Cat recovering from DKA

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Bron and Sheba (GA) said:
You didn’t mess it up....it’s just a matter of knowing how it works when the shot is delayed.:)
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Ok figured it out I had all my numbers backwards between am and pm. Also though the +#’s were times, not hours from when shot given. The lifestyle libre only goes up to 500, I did test with meter couple of those times and numbers were about 540sh. Left it in the chart as 500 since that’s what the libre said. I have about 10 days left for the libre so I have to get better at getting blood from ear,
Bron and Sheba (GA) said:
Ok I can see lots more tests have been put into the SS, thank you.
Try and keep it updated is you can, especially with any low numbers, as we look at the SS before we help you.
I can see you dropped from 1 unit to 0.5 units when Sandy dropped to 48 a week ago so no need to reduce again. normally we reduce by 0.25 units not 0.5 units but leave it at 0.5 units now as he has been on it for a week and doing well.
I see he is bouncing a bit today from the lovely green numbers yesterday.
Thank you for putting the ketone results into the SS. ...that very helpful and it’s great they are negative!
You are doing a really good job helping him recover from the DKA.
Is he still eating well?
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Thank you Bron, I’m really trying. He ate about 3 very small meals today, he looks good has gained weight back but I’m sure the fluids I was injecting helped. Last night was the last day so hoping he starts eating better and drinking more on his own. Now that I have the numbers in and understand the SS sheet I’ll make sure to keep up with it. And yes yesterday his numbers were so good, today higher but better than the really high yet numbers the other day. Hopefully his body starts adjusting well and he gets good numbers more consistently
 
Can you get him to eat more than 3 small meals a day? That isn’t really enough for a cat recovering from DKA.
Do you think he could still be nauseated and that is why he is not eating a lot?
Are you still giving him any cerenia or ondansetron for nausea?
 
Bron and Sheba (GA) said:
Can you get him to eat more than 3 small meals a day? That isn’t really enough for a cat recovering from DKA.
Do you think he could still be nauseated and that is why he is not eating a lot?
Are you still giving him any cerenia or ondansetron for nausea?
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He ended up eating 5 meals by the time the day was over. He’s yea he’s back on cerenia. I gave him a meal at 3am because his BG dropped and ate again around 7am. Still small amount. when I gave him his night shot his B
Bron and Sheba (GA) said:
Can you get him to eat more than 3 small meals a day? That isn’t really enough for a cat recovering from DKA.
Do you think he could still be nauseated and that is why he is not eating a lot?
Are you still giving him any cerenia or ondansetron for nausea?
Click to expand...
He ended up eating 5 meals by the time the day was over. He’s yes he’s back on cerenia. I gave him a meal at 3am because his BG dropped and ate again around 7am. Still small amount.
When I gave him his night shot his BG was 2
Bron and Sheba (GA) said:
Can you get him to eat more than 3 small meals a day? That isn’t really enough for a cat recovering from DKA.
Do you think he could still be nauseated and that is why he is not eating a lot?
Are you still giving him any cerenia or ondansetron for nausea?
Click to expand...
He ended up eating 5 meals by the time the day was over. And yes he’s back on cerenia. I gave him a meal at 3am because his BG dropped and ate again around 7am. Still small amount.
When I gave him his night shot his BG was 238, gave him regular .5 dose. Seeing he dropped to 50’s do you think the .5 might be too high now? Or is there such a thing as it dropping at night? My fear is this will happen and I’ll be sleeping when it drops. I only caught it last night because I had set my alarm. Fed him and went back to sleep, when I checked again at the next wake up alarm he was 64 so I fed him. Should I leave food out for him at night just in case?
 
Hi Liza
Have you decided to do right regulation , TR, or Start LowGo Slow, SLGS method?
If you do TR you won’t reduce the dose unless Sandy drops under 50. I think TR is much better for post DKA. As long as you are not feeding dry food, you can do TR. and you are testing enough for that.

Cats often drop lower at night and it’s a good idea to get up and test. He dropped at +3 last night to 59 so it was the correct thing to do to feed him. And you tested again to see he hadn’t dropped lower so that is good.
I see you dropped down to 0.25 units at AMPS. If you are doing TR you need to stay at 0.5 units.
Leaving food out at night is a very good idea but testing is also very important.

I think it would be a good idea for you to start posting in the Lantus page where there are more people to help you as I live in Australia and an not always online when you need help.
On the Lantus page you post daily and link your previous post so we can look back at your threads.
To post you put the date, name of cat and AMPS. So 1/30 Sandy AMPS xxx
Link to Lantus page
https://www.felinediabetes.com/FDMB/forums/lantus-basaglar-glargine-and-levemir-detemir.9/

link to dosing methods
https://www.felinediabetes.com/FDMB...-low-go-slow-slgs-tight-regulation-tr.210110/
 
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Bron and Sheba (GA) said:
Hi Liza
Have you decided to do right regulation , TR, or Start LowGo Slow, SLGS method?
If you do TR you won’t reduce the dose unless Sandy drops under 50. I think TR is much better for post DKA. As long as you are not feeding dry food, you can do TR. and you are testing enough for that.

Cats often drop lower at night and it’s a good idea to get up and test. He dropped at +3 last night to 59 so it was the correct thing to do to feed him. And you tested again to see he hadn’t dropped lower so that is good.
I see you dropped down to 0.25 units at AMPS. If you are doing TR you need to stay at 0.5 units.
Leaving food out at night is a very good idea but testing is also very important.

I think it would be a good idea for you to start posting in the Lantus page where there are more people to help you as I live in Australia and an not always online when you need help.
On the Lantus page you post daily and link your previous post so we can look back at your threads.
To post you put the date, name of cat and AMPS. So 1/30 Sandy AMPS xxx
Link to Lantus page
https://www.felinediabetes.com/FDMB/forums/lantus-basaglar-glargine-and-levemir-detemir.9/

link to dosing methods
https://www.felinediabetes.com/FDMB...-low-go-slow-slgs-tight-regulation-tr.210110/
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Hi Bron, he went lower than 59 but I hadn’t scanned during the lower drop I noticed it in the daily graph that the libre app provides. I fed him this morning but he didn’t eat much so I was afraid of giving the .5 because I didn’t know how he was going to eat after shot so I did 1/2 dose .25.
His numbers have been really good today, he’s had a few small meals and has stayed low. Do you think I should continue with the .25? Instead of the .5?
And I’ll definitely try and post on there if I can figure it out, this page is kind of confusing to me to navigate.
I have lost faith in the vet I have. I was supposed to hear back from him today and nothing. And the only info I got from him was if Sandy is under 90 to skip the dose completely. And that’s not what everyone else it telling me.
I appreciate you helping me, with your advice and others on here and help from the Facebook page Sandy is doing better and his numbers are improving slowly but surely.
 
Liza Morales said:
Hi Bron, he went lower than 59 but I hadn’t scanned during the lower drop I noticed it in the daily graph that the libre app provides. I fed him this morning but he didn’t eat much so I was afraid of giving the .5 because I didn’t know how he was going to eat after shot so I did 1/2 dose .25.
His numbers have been really good today, he’s had a few small meals and has stayed low. Do you think I should continue with the .25? Instead of the .5?
And I’ll definitely try and post on there if I can figure it out, this page is kind of confusing to me to navigate.
I have lost faith in the vet I have. I was supposed to hear back from him today and nothing. And the only info I got from him was if Sandy is under 90 to skip the dose completely. And that’s not what everyone else it telling me.
I appreciate you helping me, with your advice and others on here and help from the Facebook page Sandy is doing better and his numbers are improving slowly but surely.
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Do you know how low he went when he dropped lower than 59?
If it was under 50 you would reduce the dose to 0.25 which you did this morning

Have you decided if you will follow TR or the SLGS method yet?

You need to be aware that a lot of people who post onthe Facebook page do not have experience with DKA and with the best of intentions may not always give the best advice, so before following that advice, please check over here with us to see if it is OK.
 
I can only see the graph and see it went under 50. I don’t know what the TR or SLGS method is really.
And yes I’m honestly just following advise on this forum. the FB page is good to see what people are doing that works for them, but following your advice on here has improved Sandy’s numbers so I’m more comfortable filling the advice from people on this forum if I need to make changes. I took a picture of the graph from the app but it’s not letting me upload on here.
 
Liza Morales said:
I can only see the graph and see it went under 50. I don’t know what the TR or SLGS method is really.
And yes I’m honestly just following advise on this forum. the FB page is good to see what people are doing that works for them, but following your advice on here has improved Sandy’s numbers so I’m more comfortable filling the advice from people on this forum if I need to make changes. I took a picture of the graph from the app but it’s not letting me upload on here.
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Ok. Stick to the 0.25 units then.
Looks like he bounced a bit from the green numbers yesterday but is coming down again so keep testing as he may drop lower.
Keep feeding often
Here is the link to the two dosing methods.
Click on this linkhttps://www.felinediabetes.com/FDMB...-low-go-slow-slgs-tight-regulation-tr.210110/

Don’t forget to start posting on the Lantus page I gave you:)
 
Liza Morales said:
He dropped again. I tested him he was at 88, 2 hours later at 47. Fed him and went to 95. Been giving him meals throughout the day. But he through up this morning again after eating a bigger meal, I waited 1/2 hour and he ate again and held it down. He’s due for his next shot soon so I’m going to see where he’s at when it’s time
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Liza Morales said:
I did check for ketones, that is negative.
He just got done eating regular food that is higher in carbs but still he only ate a little not even an ounce.
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Really good no ketones
Do you think he is eatong as much as he has been this last week?
I am wondering if he dropped lower because he's no eating enough?

Do you have any highercarb food if you need it? And some Karo or honey?
Can you test again now to see if he's rising and not dropping further please?
 
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Bron and Sheba (GA) said:
Really good no ketones
Do you think he is eatong as much as he has been this last week?
I am wondering if he dropped lower because he's no eating enough?

Do you have any highercarb food if you need it? And some Karo or honey?
Can you test again now to see if he's rising and not dropping further please?
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I tested again when he started to eat and he was at 83 down from the hundred. I just tested again and he is at 90 so going back up.
The only difference in eating is that last week I gave him variety of food I picked up just so he would eat, this past week he’s been eating the fancy feast pate mostly and some chicken treats. But he’s been in that for at least 1 week now and his numbers were really high a few days ago, and now for past 3 days way lower and more time in normal. But then he has those drops.
I do have some high carb food on hand, it’s dry food but I added water to it so he gets liquid too just because I’m not injecting fluids anymore. I also have honey and corn syrup on hand. When he drops he’s able to eat so I give him food.
 
Because Sandy has so recently had DKA we don't want him to go off insulin too soon.
I have spoken to some other experienced people and we were wondering if you would be able to test religiously at +2 every cycle to catch any drops in the BG. You would also need to test after that as well but the +2 is important to catch the drops.

We would also like you to feed higher low carb food than you are feeding at the moment to try and stop the drops.
Do you have any low carb food that is around the 8% carbs?
Here is a list to look at
Click this linkhttps://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

Also if you see a low number on the libre freestyle, always test it yourself to see if it is correct as it is not reliable at low numbers.

I will wait to hear back from you Liza. Thanks.
 
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Bron and Sheba (GA) said:
Because Sandy has so recently had DKA we don't want him to go off insulin too soon.
I have spoken to some other experienced people and we were wondering if you would be able to test religiously at +2 every cycle to catch any drops in the BG. You would also need to test after that as well but the +2 is important to catch the drops.

We would also like you to feed higher low carb food than you are feeding at the moment to try and stop the drops.
Do you have any low carb food that is around the 8% carbs?
Here is a list to look at
Click this linkhttps://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

Also if you see a low number on the libre freestyle, always test it yourself to see if it is correct as it is not reliable at low numbers.

I will wait to hear back from you Liza. Thanks.
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It’s 1am here at the moment so I’m going to go see if I can find any on the list at CVS pharmacy that’s open 24/7 and also another convenient store that’s open. I just tested him again and he is at 129 now. 45 minutes have passed since I was supposed to give insulin, how long is it ok to delay? I’ve read 2 hours. So I’m thinking wait for his number to go up some more if that’s ok? Or should I give the .25 now you think at 129?
And I just want to confirm?
Higher carb? Or lower carb?
you put higher low carb so I don’t know if typo?
I’ll be up all night and I will scan him every hour in case he drops. Seems I have bad luck when I scan every 2 to 3 hours there’s a drop that happened that I missed.
 
You need to buy some higher low carb about 8% carbs to feed instead of the lower carb food you have been feeding during the cycle. The idea is to try and keep him on 0.25 units but he will need to be given this 8% carb food to keep the BGs up a but higher.
You will need to test every +2 and then after than depending on the BGs. Wecan help you but you must do it religiously to keep Sandy safe. Can yo do that, do you think?

You also need to buy some medium carb canned food about 15% carbs for when he drops lower.
Dryfood is no good. Please don't use that.

You also need to buy some high carb food around 20-22% carbs for when he drops lower.

How far out can you be with your shooting schedule?
How long since he's eaten?
What food do you have inthe house at the moment?
I will wait for your reply
 
Bron and Sheba (GA) said:
You need to buy some higher low carb about 8% carbs to feed instead of the lower carb food you have been feeding during the cycle. The idea is to try and keep him on 0.25 units but he will need to be given this 8% carb food to keep the BGs up a but higher.
You will need to test every +2 and then after than depending on the BGs. Wecan help you but you must do it religiously to keep Sandy safe. Can yo do that, do you think?

You also need to buy some medium carb canned food about 15% carbs for when he drops lower.
Dryfood is no good. Please don't use that.

You also need to buy some high carb food around 20-22% carbs for when he drops lower.

How far out can you be with your shooting schedule?
How long since he's eaten?
What food do you have inthe house at the moment?
I will wait for your reply
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He just ate again, I gave him some Blue Buffalo canned
Other foods I have on hand are
Sheba white fish &tuna cuts
Rachel Ray ocean fish & flaked tuna
While hearted grain free chicken recipe pate in gravy
 
Haveyou taken another BG to see where it is?
If you can test the +2 this cycle and can monitor the BG after that I would give the 0.25 units...as long as the BG hasn't dropped again.
You can always give honey or Karo if the BG drops during the cycle
Areyou going to go out and buy some higher carb food now?

Will you please post all the BGs you get this cycle so we can see what is happening.
I will be able to be with you for a few hours. Then I will get someone else to watch you
 
Bron and Sheba (GA) said:
Haveyou taken another BG to see where it is?
If you can test the +2 this cycle and can monitor the BG after that I would give the 0.25 units...as long as the BG hasn't dropped again.
You can always give honey or Karo if the BG drops during the cycle
Areyou going to go out and buy some higher carb food now?

Will you please post all the BGs you get this cycle so we can see what is happening.
I will be able to be with you for a few hours. Then I will get someone else to watch you
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BG right now is 145. And yes I’ll be up scanning to see where he is at throughout the night. And yes I’m getting ready to go out and see what they have. It’s only 10 minutes away so I won’t be gone too long.
And again thank you for walking me through this
 
Liza Morales said:
BG right now is 145. And yes I’ll be up scanning to see where he is at throughout the night. And yes I’m getting ready to go out and see what they have. It’s only 10 minutes away so I won’t be gone too long.
And again thank you for walking me through this
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Ok. Did you give the 0.25 units.?
Before you go out I would go through the list and write down some of the 8% (approximately) carb, and medium carb and high carb cans of food before you go as it can get really confusing with a huge list to choose from
There are FF medium and high carb foods to choose from. Gravy lovers are usually high carb.
And there should be some around 8% as well or maybe some in another brand.
Let me know how you go!
 
Critter Mom said:
Fancy Feast Gravy Lovers beef variety is 20% carbs. The other flavours of FF Gravy Lovers are 15%.


Mogs
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Bron and Sheba (GA) said:
Ok. Did you give the 0.25 units.?
Before you go out I would go through the list and write down some of the 8% (approximately) carb, and medium carb and high carb cans of food before you go as it can get really confusing with a huge list to choose from
There are FF medium and high carb foods to choose from. Gravy lovers are usually high carb.
And there should be some around 8% as well or maybe some in another brand.
Let me know how you go!
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I was lucky enough to find Pate Indoor Chicken & Pate Ocean Fish & Tuna which are 8% on the list.
And some FF that are on the list I believe at 15% I have to double check. man’s also found some feiaki
Bron and Sheba (GA) said:
Ok. Did you give the 0.25 units.?
Before you go out I would go through the list and write down some of the 8% (approximately) carb, and medium carb and high carb cans of food before you go as it can get really confusing with a huge list to choose from
There are FF medium and high carb foods to choose from. Gravy lovers are usually high carb.
And there should be some around 8% as well or maybe some in another brand.
Let me know how you go!
Click to expand...
I lucky enough to find Pate Indoor Chicken & Pate Ocean Fish & Tuna which are 8% on the list.
And some FF that are on the list I believe at 15% I have to double check. man’s alsot found some Friskies that were about the same %
I gave the .25 he was at 165.
I’ll check at +2 and so on and probably more tonight. I’ll keep updated the SS
 
Liza I can see a +1 173 and a +2 178.
So not much of a food bump. This could mean he will have an active cycle and may drop some, so keep testing.
Did you give any food at + 1 or + 2. If not I would give him a snack of the new 8%food you got tonight.
 
Hi Liza, have you read the post I wrote just before this.? It would be really helpful if you could either “like “ the post so I know you have seen it, or write something so I know you have seen it.
Have you given Sandy any food after the +2?
It is very important he has some food then to stop him dropping when the insulin onset starts.

Also just a reminder that because you gave the insulin 2 hours later, you will have to work you way back to your schedule by 1/4 hour per cycle or 1/2 hour per day.
 
Bron and Sheba (GA) said:
Liza, have you taken any more BGs after +2?
It is really important you keep monitoring him and feeding him some snacks of the higher carb 8% food we discussed earlier.
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I’m really sorry Bron, I went to sleep at 5am when my husband got up. I woke up with alarms still to scan and my husband made sure he ate. He was picky about the food but still ate some. He stayed steady above 200 and he is at 222 at the moment.
 
Hi Liza,
I am very glad to hear that Sandy is OK.:)
I know you are exhausted having been through a roller coaster with Sandy over the last 2 weeks. I do understand completely how you feel.
But I really need you to stay in touch with me if I am going to be able to help you. Just post and say I am going to sleep but will wake up and test in an hour and I've just tested him and his BG is XX and I fed him. Then I know he is OK and you have seen my latest post.
Otherwise I don't know what is happening and its very stressful for the adviser, especially when we had put a new plan in place to keep him on 0.25 units and feed some higher carb food. This is not a criticism at all, just a reminder that you need to stay in touch. I can see your reply as soon as you post it.

So he bounced a bit last night from the 47 yesterday morning but looks as if he is coming down again.
Are you still feeding the 8%carbs to him?
Have you tested for ketones today?

Liza, do you think you could write in the remarks column the food and % of carbs you are feeding him please as that would be very helpful. eg fed 2 teaspoons 8% carb at +3
 
I completely understand, I know it’s not criticism your just worried and I can’t thank you enough. Wish I had posted I was going to sleep when the sun came out, I just passed out soon as I saw my husband got up and said he’d take over. I also keep getting signed out of the page when I go to another app. I keep bouncing between here and the libre app when this is going on.
I got some Mirataz for Sandy to see if it helps increase his appetite, started it this afternoon.
do you think that is a good medicine that can help?
He didn’t have much of the Blue Buffalo that has 8%, total of maybe 2 tablespoons, I will add on comments section. When he lost interest in that I tried another flavor but he wasn’t interested. Needed him to eat so I tried the Friskies chicken and gravy bits and he’s had another 3-4 tablespoons of that, but that’s higher than 9%. Still his number is only going up a little after food then comes back down. He’s never been a picky eater so I’m wondering if his stomach is just adjusting after going through DKA. Or if there is something else going on?

I know it’s not a good idea to stop insulin because of the recent DKA, but with these lower numbers do you think his body might be doing what’s correct on it’s own? Or should I drop the dose even more?
I’m just really afraid he’s going to drop under 50 again and I’m going to miss it in a matter of couple of hours like last time.
thankfully I’ve got the libre and can scan often but when I change to pricking ears I don’t want to be pricking his ear 10-12 times a day or more.
 
I have posted on your other post on the Lantus page. I’m glad you have started a post there.
We can continue talking over there as two posts going is confusing.

re the Mirataz. That is an appetite stimulant and is fine to give. But you must make sure Sandy is not nauseated first before giving it.
Is he still having cerenia? If he has been eating well with the cerenia and you are no longer giving it, he could still be nauseated. DKA kitties can take some time to get rid of the nausea so don’t be alarmed. Just continue the cerenia. It is very common for post DKA kitties to be nauseated.

If he won’t eat the 8% food then give another higher carb food. Try and stick around the 10% if you can. Most important thing is he does eat. That trumps everything.

Yes I think his body is healing itself and maybe his pancreas is starting to produce some insulin. But if we stop the insulin too soon, the ketones could come back and we certainly don’t want that.

Dont worry about having to prick the ears10 or more times a day. It won’t hurt him. Plenty of us do it.
Remember if you see a lower number, you can feed him to bring the numbers back up. If it is a number under 50 on the Libre, check it on the human meter first to see it is correct then give some honey to bring the number up.

Always post and ask for help if you are unsure. We don’t mind how many questions you ask
And change the subject line of your thread if you have a question so that we are alerted.
 
Hi Liza,

Liza Morales said:
I’m wondering if his stomach is just adjusting after going through DKA. Or if there is something else going on?
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By way of general information, for some cats there can be some lingering nausea for quite some time following an episode of DKA. I see from your earlier posts that you have Cerenia for Sandy. If that's not working well enough then, as Bron recommended above, ondansetron is a good anti-nausea med.


Mogs
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Critter Mom said:
Hi Liza,


By way of general information, for some cats there can be some lingering nausea for quite some time following an episode of DKA. I see from your earlier posts that you have Cerenia for Sandy. If that's not working well enough then, as Bron recommended above, ondansetron is a good anti-nausea med.


Mogs
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Ok and that makes sense, he is still on Cerenia, he has still thrown up a few times past couple of weeks but I notice it’s when he does eat a larger amount of food, within minutes of finishing he throws it up. I’ll wait 20-30 minutes and usually he will eat again but it will be smaller amount.
I officially hate diabetes, hate seeing him going through this and not be able to fix him ASAP ☹️
 
Liza Morales said:
Ok and that makes sense, he is still on Cerenia, he has still thrown up a few times past couple of weeks but I notice it’s when he does eat a larger amount of food, within minutes of finishing he throws it up. I’ll wait 20-30 minutes and usually he will eat again but it will be smaller amount.
I officially hate diabetes, hate seeing him going through this and not be able to fix him ASAP ☹️
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Smaller meals more often are better anyway.
Keep the cerenia going for now.
 
Hi Liza,

Liza Morales said:
he is still on Cerenia, he has still thrown up a few times past couple of weeks but I notice it’s when he does eat a larger amount of food, within minutes of finishing he throws it up. I
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Ah, the ol' scarf 'n' barf! :rolleyes: When that happens it's typically regurgitation rather than vomiting proper so the anti-nausea meds might not help so much with it.

Maybe try feeding Sandy a small amount of the main feed (a couple of teaspoons), wait about 5 minutes or so, then give him more. Sometimes getting that small bit of food into the tum for a few minutes helps settle it (and might take a little of the edge off the urge to scarf). Alternatively, try spreading the food out thinly on a dinner plate to slow him down a bit.

BTW, is Sandy pooping regularly?

I agree with Bron's suggestion about how smaller, more frequent feeds can help kitties with GI issues eat better and more comfortably (based on practical experience with my own cats).

Liza Morales said:
I officially hate diabetes, hate seeing him going through this and not be able to fix him ASAP ☹️
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If only love was medicine, Liza, then Sandy would be all better in a heartbeat.

:bighug::bighug::bighug:


Mogs
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Critter Mom said:
Hi Liza,


Ah, the ol' scarf 'n' barf! :rolleyes: When that happens it's typically regurgitation rather than vomiting proper so the anti-nausea meds might not help so much with it.

Maybe try feeding Sandy a small amount of the main feed (a couple of teaspoons), wait about 5 minutes or so, then give him more. Sometimes getting that small bit of food into the tum for a few minutes helps settle it (and might take a little of the edge off the urge to scarf). Alternatively, try spreading the food out thinly on a dinner plate to slow him down a bit.

BTW, is Sandy pooping regularly?

I agree with Bron's suggestion about how smaller, more frequent feeds can help kitties with GI issues eat better and more comfortably (based on practical experience with my own cats).


If only love was medicine, Liza, then Sandy would be all better in a heartbeat.

:bighug::bighug::bighug:


Mogs
.
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He’s always been a slow eater but he’s never been picky.
Now he’s being picky with food so I’m having to try different foods/flavors. But I can tell his tummy is upset because he will pause in the middle. He’s only eating a tablespoon at a time and 2 at most.
His kidney levels were normal Jan 8th before he got sick, during his ER stay the level went up to 6.9. Checkup on Jan 22 it was 3.5. I was told normal is 2 but better if it’s 1.5.
I’m not sure what all of it means but could the throwing up be because of his kidney levels being high.
He would throw up sometimes before he got sick but it wold happen if he would overeat or with certain flavors of food so I thought might of been a good allergy at the time
 
Liza Morales said:
His kidney levels were normal Jan 8th before he got sick, during his ER stay the level went up to 6.9. Checkup on Jan 22 it was 3.5. I was told normal is 2 but better if it’s 1.5.
I’m not sure what all of it means but could the throwing up be because of his kidney levels being high.
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Which kidney level is this, Liza?


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Critter Mom said:
Which kidney level is this, Liza?


Mogs
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I didn’t know there are different ones. They just told me his kidney levels got high during DKA. Because it was a cute they said his kidneys may continue to heal and get into a lower number but probably not back to normal
 
Lots of things can go completely out of whack during a DKA episode.

To answer your earlier question and by way of a general guide, yes, it is possible for elevated kidney values to cause nausea and eating issues. The three main blood serum values looked at for kidney issues are:

- Blood urea nitrogen (BUN)
- Creatinine
- Phosphorus

Tanya's Site has the following helpful page:

Nausea, vomiting and inappetence - symptoms and treatments

CKD kitties with nausea problems are also often prescribed Cerenia and/or ondansetron so whether Sandy's queasies are a hangover from the DKA or down to the kidneys still being 'under repair' the treatments are similar. My civvie, Lúnasa, is IRIS stage III and she gets ondansetron as a daily maintenance med.

Lovely pic of your boy, Eliza. :cat:


Mogs
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Critter Mom said:
Lots of things can go completely out of whack during a DKA episode.

To answer your earlier question and by way of a general guide, yes, it is possible for elevated kidney values to cause nausea and eating issues. The three main blood serum values looked at for kidney issues are:

- Blood urea nitrogen (BUN)
- Creatinine
- Phosphorus

Tanya's Site has the following helpful page:

Nausea, vomiting and inappetence - symptoms and treatments

CKD kitties with nausea problems are also often prescribed Cerenia and/or ondansetron so whether Sandy's queasies are a hangover from the DKA or down to the kidneys still being 'under repair' the treatments are similar. My civvie, Lúnasa, is IRIS stage III and she gets ondansetron as a daily maintenance med.

Lovely pic of your boy, Eliza. :cat:


Mogs
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Ok I’m going to ask at his next checkup what level they are talking about.
When he came home from his ER stay he was on Cerenia, told give it to him 4 more days. So I finished it and sure enough he threw up the next night after not taking it. Got some more for him I have another 4 days worth.
Is that something he can be on for a little while? Because I’m going to grab some more just wondering how long he can be on it for.
And thank you I took that pic couple days ago he is looking like his old self again, he was in such terrible shape when he went through DKA. I’m amazed at how he’s recovering at least from just looking at him. I know internally it will take a little longer.
 
Liza Morales said:
Ok I’m going to ask at his next checkup what level they are talking about.
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It's a good idea to always ask for copies of all lab test results for your own records. If you look in Sandy's spreadsheet, at the bottom you'll see a LABS tab. You can record results there. Some members here are very good at interpreting labs and you could always ask them to have a look at Sandy's results if you wish.

Liza Morales said:
Is [Cerenia] something he can be on for a little while?
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I don't know about the Cerenia, Liza. It's only available for cats as an injection in the UK so Saoirse only ever had the occasional dose of it. Other members should be able to tell you more.

Ondansetron can definitely be given long term. Saoirse was on it for a couple of years and Lúnasa has been on it for months and will continue to take it. If your vet were willing to prescribe ondansetron but doesn't carry it in stock, it can be obtained from human pharmacies with a written veterinary Rx.

Liza Morales said:
he is looking like his old self again, he was in such terrible shape when he went through DKA. I’m amazed at how he’s recovering at least from just looking at him.
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Our furry ones are truly remarkable and very resilient little creatures. (((Sandy))) :cat: I'm glad to hear how much better Sandy's doing. DKA is really rough.


Mogs
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Critter Mom said:
It's a good idea to always ask for copies of all lab test results for your own records. If you look in Sandy's spreadsheet, at the bottom you'll see a LABS tab. You can record results there. Some members here are very good at interpreting labs and you could always ask them to have a look at Sandy's results if you wish.


I don't know about the Cerenia, Liza. It's only available for cats as an injection in the UK so Saoirse only ever had the occasional dose of it. Other members should be able to tell you more.

Ondansetron can definitely be given long term. Saoirse was on it for a couple of years and Lúnasa has been on it for months and will continue to take it. If your vet were willing to prescribe ondansetron but doesn't carry it in stock, it can be obtained from human pharmacies with a written veterinary Rx.


Our furry ones are truly remarkable and very resilient little creatures. (((Sandy))) :cat: I'm glad to hear how much better Sandy's doing. DKA is really rough.


Mogs
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Ok I got his records of care and bloodwork emailed to me. I definitely can’t interpret them. Will try and figure out how to add on here
Thank you
 
You should be fine to give the cerenia to Sandy as it is only going to be a short term thing. You might like to ask your vet for some ondansetron for the nausea as well. It often works when cerenia doesn’t and it can be given at the same time as the cerenia as it works on a different pathway in the body.
I’ll tag @tiffmaxee to comment on the cerenia as well as I think she gave it to her kitty Max.
 
Liza Morales said:
Ok I got his records of care and bloodwork emailed to me. I definitely can’t interpret them. Will try and figure out how to add on here
Click to expand...
If you go to Sandy's spreadsheet and look at the bottom of the screen you'll see a tab with "LABS" on it. If you click on that it will open up the sheet where you can enter his test results from the email.


Mogs
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PS: It's better than uploading a file because once they're in the spreadsheet the test results will be available any time, rather than just being in the one thread. That'll make it easier for members to help you. Also, as you add successive sets of test results, you'll be able to track how Sandy's doing based on any changes in the results.


Mogs
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What dose of cerenia are you giving and how much dues ge weigh? Some vets don’t give a high enough dose. It works better as a sub-q injection but it stings. Another medication to ask your vet about is ondansetron. For some cats it helps more. For now make sure he gets cerenia every 24 hours. I think I responded to you last night on Lantus but can’t remember what you posted.
 
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