TiTi has 450 level for Fructomasine & is Unstable

[Kathy and TiTi]

10 days ago I took TiTi to my vet for a swollen jaw. It turned out to be an infection in the left maxilla (white area showed on x-ray), but no abscess showed. After 10 days of an antibiotic for aerobic and anaerobic bacteria , it has completely cleared.
After testing glucose which came in at 499, my vet finally accepted that TiTi is a hi-dose kitty. Later blood values showed TiTi at only 335, for the same day and hour.
Her fructomasine level came in at 450 (approximately).
My vet recommended 11units ; now TiTi is up to 13 units.
Yesterday, I did everything right, got the insulin filled in the syringe, got TiTi eating , then found out that evening that I had forgotten to give her the shot, which still sat on the table next to my bed.. Sheesh!

That same night around midnight I noticed TiTi walking a bit off balance, and she had stopped eating or drinking H2O. I tested her glucose: 552, and then gave her 6 units of insulin, having no idea it it was correct. My computer was down due to a huge storm. Stayed awake to 3am , watching her. I also gave her 100ml subq fluids, and the recommended dose of appetite stimulant.

This morning , before work I gave Titi 13 units insulin and 100mls fluid. She's eating her wet food now. Though sleepy TiTi's walking normally. Just now, around 3:15pm I tested her and she is at 200. Oh, she's on lantus. She dislikes and mistrusts me at this point, but what can ya' do? Anyway, I am pretty exhausted, but should have the spreadsheet filled out by tomorrow.

How do I handle things from this point. How much testing should I do? What should I watch out for? etc.

 

[Sharon14]

Hi, you should post your questions on either the Main Health Forum or The Lantus Forum. Since TiTi is a high dose kitty, I'll tag @Wendy&Neko To help you
Also @julie & punkin (ga)

 

[Wendy&Neko]

Scary about the upper jaw infection. Good to hear it's cleared up.

Once you get that spreadsheet filled out, it'll greatly help us figure out how we can help you. Until then, I'd get tests just before you give insulin (AM and PM) and one additional time during the day and night. A before bed test is often a useful one. Instead of watching her up late, tests and spreadsheet data will help you decide when it's safe to go to bed.

How long after your shot is that 200 you tested? All of us are in different time zones and have different shot times so that 3:15PM doesn't mean much to me. We think of things in relation to shot times. So one hour after shot time is +1, etc.

Good to hear TiTi is on all wet food now.

 

[Kathy and TiTi]

Hi, you should post your questions on either the Main Health Forum or The Lantus Forum. Since TiTi is a high dose kitty, I'll tag @Wendy&Neko To help you
Also @julie & punkin (ga)

I thought I was in lantus
I posted in lantus...I thought

 

[Kathy and TiTi]

Scary about the upper jaw infection. Good to hear it's cleared up.

Once you get that spreadsheet filled out, it'll greatly help us figure out how we can help you. Until then, I'd get tests just before you give insulin (AM and PM) and one additional time during the day and night. A before bed test is often a useful one. Instead of watching her up late, tests and spreadsheet data will help you decide when it's safe to go to bed.

How long after your shot is that 200 you tested? All of us are in different time zones and have different shot times so that 3:15PM doesn't mean much to me. We think of things in relation to shot times. So one hour after shot time is +1, etc.

Good to hear TiTi is on all wet food now.

SHe is still on combo wet and dry food.

3:15 pm central time USA. The test was 5 1/2 hours after her morning shot.

 

[Kathy and TiTi]

SHe is still on combo wet and dry food.

3:15 pm central time USA. The test was 5 1/2 hours after her morning shot.[
I think, I hope I just re-posted on the lantus forum. Do you see it there?
The only reason I was up half the night is TiTi's glucose was so high she was symptomatic, so I gave her extra insulin, which was scary. I stayed up to be certain she did not, well, croak. This is one scary period.

 

[BJM]

We recommend you never add another shot of insulin before 12 hours. The overlap in Lantus doses can cause unpredictable results.

The Lantus section is here.

 

[Kathy and TiTi]

We recommend you never add another shot of insulin before 12 hours. The overlap in Lantus doses can cause unpredictable results.

The Lantus section is here.

I don't understand. It was 6 units - usual dose is 13 units. She was symptomatic of too high glucose, and tested so. I had understood that you are supposed to add some insulin at such a point. What then, should one do?

 

[julie & punkin (ga)]

I never got the tag today @Sharon14 . I don't know why they sometimes go through and sometimes don't. In any case, I've started replying on the thread in the Lantus/Lev group.