10/7, Susie, 233 @+11

Summer and Susie (GA)

Member Since 2020
https://felinediabetes.com/FDMB/threads/10-6-susie-277-amps.253905/#post-2862215

I had a crazy morning with Susie. 61 at AMPS. Was terrified to give insulin since she doesn't eat well. I had to go ahead and put down food to see if she would eat. She ate a few bites of l/c and a couple of bites of h/c. Tested her 30 minutes later and she was at 100 so I went ahead and gave her a reduced dose. The ER intern wants reductions at 80. I have them at 70 since a couple of days ago. She is now at 151 at +1????? I don't think I have ever seen her go up this quickly. I am afraid how high she will go today in this bounce. I hope she did not go too low last night while I was sleeping. It is not something I expect anymore.

She does not feel good today. She had a pretty good night yesterday. Was grooming, did the "downward dog" stretch for me and her little paws were expanding and contracting when I was petting her. Like she used to do when she was happy. Lots of purrs last night too.
 
Thanks for asking Summer! I almost forgot to reply to this question.

Here was the update I put on Pamela's condo last evening. I'll copy it here:
Hi Pamela!!! I hope you had a good day. I just wanted to update you and a few people who were following what was going on with Ginger. She had her ultrasound yesterday, and everything looked really good - stomach, liver, kidneys, spleen, gallbladder, bladder, intestinal loops, etc. she even took a peak at her heart and said there was no evidence of any heart disease. I am so relieved. And Ginger is eating like a little piggy. She has about 6 days of Baytril left to go.

I think I forgot to tag you .... no... now I remember... I read what you posted about Susie not wanting to eat and I thought... she doesn't need to hear about my goings-on! I guess Ginger just had an infection (although we still need to re x-ray the lungs i
n about a month to check for changes). Who knows??

I'm so glad to hear that Ginger's ultrasound was good and that she has a really good appetite. So important. Yes, I want to hear about other goings-on. Just sometimes I am so wrapped up in my own situation that I do not visit with others like I used to. It is nice to get some good news.
 
Hubby left his Pepsi can outside. My BG was low, and instead of going indoors for glucose tabs or OJ, I grabbed the Pepsi and took a drink. Oops, a wasp had gotten in the can before me!

Molly started on 1 ml twice a day /one milliliter equals 5 mg of Pred. After 5 days, down to 5mg daily, then to every other day. Now twice a week. In addition to thicker intestines (IBD or lymphoma), she had an angry gallbladder and liver, which I am giving Ursodiol for. Waiting to learn from her giving blood two days ago if her ALT has gone down. She is feeling better and acting happy to eat. She is up another ounce in two days. Nice baby steps. Gained a half pound plus an ounce in a month.

Horrible way to get a wasp in your mouth. Good to know yo weren't kissing trees.

I was giving Susie milk thistle for months and I swear it is what dropped her AST and ALT. I got frustrated a couple of weeks ago when Susie stopped eating and thought maybe the thistle was old so I tossed it. It has a very long shelf life (if I remember correctly) but it needs to be kept out of the light and in temperatures under 77. I had the thistle in my kitchen which gets very warm in the summer. If Susie gets through this I will certainly get more thistle.
 
@Summer and Susie Hi Amethyst does not do well at all on BUPE or MIRTAZ, We have been trying Hololistic Treatments and they are working very well Susie probably NEEDS the Prednisolone. Amethyst NEEDS is to breath in the FALL She gets the compounded TUNA Flavor and loves it You just have to work her Insulin numbers around it .See Tina and Suzanne agree she needs the PRED because do not consider letting her go until the Pred it tried:bighug::bighug::bighug::bighug::bighug::bighug::bighug:

I put in a written request, yesterday, for the pred. Asked for a prescription to be compounded with no sugar so I can administer it orally. We will see what the intern says. I'm afraid to do holistics right now. If I can get her through this I will consider looking into some of the recommendations.
 
That standard starting dose for IBD is 5 mg. daily. Anything less than that as a starting dose for IBD or SCL is underdosing. Like I said, on the IBD list, I've seen people complaining that pred was not helping their cats. I asked how much they were getting... stuff like 2.5 mg... I told them it was being underdosed and they can't expect much. Now, for certain conditions the cat has to stay at 5 mg. (even for life) for other conditions, the dose can be tapered (and you see how the cat does.)

Suzanne, I think the starting dose you mentioned is for non-diabetic cats. I have read that 1 mg/kg is what a diabetic cat should be started on with Prednisolone. The Diabetic Cat with Inflammatory Bowel Disease - Today's Veterinary Practice
 
Suzanne, I think the starting dose you mentioned is for non-diabetic cats. I have read that 1 mg/kg is what a diabetic cat should be started on with Prednisolone. The Diabetic Cat with Inflammatory Bowel Disease - Today's Veterinary Practice
Summer - that is a good source. If Susie weighs 11 pounds that would be 5kg and the dose is 1mg per kg. BID. So 5mg of Pred would be the starting dose - given twice a day, for an 11 pound diabetic cat.
Let us know as soon as your vet approves the Prednisolone.
 
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@Bama Kitty Mom I got the husk yesterday. You did say, when starting out, to just sprinkle some on top of her food? What if she doesn't like it? Wouldn't it be better to mix it into the food?
What kind of psyllium husk did you buy? I went to Kroger to find some and all they had was an expensive bad of organic psyllium husk ($25) or flavored Metamucil with artificial sugars in there - and obviously I couldn’t buy that. Maybe Publix will have something. I guess it’s supposed to be flavorless and cats won’t notice i (I have my doubts.)
 
Summer - that is a good source. If Susie weighs 11 pounds that would be 5kg and the dose is 1mg per kg. BID. So 5mg of Pred would be the starting dose - given twice a day, for an 11 pound diabetic cat.
Let us know as soon as your vet approves the Prednisolone.
Yes. That sounds good to me since she’s about 5 kg. And yes, Today’s Veterinary Practice is very good!
 
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Susie is not eating again. I need to get some Miralax. Should I buy the powder? If she won't eat can I just mix 1/8 of a tsp with water and shoot it in her mouth?
 
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Summer - that is a good source. If Susie weighs 11 pounds that would be 5kg and the dose is 1mg per kg. BID. So 5mg of Pred would be the starting dose - given twice a day, for an 11 pound diabetic cat.
Let us know as soon as your vet approves the Prednisolone.
Is that what this means " (starting dose, 1 mg/kg PO q12h)"? One mg per kilogram of weight? Susie is 12.3 lbs. What does that equal in kgs?
 
What kind of psyllium husk did you buy? I went to Kroger to find some and all they had was an expensive bad of organic psyllium husk ($25) or flavored Metamucil with artificial sugars in there - and obviously I couldn’t buy that. Maybe Publix will have something. I guess it’s supposed to be flavorless and cats won’t notice i (I have my doubts.)
I purchased "Its Just" from Amazon Smile. This is what Gina uses. https://smile.amazon.com/Its-Just-Psyllium-Non-GMO-Dietary/dp/B07RYBVLH8/?tag=felinediabetesfdmb-20 Unfortunately, Susie is not eating it in her food.
 
Susie is not eating again. I need to get some Miralax. Should I buy the powder? If she won't eat can I just mix 1/8 of a tsp with water and shoot it in her mouth?
You need the regular Miralax (grainy powder) - Mix 1/8 teaspoon with at least 2 tsp of water and syringe. This could be a twice daily dose. She doesn’t have to eat along with it, but I’m still sending eating vines. The dose can even be doubled if necessary.
When did Susie last GO?
 
Is Susie not eating because of constipation?
Just a thought...has there been any consideration of an appetite stimulant for her, or are you giving one and she still isn't eating? I started giving Butters Mirataz about two weeks ago and it is helpful. It is a transdermal appetite stimulant: you apply it on the inside of the ear flap. So much easier than giving a pill to a cat who is difficult to pill.

Number one priority is to get the cat to eat, imo, regardless of what they want. If Susie will eat HC, even if dry, consider giving that to her, imo. You can adjust the insulin around other health concerns. I'm currently feeding Butters exclusively a hypoallergenic prescription diet that is high carb. This is all she gets. It comes in wet (HC) and dry (extra HC:rolleyes:), and while the plan was for her to eat the wet exclusively, that was not how things went down. She refuses unless it is warm and covered in kibble. So guess what I do? I feed her the dry food:), because that is what she will eat. And I give her more insulin. I don't worry about higher numbers. Butters isn't going to go into remission with all these other issues she has going on, so I personally don't feel like there is any reason to try to get her to be <100. Just something for you to consider, given what's going on with Susie.

Summer, my heart goes out to you:bighug:. I'm so sorry that she may be having GI issues. I hope the pred works wonders for her. Whatever decisions you make for your girl, I know that it is 100% coming from a place of love. You're such a good mom to her:bighug:.
 
You need the regular Miralax (grainy powder) - Mix 1/8 teaspoon with at least 2 tsp of water and syringe. This could be a twice daily dose. She doesn’t have to eat along with it, but I’m still sending eating vines. The dose can even be doubled if necessary.
When did Susie last GO?
Two to two and a half days ago.
 
Is Susie not eating because of constipation?
Just a thought...has there been any consideration of an appetite stimulant for her, or are you giving one and she still isn't eating? I started giving Butters Mirataz about two weeks ago and it is helpful. It is a transdermal appetite stimulant: you apply it on the inside of the ear flap. So much easier than giving a pill to a cat who is difficult to pill.

Number one priority is to get the cat to eat, imo, regardless of what they want. If Susie will eat HC, even if dry, consider giving that to her, imo. You can adjust the insulin around other health concerns. I'm currently feeding Butters exclusively a hypoallergenic prescription diet that is high carb. This is all she gets. It comes in wet (HC) and dry (extra HC:rolleyes:), and while the plan was for her to eat the wet exclusively, that was not how things went down. She refuses unless it is warm and covered in kibble. So guess what I do? I feed her the dry food:), because that is what she will eat. And I give her more insulin. I don't worry about higher numbers. Butters isn't going to go into remission with all these other issues she has going on, so I personally don't feel like there is any reason to try to get her to be <100. Just something for you to consider, given what's going on with Susie.

Summer, my heart goes out to you:bighug:. I'm so sorry that she may be having GI issues. I hope the pred works wonders for her. Whatever decisions you make for your girl, I know that it is 100% coming from a place of love. You're such a good mom to her:bighug:.
I don't know if it is constipation. She has been sick for about a month now and her appetite just gets worse and worse. An ultrasound showed either IBD or Lymphoma but I didn't have the money for the endoscopy so we don't know which one it is. Susie is not well but has brief periods of feeling better - like last night. I have the Mirataz and it worked wonders the first time I gave it to her but made her loopy and spaced out so I stopped and she continued to eat fairly well without it for about a week. Now she is not interested in eating again. I did give her some Mirataz a little while ago. It is the transdermal. She doesn't even show interest in high carb. She did take a couple of bites this morning then walked away.

I agree that getting her to eat is the most important thing. I bought some Dr. Elsey's 95% dry kibble for her and she shows no interest in that but I'm going to try again with several foods tonight. I haven't gotten approval for the prednisolone. Neither of my vets want to give it to her. They just want me to give the Mirataz, Buprenorphine and fluids. I stopped the Bupe because I thought is was also making her limp and out of it. Looks like I might have to go back to it. She seems uncomfortable and it could be constipation.

I am so angry with the vets. Pred has been shown time and time again to help cats with IBD but they are too afraid to give it to her because she is diabetic. Instead, I just sit and watch her suffer. I appreciate the support, Lyla. Right now I do not feel like a good mom to Susie.
 
Ironically, as soon as I shot the Miralax into her mouth she went to the litter box and left me two little logs. I know it had nothing to do with the Miralax but it is one less thing to worry about with her. She really hates me after that.
 
It looks like I am all set with the constipation relief. I have the psyllium husk, Lax Aire and Miralax. Thank you to everyone for these helpful tips.

I am assuming I only use them (one) when I don't see poop for a day or so.
 
Is Susie not eating because of constipation?
Just a thought...has there been any consideration of an appetite stimulant for her, or are you giving one and she still isn't eating? I started giving Butters Mirataz about two weeks ago and it is helpful. It is a transdermal appetite stimulant: you apply it on the inside of the ear flap. So much easier than giving a pill to a cat who is difficult to pill.

Number one priority is to get the cat to eat, imo, regardless of what they want. If Susie will eat HC, even if dry, consider giving that to her, imo. You can adjust the insulin around other health concerns. I'm currently feeding Butters exclusively a hypoallergenic prescription diet that is high carb. This is all she gets. It comes in wet (HC) and dry (extra HC:rolleyes:), and while the plan was for her to eat the wet exclusively, that was not how things went down. She refuses unless it is warm and covered in kibble. So guess what I do? I feed her the dry food:), because that is what she will eat. And I give her more insulin. I don't worry about higher numbers. Butters isn't going to go into remission with all these other issues she has going on, so I personally don't feel like there is any reason to try to get her to be <100. Just something for you to consider, given what's going on with Susie.

Summer, my heart goes out to you:bighug:. I'm so sorry that she may be having GI issues. I hope the pred works wonders for her. Whatever decisions you make for your girl, I know that it is 100% coming from a place of love. You're such a good mom to her:bighug:.
Lyla,
I noticed that you recently started giving Butters the Mirataz two hours before the PMPS. Have you noticed it is better for improving the appetite that close to dinner?
 
It looks like I am all set with the constipation relief. I have the psyllium husk, Lax Aire and Miralax. Thank you to everyone for these helpful tips.

I am assuming I only use them (one) when I don't see poop for a day or so.
Idk what best practice is for cats, but in humans generally best to give it for a few days til it's consistent, then back it down a bit vs cold turkey. Once stuff gets backed up can he a vicious cycle.

I'm sorry about the vets and pred :/
 
Is Susie not eating because of constipation?
Just a thought...has there been any consideration of an appetite stimulant for her, or are you giving one and she still isn't eating? I started giving Butters Mirataz about two weeks ago and it is helpful. It is a transdermal appetite stimulant: you apply it on the inside of the ear flap. So much easier than giving a pill to a cat who is difficult to pill.

Number one priority is to get the cat to eat, imo, regardless of what they want. If Susie will eat HC, even if dry, consider giving that to her, imo. You can adjust the insulin around other health concerns. I'm currently feeding Butters exclusively a hypoallergenic prescription diet that is high carb. This is all she gets. It comes in wet (HC) and dry (extra HC:rolleyes:), and while the plan was for her to eat the wet exclusively, that was not how things went down. She refuses unless it is warm and covered in kibble. So guess what I do? I feed her the dry food:), because that is what she will eat. And I give her more insulin. I don't worry about higher numbers. Butters isn't going to go into remission with all these other issues she has going on, so I personally don't feel like there is any reason to try to get her to be <100. Just something for you to consider, given what's going on with Susie.

Summer, my heart goes out to you:bighug:. I'm so sorry that she may be having GI issues. I hope the pred works wonders for her. Whatever decisions you make for your girl, I know that it is 100% coming from a place of love. You're such a good mom to her:bighug:.
Glad to see you pop in :bighug:
 
I purchased "Its Just" from Amazon Smile. This is what Gina uses. https://smile.amazon.com/Its-Just-Psyllium-Non-GMO-Dietary/dp/B07RYBVLH8/ref=sr_1_8?dchild=1&keywords=Psyllium Husk&qid=1633625007&sr=8-8 Unfortunately, Susie is not eating it in her food.
Two to two and a half days ago.
Well, that may be why she won't eat. Constipation can take the appetite away ... or it may be the constipation + other things, of course. I am wondering if anybody has tried syringing in psyllium husk? For a cat that won't eat it? I have definitely syringed Miralax with a little water. It doesn't seem to have a flavor. I tried it myself to see. I imagine that it would be difficult to syringe it in (the psyllium) because it will not dissolve and most likely the syringe will retain most of the psyllium and the water will go in?? Just speculating because I have never tried it.
 
Lyla,
I noticed that you recently started giving Butters the Mirataz two hours before the PMPS. Have you noticed it is better for improving the appetite that close to dinner?
No, I haven't found that. But I space Butters's meals out pretty evenly so she gets food every 3 - 4 hours. Also I'm only giving it to her every 48 hours, though thinking of increasing. I find she eats best after about 12 hours or so.

Are you switching ears with each dose and cleaning the opposite ear? IE, Apply to the right ear flap and clean the residue from the left ear. Then the next day, apply to the left ear flap and clean the residue from the right ear? I know I'm grasping at straws here...trying to figure out why the Mirataz doesn't really seem to be helping. Is she nauseous? Maybe she needs ondansetron or cerenia?
I don't know if you've tried this, but before the food elimination diet I used to wrap Butters's pills in butter sometimes, and then even a piece of pill pocket. She is also not the easiest cat to pill and she was getting so many of them that I tried all kinds of things to get her to eat them on her own. You can get oral Mirtazapine in pill form...maybe that would work better? But then of course it means you have to pill her.

FWIW, Butters was diagnosed with chronic constipation a while back. I give her Miralax twice a day consistently and it helps her a lot. THe HC food also seems to help:).

Have you tried her very favourite foods, or is she not a foodie? Any forbidden foods that she used to love before she was dx'd with diabetes?

As for the vets not approving pred...ugh. Maybe I'm missing something but I don't understand how they see on ultrasound that Susie has possible IBD or lymphoma, but won't let you try pred. Not everyone can afford to do diagnostics. I know of vets in my area who would prescribe pred to patients in this situation even without endoscopy when they can't afford it. I wonder if you're going to need to go to a different vet for another opinion?
 
Is Susie not eating because of constipation?
Just a thought...has there been any consideration of an appetite stimulant for her, or are you giving one and she still isn't eating? I started giving Butters Mirataz about two weeks ago and it is helpful. It is a transdermal appetite stimulant: you apply it on the inside of the ear flap. So much easier than giving a pill to a cat who is difficult to pill.

Number one priority is to get the cat to eat, imo, regardless of what they want. If Susie will eat HC, even if dry, consider giving that to her, imo. You can adjust the insulin around other health concerns. I'm currently feeding Butters exclusively a hypoallergenic prescription diet that is high carb. This is all she gets. It comes in wet (HC) and dry (extra HC:rolleyes:), and while the plan was for her to eat the wet exclusively, that was not how things went down. She refuses unless it is warm and covered in kibble. So guess what I do? I feed her the dry food:), because that is what she will eat. And I give her more insulin. I don't worry about higher numbers. Butters isn't going to go into remission with all these other issues she has going on, so I personally don't feel like there is any reason to try to get her to be <100. Just something for you to consider, given what's going on with Susie.

Summer, my heart goes out to you:bighug:. I'm so sorry that she may be having GI issues. I hope the pred works wonders for her. Whatever decisions you make for your girl, I know that it is 100% coming from a place of love. You're such a good mom to her:bighug:.
I agree with Lyla! Nice to hear from you, Lyla! You have been on my mind, and you were the "next" person that I was going to check up on. I checked up on Sasha this week because she'd been AWOL... you were next! :-)
 
Here is my predicament. Susie is at 233 @11. She has only had about 6 or 7 bites of food all day. She cannot/will not eat. She has been sick for three to four weeks. Whether her PMPS number is still high, or not, I am hesitant to shoot if she will not eat her dinner tonight and will drop low during the night like I think she did last night. I have a very, very important Dr. appt tomorrow at 9:00. I waited 11 months too make it and one month after it was scheduled. I cannot have problems tonight or tomorrow morning with her glucose going low because I cannot cancel this appt. A cat that will not eat could be in trouble with insulin on-board. I reduced her dose to .75 this morning so she is not getting much but I just can't be up all night checking her glucose when I need to be rested for my appt. in the morning. Please advise.
 
Idk what best practice is for cats, but in humans generally best to give it for a few days til it's consistent, then back it down a bit vs cold turkey. Once stuff gets backed up can he a vicious cycle.

I'm sorry about the vets and pred :/
Thanks, Melissa. Really, really pissed at my vets. They are killing my cat.
 
I am not giving dosing advice. If it were my cat and she was not eating and I was in the predicament that you describe, I would skip. Of course, she may go high. But it won't hurt her for a short amount of time to go high. That is what I would do. Go with YOUR gut though!!
 
Well, that may be why she won't eat. Constipation can take the appetite away ... or it may be the constipation + other things, of course. I am wondering if anybody has tried syringing in psyllium husk? For a cat that won't eat it? I have definitely syringed Miralax with a little water. It doesn't seem to have a flavor. I tried it myself to see. I imagine that it would be difficult to syringe it in (the psyllium) because it will not dissolve and most likely the syringe will retain most of the psyllium and the water will go in?? Just speculating because I have never tried it.
Got some Miralax syringed in earlier and she did leave me two little hard logs in the kitty litter box.
 
Got some Miralax syringed in earlier and she did leave me two little hard logs in the kitty litter box.
I'm glad she did, but two little hard logs a lot of times means there's more in there that's not getting out. This happened with Darcy. An x-ray showed a lot of backed up stool stuck in him. So I'm glad you are armed with some things to help her (I hope you can get them in her though.) Hugs and hugs and more hugs. Wish I could help.
 
No, I haven't found that. But I space Butters's meals out pretty evenly so she gets food every 3 - 4 hours. Also I'm only giving it to her every 48 hours, though thinking of increasing. I find she eats best after about 12 hours or so.

Are you switching ears with each dose and cleaning the opposite ear? IE, Apply to the right ear flap and clean the residue from the left ear. Then the next day, apply to the left ear flap and clean the residue from the right ear? I know I'm grasping at straws here...trying to figure out why the Mirataz doesn't really seem to be helping. Is she nauseous? Maybe she needs ondansetron or cerenia?
I don't know if you've tried this, but before the food elimination diet I used to wrap Butters's pills in butter sometimes, and then even a piece of pill pocket. She is also not the easiest cat to pill and she was getting so many of them that I tried all kinds of things to get her to eat them on her own. You can get oral Mirtazapine in pill form...maybe that would work better? But then of course it means you have to pill her.

FWIW, Butters was diagnosed with chronic constipation a while back. I give her Miralax twice a day consistently and it helps her a lot. THe HC food also seems to help:).

Have you tried her very favourite foods, or is she not a foodie? Any forbidden foods that she used to love before she was dx'd with diabetes?

As for the vets not approving pred...ugh. Maybe I'm missing something but I don't understand how they see on ultrasound that Susie has possible IBD or lymphoma, but won't let you try pred. Not everyone can afford to do diagnostics. I know of vets in my area who would prescribe pred to patients in this situation even without endoscopy when they can't afford it. I wonder if you're going to need to go to a different vet for another opinion?
I used to be able to feed Susie at AMPS, +3 and +6. Then at PMPS, +2 and +5. She almost always ate all of her meals until mid September when everything changed and she stopped eating well. No, I have not been switching ears because I have only been giving her the Mirataz about once every three days and I don't want it in her ear that I ALWAYS test on. I worry about inflammation on all those ear pricks. No, I never clean the ear out first. I had her on cerenia for a couple of days but she never throws up or has diarrhea. She has none of the typical signs of IBD. I wish I could get Susie to eat the m/c and h/c food. She used to love it. I think I will put down a can of h/c for her tonight to try and spark some interest.

Susie loved Purina dry prior to the diabetes. I don't have any in the house but I do have some Dr. Elsey's that I will try again to get her to eat. Right now, I am thinking some Dr. Elsey's dry, some h/c and some l/c fish. I just want her to eat. Her forbidden, but sometimes given, food is Temptations. She rarely shows any interest in those now.
 
I am not giving dosing advice. If it were my cat and she was not eating and I was in the predicament that you describe, I would skip. Of course, she may go high. But it won't hurt her for a short amount of time to go high. That is what I would do. Go with YOUR gut though!!
Thank you for confirming what I already am thinking about doing! :bighug: At this point, I cannot worry about hypoglycemia too.
 
Susie is not eating again. I need to get some Miralax. Should I buy the powder? If she won't eat can I just mix 1/8 of a tsp with water and shoot it in her mouth?

Sumner since you live in Florida you can buy the Publix brand called Clearlax it's the same thing, it will say it on the bottle that it's the same as Miralax but cheaper
Unflavored or any drug stores brand. Just mix it up really good with the water (about 2-2-1/2 teaspoons of water ); before you syringe it
miralax%20laxative_05252011140713.jpg
ClearLax, Polyethylene Glycol 3350 Powder for Solution,

They are all the same thing
 
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@Summer and Susie see Post #18 above. Jan talks about the Miralax mixing in with water. I'm confused because above it looks like Diane is quoting you. I just want to make sure you got this question answered.
 
I used to be able to feed Susie at AMPS, +3 and +6. Then at PMPS, +2 and +5. She almost always ate all of her meals until mid September when everything changed and she stopped eating well. No, I have not been switching ears because I have only been giving her the Mirataz about once every three days and I don't want it in her ear that I ALWAYS test on. I worry about inflammation on all those ear pricks. No, I never clean the ear out first. I had her on cerenia for a couple of days but she never throws up or has diarrhea. She has none of the typical signs of IBD. I wish I could get Susie to eat the m/c and h/c food. She used to love it. I think I will put down a can of h/c for her tonight to try and spark some interest.

Susie loved Purina dry prior to the diabetes. I don't have any in the house but I do have some Dr. Elsey's that I will try again to get her to eat. Right now, I am thinking some Dr. Elsey's dry, some h/c and some l/c fish. I just want her to eat. Her forbidden, but sometimes given, food is Temptations. She rarely shows any interest in those now.
Summer, remember that Cerenia has some anti-inflammatory effects. That's one reason why people give Cerenia to their cats with Pancreatitis (even if Susie is not vomiting, it may help her feel better to have Cerenia daily). 1 mg per lb. of body weight. (and some cats need more, but this would be okay).
 
I know of vets in my area who would prescribe pred to patients in this situation even without endoscopy when they can't afford it. I wonder if you're going to need to go to a different vet for another opinion?
Yes. I don't want to burden you any more, @Summer and Susie, but I was hoping your vets would come around. But maybe another vet would help. I know that is already a burden, to take her to another vet, not knowing what may happen.
 
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