Diabities and Animia

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Olga

Olga

Member Since 2018
Hello Everyone. Just this morning I rushed my kitty to the vet. He stopped eating, not moving but indeed was drinking a lot. They ran a blood test and urine test and and said he has diabities plus his RBC was extremely low. We had a problem with RBC a year ago when he was hospitalized for 3 days. He pulled it of. Now i had to leave him again. My vet prognosis were not really good he said that you cannot treat one thing and treat another thing at the same time because the steroids will increased sugar in blood, but becouse sugar is very high right now they have to concentrate decreasing sugar levelfirst and not give steroids for RBC. I apologize if I am writhing in a wrong topic or if thetopic been discussed before, but emotions are getting over me. My question is, is it possible to treat both diagnoses at the same time and still give your kitty good quality of life? Thank you
 
Unfortunately No, i don't. I am gonna ask them to email me a copy. I am sepose to pick him up in 2 to 3 days, they said they need to stabilize him and see how much insulin he needs.
 
The way my vet put it, that there isn't much hope in maintaining his condition. But after reading topics here I think I will go to for another opinion if my vet wont give me a solution.
 
When you get a copy of the blood work, post it here. We have several members who can help interpret it. Does the vet know why the RBC count is so low?
 
I just called them up hopping they can email me resolts, unfortunately they cannot. So i will pick it up with him...hopefully in couple days. Last time when we had problem with RBC it was becouse of the virus and he did warn me that he might have a problem with them in the future. at least that's what I was told back than. this time he said that's because of diabetes the level of RBC dropped so low.
 
Hi Olga,

We can really understand what a worrying and frightening time this must be for you and your kitty.

:bighug:

Olga said:
My vet prognosis were not really good he said that you cannot treat one thing and treat another thing at the same time because the steroids will increased sugar in blood, but becouse sugar is very high right now they have to concentrate decreasing sugar levelfirst and not give steroids for RBC.
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Many cats here have more than one health issue. Obviously we are not vets and your vet can actually see your cat's clinical signs and lab results. That said, there are times when another (possibly long term) condition trumps diabetes and its treatment may need to take priority at times. It is true that steroids can elevate blood glucose levels but, should your kitty need to have steroid support and end up with higher BG levels as a result, it is possible to adjust insulin dose to compensate for the effect of the steroids on blood glucose regulation. Usually it's not a black and white case of either/or.

As suggested above, when you get copies of the lab results post them here and ask for help understanding them.

Sending positive healing vibes for your little kitty.



Mogs
.
 
Thank you a lot for support. I was not expecting that, maybe I should have. He is only 4 and had sooo many issues. I kinda feel maybe even my vet is giving up on him, but unless I be sure that I cannot do anything I won't give up on. Now i just pray that they can stabilize him in a hospital and we will go forward. I am really thankful for finding this page, you guys really gave me hope and knowing that it is not the end.
 
Olga said:
he did warn me that he might have a problem with them in the future.
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If his low RBC was from a cold, why did the vet think he would have a continuing problem once the cold was gone? Is there another underlying condition?
 
Sharon14 said:
If his low RBC was from a cold, why did the vet think he would have a continuing problem once the cold was gone? Is there another underlying condition?
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Yes, he been a sick little kitty from the beginning. He is 4 and we been vet free maybe for a year. First 3 years he would get anything you can imagine. I was doing my best to boost his immune system and it looked like finally I got on a right track. But now this. I had no reason to doubt in my vet, but now i kinda realise I don't have much explanation to all issues my boy was having. Regardless RBC I was told and it sounded righf becouse he was so week and sick from a little age his system been also week and damaged, that's why any little virus could coz drop in RBC. So i did my best to boost him, but it wasn't enough with diabities. I just don't understand how they didn't see it before?!
 
Back than he also suggested to put him permanently on steroids to maintain his RBC but it had horrible side effects so we desided to go with more harmless way boosting his immune system.
 
Is there any way you can get those blood work results now, while he’s still at the vets? Maybe we can see something that you can then ask your vet about. If you have blood work from last year, get that too. Sometimes comparing them gives answers that a single test doesn’t show.
 
Sharon14 said:
Is there any way you can get those blood work results now, while he’s still at the vets? Maybe we can see something that you can then ask your vet about. If you have blood work from last year, get that too. Sometimes comparing them gives answers that a single test doesn’t show.
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I called if they can email it to me, but they she said they cannot do it becouse it is not electronic. Which shouldn't be a problem every office have a scanner, but no. So as soon as I get it i will upload it. Thank you a lot again.
 
They don't have electronic copy of test results?! That seems very odd to me. Can they not photograph the page and email it to you?
 
FurBabiesMama said:
They don't have electronic copy of test results?! That seems very odd to me. Can they not photograph the page and email it to you?
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That what i couldn't understand either, I was really surprised to say at least. I do TNR to my local ferals and any clinic I would take them they would have electronic files on them. And that a low cost clinic. Now where my boy is far away from low cost and i couldn't get it. I just gonna shoot there tomorrow and pick it up, hopefully with no problem.
 
Good luck getting the results tomorrow! We’ll watch for them. In the meantime, if you’re not already familiar with home testing, you can start reading up on it so you can keep your kitty (name?) safe and see how well the insulin is working. This is very important especially if you need to keep using the steroids. Here’s some info to get you started
http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/
Another great site with a lot of advice on nutrition
http://catinfo.org/
 
Thank you. I will need any help I need. I never had to deal with diabities, even in humans. It is tottaly unknown ground for me.
 
Check out the sites I listed and come back and ask any questions you have. We will be happy to answer:cat:
 
Good morning, or afternoon guys. Got blood resolts from.my vet, i hope the pic is readable. He is still at a hospital, they trying to find the best way to get his RBC back up without increasing his sugar.He is absolutely pissed of and tired of needles. Eat and used a bathroom. My little champe!:cat::cat::cat:
 

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I won't pretend to get able to analyze your blood work. But others can. I just wanted to welcome you and Wenz.

You have tons of support here, you are in the right place :bighug:

Best,
Sandi & Whisper.
 
Glad you got the results, I'm not an expert interpreting lab results either hopefully one of the experts will jump in shortly, but has he lost a lot of weight lately? Has he been tested for pancreatitis?

Hang in there a lot of people here are dealing with multiple issues on top of diabetes ( Me and Babu included)
 
Veronica & Babu-chiri said:
Glad you got the results, I'm not an expert interpreting lab results either hopefully one of the experts will jump in shortly, but has he lost a lot of weight lately? Has he been tested for pancreatitis?
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Hey. Yes, he did lost weight. When he got to the vet on Monday he was 11ponds. Less than a month ago he was close to 16. No, he wasn't check for pancreatitis. They should call me with more updates and i will ask nurse about it. Is pancreatitis a common problem with diabities?
 
Olga said:
Hey. Yes, he did lost weight. When he got to the vet on Monday he was 11ponds. Less than a month ago he was close to 16. No, he wasn't check for pancreatitis. They should call me with more updates and i will ask nurse about it. Is pancreatitis a common problem with diabities?
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Not necessarily related to diabetes but more common than most people think considering some of his symptoms and lab results I thought it would be worth asking the vet about it and IBD too
 
Sharon14 said:
Any updates?
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Not too great not too bad. He finally started responding on insulin. His sugar dropped from 381 to 265 so that's a progress. If i understood coreectly it should be somewhere between 74-159. But RBC still low but that coz they haven't done nothing yet to bump them becouse of the sugar. So i was hopping to get him back tomorrow....but I got a feeling that wont happen.
 
I’ve never had a diabetic with a low RBC count, so I’m not sure why they can’t work on both things at the same time. Hopefully Larry will be around soon and maybe can give some insight. If not I’ll tag a few others that might be able to read the tests.
 
Sharon14 said:
I’ve never had a diabetic with a low RBC count, so I’m not sure why they can’t work on both things at the same time. Hopefully Larry will be around soon and maybe can give some insight. If not I’ll tag a few others that might be able to read the tests.
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Thank you Sharon. That's becouse a medication for RBC increases sugar. So he is researching if there is any other way to fix RBC.
 
Most of it all steroids or steroid bassed medication, and they effect sugar. But now diabities is bigger problem for his life so they concentrate on it.
 
Olga said:
Not too great not too bad. He finally started responding on insulin. His sugar dropped from 381 to 265 so that's a progress. If i understood coreectly it should be somewhere between 74-159. But RBC still low but that coz they haven't done nothing yet to bump them becouse of the sugar. So i was hopping to get him back tomorrow....but I got a feeling that wont happen.
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Controlling his diabetes and taking him to normal values is going to take time is not like you shoot insulin once and you get low values, even finding the right dose for him is an slow process that can take many days even months (that is with or without steroids) so I think they will have to work on both conditions at the same time, just a thought I don't know much about RBC

if the only way is givin him steroids you will have to work around it, that will probably mean that his insulin dose will have to be higher than what it would be with out steroids but still you can give steroids and insulin at the same time.

A glucose value of 265 is not life threatening is actually quite good for a newly diagnosed kitty
 
@Marje and Gracie - When you have a moment is there any chance you could look at Wenz's labs for Olga, please? They're in post #24 on this thread.

(Maybe immune-mediated anaemia with respiratory tract infection as a trigger? (I don't know enough about different types of anaemia nor how to interpret the labs.) Wenz is only a baby (4). Vet seems to be taking something of an either/or stance WRT steroid treatment for the anaemia and insulin treatment for the diabetes.)


Mogs
.
 
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Veronica & Babu-chiri said:
Controlling his diabetes and taking him to normal values is going to take time is not like you shoot insulin once and you get low values, even finding the right dose for him is an slow process that can take many days even months (that is with or without steroids) so I think they will have to work on both conditions at the same time, just a thought I don't know much about RBC

if the only way is givin him steroids you will have to work around it, that will probably mean that his insulin dose will have to be higher than what it would be with out steroids but still you can give steroids and insulin at the same time.

A glucose value of 265 is not life threatening is actually quite good for a newly diagnosed kitty
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Veronica, i will take the fact that 265 is not bad number, coz for me now anything looks like a bad number.:D Doesn't help the fact that I stepped in in something i have no idea about, but i guess most of people start like this and than it just gets easier. For now i am still more panicking.
 
Olga said:
Veronica, i will take the fact that 265 is not bad number, coz for me now anything looks like a bad number.:D Doesn't help the fact that I stepped in in something i have no idea about, but i guess most of people start like this and than it just gets easier. For now i am still more panicking.
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We understand we were like you at the beginning at least I was totally panicked desperate and worried sick but it gets easier, regarding the initial values click on the link of Baby's spreadsheet in my signature and see the values he was having also take a look at this other one for Han Solo and Fernanda and see their values a few months ago both of them are doing just fine now (at least with the diabetes) but it took a few months https://docs.google.com/spreadsheets/d/11MBXnuL4TR-D668qaZzuaheQMMEw9VZvxSJPe6x8s_s/edit#gid=0
 
Veronica & Babu-chiri said:
We understand we were like you at the beginning at least I was totally panicked desperate and worried sick but it gets easier, regarding the initial values click on the link of Baby's spreadsheet in my signature and see the values he was having also take a look at this other one for Han Solo and Fernanda and see their values a few months ago both of them are doing just fine now (at least with the diabetes) but it took a few months https://docs.google.com/spreadsheets/d/11MBXnuL4TR-D668qaZzuaheQMMEw9VZvxSJPe6x8s_s/edit#gid=0
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Wow!so...wow.so I see his numbers are 300 or 400, and even with such high numbers is possible to give your kitty a good life?and you do blood test every day?dont mind my questions, i just have no clue how that works. Like you said, for right now there is lots of fear and panic.
 
I know i have to wait for my vet to give me the info on what, how and whatever to do, I just trying to get a head start.lol
 
He is severely anemic and I doubt the issues with his RBCs were ever from a cold. His liver enzymes are also really elevated which means something is causing damage to his liver cells.

Because there are reticulocytes in his blood, his anemia is likely regenerative. This means his bone marrow is trying to make more red blood cells. Here is some additional information on anemia in cats. It’s important that you find a vet that can properly diagnose the cause of the anemia.

He likely also needs an ultrasound to get a look at his liver. I’m not surprised that he’s feeling poorly with those liver values.
 
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Olga said:
Wow!so...wow.so I see his numbers are 300 or 400, and even with such high numbers is possible to give your kitty a good life?and I you do blood test every day?dont mind my questions, i just have no clue how that works. Like you said, for right now there is lots of fear and panic.
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He had those high numbers at the beginning we even had some 500s but once we started with the insulin and following the protocol the numbers began to improve little by little and he began to feel better right now he's is in remission (he is no longer getting insulin and we are keeping him regulated with his diet)

Once you start giving insulin you will need to test his blood glucose before you shoot him insulin (this tests are a must to keep him safe) and insulin is given every 12 hours and ideally you will test one or two more times inbetween shoots
 
Oh boy!Thank you a lot for your respond. Tomorrow I will ask the vet to make an ultrasound. I been going to this doctor since the begging, he sepose to be one of the best in our aria. Although I already had thought of trying another place.
 
Veronica & Babu-chiri said:
He had those high numbers at the beginning we even had some 500s but once we started with the insulin and following the protocol the numbers began to improve little by little and he began to feel better right now he's is in remission (he is no longer getting insulin and we are keeping him regulated with his diet)

Once you start giving insulin you will need to test his blood glucose before you shoot him insulin (this tests are a must to keep him safe) and insulin is given every 12 hours and ideally you will test one or two more times inbetween shoots
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This makes me even more scared. :oops::(but I am ready to do what it needs.
 
Hey Guys, so I am picking up my boy today. I haven't got specific instructions for now how to give him insulin and how much. Only said twice a day after feeding. One thing she told me that I will need to come back in a week and check his blood for glucose. She said i won't have to do it myself...does that sound right? Also for Animia only option he has is give him more iron. He checked everything, liver, kidney and pancreatitis. Everything is Good, no cancer or parasites. It preaty much leaves problem with his immune system.
 
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