8/2 Shooter AMPS 368 , +7 167, PMPS 378

Hopefully that blue is a sign of things to come.

Not sure on the egg yolk. I used to mix a yolk into Neko's raw, but that was enough for several days. Egg yolk is good for constipation, hopefully you'll see no ill effects. You don't want them eating raw egg white.
 
Wendy&Neko said:
Hopefully that blue is a sign of things to come.

Not sure on the egg yolk. I used to mix a yolk into Neko's raw, but that was enough for several days. Egg yolk is good for constipation, hopefully you'll see no ill effects. You don't want them eating raw egg white.
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Oh it is? That's great to know! They all tend to be a little more on the hard stool side, but hopefully a whole yolk doesn't do completely the opposite. lol

I'm waiting to get a copy of Shooter's bloodwork to look over, but according to the vet his thyroid is normal, liver is good, but his creatinine is 2.1 "and he is concerned it's the start of kidney disease and wants to put him on kidney/renal food." Well, first of all, won't that completely throw off his blood sugar? AND once he gets regulated, shouldn't that help his kidneys? Oh! and after being SO WORRIED about my other kitty who is "in Stage 2 kidney disease and pancreatitis," I pulled out his OLD bloodwork from when he was 3 years old and his creatinine was the same as now! I'm gonna have to compare the rest of it now too. @Summer and Susie
 
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Also, I think it would be premature to start Shooter on a renal food. He will lose muscle mass most likely. 2.1 is within the reference range for creatinine at least at the lab my bet uses (IDEXX.). Large cats typically have higher creatinine than smaller cats because they have more muscle. He is 18 lbs., right?
 
There are still a lot of vets who like to start renal food sooner than you need to. If you haven't been to Tanya's site yet, it's your new best friend. Here is a page on food for CKD kitties. When Neko got her CKD diagnosis I moved to food with less phosphorus, but didn't change much else. The bloodwork results will guide you.
 
Suzanne & Darcy said:
Also, I think it would be premature to start Shooter on a renal food. He will lose muscle mass most likely. 2.1 is within the reference range for creatinine at least at the lab my bet uses (IDEXX.). Large cats typically have higher creatinine than smaller cats because they have more muscle. He is 18 lbs., right?
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I think they use Antech? They're supposed to be emailing it all to me today. They wrote that he weights 16.7 lbs but my pet/baby scale says he weighs 18lbs.
 
Ok, so I got his results. Honestly everything looks pretty good to me, but you'll have to tell me what you think. How do I put this on his lab sheet? The other one I changed the ranges for because that vet used IDEXX. This one uses Antech.
 
When I changed to the IM vet, with different labs, I put in a new column showing the new reference ranges, beside the new data. Good to hear everything looks pretty good.
 
Wendy&Neko said:
Not too surprising. Same thing happened when Neko's labs swapped from Idexx to TrueNorth when we started seeing the IM vet.
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Ok thanks! Seems a bit premature for the vet to be pushing him to go on kidney/renal food. :rolleyes: Now to figure out why his bg's suddenly went back up and aren't coming down. I think a urinalysis and dental are in order for sure. Oh the money!!! These cats are killing me financially! :arghh:
 
ALT is good, so that's enough indication of no liver problems to worry about. I don't like that creep up in BUN (and obviously the vet didn't either), but his creatinine, which is a better measure of kidney function than BUN, is still within the reference range. As we already talked about, find lower phosphorus foods to reduce the burden on his kidneys.

His white count is a little higher, but nothing evidently wrong there. He has the mildly elevated neutrophils and eosinophils. Did the vet mention this... I bet not since they aren't really high. Overall, if he needs a dental, it seems like now would be a good time to do it while he's pretty stable.
 
Suzanne & Darcy said:
ALT is good, so that's enough indication of no liver problems to worry about. I don't like that creep up in BUN (and obviously the vet didn't either), but his creatinine, which is a better measure of kidney function than BUN, is still within the reference range. As we already talked about, find lower phosphorus foods to reduce the burden on his kidneys.

His white count is a little higher, but nothing evidently wrong there. He has the mildly elevated neutrophils and eosinophils. Did the vet mention this... I bet not since they aren't really high. Overall, if he needs a dental, it seems like now would be a good time to do it while he's pretty stable.
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So even though the phosphorous in his blood is in a normal range, I should still transition him to lower phosphorous? I wouldn't have a problem doing it with him (I don't think because he eats EVERYTHING) but the other 2 might have an issue with it and it's just too hard to try to feed them differently and separately. I need to see which ones are lower carb since FF is so low.
 
Heather82372 said:
So even though the phosphorous in his blood is in a normal range, I should still transition him to lower phosphorous? I wouldn't have a problem doing it with him (I don't think because he eats EVERYTHING) but the other 2 might have an issue with it and it's just too hard to try to feed them differently and separately. I need to see which ones are lower carb since FF is so low.
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Well you may have to experiment with food. FF is quite high in phosphorus. Maybe you can find a more moderate phosphorus food. I understand about finding something that everyone will like, believe me! You can wait if you want to. The idea of feeding lower phosphorus is not, at this point where Shooter is still in a good place, to lower phosphorus levels but to lessen the work on his kidneys. Don’t you have another CKD cat though? Does he/she also eat FF? You will probably need to research foods anyway — and that takes time. Some people feed any food their cat likes and then just add a phosphate binder, but you are nowhere near needing to do that yet. Right now you just need to think about the teeth, right? That’s your first priority.
 
Suzanne & Darcy said:
Well you may have to experiment with food. FF is quite high in phosphorus. Maybe you can find a more moderate phosphorus food. I understand about finding something that everyone will like, believe me! You can wait if you want to. The idea of feeding lower phosphorus is not, at this point where Shooter is still in a good place, to lower phosphorus levels but to lessen the work on his kidneys. Don’t you have another CKD cat though? Does he/she also eat FF? You will probably need to research foods anyway — and that takes time. Some people feed any food their cat likes and then just add a phosphate binder, but you are nowhere near needing to do that yet. Right now you just need to think about the teeth, right? That’s your first priority.
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So here's the "funny" thing... same vet... Koda was diagnosed with CKD on 4/23 with Antech BUN/UREA range is (14 - 36) he was 35. Creatinine range is (.6 - 2.4) he was 2.3 and Phos range (2.4 - 8.2) he was 4.4. Because I was TOLD he was CKD I freaked out trying to get him to switch to low phosphorous foods (he wouldn't eat) so worried but let him eat even MORE FF and less kibble. Sure enough on 7/15 his BUN/UREA 24, Creat 1.8, Phos 3.3 so his numbers actually IMPROVED.

Yes! Teeth definitely and urinalysis (to rule out possible UTI which is hard to know because they pee so much already).
 
Hey, Heather. I really can't advise on his labs but nothing is extremely high. You should look at some of the numbers Susie had in the past which were "off the charts". I would love to see the urinalysis, too, but my Susie's have been bad since December and the vet doesn't seem to be concerned. I don't know what to do about that except spend more money on more expensive test and as long as she seems to be fine I am hesitant to do this. Seems like Shooter is coming down better with the glucose and that 90 last night was great. We get ourselves so twisted up with lab numbers that aren't perfect. I agree, if he has a problem with his teeth, and is healthy enough to undergo it, have them cleaned. If they find something alarming then they can take care of that when they are in. As I said before, yes, I am also concerned about anesthesia but what choice do we have if his teeth need help? Just hate the damn cost - and risk.
 
Heather82372 said:
So here's the "funny" thing... same vet... Koda was diagnosed with CKD on 4/23 with Antech BUN/UREA range is (14 - 36) he was 35. Creatinine range is (.6 - 2.4) he was 2.3 and Phos range (2.4 - 8.2) he was 4.4. Because I was TOLD he was CKD I freaked out trying to get him to switch to low phosphorous foods (he wouldn't eat) so worried but let him eat even MORE FF and less kibble. Sure enough on 7/15 his BUN/UREA 24, Creat 1.8, Phos 3.3 so his numbers actually IMPROVED.

Yes! Teeth definitely and urinalysis (to rule out possible UTI which is hard to know because they pee so much already).
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I’m so glad about Koda! It’s crazy! Those July numbers are so much better. “Normal”.
 
Shooter is scheduled for a dental Monday. I don’t take him in until 8 - 8:30. No food after midnight. Poor guy is used to eating at 6:30am. He is going to be screaming bloody murder for 2 hours! They didn’t tell me what to do about insulin that morning either.
 
Heather82372 said:
Shooter is scheduled for a dental Monday. I don’t take him in until 8 - 8:30. No food after midnight. Poor guy is used to eating at 6:30am. He is going to be screaming bloody murder for 2 hours! They didn’t tell me what to do about insulin that morning either.
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They ended up calling me this afternoon to reiterate no food after midnight and no insulin either. I sure hope this dental helps level his bg's out. If not, I'm at a total loss....
 
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