New here, intro

Discussion in 'Welcome to the Group - Post an Introduction Here' started by Raechel, Jan 18, 2015.

  1. Raechel

    Raechel Member

    Joined:
    Jan 18, 2015
    I've been browsing the site all week - lots of helpful information here - thank you so much!

    Our eldest cat (we have 3), Phobos was diagnosed with diabetes on Monday. We'd brought him to a vet the previous Friday because he was just extremely lethargic and didn't act/look good. He's lost a lot of weight lately and has been drinking a lot of water. She ran blood work and gave subcutaneous fluids, as he was quite dehydrated. Monday she called with the results of the blood work - diabetes. That vet doesn't work with diabetic patients, so we were going to switch his diet to low-carb canned foods and see how he did.
    So, last week was up and down - he'd do ok (seemed perky/looked better), then the next day he'd be lethargic again. He will barely eat; their dry food is still out (downstairs), but I haven't seen him show any interest in that, at all. I've been feeding him canned food - Friskies and FF, low carb ones, but he was only eating a bit at a time and totalling a couple ounces. He's also been very constipated and the worst days are the ones where he's back and forth to the litter box constantly, won't eat and is very lethargic.
    After doing a bunch of reading online, I found out about the dangers of them eating little to nothing, so brought him back in to (a different) vet this Friday. She read & explained the lab results from the first vet - his glucose was at 336, liver numbers were a bit high. So we did new blood work, to compare. Those results showed glucose at 454, liver numbers were fine and no ketones. They gave him more SC fluid, ordered Lantus and sent us home with Hill's A/D, lactulose, and directions to watch him closely over the weekend and push food.
    Friday and Saturday were good - he was acting good & ate well - 3/4 can of the A/D on Friday and a whole can yesterday. Then last night he started the pacing back and forth to the litter box (we gave him one dose of lactulose on Friday and 2 on Saturday, but I don't think he's managed to go yet). Today he won't eat. I've offered him the A/D and a FF and he's only licked at it, and then turned away. I tried syringe feeding some of the A/D, but he fought pretty hard, so I stopped.
    I started taking BG readings today, just to get a baseline curve as the insulin will be started tomorrow. Readings so far today have been 415 & 433, 2 hrs apart. I'm concerned with starting insulin, though, if he's not eating. The vet said he needs to eat ~1/2 a can before each shot. Even the couple days that he ate well, he wouldn't eat more than an ounce or so at a time. Any tricks?
    I'm a little overwhelmed right now with everything and a sick kiddo as well right now. Any support would be greatly appreciated. Thanks!
     
  2. BJM

    BJM Well-Known Member

    Joined:
    Oct 6, 2010
    Some reading over at Feline Constipation to better understand the Feline GI Tract. If he is blocked, putting stuff in from the mouth end can cause damage to the GI tract through tearing, so be careful. He may need an enema. It is difficult to eat when things won't move through.

    Lantus is a good insulin. Typical starting doses are 0.5 - 1.0 units, twice a day, based on lean body weight in kilograms.

    A/D is high calorie and may help sustain him until you can get into a vet.
     
  3. Raechel

    Raechel Member

    Joined:
    Jan 18, 2015
    Thanks, BJM. I'll read more on that page.
    The vet wanted him to start on 1.0 units of Lantus 2x/day. On Friday his weight was down to 13.7 lbs (on 1/2013 he was 19.03 lbs, which was probably close to where he was before his recent weight loss the last month or two; Friday a week ago he was at 14 lbs).
     
  4. BJM

    BJM Well-Known Member

    Joined:
    Oct 6, 2010
    Hang it here, and welcome to FDMB! It can get better.
     
  5. phlika29

    phlika29 Well-Known Member

    Joined:
    Sep 14, 2014
    Hi and welcome

    The licking and walking away sounds like nausea. Could you ask your vet to prescribe/give you some anti nausea medication such as ondansetron or even cerenia. In the meantime you could perhaps very carefully syringe water into your cats mouth (aim from one side to the other very slowly) as water can help nausea.
     

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