What would you do?

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Sean & Rufus

Member Since 2018
So...I wrote a long post a couple weeks ago introducing Rufus and his issues. Just wanted to explain again what happened and ask what would you do...

Rufus is a big dude. He was 24 pounds at his heaviest, vet thinks he should be about 18 pounds, he does have a long body. A couple years ago, Rufus started throwing up quite a bit, and vet thought it was eating too much too fast. We then switched foods and started to vomit less, but then he started licking himself. Never did testing for allergies because was told it was a waste of money.

Fast forward this last April. Brought him in for a vaccine and the vet said he looks miserable. Loss of hair, red ears, etc. I said, yeah, I've been saying for years. We switched him to Royal Canine Selective rabbit. He was also eating a tiny bit of deli turkey each day (dumb, I know now seeing as this was probably contributing to his issues). He was scratching and licking less, but still doing it. Switched to a different protein twice in Late July/early August because of cost of food. He didn't care for the new ones. Switched back to Royal Canine.

Late August I noticed that he was eating less and less dry food. He was always getting 1/4 can of rc rabbit at night and continued to eat that, until later next month.

Brought him to vet. No real reason that he wasn't eating. He had bad ears (infections?) and his creatine was a little elevated and he was slightly dehydrated. Vet said sometimes cats don't like to eat when creatine is elevated. A week goes by and still not eating well. This guy loves to eat, so this is strange. I called vet and asked about this drug that I read about, prednisone, to increase appetitie, and stop the itching. She doesn't want to do, but I twist her arm. He's on it for a few day and no change, so I decide to get second opinion from a different vet.

New vet (Late September) gives him sub q fluids, new meds for ears, and antibiotic. He was like a brand new cat for about 2 weeks, then starts again witht he not eating. Now he's not eating dry and the wet has to have water added to eat. On top of that, he only likes a food for a couple days, and then no longer will eat it. The ear drops aren't working so we switch to a ear dropped only approved for dogs. It seems to work better. So now his appetite is up and down. Vet thinks he has pancreatitis now from me switching foods on him, but I had to to get him to eat.

In november I wanted to have his teeth checked because why is he not really eating dry food. She says lets try some buprenorphine and see what happens. 1st day no change, second night he was eating dry food (normally), and wet food that wasn't altered with water! 3rd day, he was having issues with the dry food (dropping it, chewing head tilted). Didn't attempt to eat dry for 1 month after this. He was only on this for 3 days.

So she agrees to dental check (this whole time vet 1 and new vet don't think his issues are tooth related). She wants to do bloodwork first. We scgedule it 3 weeks out. Week and a half later (thanksgiving), Rufus is peeing like crazy. We do bloodwork early and BG was 400's. We stop the predinsone and start Lantus.

So here we are end of January. Rufus is kinda sometimes eating dry food, but mostly it is pureed fancy feast. He still won't eat unaltered wet food. Only wants Fancy Feast. I'm pretty sure he is allergic/intolerant to it. His stomach is always gurgling, has gas, could be IBD now. Went to dental specialst a couple weeks ago, and she doesn't think its a dental issue, but we cant't check because his number are too high.

So, we are now on 5 units am & pm. He seems "better" for the most part. But his numbers won't go down to where they need to be, and still has issues eating. Is it the pancreatitis or bad teeth? Who knows because I can't fix the other without fixing the other first!

We did have a scare last weekend and went to emergeny vet. She said while 5 and 5 units isn't THAT high, she thinks I need to see a specialist for him to get better because the underlying issue is casuing the numbers not to drop. My regular vet thinks it would just be a waste of time and money, and that when we get to 7 and 7 we should switch to a different insulin.

I did leave out some details, as I truly didn't want to write this much. Thank you for reading this I know it was long. Now, what would you do in this situation? I truly thought that no more steriods and low/zero carb food would do the trick, but it's not working.
 
FYI increments in dosing were: 1 and 1, 2 and 1, 2 and 2, 3 and 2, 3 and 3, 4 and 4, 4.5 and 4.5, and now 5 and 5. All BG tests/checks were done once a week at vet up until 2 weeks ago. He had a curve done at 3 and 2 I beleive and all numbers were in the 400' and low 500's.
 
You do know dry is bad for cats right? Bad for civvies just as much as diabetics. I think you’ve had quite a bit of advice re dosing in other posts. You should link your previous day’s post to your current day’s post like I suggested. Then all your info is in one place for others to follow and see what advice has already been given. You should also just stick to one post a day and out all your questions in the one post.

I did send you this link before but take another look. You will get more eyes and answers if you follow the process.

http://www.felinediabetes.com/FDMB/threads/updated-tips-for-new-members.173572/
 
You do know dry is bad for cats right? Bad for civvies just as much as diabetics. I think you’ve had quite a bit of advice re dosing in other posts. You should link your previous day’s post to your current day’s post like I suggested. Then all your info is in one place for others to follow and see what advice has already been given.
Thanks Juliet. The dry food is the young again zero, so it's pretty low carb, possibly less then the fancy feast. the reason why I didn't link is because I know this is really long already, and I'm sure people don't want to read though all of it. I know what I was told about dosing, but wondering if I should see a specialist and if anyone thinks his underlying issues are causing (and if so, how much) his "high" dose. So, should I keep increasing in hopes we get to the right level and not worry about underlying issues, or fix underlying issues asap and hope insulin needs aren't as much.
 
Thanks Juliet. The dry food is the young again zero, so it's pretty low carb, possibly less then the fancy feast. the reason why I didn't link is because I know this is really long already, and I'm sure people don't want to read though all of it. I know what I was told about dosing, but wondering if I should see a specialist and if anyone thinks his underlying issues are causing (and if so, how much) his "high" dose. So, should I keep increasing in hopes we get to the right level and not worry about underlying issues, or fix underlying issues asap and hope insulin needs aren't as much.
No dry food is good for cats. Low or high carb.
http://www.felinediabetes.com/FDMB/...r-more-than-just-carbohydrate-content.175004/
 
Thanks Juliet. The dry food is the young again zero, so it's pretty low carb, possibly less then the fancy feast. the reason why I didn't link is because I know this is really long already, and I'm sure people don't want to read though all of it. I know what I was told about dosing, but wondering if I should see a specialist and if anyone thinks his underlying issues are causing (and if so, how much) his "high" dose. So, should I keep increasing in hopes we get to the right level and not worry about underlying issues, or fix underlying issues asap and hope insulin needs aren't as much.
I don’t know what you were previously advised. Go back and read and see what advice you’ve already been given.
 
I don’t know what you were previously advised. Go back and read and see what advice you’ve already been given.
I was never given advice on my current question, as I never have asked it. I was given advice as to test at home, and more often.
 
So just to reiterate...Main vet thinks that once he is regulated, the pancreatitis, food allergy/ibd and dental issues (not wanting to chew food) pain will go away and everything will resolve itself. Her idea is keep going up on dosage til we get there. Emergency vet says we should see an internist and fix the underlying issues as much as possible now, to help get him regulated as she thinks we wont get him regulated until we fix the issue. I'd love to see an interest but is it worth it? I'm unemployed and spent $1000 in the last month alone. I'll spend as much as it takes, but don't want to throw money out the window.
 
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From what I understand, pancreatitis can make them not want to eat well, and can elevate BG numbers. See attached additional info

http://www.felinediabetes.com/FDMB/threads/a-primer-on-pancreatitis.79693/

Only an observation, but I had a peek at your SS and there are no preshot numbers for the last week, nor much data in between. It would be impossible to say he's getting enough or not enough insulin, especially if he is dropping lower and you aren't seeing it. I couldn't imagine making decisions without knowing preshot numbers, and how low the current dose is taking them.

Side note: only in the Lantus and Levemir subforum are folks asked to post only once a day, and link to previous posts...it's quite busy over there, but here in the main forum, you can ask as many questions in as many threads as you'd like :), and I've seen a few posts go on for days here!
 
My Max had chronic pancreatitis for several years before becomes BG diabetic. I got him tightly regulated with insulin and canned food. That will not cure pancreatitis. It’s hard to determine the cause of it. For Max it was stress first from tge I’ll ess and loss of his best friend. Then trips to the vet always brought it on. Food was not his trigger. So when it reared his ugly head I treated with nausea medication, cerenia or most often ondansetron. Regulation will also not get rid of dental disease any more than it would for you. Actually dealing with the dental issues might help regulate him. I’m sorry but you need a new vet.
 
Rufus will eat it.
Poor Rufus.:(

Sometimes the rule is - the only good food is the food they will eat. If a cat isn't eating all other issues kind of drop off the table don't they?

I don't agree on the pancreatitis - if it is chronic then Rufus is having tummy issues and is probably in pain. Have they tried any medications to help this? AB, appy stim, anti-nausea and a pain med?

The dental pain will just go away? How? Do you see or was any cavities noticed? How are his teeth? If there is infection in the teeth that could be part of your issue with the high dosage.

If he does have IBD - there is options for meds - prednisolone and budesonide, as I am sure you are aware of. As well as the allergies - which may be relived when the IBD is dealt with.

JMHO:
Jones has an IM vet - best doc ever! If you can get a good one. He dealt with the things like the pancreatitis and IBD. He left the FD to me as I was home day to day to deal with the ups or downs. I have not regretted going. When he ended up at the ER (which is where the IM works out of) - he was there to work through that as well. I use my regular vet for prescriptions refills.

I know funding can be an issue, but I think you are right in a way, you need to look at the whole picture to see what is the driver and what is a result. Looking at your spreadsheet - I couldn't say if the dose you are using is good or bad. Just not enough testing to see a clear picture.

ETA: I think you need some of theses :bighug::bighug::bighug::bighug:
 
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From what I understand, pancreatitis can make them not want to eat well, and can elevate BG numbers. See attached additional info

http://www.felinediabetes.com/FDMB/threads/a-primer-on-pancreatitis.79693/

Only an observation, but I had a peek at your SS and there are no preshot numbers for the last week, nor much data in between. It would be impossible to say he's getting enough or not enough insulin, especially if he is dropping lower and you aren't seeing it. I couldn't imagine making decisions without knowing preshot numbers, and how low the current dose is taking them.

Side note: only in the Lantus and Levemir subforum are folks asked to post only once a day, and link to previous posts...it's quite busy over there, but here in the main forum, you can ask as many questions in as many threads as you'd like :), and I've seen a few posts go on for days here!
The vet told me to cool it on the tests for a couple days. His ears were pretty beat up. My plan is to do a couple tests tomorrow and Wednesday and then do a curve on Thursday.
 
My Max had chronic pancreatitis for several years before becomes BG diabetic. I got him tightly regulated with insulin and canned food. That will not cure pancreatitis. It’s hard to determine the cause of it. For Max it was stress first from tge I’ll ess and loss of his best friend. Then trips to the vet always brought it on. Food was not his trigger. So when it reared his ugly head I treated with nausea medication, cerenia or most often ondansetron. Regulation will also not get rid of dental disease any more than it would for you. Actually dealing with the dental issues might help regulate him. I’m sorry but you need a new vet.
The vet and even the dental specialist don't think it's a dental issue, but I do. You should see the video of him eating. They think it's pancreatitis causing him pain to chew. Might be part of it, but I think it is a tooth issue. Problem is specialist won't look at him til numbers are down. But what if numbers wont go down because of issue. Catch 22. Ugh.
 
Poor Rufus.:(

Sometimes the rule is - the only good food is the food they will eat. If a cat isn't eating all other issues kind of drop off the table don't they?

I don't agree on the pancreatitis - if it is chronic then Rufus is having tummy issues and is probably in pain. Have they tried any medications to help this? AB, appy stim, anti-nausea and a pain med?

The dental pain will just go away? How? Do you see or was any cavities noticed? How are his teeth? If there is infection in the teeth that could be part of your issue with the high dosage.

If he does have IBD - there is options for meds - prednisolone and budesonide, as I am sure you are aware of. As well as the allergies - which may be relived when the IBD is dealt with.

JMHO:
Jones has an IM vet - best doc ever! If you can get a good one. He dealt with the things like the pancreatitis and IBD. He left the FD to me as I was home day to day to deal with the ups or downs. I have not regretted going. When he ended up at the ER (which is where the IM works out of) - he was there to work through that as well. I use my regular vet for prescriptions refills.

I know funding can be an issue, but I think you are right in a way, you need to look at the whole picture to see what is the driver and what is a result. Looking at your spreadsheet - I couldn't say if the dose you are using is good or bad. Just not enough testing to see a clear picture.

ETA: I think you need some of theses :bighug::bighug::bighug::bighug:
Well they don't see any dental issues from looking at him. He has lost 2 teeth. We talked about tooth resorbtion. She did prescribe gabapentin but I really don't notice any difference in him, when i did give it to him. We started ondansetron on Saturday. Really is working. I think the pancreatitis is from eating a good that he' allergic to. I have the novel prisons ready to go, but he's being picky. I'm hoping soon with this ondansetron that I can get him eating the rabbit and his tummy calms down. He really is doing much better, just his numbers aren't budging much and the nausea and eating funky.
 
What were youngiven for the pancreatitis? When Max first got it he was eating less and less. He was CD at the time because he had blocked. He preferred dry mostly I think because he was nauseous but I didn’t know it because he never vomited. He was given an uultrasound by an incompetent traveling vet who recommended surgical biopsies. I went back to my original vet who had his radiologist do another ultrasound and ran the SpecfPL test for pancreatitis. No biopsies were needed. Since his main symptoms were inappetence and finicky about eating I was given ondansetron for nausea, a human drug, and buprenorphine for pain and an appetite stimulant. By trial and error I learned when he got tge right amount of ondansetron when nauseous , he didn’t need the appetite stimulant. I was told to feed him any canned food he would eat. He preferred pieces rather than pates. You might try that with your other cat as a CRF food diet leaves them dehydrated.

If interested I can give you good articles to read. There’s a primer for pancreatitis on this forum as well.
 
Hi!
I know this is probably overwhelming for you I promise the more you know it will get easier and there is so much info it can be hard to take in be patient with yourself.

I just want to add a few things
I agree dry food is not the best choice however many Cats are addicted or seniors and changing routines drastically can cause other issues including depression.
My boys are seniors and I do leave dr Elsey’s dry out for them. I tried YA and they puked all over and got diarrhea.
Dr Elsey’s chicken is under 5% carb and salmon under 10%
The thing I really like is it is not protein from plants. It is animal protein.


1 other thing you may want to discuss with your vet is budesonide instead of Pred if indeed you do need a steroid.
It has helped my nearly 20 year old boy immensely. Initially he got steroid induced diabetes I tinkered with the dose n he has been in remission for a long time. He feels so much better without the internal inflammation.
Side note .... when he does have a panc flare I give sq fluids and ondansetron as well as cerenia and the flare is minimized to a few days.
Hugs !
 
He wasn't given anything when she told me he was diagnosed with pancreatitis. Only to me to give him pepcid. He hasn't had an ultrasound. Was diagnosed with the yes no test, not sure the name. He's eating pretty well now, just only wants his fancy feast which I'm 99% sure is the problem.
 
thanks jayla. Problem is I'm pretty sure allergy is to fish and turkey, and most likely chicken. That's why I got the ya lid food. I really believe if I can get him to eat that and wet rabbit food a lot of the tummy issues will resolve. I just can't get him to steadily eat the dry and eat the rabbit.
 
Have you tried raw food? Sometimes it seems to sit easier on the tummy, and is fairly readily available in novel proteins. I used to buy the frozen raw, my cats loved it. Also small meals several times a day work better than just a couple of larger meals.

I don't understand all the glaring cues that he has dental issues, but the dentist saying he has no problems??? I think you need a new vet, and maybe a new dentist, too!
 
There’s also freeze dried venison and pork. When I got my kittens one started with loose stool. I switched them to Primal freeze dried first and now I use grit frozen and Balsnced Blends. Primal cones in novel proteins.
 
yeah I'm not sure why they all think he has no dental issues. Seems obvious to me. Really need his numbers to get better so that they'll look at him.
 
He has absolutely no interest in freeze dried treats. Only likes temptations. So no treats i guess. Vet tech gave me some raw chicken and no interest. I swear I'm being recorded to see how long I last before I lose it. never really an issue up until August.
 
The vet told me to cool it on the tests for a couple days. His ears were pretty beat up. My plan is to do a couple tests tomorrow and Wednesday and then do a curve on Thursday.

know vet said that to you but, you still should at least test before shots.
put neosporin on ear/s every night or so, what i do with my cat and you can't even tell i have been poking the same ear 3 or more times a day for 4mths!!
 
yeah I'm not sure why they all think he has no dental issues. Seems obvious to me. Really need his numbers to get better so that they'll look at him.
I don't understand what you mean by "look at him." I can understand the dentist not wanting to do any work on his mouth until his numbers are lower, but certainly it shouldn't be a problem for him to look at Rufus' teeth and give you an opinion, if not a diagnosis. My sugar cat is 19 years old with a heart murmur and the beginnings of kidney disease, and the dental specialist I took him to had no problem looking at him and evaluating him for initial treatment, based on what he could see. Any feline dentist should have no problem looking at him, even if his numbers are high.
 
I don't understand what you mean by "look at him." I can understand the dentist not wanting to do any work on his mouth until his numbers are lower, but certainly it shouldn't be a problem for him to look at Rufus' teeth and give you an opinion, if not a diagnosis. My sugar cat is 19 years old with a heart murmur and the beginnings of kidney disease, and the dental specialist I took him to had no problem looking at him and evaluating him for initial treatment, based on what he could see. Any feline dentist should have no problem looking at him, even if his numbers are high.
I phrased it wrong, i meant look at him meaning xrays. We did go to see a specialist. She did look in his mouth, and noticed 3 teeth missing (2 in the last 3 months) including 1 in the front. She doesn't see anything wrong, or signs of anything wrong. She did say he could have some tooth resporbtion or that 1 tooth in front could not be healed over, but by quick look in there she doesn't think his teeth are the issue at all. I really wish she would have looked at my video of him eating, but she didn't. Now the issue is even when his numbers are better, it's going to cost at least $1200 just to clean and do xrays and see IF there are issues.
 
Now the issue is even when his numbers are better, it's going to cost at least $1200 just to clean and do xrays and see IF there are issues.

Shop around a bit. I just did an uncomplicated cleaning w/x-rays for about half that. The cost can climb rapidly if there are extractions or other issues, and sometimes they give you a "high" estimate up-front to help ease the sticker shock just in case, but $1200 for just the cleaning is a lot. The non-negotiable here is of course the x-rays, so you may be limited as to which practices in your area can do that.

Good luck, this is a frustrating situation!
 
Shop around a bit. I just did an uncomplicated cleaning w/x-rays for about half that. The cost can climb rapidly if there are extractions or other issues, and sometimes they give you a "high" estimate up-front to help ease the sticker shock just in case, but $1200 for just the cleaning is a lot. The non-negotiable here is of course the x-rays, so you may be limited as to which practices in your area can do that.

Good luck, this is a frustrating situation!
Yeah, this is at the specialist. I think my current vet was a little less expensive but she referred me to the specialist because of the diabetes and them being more prepared if any complications came up. Yeah they did a side by side estimate low end 1200, high end 2000+
 
Sorry meant growth.... not a morning person:oops:
That's OK! I was like what in the? Well, neither vet has seen any growth by looking in there. I asked about possible polyp, because he can breathe heavy at times when sleeping, but they didn't think so. Guess we'll have to wait and see when he has xrays.
 
I have a friend who had a senior kitty that started having trouble eating and drinking ..the food and water was falling out of the mouth. He drank from the sink faucet almost like a human as it got worse.
Turned out he had a growth in the back of his throat.
If Rufus has anything similar I am not to sure X-rays will show it - I think a scope or ultra sound might be needed.

just more to think about in all your spare time :joyful::joyful::joyful:

I am sure your heart is spinning with so much info...we are crazy cat people :cat::cat::bighug:
 
I have a friend who had a senior kitty that started having trouble eating and drinking ..the food and water was falling out of the mouth. He drank from the sink faucet almost like a human as it got worse.
Turned out he had a growth in the back of his throat.
If Rufus has anything similar I am not to sure X-rays will show it - I think a scope or ultra sound might be needed.

just more to think about in all your spare time :joyful::joyful::joyful:

I am sure your heart is spinning with so much info...we are crazy cat people :cat::cat::bighug:
Well he drinks fine, so hopefully that's a good sign! I'll talk to the vet about this. I think they are getting tired of me and my theories on what the issues are :)
 
This document from a very authoritative source gives information on pancreatitis symptoms, diagnosis and treatments:

IDEXX feline pancreatitis treatment guidelines

This web page has a very helpful guide to clinical signs of nausea (including pictures of 'tense meatloaf' position sometimes adopted when discomfort occurs after eating):

http://catcentric.org/care-and-heal...pcid-using-diet-to-manage-nausea-in-your-cat/

It really helps a lot to spend time observing one's kitty when trying to identify potential health problems.


Mogs
.
 
This document from a very authoritative source gives information on pancreatitis symptoms, diagnosis and treatments:

IDEXX feline pancreatitis treatment guidelines

This web page has a very helpful guide to clinical signs of nausea (including pictures of 'tense meatloaf' position sometimes adopted when discomfort occurs after eating):

http://catcentric.org/care-and-heal...pcid-using-diet-to-manage-nausea-in-your-cat/

It really helps a lot to spend time observing one's kitty when trying to identify potential health problems.


Mogs
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Great links Mogs! I'm 99% sure I know what the issues are, the hard part is getting him to eat the food he needs to eat. His legs are almost bare fro the licking and biting. I think the allergy has turned into IBD/food intolerance. I know turkey is a culprit. I just can't get him to eat the duck or rabbit right now. Just turns and walks away. I'm back up to 8mg of Ondansetron 2x daily. Seems to be helping. Also, gave him gabepentin this am but he is out of it.

Im doing a curve at home today, but am going to the vet at 3pm for them to check my meter vs theres. I'm going to get a fructosamine done also, but I'm sure it hasn't improved. I think the dental issues ares till there, but cant go until numbers improve :(
 
Here's another site that might be of help, Sean:

http://www.ibdkitties.net/
Whether pancreatitis or IBD it would be a good idea to ask your vet about a course of B12 for Rufus (it helps both).


Mogs
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He's on zobaline and had 6 treatments of b12 injections that ended a few weeks ago. Vet said that was enough. I'll ask her again today. I was reading one of the things you suggested about nausea and it said to put him on a bland diet for a week or 2. Baby food for 2 weeks. I might have to give that a try.
 
My apologies in advance as I have not read all the thread, but sharing my brief experience with pancreatitis and diabetes. Quintus had "off the charts" pancreatitis which led to diabetes. Pancreatitis (and assorted choleangitis, diagnosed by ultrasound, or we wouldn't have caught it) were treated with a pile of meds, including antibiotics. Insulin for the diabetes. Post-remission, we did the Spec fPL test again and his numbers were in a much reasonable range (still "too high" as the pancreatitis is chronic, but not off the charts anymore). And more important, clinically, Quintus clearly got MUCH better. What my vet explained to me is that by attacking the problems on all fronts we had managed to break the vicious cycle (hence also the speedy diabetes remission). We dealt with the gallbladder. He had something infectious going on (often a side-effect of pancreatitis) and we pumped antibiotics into him for 2 whole months (in amounts that got me a few dark looks here -- virtual ;-) ). I worked agressively on bringing his BG down. And at some point, all these things stopped making each other worse, and he got over the hump.

If you have pain and infection it will make the BG rise. If the BG is high the infection will love it. If the pancreas is unhappy it might have a hard time producing insulin. If it's drowning in sugar because there isn't enough insulin, it makes it worse. You see how it goes.

This, FWIW, is my general philosophy when a pile of things are going wrong at the same time: work on everything.

New vet (Late September) gives him sub q fluids, new meds for ears, and antibiotic. He was like a brand new cat for about 2 weeks, then starts again witht he not eating.

How long was he on antibiotics? Did things go downhill after the effect of the antibiotics wore off?

Also, from my point of view, don't beat yourself up about the food. If you can get less carbs, do, but first of all he needs to eat and not get sick from what he's eating. (Reminder: Quintus went off his insulin while still eating 50% kibble for kidney disease. Broken record I am, I know.)
 
Baby food will be an option short term but only if the allergy isn’t from the protein source you try. Best to use a protein never eaten before. It’s not complete nutritionally. Lacks taurine and essential cat ingredients.

Max also became diabetic after several years of chronic pancreatitis.
 
My apologies in advance as I have not read all the thread, but sharing my brief experience with pancreatitis and diabetes. Quintus had "off the charts" pancreatitis which led to diabetes. Pancreatitis (and assorted choleangitis, diagnosed by ultrasound, or we wouldn't have caught it) were treated with a pile of meds, including antibiotics. Insulin for the diabetes. Post-remission, we did the Spec fPL test again and his numbers were in a much reasonable range (still "too high" as the pancreatitis is chronic, but not off the charts anymore). And more important, clinically, Quintus clearly got MUCH better. What my vet explained to me is that by attacking the problems on all fronts we had managed to break the vicious cycle (hence also the speedy diabetes remission). We dealt with the gallbladder. He had something infectious going on (often a side-effect of pancreatitis) and we pumped antibiotics into him for 2 whole months (in amounts that got me a few dark looks here -- virtual ;-) ). I worked agressively on bringing his BG down. And at some point, all these things stopped making each other worse, and he got over the hump.

If you have pain and infection it will make the BG rise. If the BG is high the infection will love it. If the pancreas is unhappy it might have a hard time producing insulin. If it's drowning in sugar because there isn't enough insulin, it makes it worse. You see how it goes.

This, FWIW, is my general philosophy when a pile of things are going wrong at the same time: work on everything.



How long was he on antibiotics? Did things go downhill after the effect of the antibiotics wore off?

Also, from my point of view, don't beat yourself up about the food. If you can get less carbs, do, but first of all he needs to eat and not get sick from what he's eating. (Reminder: Quintus went off his insulin while still eating 50% kibble for kidney disease. Broken record I am, I know.)
Hi! He was on clavomax 2x daily for 2 weeks in mid-late December, and had a covenia shot on the 18th of January. I'm not too sure the first round did much. I was only getting him check 1 time a week, but his bg numbers when checked seemed to stay the same or rise. It's tough to see what exactly the issue is. Did your cat always through out this eat dry food? My guy has issues eating and wouldn't even attempt for 1 month. All they keep saying is it is painful to eat with pancreatitis and thats why he is avoiding it. I still think he has teeth issues. But if he was on antibiotics wouldnt his number be better then?
 
Baby food will be an option short term but only if the allergy isn’t from the protein source you try. Best to use a protein never eaten before. It’s not complete nutritionally. Lacks taurine and essential cat ingredients.

Max also became diabetic after several years of chronic pancreatitis.
Hiss tummy "sounds" better on fancy feast beef. I looked at the beach nut. They have a beef with no carbs or sugars. I know for a fact of the culprits is of fish, turkey, or rabbit. Turkey is definely the worst, but chicken could also be on this list. When this all started he was on rabbit dry and wet, deli turkey, hydrolyzed treats, and cosequin (fish). I do have call of the wild wysong supplements and a jar or taurine.
 
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