KayTar got sick on Friday evening. It started with a little cough and then she woke in the middle of the with a low grade fever and that croupy cough.
Yesterday morning, I tested her urine for ketones and it was only at trace amounts (normal for the morning). A couple of hours later and I tested it again and it was clearly in the LARGE range. I was speechless when the stick turned dark purple. I know I theorized that this is what was happening when she was sick, but to see supporting evidence in my hand was CRAZINESS. We spent the day giving her carbohydrate-rich fluids and even then, she still lapsed back into ketosis more than once, in spite of being well-hydrated and having good, normal glucose levels.
This morning, though, she woke up with hypoglycemic symptoms and I checked her glucose. It was 46, too low, so I gave her Pedialyte through her g-tube. She vomited not long after, probably because of the hypoglycemia, so I gave her Zofran...and retried the Pedialyte a little later. Her glucose levels normalized soon enough. Her morning urine was STRONGLY positive for ketones and it stayed positive until just a short while ago. She's still sick, so we'll be at this for another day at least. I'll probably give her a feed tonight around 2am in hopes that she doesn't bottom out so drastically while she sleeps.
It looks like we just might be on the right track now!
ETA: It worked...I fed her at 2:30 am and this morning her glucose was 72 and her urine only had a small amount of ketones in it. Woohoo!