Diabities and Animia

Discussion in 'Feline Health - (The Main Forum)' started by Olga, Jan 8, 2018.

  1. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    In this case, I'd suggest also getting a blood ketone meter (works the same way as a glucometer). The test strips for ketone meters are not cheap but you don't need to test for ketones as often as you need to test blood glucose levels. I really think they're a very worthwhile investment for ketone-prone kitties, especially in circumstances like yours and your hubbie's. :)

    I suggest giving your vet a phone call to let him know. I hope he will prescribe something for Wenz. The right anti-nausea treatment can make an absolute world of difference to a kitty who's having trouble eating.


    Mogs
    .
     
    tiffmaxee, Vader723 and Olga like this.
  2. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    @Tanya and Ducia I'm glad you're here to share your experiences. Speaking Russian helps too! ;)
     
    Olga, Critter Mom and Tanya and Ducia like this.
  3. Tanya and Ducia

    Tanya and Ducia Well-Known Member

    Joined:
    Feb 25, 2017
    I see....
    We were giving Ducia subcutaneous fluids (SQF) daily for a few weeks at home - Lactated Ringer's solution to improve her potassium and other electrolytes. Additional benefits are - better hydration, flashing ketones out and appetite improvement. Ask your vet if he thinks it'll help. Administering at home is easier done than it said.
    It's veterinarian - so yes, you get it from your vet. Really helps.
    I completely agree with Mogs and couldn't have said it better - anti nausea med is a number one tool to deal with inappetence which in its turn can lead to either DKA or to a Hypo - in case the insulin kicks in when there is no food on-board. Visious cycle - I'd address the nausea issue right away and aggressively - diabetic's well-being is so dependent on their foods!
    :DAt last I can put it to some good use, lol
     
    Vader723, Kris & Teasel, Olga and 2 others like this.
  4. Veronica & Babu-chiri

    Veronica & Babu-chiri Well-Known Member

    Joined:
    Aug 5, 2016
    Olga I'm glad he's at home with you and seems a little bit better, DKA explains a lot, sending you lots and lots of :bighug::bighug::bighug:

    Babu was on silymarin for a few months to help him with his liver too.
     
    Olga, Critter Mom and Tanya and Ducia like this.
  5. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I defenetly will. I just hope I am not missing anything. I didn't even had a chance to check his sugar, had to run to work. Tanya, did Дуся had a problem with bleeding after home testing? Coz of his law RBC i am afraid to poke his paw for blood. Even though it is a small poke.
     
  6. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you:kiss:. We are so happy too!!But I am so worried about him.
     
  7. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I defenetly will give him a call. He was always a great eater, seeing him like this killing me
     
  8. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    (((Olga)))

    I've been in similar situations and I really feel for you, Olga.

    :bighug::bighug::bighug:


    Mogs
    .
     
    Olga likes this.
  9. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    How’s Wenz? Have you spoken to the vet?
     
    Olga likes this.
  10. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Hey, i am still at work...i hope he is good there. I finish at 11.30 pm:(good thing my vet gave us medication for nausea. My father in law was nice enough to pick it up. It needs to be given 30 mins before the meal,so hopefully my husband be able to give it to him so when I come home i can feed him and give a shot. I hope it helps his appetite and his condition.
     
    Sharon14 likes this.
  11. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    That's good news, Olga! Fingers and paws crossed it will help Wenz to eat better. :)


    Mogs
    .
     
    Olga likes this.
  12. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I hope so too:cat::cat::cat:Thank you.
     
    Vader723, Critter Mom and Sharon14 like this.
  13. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Hey guys, just want to thank you all again. We started antinousa medication last night. I can see improvements in him every day. He is coming out more, actually comes out to eat I don't have to bring food to him. As of yesterday he won't eat stand up, now he does. Appetite is still not that great. He won't even finish a can( small cans), but better than was.i mad him some boil eggs too and add it to liver, he enjoyed that. So after all, i belive we are doing not too bad. Haven't had a chance to use a matter, luck of time. But I be off on the weekend, so hope to try than with no rush. Hope you all and your fluffers having a great day.
     
    Vader723, Sharon14 and Critter Mom like this.
  14. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Hi Olga,

    I am so pleased to hear that the anti-nausea meds are helping Wenz. Which medication did your vet prescribe?

    If you're not doing so already, try raising Wenz's food and water bowls up a few inches from the floor (e.g. stick a few paperback books or similar underneath the bowls). It makes it more comfortable to eat and drink when the kitty doesn't have to dip its head down.

    With the insulin you're using try to encourage get Wenz to eat a fair bit before his insulin is due and wait a little while before giving the injection. Thereafter if he eats little and often throughout the rest of the cycle that'll be OK. If his appetite is still sluggish after a few days on the anti-nausea med then addition of an appetite stimulant alongside the anti-nausea treatment might enable Wenz to eat more.


    Mogs
    .
     
    Olga likes this.
  15. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I will try raising food balls, never thought about it. I am so scared when I give him an insulin that he didn't eat enough. When he walks away from the food,I wait around 10 mins and fallow him to put it again at his face and he eats again.lol and after i shoot, i still leave food out for a bitt even though doctor told me not too, i don't want him to starve.
     
    Critter Mom likes this.
  16. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I am not sure what was the name of it, i know it is a liquid. I will check when I get home from work:)
     
    Critter Mom likes this.
  17. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    So the name of the medicine is Raglan Syrup. He still doesn't eat at much as he needs. Such a pain
     
  18. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Drat. :banghead: Your vet has given you something that doesn't work very well for nausea in cats. Reglan, aka metoclopramide, increases speed of gastric emptying and can help with gut motility problems but cats have very few of the receptors it targets for nausea control. (Note: Reglan can be of help if the cat is nauseated due to constipation but only because it helps to resolve the constipation; the nausea subsides because the cat's no longer backed up.)

    I had the very same problem as this when Saoirse had her first pancreatitis flare. I had to request specific medication from our vet.

    The medications you need are either generic ondansetron (the branded version, Zofran, is much more expensive) or Cerenia (aka maropitant). I suggest you contact your vet ASAP, say that the Reglan is doing little or nothing to help with Wenz's nausea and that he is still not eating anywhere near enough food. You could then request a prescription for ondansetron or Cerenia. While response to the different meds varies from cat to cat, ondansetron may be the better one to try first. (It worked better for Saoirse and, from my reading of other cases here, it often works better than Cerenia for a lot of cats recovering from DKA or going through a pancreatitis flare.)

    If your vet is not familiar with veterinary use of ondansetron, here is a reliable reference to cite (and perhaps email a copy of the document to your vet if needed?):

    IDEXX Feline Pancreatitis Guidelines

    The above document from the highly respected IDEXX Laboratories discusses all effective treatments for feline nausea. From the document:

    [Emphasis mine]

    Generic ondansetron is a human medication (frequently used to treat nausea in chemotherapy patients). If your vet doesn't carry ondansetron it should be possible to get a written veterinary prescription and fill it at a regular pharmacy (ring round to check which local pharmacies stock it, or how quickly they can order it in for you). The dose my vet prescribed for Saoirse (4.5kg/10lb cat) is: 1-2mg ondansetron every 8-12 hours to a maximum of 4mg per day.

    It's vital to get a post-DKA kitty eating properly as fast as possible both because it needs the calories and because it needs enough insulin in order to ensure a solid recovery and prevent relapses. Obviously if a kitty can't get enough food down it doesn't get enough calories and also it greatly complicates insulin treatment.

    I hope your vet will be able to help. (I had to be a bit persistent in order to get an ondansetron Rx for Saoirse, and other members have reported similar experiences, but it's so worth it to get a treatment which really helps the kitty to eat again!)

    Be sure to keep us updated with developments.


    Mogs
    .
     
    Last edited: Jan 13, 2018
  19. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Oh Geez, i thought at least this wont be a problem. By the way, he was never vomiting thought. I am bringing him In on Monday for glusoce check. I am gonna try tonight before second feeding and shot to do it with meter. I called them up, and yeah, he wants to stick with Reglar. Maybe when they see him monday I can convince them ather wise.
     
  20. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I'd be very interested to hear what justification the vet offered you for this treatment decision.

    I do wonder whether there's a terminology problem going on: ondansetron and Cerenia may be classed as 'anti-emetics' drugs but it doesn't automatically follow that they are only of benefit to a cat who is vomiting. They are highly effective - often life-saving - treatments for nausea in cats. I also wonder why it is that some vets seem to fail to acknowledge that a cat can be extremely nauseated but not vomit at all. Feline inappetence is always a very serious problem which can quickly become a medical emergency. It needs to be addressed urgently and aggressively, as Tanya quite rightly advocates above.

    Here is another vet-authored article which discusses issues associated with use of Reglan in and other anti-emetics in cats and dogs (from professional veterinary site, DVM360). From the article:
    [...]

    From page 3 of same article:
    [Emphasis mine]

    Experience shows that there is frequently no correlation between the degree of nausea a cat is experiencing and whether or not they vomit. Bearing in mind that severely nauseated cats will refuse to eat even though they are hungry, if there's nothing in the cat's stomach it is far less likely to vomit/dry heave but it still needs effective anti-nausea support to help it start eating regularly and protect it from developing serious complications like hepatic lipidosis and, in the case of feline diabetics, ketosis or DKA.

    NB: As I highlighted in the article extracts above, the vet who authored the article flagged up that ondansetron would be the preferred treatment in patients with liver issues.

    Hope the above article is helpful to you, Olga. Sending fusses for Wenz.


    Mogs
    .
     
    Last edited: Jan 14, 2018
    Vader723, Olga and Tanya and Ducia like this.
  21. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Olga likes this.
  22. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you a lot for info, i will defenetly address it to him on Monday. He actually said becouse he is not vomiting he would prefer Regan. But they closed now so hopefully I can manage it all on Monday. Also, i went to the pet store and got high calorie nutrition gel Tomlyn, do you know anything about it?it says stimulate appetite and lots of vitamins
     
  23. Tanya and Ducia

    Tanya and Ducia Well-Known Member

    Joined:
    Feb 25, 2017
    This is great question - the IM specialists we had seen suggested that I could partially contribute to Ducia'a anemia buy poking too often... It rang true because at the time I was using Relion Prime meter - requires larger amount of blood and also gauge 26, very wide needle, lancets - so even more blood was shed and I used to test - very frequently.

    I switched to gauge 33 One Touch Delica lancets, Relion Micro meter - much, much smaller sample is required and sped up her weight gain - at this moment anemia is resolved.
    I do not know how helpful my switching supplies was but it is possible... so - I'd avoid bleeding.... Pressing a cotton ball against the poke site for 10 sec - firmly but too hard to avoid bruising - will stop the bleeding.

    Why do test in a paw, may I ask?

    The outer edge of an ear - between the edge and the vein that goes along - is the best and the least painful testing site, IMHO..
    I'd also worried about poked paw and Litter Box visits - sounds like risking infection.

    I see that your vet gave you wrong nausea medication...sigh...sorry about that.

    The human anti nausea or anti vomit med is ondansetron. There are many illnesses (too common nowadays, unfortunately) that call for its use - like after chemo therapy, or vertigo, head trauma, pancreatitis, etc - do you know anyone suffering from any of those? Or their parents/ grandparents?..Chances are that they were given ondansetron and might have kept it in their med chest and might be willing to give a pill to try for Wenz? You'll need a fraction of pill for a dose, if I am not mistaken. If you can get a pill of ondansetron this way it might help you thru the weekend until the vet opens. Just my thoughts. It is arch important that he eats.
    No I never heard of it. Check the ingredient list for carbs - especially the tiniest font they use for the most important info ;)
     
    Olga, Kris & Teasel and Critter Mom like this.
  24. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    :banghead:

    If you do go back to the vet and s/he insists that Reglan works for other feline patients, it is important to be firm in getting across the message that it is not working for your cat.

    Word of caution: It's important to be aware that introducing something not tried before can potentially make an already queasy kitty more nauseated.

    Try warming Wenz's food or maybe assist feeding by hand (hold the food at a height where Wenz doesn't have to stoop down to eat).


    Mogs
    .
     
    Last edited: Jan 14, 2018
    Olga and Tanya and Ducia like this.
  25. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    What are you feeding him? Maybe try a different food.
     
    Olga likes this.
  26. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Some cats can't stand having their ears messed with but tolerate paw testing fairly well. A case of better a paw pad test than no test at all. :)


    Mogs
    .
     
    Olga likes this.
  27. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Yeah, he won't let me even look for a vain on his ear....he is such a turd.
     
    Critter Mom likes this.
  28. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I am holding on on that supplement for now. Just scared about what you just said. Plus, he is gluten and grain allergic. Last thing I need for him to break out now. That's what happens when I would not pay attention on what's inside the food cans. Although on chewy.com that Tomlyn had great reviews and some people used it for animic cats.
     

    Attached Files:

  29. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I'm going to tell him you said that, Olga! :p

    :D


    Mogs
    .
     
    Olga likes this.
  30. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I have to say paw also didn't work to well...he freaked out on me. Maybe he felt me nurviose. Also them lancests I got make a noise when you relise the needle. Wich I thought be better and easier, in the end he almost killed me.
     

    Attached Files:

  31. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I am making menus here for him trying to trick him into eating. My fear is that he also not eating the iron supplement i put in food, he eats little with the food but not all. Tryed to forced him but no luck. Tonight I am making him some chicken breast. Lol
     
    Sharon14 and Critter Mom like this.
  32. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Oh he knows!:):):D
     
    Kris & Teasel and Critter Mom like this.
  33. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I just had a look at the Tomlyn website; there's very little detail about the ingredients for the high calorie supplement (which I'm assuming is the one you've got as it claims to be good for enhancing a kitty's appetite). Time to break out the magnifying glass to check the label, methinks.

    It might be that the ingredients are all OK for Wenz. When you have his nausea under control, he has caught up a bit on his food intake and he's more stable it might be something you could try then, perhaps? It's a good idea to also check with the vet before introducing new supplements so that s/he has a full picture of Wenz's diet.


    Mogs
    .
     
    Olga likes this.
  34. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I totally agree. I am taking that tube with me on Monday. I was reading back of it at a pet store. Really didn't find nothing suspicious that's why I thought it might be good but just like you said me and my husband decided we going to ask if at first.and I am making notes of all the info you gave me so I be prepared to prove my point.
     

    Attached Files:

  35. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    You're right; they do pick up on it when we're nervous. Saoirse became more relaxed about testing after I decided to put on my Big Girl Pants and get very businesslike about the whole thing. (OK, I had to pretend a lot, but it worked!)

    Not sure what the lancets for that device are like. If they look anything like this ...
    [​IMG]

    ... you could try to just use the lancet itself and 'freehand' the poke (many people do).


    Mogs
    .
     
    Vader723 and Olga like this.
  36. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    It got this relise button for a needle ones you push it needle kinda stays inside. Good thing they wasnt expensive, I am.gonna try latter on...just so he calms down. But I might just look for different one tomorrow at a store. He been giving hard time with insulin today...i think he is annoyed as hell of me.lol
     

    Attached Files:

  37. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Immediate red flags:

    1st ingredient: Corn syrup (grain, and high carb).
    3rd ingredient: Malt syrup (more grain)


    Mogs
    .
     
    Olga and Sharon14 like this.
  38. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Ta for photos. You could try taking the clear plastic cap off and just poking with the lancet in the device, i.e. move your hand to do the poke; don't press the button that pushes the lancet forward and makes it go 'click'. Be careful, if you do press the button with the clear cap off, it could fire the lancet across the room! :eek:

    BTW, your manicure is superb! :cool:


    Mogs
    .
     
    Olga likes this.
  39. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I thought that corn syrup could be a problem, i have no idea what malt is.lol good thing I still got a receipt
     
    Critter Mom likes this.
  40. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    From Wikipedia:


    Mogs
    .
     
    Olga likes this.
  41. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Yeah...that sounds super dangerous and with my luck...i will relise it right into my eye.lol see if .maybe walmart has different ones.
    Thank you, Wenzy loves my cloth(I think I spelled this one wrong) too, specialy when I scratch his back.lol
     
    Critter Mom likes this.
  42. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Claws? :)
     
    Olga likes this.
  43. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Yeees:smuggrin::smuggrin::smuggrin::smuggrin::smuggrin:
     
    Vader723 and Critter Mom like this.
  44. Vader723

    Vader723 Member

    Joined:
    Dec 12, 2017
    I have done this also, after I realized I could not aim the needle where I wanted using the trigger, and it was hard to find a balance on the depth setting. Because I test Vader in the ear, I go in at a bit of an angle, but if you are testing the paw you may want to take more of a straight shot. I only tried the paw a couple of times; he REALLY hates this more than having his ear messed with, especially if I move quick!

    7293C5E1-9A0E-4235-ABA4-A288D1F0A00C.jpeg 52B4348F-E5BD-4757-9DED-CD18575056A3.jpeg
     
    Critter Mom and Olga like this.
  45. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I am gonna try to take plastic off this ones...carefully...oh boy...i be the next one at a doctor's. I tryed again get him, he was fine untill he saw me getting that thing and he preaty much took of. This gonna be a chalange.
     
    Critter Mom and Vader723 like this.
  46. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Is dried potato products are carbs?
     
  47. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Yes, they are.
     
    Olga likes this.
  48. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thanks. Damn...the supplements I give him for iron got them...ugh
     
  49. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I shouldn't worry about that. Wenz needs the iron. Sorting the anaemia trumps a few extra carbs. :)


    Mogs
    .
     
    Kris & Teasel, Vader723 and Olga like this.
  50. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    It is like trying to fix one thing, but than another goes wrong. What a pain . Still love him thought
     
  51. Olga

    Olga Member

    Joined:
    Jan 8, 2018
  52. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    It shows! :cat:

    .
     
    Sharon14 and Olga like this.
  53. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    How’s Wenz? Any luck on the testing?
     
    Olga likes this.
  54. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Olga and Vader723 like this.
  55. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Good morning guys, so I got up earlier on this Sunday morning to try test my fluff ball again. I had no luck getting plastic off the lancast, i tried brake the plastic cap and the hall thing just cracked and plastic still been atached. So before I go and look for other ones I thought I might give another shot with this one. Regular paw testing, just like Tanya said, seems to me can put my kitty in risk on infection, plus I have to hold cotton ball for couple minutes to insure that blood stop( coz we are animic). So i desided again to mess with his ear. Thank you for the links again. He gave me just enough time to look for the vain...and that's it.he wouldn't let me touch the ear again. Bastard. So i gave him a treat, cuddle and went for his paw....and as soon as lancast went off he tried to kill me. So...in the end...no luck there. I wanna ask nurse tomorrow when she does his testing to see what she is doing and how. Maybe that helps. Feeding is still a little bit of a challenge. After I fail last night to make him eat enough of my special boil.chicken breast with eggs or his favorit cat food( wich is Blue with duck) I remember that you guys suggested hand feeding. So we sat on a floor together and were eating shripm...he ate 3 I ate the rest.lol I left a ball with can food thought out the night, he preaty much finished that. So we are getting close to our morning time feeding, hopefully it goes well.
     
    Vader723 and Critter Mom like this.
  56. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    To help with testing, choose a spot that will be your test spot and take Wenz there as often as possible. Rub his ear/foot and give him a treat (hope you can find one he’ll like) then let him go. Don’t try to test, just get him used to your touching those areas. Remember to take a deep breath first and relax, even try singing softly. Make it a happy, bonding time. When you’re both relaxed, then try to test. In the meantime practice with the lancets.
     
    Vader723, Olga and Critter Mom like this.
  57. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you for advice. We gonna work on it
     
    Critter Mom and Sharon14 like this.
  58. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Well, other day is coming to the end. I think we getting somewhere with trust, and me rubbing his paw and even somewhere his ear. I really hope tomorrow when we go to the vet we can find some other solutions for him, coz his appetite still not great. I wrought down my little notes from all the info.you gave me guys. I also trying to figure out the way I can test his urine for keystones, since both of them use one litter and when I had 2 they both were just using 2. I hope to find a way I can test it every day without locking him for all day on the bathroom. I know some of you said about blood testing I might have to see how much they cost.
    Hope you all doing great with your fluffs:cat::cat::cat:
     
    Critter Mom and Vader723 like this.
  59. Vader723

    Vader723 Member

    Joined:
    Dec 12, 2017
    I'm so happy he has been letting you rub and cuddle without running! Vader has his testing spot on the floor beneath a large lamp so I can see what I am doing. Sometimes I sit there to be able to see another task, and if he hears me he will come over for some lap time. He knows that is HIS spot, and the other cats aren't allowed to butt in. :smuggrin:
    Thinking of you and Wenz today. Let us know how it all goes at the vet!
    :bighug:
     
    Olga and Critter Mom like this.
  60. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Hey Guys, so we just got home from vet. Out sugar was 131 after 4 hours after the dose and the meal. He prescrideb mirtazapine 7.5 mg for nausea and appetite. She showed me how she does his BG check, he was very good at vet office with thag.
     
    Critter Mom likes this.
  61. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I think over all we are doing preaty Well, still beeing funny with eating but hopefully new drug will help us out a bit.
     
  62. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    OLGA - URGENT SAFETY INFO!!!!!!

    The 7.5mg mirtazapine dose is MUCH TOO HIGH. Don't give it to Wenz.

    Will post an explanation very shortly. Just preparing it now.



    Mogs
    .
     
    Vader723 likes this.
  63. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    It is 1/4 tablet every 48 hour.is that ok?
     
  64. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    It should be 1/8 of a 15mg tablet per cat every 48 hours (1.8mg/cat every 48 hrs). What size tablets did the vet prescribe?

    (7.5mg is 4 times the now-recommended starting dose for this med - and it's a very strong drug.)


    Mogs
    .
     
    Last edited: Jan 15, 2018
    Olga likes this.
  65. Larry and Kitties

    Larry and Kitties Well-Known Member

    Joined:
    Dec 28, 2009
    Critter Mom and Olga like this.
  66. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    So 1/4 of 7.5 mg tablets every 2 days it too much?
     
  67. Olga

    Olga Member

    Joined:
    Jan 8, 2018
  68. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    From another recent thread:

    From the article cited by Larry:
    [...]
    [Emphasis mine]

    Safety information: Mirtazapine can induce serotonin syndrome (which can be potentially life-threatening - 'antidote' is cyproheptadine) so it's really important to have the right sized dose and frequency (and also to monitor the kitty's clinical signs for anything odd when treating with it).


    Mogs
    .
     
    Olga likes this.
  69. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    1/4 of a 7.5mg tablet is OK (same as 1/8 of a 15mg tablet). You've definitely got 7.5mg tablets, yes?


    Mogs
    .
     
    Vader723 and Olga like this.
  70. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Yes, i had to go to local pharmacy to drop script of. So i am picking it up soon and i will make sure it is. 7.5 mg but that what was on the prescription list.
     
    Vader723 and Critter Mom like this.
  71. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    I see the drug got few side effects, do you know if it actually any good?He said to hold on on Reglan and give his this
     
  72. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Phew! :nailbiting:


    Mogs
    .
     
  73. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Many cats get on great with it as an appetite stimulant. Other cats may have an adverse reaction to it. Some cats may need additional anti-nausea medication as well as the mirtazapine.


    Mogs
    .
     
    Olga likes this.
  74. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you. I guess I will just have to keep close eye on it, i thought I got it right....ugh...
     
    Critter Mom likes this.
  75. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Some cats can get somewhat vocal when being treated with mirtazapine, hence its nickname "miaowzapine". :)


    Mogs
    .
     
    Olga likes this.
  76. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    That's actually kinda funny:)
     
    Critter Mom likes this.
  77. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    We all need the little bit of comic relief every now and again, Olga. BTW, your 'terms of endearment' for Wenzy really crack me up. :D


    Mogs
    .
     
    Olga likes this.
  78. Vader723

    Vader723 Member

    Joined:
    Dec 12, 2017
    Mogs, for real: You are one of the pillars of this board, and I am so grateful for you and the mountain of knowledge you bring! :bighug::kiss:
     
  79. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    @Vader723 - Thank you! :bighug: (*blushing*)

    So many members here have helped myself and Saoirse. It is good to be able to pay something forward. :)


    Mogs
    .
     
    Olga and Vader723 like this.
  80. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    :D:D:pthat's how I love.lol
     
    Vader723 and Critter Mom like this.
  81. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Oh yes!!I can absolutely 250% agree on this one!thank you
     
    Vader723 and Critter Mom like this.
  82. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Hello guys!So I figured I give you a quick update on Wenzy. Let's start from good news since last night our apettite...over the roof!he wont leave me alone. This morning calmer but the same. Our favorite nurse suggested to try Rachel Ray food, he preaty much destroyed it. I checked ingredients everything looks good it smells good I would eat it myself. even my picky second cat ate white fish too I was shocked. He been much more active so that's good. So not too good of a news...we still have a problem with testing. He been drinking a lot last night,i suspect his sugar was high since it was a first time re REALLY ate almost in a week. So this morning before feeding I desided to do it a shot. Ears, forget It, not even gonna bother with them anymore. The paw....after 3 failed attempts I thought that be enough. He would not sit still and in the end started growling at me. I even picked myself just to see how it works, well worked fine one me. My sugar is 99 by the way.lol Well, tomorrow is another day. Hoping for the best. Hope you all having wonderful day.
     
  83. Vader723

    Vader723 Member

    Joined:
    Dec 12, 2017
    MANY of us here have done that sometimes unintentionally! Welcome to the club ;) :cat: Hopefully Wenz will relax a bit as things become more routine. I found the paw to be a much tougher area to get blood from, and after many failed attempts, found a good method for getting blood from his ears. It's a little tougher to see in all that black fur!! But as others have said here, and I didn't believe until I saw it for myself, their ears really DO learn to bleed. Good luck! :bighug:
     
    Critter Mom likes this.
  84. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I'm so pleased that Wenzy's starting to eat better, Olga! Long may that continue. :)

    Here's a video about training a kitty to accept injections. Maybe you could adapt some of the techniques to help Wenz get acclimatised to testing (especially now he wants to eat; protein treats might be more of a motivator).




    Mogs
    .
     
    Olga likes this.
  85. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Yes, or ears are black too and quiet fluffy. I am just so scared to push to hard...ehhh. but me beeing so hesitated pissing him of even more! But he been drinking a lot since last night...ki da worried
     
  86. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you a lot. Yes, i hope I can do it...or I should say we can do it.lol I will see how much he eats tonight and if appetite keeps on, i guess I might need to call my vet and say we eat good and he might need more insulin?
     
    Critter Mom likes this.
  87. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Re the testing, before you try the ear poke make sure the ear is really, really warm (especially if the weather's cold it can take a fair bit of time to do this). Also smear a very thin film of Vaseline over the test area, as this will help the blood to bead up instead of wicking away into the fur. (Makes it much easier to see, too.) BTW, even if you're not successful with every early test, every time you do a poke it helps to encourage extra capillaries to form at the test area, hence the ears 'learn to bleed' and it gets progressively easier and quicker to get successful tests.

    While you've not yet got the testing sorted you can try monitoring how much water Wenz is drinking it. Measure out the amount of water you're putting in the bowl (weigh it or use a measuring jug) and before you refresh the water bowl measure what's left. It's crude but better than nothing. Forgive me but I can't recall whether Wenz is an only cat or whether you have more. If you have more than one cat you'd need to measure the water in all the bowls. If there's any rise or fall in average consumption then it's most likely to be due to a change in Wenz's drinking habits. If water consumption and amount of pee in the household litter boxes goes up then it may indicate that Wenz's sugars are going higher; if water consumption drops, it may indicate improvement in his BG numbers. You'd need to keep in touch with the vet about any changes and get his advice about BG testing at the practice and revisiting Wenz's dose. Given that this is a lot of work for very uncertain information, you can see why being able to home test BG is so helpful (and safer).

    Mogs
    .
     
    Sharon14 and Olga like this.
  88. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you very much for all the advise. And Yes, i got 2 furry balls. I actually thought my other one was diabetic, the week when Wenz got sick i was making an appointment for her to get checked up. Now i am so overwhelmed with him, she has to wait again. This is Klo. She is 10, i adopted her 2 years ago
     

    Attached Files:

    Sharon14 and Critter Mom like this.
  89. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Oh, she's like my Amadán!! He had a little white smudge on his nose, too. (((Klo)))

    Maybe you could try to see if you can test Klo's BG with your meter. You never know; she might be more compliant than Wenzy the B*st*rd. :D


    Mogs
    .
     
    Olga likes this.
  90. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Oh no!hell no:):):):)she is defenetly not, she is much bigger bastard than he is. She is like and absolute turde. She only wants to be touched on her turmes. She is very shy and very spooky. She is the most horrible picky eater cat I ever seen. I could never ever do a quarter of stuff Wenzy let me get away with. :D I would still never gave her back. She is sweet other wise. I will defenetly have to go to the vet with her. The times we did( wich was a really really complicated starting grom catching her and getting her into the carrrier) she acted good ata vet. So she be next:)
     
    Critter Mom likes this.
  91. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Olga, you're gas! :smuggrin:


    Mogs
    .
     
    Olga likes this.
  92. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    So we are doing good so far,again failed in testing, but i think i was rushing this time to much ( Russian rushing,you know,haha). Anyway, I think appetite is good but could be better. So tonight be 48 hours since I gave him his last pill, so I be giving him another one. I been checking water levels, since Monday theh all look normal....soooo. I think we doing good. Knock on wood!:nailbiting::nailbiting:
     
    Vader723 likes this.
  93. Vader723

    Vader723 Member

    Joined:
    Dec 12, 2017
    Knocking as requested!
     
    Olga and Critter Mom like this.
  94. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Anti-jinxing over here, too. :)

    I'm glad to hear that Wenz is eating better now, Olga.


    Mogs
    .
     
    Olga likes this.
  95. Olga

    Olga Member

    Joined:
    Jan 8, 2018
    Thank you all!it has been a very long week I can tell ya.:confused:
     
    Sharon14 and Critter Mom like this.

Share This Page