About 6 weeks ago my 11-ish year old cat was diagnosed with asthma when we took him for a wellness check for increased aggression and nighttime vomiting. A lot has changed lately with moving multiple times, work and sleep schedules changing, and family members dying, so a lot of his aggression was chalked up to that, but he was also given famotidine to be given q12° and a steroid shot for his breathing. Instructions were given that of our seemed to help he could get one each month, but we'd have to watch his organ function closer and would need a new baseline bloodwork before getting more steroids. 6 weeks later (Thursday last week), we took him in again for the labs and shot. I got a call Friday morning that his glucose was high and she was concerned he may be diabetic. So, with my permission they ran a fructosamine level on him and it was positive. I was called again at 9pm Friday we needed to come in the next day to learn how to administer the insulin. Saturday morning my friend commented on how much weight he looked like he lost. I agreed! We took him in early to his appointment because he was very lethargic and not eating. He did make urine that morning, though. We learned he lost 2 pounds in 6 weeks. They showed us how to give sub-q ivf boluses at home and said his sugar was 211, so they didn't want to give him insulin and bottom him out. So we were to just give supportive treatment at home until they were open on Tuesday. When we got home, he emptied his stomach on the living room floor, most of which was digested, and didn't go near food or water the remainder of the night. I had only been giving him the famotidine if he was nauseas or vomited, so I gave him a ml at 3:30p and watched him. I gave a fluid bolus at 7:30p, and he was just limp. What would've been a growl if he didn't want to be touched was now a weak moan. No more urine was expelled since being home either. I took him to the emergency dept, and his sugar was >380 and ketones were found in his urine. They admitted him for 1-2 nights last night at 11pm. He did urinate on my mom who was holding him (he tried to find a litter box beforehand) after they catheterized him for the sample. His last sugar at 0600 was just over 200, he's sitting up and makes it to the litter box (still making urine). The Dr was concerned for pancreatitis, but the test for cats has to be sent out to a lab. Apparently, his lipase and amylase were wnl because the Dr didn't bring them up. He said treatment would be similar to what they're doing now - ivf, and glucose monitoring. I have to call again, but they said that at 0900 they would try some food. He isn't showing interest in water, though, but he has the iv running too. He was really dehydrated when we brought him in. What does it sound like to you? I have a feeling it is more pancreatitis, but the diabetes/dka hasn't helped the situation. Would it hit him all at once this fast? Could the steroid shot 6 weeks ago made him resistent to insulin and/or caused the pancreatitis? If it is pancreatitis, can I know without that blood test? Also, can I treat that at home? My cousin recommended this site and said someone here may be able to help me. I just signed up, so I haven't had time to look around the site yet. I just found out how to post. lol I'm an RN, so I understand medical jargon and am used to being a caregiver to my family. I just feel helpless because I don't really know what to do for cats in this situation. Thank you, in advance, for any help/understanding you can give.