Vet wants to jump up to two units

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I never did give the insulin! I was back and forth with it. When I checked ketones this morning it was only a trace and he was given more fluids at the vet and he has ate a couple times already. I have fluids here at home now and know what to do! (woohoo!) It is probably about time to check him again and see where he is at though. That has been the consensus though on giving him the two doses a day. Not sure why she is still pushing for the one dose a day?
 
If it has been more than 12 hours since his last shot, and he is at 323, you could give him insulin. Are you near the usual pm shot time? The trick is to be available 12 hours from this shot to give him another.

Have you been giving one unit? Help us with the sequence of the low level he got recently.
 
Hine87 said:
I never did give the insulin! I was back and forth with it. When I checked ketones this morning it was only a trace and he was given more fluids at the vet and he has ate a couple times already. I have fluids here at home now and know what to do! (woohoo!) It is probably about time to check him again and see where he is at though. That has been the consensus though on giving him the two doses a day. Not sure why she is still pushing for the one dose a day?
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Have you checked more sugars? We would like to know what his sugar is right now.
 
Sue and Oliver (GA) said:
If it has been more than 12 hours since his last shot, and he is at 323, you could give him insulin. Are you near the usual pm shot time? The trick is to be available 12 hours from this shot to give him another.

Have you been giving one unit? Help us with the sequence of the low level he got recently.
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OK! I normally give him his shot at 8 so with it being 1 I wasn't sure. I ended up not giving it to him so now at this point I will wait until normal shot time. Last night I gave him .5 units and figured I would be dosing the same tonight? I checked his numbers...around 4 (pushing 5 possibly) and he was just over 330.

Sorry guys! I have just been swamped with work as well and my 5 year old has early release today so it has been hectic for sure.
 
I'm glad to hear that Jasper's ketone levels have come down.

Hine87 said:
She didn't test for ketones :banghead: [...] thinking about it I wonder why she didn't check it if he just had DKA?
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Big mistake. It is even more important to monitor ketone status in any ketone-prone cat; quadruply so for cats with a history of DKA. That Jasper is still recovering from a recent bout of DKA makes this an even greater error on the part of the vet.

Hine87 said:
His vet did recommend not dosing at all today
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WRONG!!! Of course all diabetic cats not in remission require insulin but it is even more critical for a cat throwing ketones to receive sufficient insulin for their metabolic needs (even if it's necessary to temporarily increase the dietary carb load in order to administer the insulin safely).

Hine87 said:
Not sure why she is still pushing for the one dose a day?
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You are right to be concerned: it demonstrates a lack of understanding/experience of appropriate and effective feline diabetes treatment on the part of the vet.

I strongly recommend that, if at all possible, you really need to find a new vet with a much better handle on feline diabetes and who is truly knowledgeable about its associated complications - especially ketosis and DKA. If that's not an option for you then I recommend in the strongest terms that you post here for input regarding Jasper's treatment so that you will have the combined experience of the members here to help you identify shortcomings in your vet's understanding of how to treat diabetes and manage ketone status successfully. Take the input from here and discuss it with your vet as appropriate.


Mogs
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Hi Sarah! Glad to hear that Jasper is doing okay. I agree with Mogs...time for a new vet.

I'll be around early in the AM. Around 5:30-6:30ish CT. I'll check in on you then to see how the evening went!
 
Oh my thank you Mogs! I really had no idea about that...I'm feeling bad now that I waited to give him insulin until the evening. But I suppose at least he did get a dose where as the vet didn't want me to give him anything. I will start searching around for a new vet. I know there are a few other places around here but now to find one with a knowledgeable vet about feline diabetes. But in the meantime I will be posting regularly here! I will also get Jasper's SS updated here in a moment as well!
 
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