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Diabetic cat and insulin
Ripley, our grand old man, is 17 and has been diabetic for a number of
years. He's on Glargine insulin, 1.5 units in the morning and another 1.5 at night. He's been stable for quite some time. The last couple of weeks, though, he has been having wild swings in sugar levels: 30 to 400 in the same day. When he drops into the 30s, he can't walk, vomits, loses bowel and bladder control. We force feed him Karo syrup or other high-sugar foods and he comes out of it. Other times, he's over 300, even into the low 400s. We give him the usual 1.5 units of insulin, because increasing the dose is a crap shoot and likely to push him into hypo territory again. For the most part, he gets a protein diet (chicken is his favorite) with carbs added as necessary to counteract hypos. Unfortunately, he has stopped eating on his own and we are force feeding him whenever he does eat. Last night, for instance, his sugar level was 33. We gave him a small dose of Karo but no insulin. This morning, he was 335. I'm putting off taking him to the vet because that's a minimum $500 and we've already spent thousands on him. Does this new fluctuation in sugars plus his refusal to eat mean he's nearing the end? He sleeps a lot, and doesn't seem to be in pain, except when his sugars go really low. |
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