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Hi, my name is***** and I'd be happy to try and help with Napoleon. How is he acting now?
Im glad he is at least able to rest. My main concern with any diabetic patient that just begins to act "off" or starts showing abnormal signs is that the blood sugar levels are off.
Do you ever check his blood glucose level at home?
His clinical signs of rapid breathing, eye twitching, and poor balance could be signs that his blood sugar is either too high or too low neither which is ideal or course. If he has settled down and is acting more normally and you feel comfortable monitoring him closely I would check in with your primary veterinarian in the morning for a blood glucose check. If his abnormal signs return before morning I'd recommended having him seen at an emergency overnight facility.
Also, it is definitely worth talking to your veterinarian about checking his blood sugar level at home. You can buy a glucometer at any local drug store and keep it on hand for emergencies. Most veterinarians are happy to show clients how to check it at home!
I'd also recommended waking up a few times overnight to check on him! Stimulate him make him stand up to ensure he doesn't seem lethargic or depressed.
-Dr. Alexis Solis
"An animal's eyes have the power to speak a great language." ― Martin Buber