New to the forum with a kitty that's not doing great

Status
Not open for further replies.

Ashley N

Member Since 2020
This is going to be a sum of information, so thank you anyone who takes the time to read!

My baby angel kitty Yuki (10 yrs) was diagnosed with diabetes approximately a month and a half ago. The vet immediately put her on 1 unit of Prozinc, every 12 hours (8 am and pm) we'd give her a fancy feast classic pate and a unit of prozinc. She was doing well on this diet, except perhaps a bit underfed so we upped the amount of food in her morning meal to 1-1/2. Reading a bit more into different dietary options we landed on doctor Lisa Pierson's homemade recipe. We transitioned to a morning meal of fancy feast with insulin and a night meal of homemade food without insulin. Our hope was that we could monitor her blood sugar during this time with a freestyle libre glucose monitor so we had it installed at the vet and immediately as she got home she ripped it off! So, we decided to put her entirely on homemade food without insulin to ensure she did not become hypoglycemic and test her blood sugar the following week or taking her in if we saw any odd patterns of behavior. Sadly during this time, Yuki got out of the house as we were moving stuff out for my mom and grandma, and we lost her for about 12 or so hours. She came home covered in motor oil so we had to take her to the groomers to ensure she didn't lick off what she hadn't already, we fed her as soon as she got home and later that night outside of the regulated schedule. The next day she was doing super well, eating normally and being the sweet kitty she is. Unfortunately, the next day (yesterday) she did not cry for food in the morning and only ate about 1/3, my dad found vomit at about 9:30 am and the kitty was resting at the end of the dining room table (a decent hiding spot). I was at my grandma's having breakfast and my dad called us home to let us know the cat wasn't doing well. She was resting with her eyes open and was super lethargic, practically not responding to touch and sound. We were afraid that she was hypoglycemic, so I gave her a tad bit of honey on the gums. She would walk and then go into that odd resting state. We attempted to hand feed her a fancy feast pate (she LOVES those), and she threw up immediately after just a pinch of food. We went to the emergency vet, they gave her subcutaneous fluids and found her blood sugar to be in the 300 range. They tested her ketones and found a small amount. They wanted to keep her in to monitor her but we could not afford the 3000/night they were asking. They ended up giving us antibiotics in case an infection was the underlying cause of her problems as well as a 24-hour anti-nausea medication.

This morning she is resting more usually than before, head up, responds to sounds, and her name, etc. We tried feeding her so we could get her insulin and antibiotics in but she refuses. How do we get her to eat? we tried the parmesan thing to no avail. When I put food up to her mouth she rejects it. We're not sure what to do.

We know that we need to get a monitor for her blood sugar asap, but she has been under so much stress lately we don't want her to leave the house.

Any advice helps, thank you!!
 
Welcome to fdmb ! We are going to try and help you figure this all out with Yuki. She sure has been through it! Poor baby. I'm afraid she may have licked too much motor oil. What did the Vet say when you told them that? There may be something going on with he tummy with motor oil i it. I hope others will have ideas ...sigh
I'm also not clear is she receiving insulin at the moment? If she tested low for keytones you MAY want to get some keytone strips to check for yourself. You can get them at any walgreens or CVS, test her urine yourself. It has to be a clean test in that you hold a ladle under her while she pees. ( theres other ways )
As for feeding...Have you tried sprinkling something like Parmesan cheese on top? Or if you have it fortiflora? You might try baby food . Pure meat no onions or garlic in the ingredients.

Lets see what others have to say! ;)

Again welcome to the best site on this planet to learn everything you need to know about feline diabetes!:bighug:
jeanne
 
There are a couple of additional medications that your cat likely needs. First and foremost a bit of education. Ketones develop as a result of not enough insulin + not enough calories + a possible infection or inflammation. Diabetic ketoacidosis can be a life threatening condition. You need to go to a pharmacy and get a pack of Ketostix. This is a way to test your cat's urine for ketones. You will need to stalk your cat to the litter box. There are also blood ketone meters. The strips are expensive, though. Any amount above trace in urinary ketones is a visit to your vet or the ER vet. Do not mess with this.

I would call the ER back and let them know your cat isn't eating. Ask for anti-nausea medication. (Ketones can make your kitty feel lousy.) Ask for Cerenia. It's a standard medication. Also ask for an appetite stimulant. Typically, vets will prescribe either mirtazepine or cyproheptadine. If you can bring your kitty back to the vet for a shot of Cerenia, that would be ideal It will work faster. Otherwise, you need to wait at least an hour before giving an appetite stimulant. (If your cat is nauseated and you give an appetite stimulant you're likely to cause your cat to develop a food aversion -- no one wants to eat if they're nauseous.)

Try to use a food that is high in calories. In order to keep ketones in check, you will want your cat to be eating about 1.5 times the usual amount of food. Frankly, get any food into your kitty that she will eat. Adding water to the food will also help. Hydration can be helpful with reducing the concentration of ketones.

Your cat does not need to leave the house for a meter. If you go to the pharmacy to get Ketostix, but a glucometer. Most of us poke our cat along the edge of the ear to get a sample and test that way. We have lots of information, including videos, on how to home test.

FWIW, it might have been a better strategy to give less insulin when you made the diet change. I suspect the lack of insulin is what has set this ball in motion. Please, talk to either your vet or the ER vet about anti-nausea meds and an appetite stimulant. Mention the motor oil to make sure there was nothing toxic, like Jeanne suggested. Get Ketostix and a meter.
 
Welcome first and I’m sorry for everything that your sugar baby is going through.

home testing is the best safest way to make sure your cat is up for the insulin dose you’re giving and keeping her from going into hypo. You can test at home with a human meter no need for the freestyle libre and we can help with that.

most importantly is food. Can you try baby food? The meat type like Gerber’s turkey or chicken? And can you syringe feed her? It’s a good thing they didn’t find ketones. Did they say a trace amount only? She needs to eat because ketones can develop in 24 hours. So I’d blend some FF with water and try to syringe feed her small amounts. They shouldn’t have ran more tests like for pancreatitis. Did they? I’m assuming they gave her a shot of Cerenia that also only lasts for about 24-48 hours. You’ll need anti nausea meds you can give her at home. Can you call them and ask for a prescription for either Cerenia or ondansetron? I might go for ondansetron since it’s a human med and you can get it filled at any pharmacy today. But another Cerenia shot, as Sienne suggested, is probably even better. Regardless, you’ll need the anti nausea meds at home as a back up

is she drinking water?
 
Thank you so much Jt and Sienne!

We have ketone strips here at home, I’m watching her vigilanty (she’s shockingly impressive at making it to the restroom when no one is watching)

It looks like she peed twice last night.

we did try the Parmesan method, unfortunately she seems to have complete aversion to food. I tried feed her with a syringe and got maybe 2ml in combined with water. My dad is out buying one with a bigger nozzle.

We’ll buy a glucose monitor as well.

She was given anti nausea medication last night by the er vet saying it would last 24 hours.

We gave her insulin last night after the er vet said it was high. We’re afraid of dosing her blindly especially since she has had so little food. She’s not drinking water either, only going up to her bowl, smelling and then laying down. She’s getting a sunken in appearance again like last night, so she might be dehydrating.

Motor oil poisoning is a possibility, but she did very well the day after she came back home. Perhaps the stress of being out (she’s an indoor cat) combined with the reduced insulin and missed meal threw her into this.
 
Sorry to have to say this but it sounds like she needs to get back to the ER sigh
The veterinary care we received there wasn't too great, the vet wasn't super familiar with diabetes in cats and didn't have insulin on hand (thus why we injected her). We wanted to keep her home as much as possible but, she doesn't seem to be doing better. Perhaps you are right.
 
Your cat is going to need a lot of fluids too. Fluids help flush the ketones out of the system.

It is best to give subq fluids under the skin. You get the fluids from the vet. If this is not an option, add some water to the food. Make it a bit soupy. And syringe some water every hour or so.
 
Do you have another ER nearby? One that maybe your vet can recommend? Or is your vet opened today? You can open a care credit account in 5 minutes online. I had to do that in May because Minnie was going through exactly the same scenario you’re dealing with and she wasn’t getting better at home or eating and I couldn’t medicate a cat that wasn’t eating. She was also vomiting and even the Cerenia shot didn’t help. I had to take her back to the ER the next morning to stay for 2 nights because the only way to feed her was through a feeding tube. If you try everything we suggested and she’s still not eating by tomorrow, I’d strongly advise you to get her hospitalized. If you can’t get to the root of what’s going on and why, it will be very difficult to keep her safe.
 
Hi Ashley,

I'm sorry to hear that Yuki's feeling so poorly right now. :(

We have ketone strips here at home, I’m watching her vigilanty (she’s shockingly impressive at making it to the restroom when no one is watching)
I suggest you either:

1. Sequester Yuki in the bathroom. Provide her with a small clean litter tray containing [ETA: non-absorbent] litter (e.g. Katkor) until she pees. (Check on progress regularly: ketones can build up very quickly so the sooner you can test the urine the better.)

2. Invest in a blood beta ketone meter (allows you to test a tiny droplet of blood sampled from the cat's ear, in same way as blood glucose is tested).

Strips for ketone meters aren't the cheapest (but probably cheaper than the non-absorbent cat litter), however they make it much, much easier to monitor a cat who's actively throwing ketones. Safer, too, because you can check levels 'on demand', rather than risking a potential build-up of ketones in the cat while waiting to catch a urine sample.

Ketone meters can potentially pick up rising ketone levels hours before they show up in the cat's urine. If treatment is needed, the sooner help is sought the easier it will be on the kitty (and the wallet!). The sooner you know there's an issue, the faster you can seek help.

Here is further info for you:

Testing your Cat for Ketones

Tips for Collecting Urine Samples

Ketones, DKA, Blood Ketone Meters


I echo the suggestions above about checking back with your vet about the motor oil, and also to ask for at least several days' worth of anti-nausea and appetite stimulant meds.

Yuki has the most extraordinary heterochromic eyes! :cool: I hope she feels much better very soon. Keep posting for any help you need.


Mogs
.
 
Last edited:
She does have the most stunning cat eyes!!!

We’re all pulling for her!

tips for home testing. Warm up the ear with a sock filled with rice that you can nuke 20-30 seconds. Always give a treat after for positive association, although if she’s not eating that can be a favorite toy or chin scratch whatever she really likes. Here’s a diagram of the ear so you know where to aim for
E2669B00-C221-4F08-B481-E7EC93F45B41.jpeg
D8B39DA9-549F-4DEF-BBA1-A4FF52B5EABB.jpeg
 

Attachments

  • E2669B00-C221-4F08-B481-E7EC93F45B41.jpeg
    E2669B00-C221-4F08-B481-E7EC93F45B41.jpeg
    78.2 KB · Views: 469
  • D8B39DA9-549F-4DEF-BBA1-A4FF52B5EABB.jpeg
    D8B39DA9-549F-4DEF-BBA1-A4FF52B5EABB.jpeg
    30.3 KB · Views: 471
It looked like she had got into a car. It was on her tail, paws, and some on her face.
A long shot since you are in S. California but has someone in the neighbourhood had their car rustproofed lately? And what substance is used for rustproofing? I know that it is oil based, but is there anything else involved? I had my car done recently (a necessity in Canada) and even though the company washed the car after, the car dripped in my driveway for a couple of hours.
 
A long shot since you are in S. California but has someone in the neighbourhood had their car rustproofed lately? And what substance is used for rustproofing? I know that it is oil based, but is there anything else involved? I had my car done recently (a necessity in Canada) and even though the company washed the car after, the car dripped in my driveway for a couple of hours.
Uhhh we dont rustproof the cars here. We dont get snow in So Cal. Only in winter in the mountains
 
A long shot since you are in S. California but has someone in the neighbourhood had their car rustproofed lately? And what substance is used for rustproofing? I know that it is oil based, but is there anything else involved? I had my car done recently (a necessity in Canada) and even though the company washed the car after, the car dripped in my driveway for a couple of hours.
Nobody in my family has had a car rustproofed.
Here are images of what she looked like before and after the groomer.
yukidirty.jpg
IMG_3286.JPG
 

Attachments

  • yukidirty.jpg
    yukidirty.jpg
    42.1 KB · Views: 341
  • IMG_3286.JPG
    IMG_3286.JPG
    31.3 KB · Views: 344
She does have the most stunning cat eyes!!!

We’re all pulling for her!

tips for home testing. Warm up the ear with a sock filled with rice that you can nuke 20-30 seconds. Always give a treat after for positive association, although if she’s not eating that can be a favorite toy or chin scratch whatever she really likes. Here’s a diagram of the ear so you know where to aim for
View attachment 55466 View attachment 55467

I tried several times to get blood from her. We got a bit but not enough for a reading. I will try warming up the ear to see if that works
 
Ohhh ok it doesnt look too bad with the oil. So GLAD the groomer got her all cleaned up. sigh Thats a relief.
She is BEAUUUIIIIFULS!:bighug:

Someone please post the ear testing graphics.. Ale Is it you that has that ready?
 
I tried several times to get blood from her. We got a bit but not enough for a reading. I will try warming up the ear to see if that works
If the ear is not warm to the touch you’ll rarely get enough blood especially at first as the ears need tome to learn to bleed and build more capilares. I also recommend using light to see what you’re doing. Another trick is to get the blood on your fingernail and test from there. Did she handle it okay?
 
Just catching up on messages posted while I was drafting my earlier reply to you.

She’s not drinking water either, only going up to her bowl, smelling and then laying down. She’s getting a sunken in appearance again like last night, so she might be dehydrating.
[Emphasis mine]

The above worries me.

From what you describe, it sounds like Yuki might be quite dehydrated. As Sienne commented upthread, ketones can make a cat feel lousy. So, too, can dehydration (think about how a human feels with a bad hangover). With dehydration in the mix, anti-nausea meds and appy stimulants may not work effectively enough to help get Yuki eating again quickly. If she can't take on a fair amount of fluids under her own steam very, very soon then even anti-nausea meds may not work at all.

Have you any chicken breast in the house, Ashley? Or tuna in spring water?

If you poach the chicken breast in water it will make a light broth. You could try adding a little of the poaching broth or tuna water to a larger amount of water and offer it to Yuki (in the hope that the flavouring might help her to drink). Bearing in mind that she's going to her bowl with plain water in it (so she's thirsty) but not drinking (feels too unwell) makes me think that this is an outside chance at the moment. If she doesn't want to drink any of that straight away then I think you would have a very difficult time trying to syringe adequate fluids at home to help her perk up again (as she did last night). if Yuki were my cat I would take her to the vets ASAP to get fluids on board as a minimum and they could check her ketone and BG status. Proper hydration should also help any supportive meds to work better.

Sending positive vibes to your little beauty. :bighug:


Mogs
.
 
Last edited:
Status
Not open for further replies.
Back
Top