his shot was due? Or just an hour? Can you adjust future your shooting schedule if you shoot late tonight?

Please take off the 911 tag now? Thanks! :-)
 
Yes, it's now 2 hours since his initial shot was due.

Ok, I'll schedule snacks at +2 and +4 moving forward.

Yes, I can adjust his future shooting schedule if needed. How should I proceed tonight?

Thank you so much!!
 
Thanks!! I rechecked his BG (416) and then gave him 2.25u.

Do I need to stay up and continually test him tonight? And should I put out more high carb food or the regular low carb?
 
Loki'sMom82 said:
Do I need to stay up and continually test him tonight? And should I put out more high carb food or the regular low carb?
Click to expand...
No. I think you might see a bounce from that lime earlier today, so it's OK to call it a night. Please leave regular food out for him.
 
Hi Amy, when using a Libre sensor, it’s good to be aware of how it works.
I will link a document we have created with lots of helpful information.

When you see low Libre numbers (under 100, especially under 50,) if you can get a blood test with an ear prick, that’s highly advised.
**Sometimes the Libre reads lower than a handheld meter does.
If you have any Libre questions, feel free to ask 🥰
Getting Started With Continuous Glucose Monitors (CGMs) for Diabetic Cats
 
Hello and help .. I'm supposed to give Loki his insulin now, but his AMPS is a 116 (Lantus, SLGS).

Based on the above thread, should I still give him a shot (2.25u), is this close enough to 90 that it calls for another reduction, or do I skip his shot altogether? I worry about skipping altogether, because it seems to lead to major bouncing that takes a while to resolve.

Note: I just gave him a teaspoon of food, because he was truly hungry. I can recheck his BG in 30 min. and an hour to see if it goes up to the extent a shot makes sense. Before I do this, I want to be sure - is this what you'd advise?
 
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Just saw this. Can you monitor if you shoot? He seems to be one of those cats that nadir at the end of the cycle and then head up from there.

Looks like you gave him 2.25U?

A reduction is earned only if he drops below 90.
 
I see you have been shooting him at 9:45 am/pm for the last couple of days? You can slowly work back to your usual shooting time of 8am/8pm by advancing the shot by 15 mins every cycle.

Also, in the SS, you would record the PS tests in the usual AMPS/PMPS cells itself.

If you start a new condo for a new day, people will realize that it's a new post/query and not an update/response to a previous condo.
 
Hi, yes I'm starting to work back from 10 am/pm, thank you. But since I gave him his insulin today at 10:10 am, will have to now start here and work backwards.

Re: "Can you monitor if you shoot?" - Yes since I work from home and hang out with Loki all day : -) By "monitor," do you mean watch him for symptoms or do you mean test him periodically?

Re: "record the PS tests in the usual AMPS/PMPS cells itself." - I didn't want to change the Pre-shot times listed at the very top of the spreadsheet, but I can change this if that's preferable and makes it easier to read!

Re: "start a new convo" - I thought the context from Sunday would be important to consider in today's decision making, but I just realized I can always provide a link to old threads in a new convo. Hadn't considered that.

Thank you for your guidance!!!
 
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