Strange low readings

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CatsMagoo

Member Since 2014
I posted here a couple of times when our newly diagnosed cat named Kyo first began his new diet. We first started him from dry food to wet food which he loves, Fancy Feast Classics. We started insulin treatment with Lantus on February 2nd and he was on it for about two weeks. During this time, I noticed he had strange poops. Sometimes they were diarrhea, but most of the time they were mushy pudding like poops, and sometimes they were solid. This went off and on until on February 14th he vomited twice in one day. In the morning he threw up a nice brown pile with two liquid puddles beside it. I fed him and he ate like he was really hungry. He didn't seem sick or anything so I went to sleep and I woke up later at 12pm to feed him again. He normally eats every 6 hours. 6am/pm and 12am/pm and during this time he'll usually consume about a can of food. I noticed during his bouts of diarrhea though he wouldn't eat as much. But he always seemed to be okay. His readings were in the high 200's even if he didn't finish all of his food the previous feeding time and I didn't think much of it. Later that day at around 5:00pm, he started begging me for food like he normally does but I'm pretty strict with his feeding schedule and I told him to hold out. About 45 minutes later he threw up, but it was a white liquid and not a lot. I fed him immediately, and again he ate like he was starving even though he just threw up. After this I scheduled an appointment with a nearby vet. We at first suspected hairballs, since his original food had hairball control. When we took him to the vet the next day on February 15th they said he seemed fine, but he had just a little bit more bacteria in his stomach than normal but it was nothing serious. They gave us a prescription of Metronidazole 1ML twice a day for a week and three cans of Hills WD to help him out. We had to feed him Hills mixed in with the Fancy Feast or else he wouldn't eat it but we never gave him the Metronidazole. I looked it up online, and the dosage the vet prescribed was pretty high. I also saw the potentially toxic side effects it could have and I just didn't want to give it to him. He hadn't thrown up since, and wasn't having diarrhea anymore. He seemed fine and I really didn't want to risk putting something in him with so many dangerous side effects if he didn't really need it.

After we brought him home from the vet visit, we started giving him the mix of Fancy Feast Classics and Hills WD. I've been following the rule of under 200, don't shoot with his Lantus. We started his insulin treatment on February 2nd and he was on 1unit twice a day, but he started getting lower and lower readings. I test him at 6am/pm before I feed him to decide if he would get a unit of insulin or not. About a week into his insulin treatment (Around February 8th-10th), after his morning shots he'd test at around 100-150bg at 6pm. I started skipping his evening shots and eventually he started only needing one unit in the morning to stay in the 100's range by the evening. He suddenly had a reading of 64bg though in the morning on February 16th and I skipped his morning shot, also this was during the time he had been on the mixture of Hills WD and Fancy Feast for about a day and a half. After a day of regular feeding at 6pm he was at 129bg. The next day however February 17th at 6am he was at 229 bg. I got a bad feeling, seeing as his levels had dropped like that before and I skipped his morning shot. I was right to do so because sure enough at 6:00pm he was at 91bg. I skipped his evening shot as well and from that day forward he has had no insulin in his system. Until February 20th, testing twice a day he bounced between 90 in the morning and 60 in the evening. We thought this was really weird since I haven't really heard of a diabetic cat going into remission that quickly. However for the past two days, his levels took a terrifying turn. During these two days he remained a flat 40-47bg during any time we'd test him. He hated the mixture of his food and I thought maybe he just wasn't eating enough so I went to feeding him just the Fancy Feast, which he ate with appreciation. This morning when I woke up however, he was at 39bg. My partner and I both panicked, and we were afraid that he'd drop even lower so we put some honey on his gums and tested him about 15 minutes later. He was at 47bg, and now we're sitting here not quite sure what to do next. Might I mention during all of these low readings, my cat has displayed no signs of discomfort, or any symptoms of a hypoglycemic episode. If anything, he seems happy. Ever since we changed his diet from dry food to wet food at the start of all of this, hes had way more energy. We bought him a new toy about three days before we took him to the vet and he was happily playing and bounding through the halls like he used to late in the night when everyone was asleep. Even just yesterday, after he tested at 40, he was just sitting in the hallway and all of a sudden had a bout of hyperness, that only lasted about five minutes but he batted his toy around and did a few cat dashes through the house.

We know how quickly a low reading can get ugly, and we're afraid to do anything right now. We're trying to feed him and he does eat when he's hungry, but we're just afraid that his levels will keep dropping. We don't know if these 30-40bg readings are normal, but when I told our Vet that he came up at 51bg when we took him she said that that was very low for a cat and made a concerned face. We're at a loss here. The cat is healthy, or seems healthy to us. He does not look sick, he looks happy and alert, he's sleeping as much as a cat probably should sleep and loaf around, when we call him he gets up and walks to us, and his poop has been solid for the past two days. We haven't done a curve for him yet, we were going to hold off until his pooping regulated but these sudden low readings and this entire week without insulin has kind of thrown a wrench into that plan. He used to be a cat that just loafed around a lot, but he has been playing with his new toy lately. We don't know what to do, and we can't really afford another vet visit if he's really just fine...But we have no idea what's going on with him and his levels and if it'll take a turn for the worst. Any information about what might be happening to my cat would be greatly appreciated. We're all too stressed out to sleep and we're watching him closely, and we can tell he's getting annoyed and scared by it...
 
Let me ask a question or two to make sure I understand correctly.

Is he not getting any insulin right now?

If that is true, the numbers are good numbers. Most of us don't know what "normal" numbers were for our cats before they became diabetic.
It sounds as if the diet change has gotten Kyo into remission.
A cat can't hypo on their own . ( so if he's not getting shots, then those numbers are great numbers)

The liquid poo could have been a reaction to the diet change or he may even have a sensitivity to the protein .... Some cats become allergic to chicken.... or fish...
And then it's up to you to figure that out by how he reacts to the food you give.
Which variety were you giving?


I would recommend that you give him more frequent smaller meals because it is better for his system. ( Just like they tell human diabetics to eat smaller more frequent meals. )
 
Numbers < 130 mg/dL and no insulin for 14 days = diet-controlled remission

What day are you on?

It only took Dusty 2 weeks and a diet change to get off insulin. And his mom couldn't test, so I was going over there. It might've been faster!
 
rhiannon and shadow said:
Let me ask a question or two to make sure I understand correctly.

Is he not getting any insulin right now?

If that is true, the numbers are good numbers. Most of us don't know what "normal" numbers were for our cats before they became diabetic.
It sounds as if the diet change has gotten Kyo into remission.
A cat can't hypo on their own . ( so if he's not getting shots, then those numbers are great numbers)

The liquid poo could have been a reaction to the diet change or he may even have a sensitivity to the protein .... Some cats become allergic to chicken.... or fish...
And then it's up to you to figure that out by how he reacts to the food you give.
Which variety were you giving?


I would recommend that you give him more frequent smaller meals because it is better for his system. ( Just like they tell human diabetics to eat smaller more frequent meals. )

He has not had any insulin for a week. I also feed him only the Chicken/Chopped Grill/Turkey and Gibbets/Chicken and Liver classics. No fish, no beef. We used to feed him a lot of chicken if we were eating it and it never caused him to have diarrhea or show any signs of allergic reaction. I just assumed the pudding like poops were normal. It honestly comes out looking like what goes in. I figured if we were going to go from feeding him dry food, to wet food, his poop would get a bit softer. He was pooping about 3-4 times a day before, but recently he's back to his normal pooping about twice a day and they are solid. I haven't seen a liquid poop from him in a while.

We really didn't know how this whole hypoglycemia thing worked...We weren't sure if he could still have an episode when the Lantus left his system. But it is true that I never knew his normal numbers before he was diagnosed.

@BJM
Kyo showed normal levels at about the two and a half week mark. I stopped insulin alltogether at the three week mark, so today would be about day 7 or 8 that he has had numbers below 130bg with no insulin in his system. He has been fully transitioned on his new diet for about two months now however.
 
if he's gotten to normal poo, than it sounds like he just needed to adjust from the diet switch.

sounds like everything is good then.

I would advise to keep your eye on his bg.... as he ages, he could need a dental , or get an infection .... and these things can bring them out of remission.
If his numbers ever do start to rise, the faster you respond, the more likely to get him right back to his remission status.

Congratulations!
 
Well, we like to see 14 days at normal BG (blood glucose) numbers before we declare a cat in remission. So, it looks to me like you have 1 more week to go on this OTJ trial you are doing. OTJ = off-the-juice, insulin being the juice.

OTJ Trial instructions

Here are the instructions for an OTJ trial:
  • Test at your normal AMPS and PMPS times. Feed multiple small meals throughout the day as much as possible (small meals are less likely to overwhelm a newly functioning pancreas). The morning test is now called the AMBG. The evening test is now called the PMBG.
  • If your cat is green (0-99 mg/L human meter, 0-130 mg/L pet meter, 0-5.5 mmoL) at your normal test times, no need to test further until the next "PS" time, just feed small meals and go about your day. If the numbers are blue (100-199 human meter, 130-230 pet meter, 5.5-11 mmoL), feed a small meal and test again after about 3 hours. Food raises BG's. So if the number is lower 3-4 hours after a meal, then the pancreas is working!
  • After 2 weeks, if everything is looking good, we have a party! And boy, do we party hearty. :cool:

Sometimes, the trial doesn't work the first time and we have to give a little more support by starting the cat with a tiny dose of insulin again. I had to do that with Wink. We simply start the cat back on a tiny dose of insulin to support the pancreas with healing for a bit longer. Our goal is a strong remission and it's better to be safe now then sorry later that you rushed it. With just a little more time we will probably get that strong remission we are looking for.
 
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