? Sherlock's recovery after DKA episode

Sherlock_love

Member Since 2026
Hello,

I am new here from the UK. Thank you for even existing, I did not know until a friend recommended you.

My lovely 9 year old cat Sherlock was diagnosed with diabetes in April 2025. She was losing a lot of weight and after a few tests she was diagnosed. In May 2025 she had a DKA episode. I cannot remember the insulin name she was on initially. She was hospitalised for two days and then her recovery took a little bit of time.

We normally feed her a blend of wet food (Harringtons) and dry diabetic food.

During the heatwave last two weeks, she was eating less and less, we injected her less (our mistake - should have checked her bg first) and she started feeling lethargic. She had started losing weight so took her to the vets where they found out that her ketones were high (7) and she needed hospitalisation.

I have updated my signature with her spreadsheet - hopefully done the right way. Her ketones now are all cleared out which is such a relief. However, she is not eating well. Her bg needs to be a lot lower too esp with the dose. Any advice would be greatly appreciated. I'm feeling very tired and sad and financially broken after this. It is hard to get blood out of her as well hence there's not as many blood tests done.

My questions are:
1) Do I need to switch insulin?
2) Is her body still adjusting from the DKA episode? Has she become insulin-resistant?
3) Why is she not eating as much - do I need an appetite stimulant and is that available in the UK? Her normal self eats 3 pouches of wet food and some dry food. Now we have dropped to the equivalent of barely 1 during the day.
4) Why is the bg still high after adjusting the dose 4 days ago? For context since the diabetes started she has never dropped consistently lower than 10 so we would be happy with something similar.

We have a rotation of food: tuna, tuna water, chicken, harringtons mixed meat, harringtons mixed fish, lickalix, treats, diabetic cat dry food and honestly we try to go for the healthy ones but there are days during this recovery that she becomes so difficult that I give her anything that she will take.

Our vets charge £60 for phone consultations so I am trying to gather as much information as I can before arranging the next one as this is really difficult financially.

Even though we paid a lot for her overnight hospitalisation I still have not received her test results from the clinic from her 48 hours stay. She had done a fructosamine test in there too. This time the clinic felt like they were too busy to give us instructions for after care etc.

Thank you so much for any advice
Sherlock's mum
 
Welcome to the best place you never thought you would ever be. There is a wealth of information and experience here.
Waving from Canada.
I'm tagging @Suzanne & Darcy for you.
And @Elizabeth and Bertie who lives in the UK.

In the meantime, some reading.
UK Diabetic Cat Food Info

UK FOOD LIST
<<< click on link for a long list of foods

To the best of my knowledge, there is no dry diabetic cat food that is considered low carb.
In the UK Food list, you will find a few dry foods that are.

Sherlock is a great name for a cat.
 
Hello and welcome! I cannot see anything at all on the U.S. tab of the spreadsheet. And the color coding on the World tab isn’t correct. I am not sure what is wrong. The U.S. tab should populate automatically after you put your number into the World tab.
 
Thank you so much. She is still not eating today so took her to the vets and she was given antinausea but still no change :(
I am so sorry that this is happening. It is imperative that she eat. You probably will need anti-nausea medication to give her at home on a daily basis. I keep both Cerenia (Maropitant) and Zofran (Ondansetron) on hand at home at all times for my cats (for various ailments.). Also, she may need for you to give her subcutaneous fluids at home as well if she becomes dehydrated or is producing ketones.

I agree that, right now, she must eat regardless of what the food is. Do you have an appetite stimulant to use? Mirataz is a trans-dermal ointment that is placed on the inner ear and can be very effective for many cats. There are a couple of other options as well. Is your vet willing to consider prescribing any of this stuff?

Have you tested her ketones today? I am glad you bought a blood ketone meter. I did the same after my cat had DKA and was hospitalized for a week.
 
It is important to try to get a BG test before every shot (morning and evening.) It should become easier to get blood from her ear over time. Have you seen the pictures of where you are aiming? Are you warming her ear before trying to prick the ear? What size lancet are you using? In the beginning it’s easier to use the larger lancets and switch to the ultra fine ones later. Are you holding the lancet at a 45 degree angle? This can help keep from going all the way through the ear (which happens to everyone at some point.) Fortunately cats don’t have a lot of nerve endings in that outer portion of their ears.
 
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