Out of remission??

Status
Not open for further replies.
Our Dolly Girl (GA)

Our Dolly Girl (GA)

Member Since 2019
I am trying not to panic. Dolly has been in remission since late January/early February. I never did tight regulation rather followed her vets directions. Her numbers haven’t been great but all blues and greens, mostly greens. She hasn’t been eating well the last few days. She can’t smell and I have been trying fish pate which she normally never eats. No increase in water and peeing all normal. Just checked her (after food) I always check her an hour or two after she eats, she is 235 this morning at 8am and 246 at 9am. She was 103 - 8/15, 82 - 8/08. My Lantus was used one time back in January. It’s looks cloudy. I need direction.

https://docs.google.com/spreadsheets/u/0/d/1ueQjwC-3X5JwzyhRhQcpNNQHjKJuNhvdPj4HywQiN5Y/htmlview#
 
Hi there,

You mention that Dolly can't smell. Is this an ongoing issue for her or could she have recently developed an upper respiratory tract infection? Infections can knock cats out of remission but that may only be temporary if the infection is dealt with promptly. Insulin treatment may need to be reinstated for a while till it clears.

If the Lantus vial is cloudy then I reckon it's a gonner. If it was mine I wouldn't use it.


Mogs
.
 
Panic said:
Infections can raise BG, I'd do a fructosamine before introducing insulin again. She may just need a dental.
Click to expand...
Her teeth are perfect, the few she has left. She was just at the vet. She has had sinusitis for years. She is on Azithromycin every 72 hours for congestion. She took it for 3 days first. I am supposed to start her on Covenia for inflammation and allergies. We were going to start today. The numbers were after food. I will check her throughout the day and if things don’t improve will take her to the emergency vet Thanks for your input.
 
Critter Mom said:
Hi there,

You mention that Dolly can't smell. Is this an ongoing issue for her or could she have recently developed an upper respiratory tract infection? Infections can knock cats out of remission but that may only be temporary if the infection is dealt with promptly. Insulin treatment may need to be reinstated for a while till it clears.

If the Lantus vial is cloudy then I reckon it's a gonner. If it was mine I wouldn't use it.


Mogs
.
Click to expand...
I definitely was not planning on using it. Thank you.
 
Our Dolly Girl said:
I am trying not to panic. Dolly has been in remission since late January/early February. I never did tight regulation rather followed her vets directions. Her numbers haven’t been great but all blues and greens, mostly greens. She hasn’t been eating well the last few days. She can’t smell and I have been trying fish pate which she normally never eats. No increase in water and peeing all normal. Just checked her (after food) I always check her an hour or two after she eats, she is 235 this morning at 8am and 246 at 9am. She was 103 - 8/15, 82 - 8/08. My Lantus was used one time back in January. It’s looks cloudy. I need direction.

https://docs.google.com/spreadsheets/u/0/d/1ueQjwC-3X5JwzyhRhQcpNNQHjKJuNhvdPj4HywQiN5Y/htmlview#
Click to expand...
Critter Mom said:
Hi there,

You mention that Dolly can't smell. Is this an ongoing issue for her or could she have recently developed an upper respiratory tract infection? Infections can knock cats out of remission but that may only be temporary if the infection is dealt with promptly. Insulin treatment may need to be reinstated for a while till it clears.

If the Lantus vial is cloudy then I reckon it's a gonner. If it was mine I wouldn't use it.


Mogs
.
Click to expand...
Yesterday was her third day of Azithromycin. The vet says she does not have an infection. Her vet is “The Cat Doctor”, obviously a cat only vet. She’s been going there for seven years but things feel so different with the virus. We email a lot and I asked her if I could give her the Azithromycin as an antibiotic, normally she gets it every 72 hours for her congestion. She said fine, but again, doesn’t feel it’s a respiratory infection. She had bloodwork last month. As posted, her BG was 103 on the 15th and 82 on the 8th On her ReliOn. I don’t know when her blood sugar started rising between the 15th and today. She just ate and other than the poor appetite and her numbers rising, everything else seems okay. I am going to take her to the vet for new bloodwork and hopefully find out what’s going on. Thanks for your reply.
 
I'm glad Dolly managed to eat.

I think a vet check-up is a good plan. I think Elizabeth's earlier suggestion about getting a fructosamine test as part of any diagnostic work-up is wise.

Be sure to let us know how you get on. More prayers on the way from across the pond.


Mogs
.
 
Critter Mom said:
I'm glad Dolly managed to eat.

I think a vet check-up is a good plan. I think Elizabeth's earlier suggestion about getting a fructosamine test as part of any diagnostic work-up is wise.

Be sure to let us know how you get on. More prayers on the way from across the pond.


Mogs
.
Click to expand...
Trying to find a vet that will see her. The one possibility is not recommended by any the other vets including hers. So frustrating. Thank you for Your reply!!
 
Our Dolly Girl said:
I am trying not to panic. Dolly has been in remission since late January/early February. I never did tight regulation rather followed her vets directions. Her numbers haven’t been great but all blues and greens, mostly greens. She hasn’t been eating well the last few days. She can’t smell and I have been trying fish pate which she normally never eats. No increase in water and peeing all normal. Just checked her (after food) I always check her an hour or two after she eats, she is 235 this morning at 8am and 246 at 9am. She was 103 - 8/15, 82 - 8/08. My Lantus was used one time back in January. It’s looks cloudy. I need direction.

https://docs.google.com/spreadsheets/u/0/d/1ueQjwC-3X5JwzyhRhQcpNNQHjKJuNhvdPj4HywQiN5Y/htmlview#
Click to expand...
I just took Dolly to an emergency vet. Could not get in anywhere else. The Doctor said based on her labs from last month her tryglicer
Our Dolly Girl said:
I am trying not to panic. Dolly has been in remission since late January/early February. I never did tight regulation rather followed her vets directions. Her numbers haven’t been great but all blues and greens, mostly greens. She hasn’t been eating well the last few days. She can’t smell and I have been trying fish pate which she normally never eats. No increase in water and peeing all normal. Just checked her (after food) I always check her an hour or two after she eats, she is 235 this morning at 8am and 246 at 9am. She was 103 - 8/15, 82 - 8/08. My Lantus was used one time back in January. It’s looks cloudy. I need direction.

https://docs.google.com/spreadsheets/u/0/d/1ueQjwC-3X5JwzyhRhQcpNNQHjKJuNhvdPj4HywQiN5Y/htmlview#
Click to expand...
Our Dolly Girl said:
I am trying not to panic. Dolly has been in remission since late January/early February. I never did tight regulation rather followed her vets directions. Her numbers haven’t been great but all blues and greens, mostly greens. She hasn’t been eating well the last few days. She can’t smell and I have been trying fish pate which she normally never eats. No increase in water and peeing all normal. Just checked her (after food) I always check her an hour or two after she eats, she is 235 this morning at 8am and 246 at 9am. She was 103 - 8/15, 82 - 8/08. My Lantus was used one time back in January. It’s looks cloudy. I need direction.

https://docs.google.com/spreadsheets/u/0/d/1ueQjwC-3X5JwzyhRhQcpNNQHjKJuNhvdPj4HywQiN5Y/htmlview#
Click to expand...
Just took Dolly to an emergency vet. They said her triglycerides are too high and needs to be on lower fat diet. Hills Science WD or Royal Canin Glycobalance. Said Friskies and Fancy Feast have too much fat. Blood test will take 5-10 for results, I passed, Fructosamine test results by Monday. No insulin for now. I am taking her to her vet Monday. I am just as panicked as before.
 
Tha
Red & Rover (GA) said:
You'll have a better idea when the fructosamine test is in.
Don't panic. You've done the sugar dance before. If by any chance Dolly is out of remission, you know the ropes and you have a worldwide community to support you every step of the way.
Click to expand...
nk you
Red & Rover (GA) said:
You'll have a better idea when the fructosamine test is in.
Don't panic. You've done the sugar dance before. If by any chance Dolly is out of remission, you know the ropes and you have a worldwide community to support you every step of the way.
Click to expand...
Thank you so much. I just don’t know what to do in the interim. Do I keep testing her? If the numbers keep getting higher what do I do? I’m confident in treating her diabetes, I know there are people like you to help me along the way. It’s the not treating.

Thank goodness she ate tonight and she seems good except the usual sinus issues. And - Possible return to active diabetes.

Take care, be safe.
Do I keep testing until Monday?
Thank you Again.
Adrienne & Dolly
 
Hi Adrienne,

Since Dolly's not on insulin at the moment there's no real need to test at the moment. That said, if you perhaps would like to get a little better idea of how Dolly's pancreas is handling food prior to your vet visit tomorrow, you could perhaps grab just a couple of tests:

1. Test at a time when Dolly hasn't eaten anything for at least 2 hours, and just before you give Dolly her next meal.

2. Test again about 1-1.25 hours after she has eaten to see how much of a rise she gets after food.

3. Test a third time about 2.5-3 hours after the time she was fed to see if her pancreas is producing enough insulin to bring numbers back down again.

Our Dolly Girl said:
Just took Dolly to an emergency vet. They said her triglycerides are too high and needs to be on lower fat diet. Hills Science WD or Royal Canin Glycobalance.
Click to expand...
For info, Hill's w/d is stuffed to the rafters with carbohydrates, you might as well feed a cat honey nut cornflakes. Not sure of the carb values of the RC Glycobalance foods, but they are higher than Dolly's current diet, but sometimes other medical issues need to trump diabetes in the treatment pecking order. I'd suggest asking your own vet more about the elevated triglyceride issue and dietary considerations. I'd also suggest putting Dolly's most recent test results into her spreadsheet (click on the 'Labs' tab to find where to enter the data). There are members here experienced in a lot of cat health areas who could perhaps then have a look at the labs and maybe suggest additional options on food.

Sending scritches for Dolly, good wishes for her to eat well today, and a :bighug: for you.


Mogs
.
 
Critter Mom said:
Hi Adrienne,

Since Dolly's not on insulin at the moment there's no real need to test at the moment. That said, if you perhaps would like to get a little better idea of how Dolly's pancreas is handling food prior to your vet visit tomorrow, you could perhaps grab just a couple of tests:

1. Test at a time when Dolly hasn't eaten anything for at least 2 hours, and just before you give Dolly her next meal.

2. Test again about 1-1.25 hours after she has eaten to see how much of a rise she gets after food.

3. Test a third time about 2.5-3 hours after the time she was fed to see if her pancreas is producing enough insulin to bring numbers back down again.


For info, Hill's w/d is stuffed to the rafters with carbohydrates, you might as well feed a cat honey nut cornflakes. Not sure of the carb values of the RC Glycobalance foods, but they are higher than Dolly's current diet, but sometimes other medical issues need to trump diabetes in the treatment pecking order. I'd suggest asking your own vet more about the elevated triglyceride issue and dietary considerations. I'd also suggest putting Dolly's most recent test results into her spreadsheet (click on the 'Labs' tab to find where to enter the data). There are members here experienced in a lot of cat health areas who could perhaps then have a look at the labs and maybe suggest additional options on food.

Sending scritches for Dolly, good wishes for her to eat well today, and a :bighug: for you.


Mogs
.
Click to expand...
Thank you for the testing suggestions. I will do that. I fed her around 20 minutes ago and she only ate a couple bites. I leave her food out awhile and try other foods in hopes she likes something. She played last night for the first time in a week. I have her last three labs on her spreadsheet. The only concern the vet had yesterday was her weight/triglycerides. I remember discussing this in a post with Chris R in the past and she said China’s were also crazy high. Dolly’s vet just told me a week ago she needed to lose 2#. Nothing about food change. Thank you so much.
 
Our Dolly Girl said:
Thank you for the testing suggestions. I will do that. I fed her around 20 minutes ago and she only ate a couple bites. I leave her food out awhile and try other foods in hopes she likes something. She played last night for the first time in a week. I have her last three labs on her spreadsheet. The only concern the vet had yesterday was her weight/triglycerides. I remember discussing this in a post with Chris R in the past and she said China’s were also crazy high. Dolly’s vet just told me a week ago she needed to lose 2#. Nothing about food change. Thank you so much.
Click to expand...
I wanted to add I was testing Dolly on both her ReliOn and her pet meter. The last test I did I noticed the numbers were way to close. 283 on the pet, 271 on the ReliOn. I did a control solution on both, nothing has expired. The tests were in range. The first test yesterday was 305 on the pet 235 on the ReliOn. I don’t know what to trust. I will just use her ReliOn today.
 
I agree about sticking with the Relion, Adrienne, as that's what you've been using for all her recent tests.

As many will testify here, there's no way of reliably relating results from pet meters with those from human meters.

All the strips are within date, and you've tested with the control solution. Sounds like all is fine with the testing supplies. :)


Mogs
.
 
A few thoughts...

I was going to ask if you had previous labs with Dolly's triglycerides and then I looked at your SS. Just an FYI, diabetes can cause elevated levels but I'd want to make sure other causes are ruled out. If the labs weren't done when Dolly was fasting, that may also have skewed results. However, given where your cat's levels are, I'd suspect her triglycerides would still be high.

The foods that the ER vet suggested are high in carbs. If you put Dolly on high carb food, you are likely going to knock her out of remission. As Mogs noted, sometimes, getting the other health issues addressed may be necessary and the FD takes a backseat. I'd look at Dr. Lisa's food chart and see if you can find a food that's low in carbs and low in fat, or at least a lot lower in fat than what you're currently using. I suspect this will be a challenge. You may want to consider a switch to a freeze dried raw food (e.g., Stella & Chewy's) or air dried raw (ZiwiPeak). These are lower fat options. Ideally, you want to get the fat to around 25%. Another alternative is a raw diet where you can control the protein source and the amount of fat.

Adding more fiber to her diet may help. Psyllium husk is a frequently used fiber source but talk to your vet. Omega-3 may also help. (Look into Nordic Naturals - they are a very reputable resource for Omega-3.)
 
Critter Mom said:
I agree about sticking with the Relion, Adrienne, as that's what you've been using for all her recent tests.

As many will testify here, there's no way of reliably relating results from pet meters with those from human meters.

All the strips are within date, and you've tested with the control solution. Sounds like all is fine with the testing supplies. :)


Mogs
.
Click to expand...
Thank you. My only reason for using both meters is that her vet only uses the Alpha
Critter Mom said:
I agree about sticking with the Relion, Adrienne, as that's what you've been using for all her recent tests.

As many will testify here, there's no way of reliably relating results from pet meters with those from human meters.

All the strips are within date, and you've tested with the control solution. Sounds like all is fine with the testing supplies. :)


Mogs
.
Click to expand...
Thank you. My only reason for using both meters is that her vet only uses the Alphatrack. I use those numbers when emailing her updates on Dolly’s numbers.
 
@Sienne and Gabby (GA) - Thank you for looking at Dolly's labs for Adrienne. :)

Sienne and Gabby (GA) said:
Omega-3 may also help. (Look into Nordic Naturals - they are a very reputable resource for Omega-3.)
Click to expand...
Additional Suggestion:

Some cats don't get on with fish oils. Another alternative is Moxxor omega-3 (available online). It's not cheap but the omega-3 is sourced from green-lipped mussels and it comes in really small capsules suitable for a cat.


Mogs
.
 
Sienne and Gabby (GA) said:
A few thoughts...

I was going to ask if you had previous labs with Dolly's triglycerides and then I looked at your SS. Just an FYI, diabetes can cause elevated levels but I'd want to make sure other causes are ruled out. If the labs weren't done when Dolly was fasting, that may also have skewed results. However, given where your cat's levels are, I'd suspect her triglycerides would still be high.

The foods that the ER vet suggested are high in carbs. If you put Dolly on high carb food, you are likely going to knock her out of remission. As Mogs noted, sometimes, getting the other health issues addressed may be necessary and the FD takes a backseat. I'd look at Dr. Lisa's food chart and see if you can find a food that's low in carbs and low in fat, or at least a lot lower in fat than what you're currently using. I suspect this will be a challenge. You may want to consider a switch to a freeze dried raw food (e.g., Stella & Chewy's) or air dried raw (ZiwiPeak). These are lower fat options. Ideally, you want to get the fat to around 25%. Another alternative is a raw diet where you can control the protein source and the amount of fat.

Adding more fiber to her diet may help. Psyllium husk is a frequently used fiber source but talk to your vet. Omega-3 may also help. (Look into Nordic Naturals - they are a very reputable resource for Omega-3.)
Click to expand...
I have tried different raw foods with Dolly and she won’t eat them. We actually came down to one food she would consistently eat, Friskies Chicken and Liver Pate, Crude fat 5.0%. I need to see what it says on catinfo list. I was just looking into Omega 3 on Amazon the other day. I will discuss the fiber etc with her vet. She actually ate a little Friskies fish this last week but she has always been tricky to feed and of course pre diabetes lots of junk dry food. I, like probably so many, have tried almost every type of food, every flavor. She finally ate a little of her Chicken and Liver this morning.
 
Our Dolly Girl said:
I have tried different raw foods with Dolly and she won’t eat them. We actually came down to one food she would consistently eat, Friskies Chicken and Liver Pate, Crude fat 5.0%. I need to see what it says on catinfo list. I was just looking into Omega 3 on Amazon the other day. I will discuss the fiber etc with her vet. She actually ate a little Friskies fish this last week but she has always been tricky to feed and of course pre diabetes lots of junk dry food. I, like probably so many, have tried almost every type of food, every flavor. She finally ate a little of her Chicken and Liver this morning.
Click to expand...
Thank you so much for you time and help.
 
Please look on Dr. Lisa's site. The Friskies Liver & Chicken pate is 60% fat. There's no way a food that has a fair amount of liver in it is going to be 5% fat. You're looking at the info on the Friskies site which is the guaranteed analysis. You need the numbers for the "as fed" nutritional data. Typically, these data are not provided by the manufacturer which is why Dr. Lisa's chart is so helpful.
 
Our Dolly Girl said:
Her teeth are perfect, the few she has left. She was just at the vet. She has had sinusitis for years. She is on Azithromycin every 72 hours for congestion. She took it for 3 days first. I am supposed to start her on Covenia for inflammation and allergies. We were going to start today. The numbers were after food. I will check her throughout the day and if things don’t improve will take her to the emergency vet Thanks for your input.
Click to expand...
I just noticed a mistake in my post. I am supposed to start her on Cerenia not covenia. It’s a 1/4 tab daily. It’s used to treat arthritis, inflammation, congestion, pain. Dolly is a nightmare to pill. She does not cooperate like the cats in the videos. I give her the Azithromycin as a liquid in a syringe. I gave her the Cerenia this way for 11 days but she started foaming and drooling it out. Pills require holding her head up, she is so strong. We paid a fortune for the chews but would not touch them. I tasted them so I can understand why, so bitter even with chicken flavoring. I get all her meds sugar free.
 
Our Dolly Girl said:
Her teeth are perfect, the few she has left. She was just at the vet. She has had sinusitis for years. She is on Azithromycin every 72 hours for congestion. She took it for 3 days first. I am supposed to start her on Covenia for inflammation and allergies. We were going to start today. The numbers were after food. I will check her throughout the day and if things don’t improve will take her to the emergency vet Thanks for your input.
Click to expand...
I just noticed a mistake in my post. I am supposed to start her on Cerenia not covenia. It’s a 1/4 tab daily. It’s used to treat arthritis, inflammation, congestion, pain. Dolly is a nightmare to pill. She does not cooperate like the cats in the videos. I give her the Azithromycin as a liquid in a syringe. I gave her the Cerenia this way for 11 days but she started foaming and drooling it out. Pills require holding her head up, she is so strong. We paid a fortune for the chews but would not touch them. I tasted them so I can understand why, so bitter even with chicken flavoring. I get all her meds sugar free.
Sienne and Gabby (GA) said:
Please look on Dr. Lisa's site. The Friskies Liver & Chicken pate is 60% fat. There's no way a food that has a fair amount of liver in it is going to be 5% fat. You're looking at the info on the Friskies site which is the guaranteed analysis. You need the numbers for the "as fed" nutritional data. Typically, these data are not provided by the manufacturer which is why Dr. Lisa's chart is so helpful.
Click to expand...
i figured the liver had to be high and probably why she likes it. I have used this chart (Dr Lisa’s)for info in the past, I will revisit today. Thank you so much for your help.
 
Convenia is a non steroidal anti-inflammatory drug (NSAID) that's used to manage pain. If you are in the US, it is problematic an carried a black box warning for its use in cats. It can cause acute renal failure. The dosing is different outside of the US. My vet will not prescribe Convenia and I have instructions about not allowing it to be prescribed all over her medical records.

Cerenia is used to treat nausea. It is notoriously bitter. There's even a note about it on the package insert for the pills. My cats have always been fine to pill and I would put the Cerenia in a gel cap to prevent the drooling and foaming. It can be given as an injection but it stings. I don't know if it can be compounded as a transdermal gel. The place that made the chews for you may be able to tell you.
 
Sienne and Gabby (GA) said:
Convenia is a non steroidal anti-inflammatory drug (NSAID) that's used to manage pain. If you are in the US, it is problematic an carried a black box warning for its use in cats. It can cause acute renal failure. The dosing is different outside of the US. My vet will not prescribe Convenia and I have instructions about not allowing it to be prescribed all over her medical records.

Cerenia is used to treat nausea. It is notoriously bitter. There's even a note about it on the package insert for the pills. My cats have always been fine to pill and I would put the Cerenia in a gel cap to prevent the drooling and foaming. It can be given as an injection but it stings. I don't know if it can be compounded as a transdermal gel. The place that made the chews for you may be able to tell you.
Click to expand...
My error in first saying Covenia. Throughout the last 7 years that we have had Dolly, she was given many injections of Covenia for upper respiratory infections. Then, I read about the negatives and would never let her get it again. The Cerenia is no longer just for nausea, the dose is just different. It is expensive but what a great idea, transdermal. I wish all meds could be transdermal. The problem is, for her, it’s basically forever per her vet. We adopted Dolly at age 4. She came to us with allergies and been through so many different meds. She was put on DepoMedrol last September which caused the diabetes. We caught it early. She has also had many tests and Bollo X-rays to check for polyps a couple years back. Her doctor said she is too congested now to do Bollo X-rays. The next thing would be very expensive CT scan. Right now I just want to deal with the diabetes and hope it is just inflammation causing the sudden leap in her numbers. I haven’t checked them yet today but I am going to follow the advice given on this thread on checking how her pancreas is working with food. Thank you so much for the information and your time. I did get gel caps for the pills.
 
@Critter Mom You are correct. My brain isn't working properly. I confused it with metacam. However given that it's a long duration antibiotic, my vet and others won't use it in case there's an allergic reaction. It sounds like Dolly has taken it before and it's been fine.

@Our Dolly Girl - If she's congested, have you tried getting the bathroom really steamy and "steaming" your kitty? It may help to break up the congestion.
 
Sienne and Gabby (GA) said:
@Critter Mom You are correct. My brain isn't working properly. I confused it with metacam. However given that it's a long duration antibiotic, my vet and others won't use it in case there's an allergic reaction. It sounds like Dolly has taken it before and it's been fine.

@Our Dolly Girl - If she's congested, have you tried getting the bathroom really steamy and "steaming" your kitty? It may help to break up the congestion.
Click to expand...
Yes to the steamy bathroom but it just comes back. We have been running a cool mist humidifier 24/7 for the last 3 years. Don’t have any idea if it helps but reluctant to discontinue. I’ve stopped for a day or two but not sure if there is a difference.
 
Sienne and Gabby (GA) said:
Please look on Dr. Lisa's site. The Friskies Liver & Chicken pate is 60% fat. There's no way a food that has a fair amount of liver in it is going to be 5% fat. You're looking at the info on the Friskies site which is the guaranteed analysis. You need the numbers for the "as fed" nutritional data. Typically, these data are not provided by the manufacturer which is why Dr. Lisa's chart is so helpful.
Click to expand...
I found some low carb, low fat food. Fancy Feast Naturals and Fussy Cat to name a few. Dolly will not eat either, or not in the past. I guess it’s going to be a waiting her out, if all that’s offered and if hungry enough, she will eventually eat. Boy do I hate doing that but it may be my only option. There have been times where she has chose to not eat and after a few hours I have caved. I have spent hundreds of dollars and waste on trying new foods. When she was diagnosed all she ate was Fancy Feast shredded chicken, 11% carbs, for years. Why are the low fat foods so high in carbs? I do put FortiFlora on her food to get her to eat. Do you know the fat % of Dr Elsey’s? Sorry for all the questions. Thank you .
 
Here's a link to a food list, Adrienne:

Dr. Pierson's Food List 2017 - Sortable

It's a tad long in the tooth date-wise but it might give you a steer as to what brands/varieties could be worth investigating. You'd obviously need to check the current formulations to make sure the fat and content percentages haven't changed.

Tip: If you right click with your mouse on the spreadsheet header at the top of the % Fat column (says 'D') it will give you the option to sort the table by fat content (Sort A-Z).

I feel for you. Food issues are a complete mare. :bighug:


Mogs
.
 
:mad:
Critter Mom said:
Here's a link to a food list, Adrienne:

Dr. Pierson's Food List 2017 - Sortable

It's a tad long in the tooth date-wise but it might give you a steer as to what brands/varieties could be worth investigating. You'd obviously need to check the current formulations to make sure the fat and content percentages haven't changed.

Tip: If you right click with your mouse on the spreadsheet header at the top of the % Fat column (says 'D') it will give you the option to sort the table by fat content (Sort A-Z).

I feel for you. Food issues are a complete mare. :bighug:


Mogs
.
Click to expand...
Thank you so much. I hope you, your family and your kitty(s) are all healthy and happy. :cat::)
 
Sorry Dolly is a picky eater. I have one of those too although mine isnt diabetic. Hundreds of dollars of food end up in the trash almost weekly. Hope you can find that right balance with Dolly. She sure is a cute'ums. :bighug:
 
Our Dolly Girl said:
Thank you so much. I hope you, your family and your kitty(s) are all healthy and happy. :cat::)
Click to expand...
Ah, thank you too, Adrienne. :bighug:

There's just myself and this little one (Lúnasa, aka The Noodle):

Lúnasa 14th Birthday Scratchy Pole.jpg



Mogs
.
 

Attachments

  • Lúnasa 14th Birthday Scratchy Pole.jpg
    Lúnasa 14th Birthday Scratchy Pole.jpg
    26.9 KB · Views: 437
Critter Mom said:
Hi Adrienne,

Since Dolly's not on insulin at the moment there's no real need to test at the moment. That said, if you perhaps would like to get a little better idea of how Dolly's pancreas is handling food prior to your vet visit tomorrow, you could perhaps grab just a couple of tests:

1. Test at a time when Dolly hasn't eaten anything for at least 2 hours, and just before you give Dolly her next meal.

2. Test again about 1-1.25 hours after she has eaten to see how much of a rise she gets after food.

3. Test a third time about 2.5-3 hours after the time she was fed to see if her pancreas is producing enough insulin to bring numbers back down again.


For info, Hill's w/d is stuffed to the rafters with carbohydrates, you might as well feed a cat honey nut cornflakes. Not sure of the carb values of the RC Glycobalance foods, but they are higher than Dolly's current diet, but sometimes other medical issues need to trump diabetes in the treatment pecking order. I'd suggest asking your own vet more about the elevated triglyceride issue and dietary considerations. I'd also suggest putting Dolly's most recent test results into her spreadsheet (click on the 'Labs' tab to find where to enter the data). There are members here experienced in a lot of cat health areas who could perhaps then have a look at the labs and maybe suggest additional options on food.

Sending scritches for Dolly, good wishes for her to eat well today, and a :bighug: for you.


Mogs
.
Click to expand...
I did what you suggested. I tested her, no food for over 2 hours, 4:40 pm, 285. Fed her and she ate a few bites, how she normally eats, it takes her hours. Tested Her at 6:00, 292. Three bowls of different foods, a bite or two from each. I gave her Mirtazapine at the beginning of last week because of the appetite problem she’s had the last week. I hate to give it to her again, transdermal. She just gets a little off. I’m not sure what to do. She hasn’t lost any weight. I know she would eat a bag of treats right now, just not canned food. :arghh: I limit her Dr Elsey’s.
 
Last edited:
Hi Adrienne,

Thanks for posting the BG results. At least the food didn't appear to spike Dolly's BG.

It's good that Dolly's maintaining her weight. Regarding appetite, an alternative appy stimulant is cyproheptadine. It is shorter-acting than the mirtz but it's more controllable for it (a dose of 0.5mg (10lb cat) is usually effective for about 8 hours or so). Here's some more information:

marvistavet Pharmacy Library - Cyproheptadine

The above link gives info on this med, including suitability and contraindications. NB: cyproheptadine is an anti-histamine so caution is needed in cats with blood pressure issues.

With regard to the eating issues, it's always a good idea to make sure that there's no nausea present. Here's a list of symptoms that you might like to bookmark for future reference:

Nausea and Appetite Issues - Symptoms and Treatments

Keeping everything crossed for you both that all goes well tomorrow.

:bighug:


Mogs
.
 
Last edited:
Critter Mom said:
Hi Adrienne,

Thanks for posting the BG results. At least the food didn't appear to spike Dolly's BG. It's good

It's good that Dolly's maintaining her weight. Regarding appetite, an alternative appy stimulant is cyproheptadine. It is shorter-acting than the mirtz but it's more controllable for it (a dose of 0.5mg (10lb cat) is usually effective for about 8 hours or so). Here's some more information:

marvistavet Pharmacy Library - Cyproheptadine

The above link gives info on this med, including suitability and contraindications. NB: cyproheptadine is an anti-histamine so caution is needed in cats with blood pressure issues.

With regard to the eating issues, it's always a good idea to make sure that there's no nausea present. Here's a list of symptoms that you might like to bookmark for future reference:

Nausea and Appetite Issues - Symptoms and Treatments

Keeping everything crossed for you both that all goes well tomorrow.

:bighug:


Mogs
.
Click to expand...
Mogs,
thank you
Critter Mom said:
Hi Adrienne,

Thanks for posting the BG results. At least the food didn't appear to spike Dolly's BG. It's good

It's good that Dolly's maintaining her weight. Regarding appetite, an alternative appy stimulant is cyproheptadine. It is shorter-acting than the mirtz but it's more controllable for it (a dose of 0.5mg (10lb cat) is usually effective for about 8 hours or so). Here's some more information:

marvistavet Pharmacy Library - Cyproheptadine

The above link gives info on this med, including suitability and contraindications. NB: cyproheptadine is an anti-histamine so caution is needed in cats with blood pressure issues.

With regard to the eating issues, it's always a good idea to make sure that there's no nausea present. Here's a list of symptoms that you might like to bookmark for future reference:

Nausea and Appetite Issues - Symptoms and Treatments

Keeping everything crossed for you both that all goes well tomorrow.

:bighug:


Mogs
.[/QUOTE
Hi Mogs,

Thank you so much for all of your help. My vet has the Fructosamine results and wants me to start on 1 unit of Lantus every 12, same as before. I didn’t speak to her directly so I am waiting for the report to be sent to me from the other vet. Obviously the range puts her in the active diabetes area. Her number after two bites of food was 257 this morning. With her current eating pattern, how much does she need to eat before giving Lantus?

As far as the possible nausea, she has cat grass to help and has no problems eating treats or Dr Elsey’s. I still need to read the link.

I pray that catching it quickly will help in possible return to remission.

I am so grateful for your caring, concern and help.

Take good care and stay safe.

Adrienne
Click to expand...
 
Status
Not open for further replies.
Back
Top