(no subject)
This was just what I needed last night to distract me; y'all rock like rockin' things. Gateway was at the vet all day yesterday to get a blood glucose curve drawn up and to figure out what sort of insulin dosage he needed. When we heard from the vet finally around 7 PM, they told us he might be kept overnight and to call back at 9. Around 9, we found out he definitely wasn't coming home last night. They're giving him a slow-acting form of insulin, and started him with what should've been a medium dose for a cat with fasting glucose levels in the low 400s. It seems though that he's still quite sensitive to insulin, so his glucose plunged to the low 40s by the time we talked at 7, and by 9 he had gotten so hypoglycemic that they were giving him IV glucose and were definitely keeping him overnight for monitoring.
They're going to keep him today and try again with a dose about half the size of the one he got yesterday. Hopefully this will be less stressful for all of us and we'll get to bring him home tonight. If we're really lucky, we caught the diabetes early enough that the treatment will help induce remission. Poor little guy has already got one chronic health issue, he doesn't need any more. Luckily the HCM is well-managed by his medication since we caught that pretty early; hope the same can be said of the diabetes.
Edit: Just talked to the vet, and he's probably not going to get to come home tonight. Even with the IV, his blood sugar is still on the low side of normal and it seems like the insulin is sticking around a lot longer than typical, so they're not going to try giving any more insulin today unless something significantly changes. They'll probably keep him overnight again to monitor him and probably send him home tomorrow for a few days since he's not wanting to eat for them. nminusone and I will go visit him tonight and see if we can get him to eat and bring them his atenelol, which we didn't send with him since we didn't expect him to be there overnight.
They're going to keep him today and try again with a dose about half the size of the one he got yesterday. Hopefully this will be less stressful for all of us and we'll get to bring him home tonight. If we're really lucky, we caught the diabetes early enough that the treatment will help induce remission. Poor little guy has already got one chronic health issue, he doesn't need any more. Luckily the HCM is well-managed by his medication since we caught that pretty early; hope the same can be said of the diabetes.
Edit: Just talked to the vet, and he's probably not going to get to come home tonight. Even with the IV, his blood sugar is still on the low side of normal and it seems like the insulin is sticking around a lot longer than typical, so they're not going to try giving any more insulin today unless something significantly changes. They'll probably keep him overnight again to monitor him and probably send him home tomorrow for a few days since he's not wanting to eat for them. nminusone and I will go visit him tonight and see if we can get him to eat and bring them his atenelol, which we didn't send with him since we didn't expect him to be there overnight.