Too low glucose almost hypo sos

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From: Plumb's Veterinary Drug Handbook (6th ed., 2008)
I apologize for the weird look. I did clean it up somewhat. It was copied and pasted from a pdf.
Bold emphasis mine.
Brilliant info, thank you! I did search online but didn't find anything helpful. You did way better than I did...
And the following particularly jumped out at me:
overdosage/acute toxicity
Overdoses may result in hypoglycemia, ranging from mild to severe. Treatment consists of glucose administration and intensive monitoring. Because of the drug’s long duration of activity, patients may need to be supported with glucose for a least 48 hours post-ingestion, even after apparent recovery.
 
Hello!
I am back with mixed news about Lisa! She has been off the pill all this time and her bg levels have been below 120 tested at home!! She went to the vet for a checkout this week, bg was 65 and we are also waiting for the fructosamine result to declare her in remission :)
However, her creatinine has risen from 1.0 in June to 2.33 mg/dL just in four months! So she was prescribed a supplement (renalvet) and was told to start eating renal food. She is now eating wild freedom. So we have to look for new food choices. Lisa will also take a more thourough bloodwork and urine test soon.
To me it seems weird that creatinine has risen so high in such a short time...
 
Hello again!
Dionysia wanted me to ask you, if polyurea/polydipsea symptoms could persist even when the diabetes is in remission.
Lisa still has those symptoms although bg is in the normal range. Could this happen?
 
Hi Sophia!

Great news that Lisa is in remission. :)

Dionysia wanted me to ask you, if polyurea/polydipsea symptoms could persist even when the diabetes is in remission.
Lisa still has those symptoms although bg is in the normal range. Could this happen?
As Jeanne commented above, diabetes isn't the only root cause of PU/PD.

One possibility is a kidney/urinary tract issue. With the recent increase in Lisa's creatinine levels, that's the first place I'd look. Also hyperthyroidism may cause PU/PD (and it's a fairly common condition in middle-aged cats). According to this article other possible causes may include:

● Uterine infection
● Liver disease
● Low protein diets
● Age

Here's another informative article (eavy.

Looks like blood work may be the next step. BTW, I'd also suggest getting a cystocentesis with culture and sensitivity to check for possible urinary tract infection. It is possible for UTIs to impact kidney function and are therefore they're important to check for and treat if present, doubly so if there's already a question mark over kidney function.


How many pees per day is normal?
Maybe 2-3, but it depends on how much fluid the cat is taking in through drinking and eating wet food.

My civvie, Lúnasa, has CKD. I measure her fluid intake (food and water) and weigh her pee clumps* every day make sure she's not getting dehydrated. I did the same for Saoirse.

I hope some of the above helps Dionysia. Please say hello to her for me. :)


Mogs


(* I use OKO Plus Cat's Best granular clumping litter. I checked with the manufacturer how much water it absorbs, and from that I get a fairly good estimate of fluids lost when peeing.)
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