Dee123
Member Since 2017
Hi there,
I am posting hoping someone else has encountered the problems poor Harry is having. I will fill out a chart as instructed, but I thought to post something first so you could get to know him and the issues he is having. He is currently at the vets having developed ketones from his diabetes being uncontrolled. He was not eating enough with an upset tummy. His intestinal lining is inflamed (ultrasound) and nutrients are not being absorbed due to that and the blood glucose levels. He was treated the following way: he was given the fast acting insulin to get him under control. First 24 hrs on CRI. Then remained on it for another 48 hours. the following day he went on Lantus. The next day he was transitioned back to CRI within 24 hrs alert but they continued for 72 hrs. Then he was transitioned to lantus again for 2 days and was bright and alert. Then he came home. He exhibited some shakiness of the hind quarters the next day at home. It turns out that this was the beginning of the potassium levels plummeting again. His blood glucose dropped from 16.1 at 10 p.m. to 1.9 at 9 am the next day.
He is on lantus insulin, and is seeing an internal medicine specialist who also specializes in diabetes. We are exploring all angles and trying to figure out why his blood glucose is experiencing such highs and lows in short periods of time. Is it the lantus? Should he be on another type of insulin?
History:
He had diabetes for many years. He had problems regulating it before and they finally stabilized him. He also had pancreatitus. He came to us with limited information from a Humane Society where he had recently been moved as the vet clinic where he lived could not adopt him out after 2 years. They hoped the Humane Society would have more luck as they have a high adoption rate. We recently received more information from that previous vet, that had not been passed along to us by the Human Society. They had diarrhea problems with him that persisted. The diarrhea persisted even when everything else cleared up (pancreatitis, stabilized blood glucose on 2 units for 2 months and then increased to 3 units. He was transferred then and I suspect now that the blood glucose was never resolved. They noted that switching him from DM to WD fixed the diarrhea. I’ve included information from a previous vet as it shows what they did to stabilize him.
He has had slight diarrhea since we adopted him a year ago. It is not liquid diarrhea, about 3-4 on the fecal scoring chart - formed, somewhat solid, but not truly solid. The weight loss seemed to speed up after he had dental surgery to remove teeth. Post surgery he had a diabetic episode and almost went into a diabetic coma due to low blood glucose. He was then switched from 3 units to 1 unit, but the blood glucose remained very high (15 - 24). It was increased slowly back to 2.5 units. He also refused to eat at times and couldn’t be given insulin. Was eating FancyFeat from Blinkey’s list - the wrong ones that manufacturer changed formulation as we later discovered.
We sought advice about the weight loss and they discovered he is not absorbing the food nutrients and an ultrasound revealed a severely inflamed intestinal lining. Could be cancer or bowel disease. He is not well enough to be sedated for a test to determine which. We all agreed to treat as bowel disease. Switched to DM. He was not gaining weight and blood glucose was still high. Switched him to a raw food diet - Stella & chewy and also tried some gluten free canned foods. Nothing worked. He liked it for a few days and stool would become normal, then he would stop eating and/or stool would slowly change back. He became tipsy due to ketones in his blood and low potassium and was taken to a specialist in internal cat medicine and diabetes.
Most recently he has been on 3 units of Lantus every 12 hours after being treated for ketones in his blood, low potassium and uncontrolled diabetes at the vet’s. He was on IV Lantus there attached to some kind of special pump on an IV pole. He did really well as it was monitored hourly and his blood glucose regulated at 8 metric or 144 imperial. He came home on 3 units of Lantus. He has lots of gas and did not like to eat due to discomfort at times. Rubbing his belly released gas and he ate. Stool normal consistency, but dark brown. He seems like he is not pooping as much. Potassium dropped again. Specialist investigating Somogyi effect.
Let me know if I forgot anything. He is at the vet's now so we can't do much, but it would be good to hear what people think is going on. We are all stumped.
Thank you,
Harry & Deea
I am posting hoping someone else has encountered the problems poor Harry is having. I will fill out a chart as instructed, but I thought to post something first so you could get to know him and the issues he is having. He is currently at the vets having developed ketones from his diabetes being uncontrolled. He was not eating enough with an upset tummy. His intestinal lining is inflamed (ultrasound) and nutrients are not being absorbed due to that and the blood glucose levels. He was treated the following way: he was given the fast acting insulin to get him under control. First 24 hrs on CRI. Then remained on it for another 48 hours. the following day he went on Lantus. The next day he was transitioned back to CRI within 24 hrs alert but they continued for 72 hrs. Then he was transitioned to lantus again for 2 days and was bright and alert. Then he came home. He exhibited some shakiness of the hind quarters the next day at home. It turns out that this was the beginning of the potassium levels plummeting again. His blood glucose dropped from 16.1 at 10 p.m. to 1.9 at 9 am the next day.
He is on lantus insulin, and is seeing an internal medicine specialist who also specializes in diabetes. We are exploring all angles and trying to figure out why his blood glucose is experiencing such highs and lows in short periods of time. Is it the lantus? Should he be on another type of insulin?
History:
He had diabetes for many years. He had problems regulating it before and they finally stabilized him. He also had pancreatitus. He came to us with limited information from a Humane Society where he had recently been moved as the vet clinic where he lived could not adopt him out after 2 years. They hoped the Humane Society would have more luck as they have a high adoption rate. We recently received more information from that previous vet, that had not been passed along to us by the Human Society. They had diarrhea problems with him that persisted. The diarrhea persisted even when everything else cleared up (pancreatitis, stabilized blood glucose on 2 units for 2 months and then increased to 3 units. He was transferred then and I suspect now that the blood glucose was never resolved. They noted that switching him from DM to WD fixed the diarrhea. I’ve included information from a previous vet as it shows what they did to stabilize him.
He has had slight diarrhea since we adopted him a year ago. It is not liquid diarrhea, about 3-4 on the fecal scoring chart - formed, somewhat solid, but not truly solid. The weight loss seemed to speed up after he had dental surgery to remove teeth. Post surgery he had a diabetic episode and almost went into a diabetic coma due to low blood glucose. He was then switched from 3 units to 1 unit, but the blood glucose remained very high (15 - 24). It was increased slowly back to 2.5 units. He also refused to eat at times and couldn’t be given insulin. Was eating FancyFeat from Blinkey’s list - the wrong ones that manufacturer changed formulation as we later discovered.
We sought advice about the weight loss and they discovered he is not absorbing the food nutrients and an ultrasound revealed a severely inflamed intestinal lining. Could be cancer or bowel disease. He is not well enough to be sedated for a test to determine which. We all agreed to treat as bowel disease. Switched to DM. He was not gaining weight and blood glucose was still high. Switched him to a raw food diet - Stella & chewy and also tried some gluten free canned foods. Nothing worked. He liked it for a few days and stool would become normal, then he would stop eating and/or stool would slowly change back. He became tipsy due to ketones in his blood and low potassium and was taken to a specialist in internal cat medicine and diabetes.
Most recently he has been on 3 units of Lantus every 12 hours after being treated for ketones in his blood, low potassium and uncontrolled diabetes at the vet’s. He was on IV Lantus there attached to some kind of special pump on an IV pole. He did really well as it was monitored hourly and his blood glucose regulated at 8 metric or 144 imperial. He came home on 3 units of Lantus. He has lots of gas and did not like to eat due to discomfort at times. Rubbing his belly released gas and he ate. Stool normal consistency, but dark brown. He seems like he is not pooping as much. Potassium dropped again. Specialist investigating Somogyi effect.
Let me know if I forgot anything. He is at the vet's now so we can't do much, but it would be good to hear what people think is going on. We are all stumped.
Thank you,
Harry & Deea
I did try the homemade cooked food but I don't think the texture was quite right. Was thinking of trying that again but blend it to a pate.
