Overwhelming diet situation

[Sophie PARIS]

Hi, We have 3 cats- 14 year old brothers and a 10 year sister. Mostly on wet Veruva fish food, kibbles as treats.The three of them have kidney disease and one of the brothers just got diagnosed with diabetes. Besides 2 Insulin shots a day, to one of them, it seems that now their whole diet has to change. The vet says that the 3 of them should be on diabetic food and that we have to add aluminum hydroxide powder to bind up phosphorus. It's already very hard to switch diet, and adding that powder on top. How much of that powder? Will they eat? Help please. Thanks.

 

[Larry and Kitties]

How much aluminum hydroxide powder to add depends up the current blood phosphorus level and their body weight. See:
http://felinecrf.org/phosphorus_binders.htm
The powder is tasteless. I would use a commercial, low carb canned food for all and really not use fish since that tends to be higher in phosphorus.

 

[Sophie PARIS]

Thanks for your reply. My 3 cats have different body weights so It seems to be complicated to calculate how much powder to add. Which Low carb commercial canned food would you recommend? My vet says that only prescription diet is good...

 

[Diane Tyler's Mom GA]

For kitties with kidney disease and diabetes



. First number is carb percentage, second is mgs of phosphorus/100 cals, all less than 10% carb and less than 250 mg phos:

Weruva Truluxe Steak Frites can 6% 118
Weruva Cats in the Kitchen La Isla Bonita can 3% 166
Weruva Cats in the Kitchen Pates Meowiss Bueller pouch 7% 174
Weruva Truluxe Glam 'N Punk can 0.6% 180
Weruva Cats in the Kitchen Fowl Ball can 4% 180
Weruva Classic Pates Jeopurrdy Licious pouch 4% 187
Weruva Classic Pates Family Food pouch 0% 191
Weruva Cats in the Kitchen Pates Cattyshack pouch 9% 211
BFF PLAY Tuna & Salmon Shhh... pouch 3% 223
BFF PLAY Tuna & Turkey Totes! pouch 2% 226
BFF PLAY Tuna & Chicken Chill Out pouch 2% 226
Weruva Cats in the Kitchen Pates Cat to the Future pouch 8% 235
Weruva Cats in the Kitchen Pates The Breakfast Cat pouch 9.7% 235
Weruva Classic Pates Meal of Fortune pouch 8% 236
Weruva Cats in the Kitchen Lamburgini can 8% 236
Weruva Cats in the Kitchen Double Dip can 8% 248

You want carbs under 10% and phosphorus ideally low 200's or less.

I would get rid of the kibble

 

[Diane Tyler's Mom GA]

Do you have any blood work , what stage kidney disease are they in?

 

[Sophie PARIS]

The old brothers are stage 1, the younger sister stage 2...

 

[Diane Tyler's Mom GA]

Here is another list posted by one of our members
Weruva slide and serve pate foods Family Food (.97 phosphorus and 0 carb).

Jeopurrdy Chicken (0.97 P 6.1 carb)

What a Crock 0.71 phosphorus and 8 carb lots of gravy so she loved it.

Goody stew shoes 0.71 phosphorus, 8.5 carb. This one was a big hit

Weruva Steak Frites (0.57 phosphorus 5.5 carb although I take out any big pieces of potatoes to try to limit the carbs just a bit)

Weruva LA isla Bonita - phosphorus 0.77 carb 4.5 (used to like, not a favorite anymore)

Glam and punk 1% carb, 0.93 phosphorous.

Weruva paw lickin chicken 3.3 carb 0.82 p

Press your lunch 5.9 carb. 0.82 phosphorous

Bff play Laugh Out Loud chicken and lamb 7.7 carb, 0.82 phosphorous

BFF play destiny (chicken and duck) 0.87 phosphorus 7.7 carb

Bff play chicken cherish 0.71 phosphorus 7.6 carb

Bff play best buds chicken and beef 7.9 carb 0.9 phosphorus

Bff play chicken Checkmate. 7.7 carb 0.7 phos

On the Cat Wok 3.8 carb 0.74 phos

 

[Diane Tyler's Mom GA]

The old brothers are stage 1, the younger sister stage 2...

I'm going to tag Janet whose cat had kidney disease about the phosphate binder
@JanetNJ
Thanks Janet

 

[Diane Tyler's Mom GA]

The three of them have kidney disease and one of the brothers just got diagnosed with diabetes

If you would like help with your kitty that was just diagnosed with diabetes

Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help.

We strongly advise to start home testing
If you need any info about home testing please don't hesitate to ask

 

[JanetNJ]

Hi, We have 3 cats- 14 year old brothers and a 10 year sister. Mostly on wet Veruva fish food, kibbles as treats.The three of them have kidney disease and one of the brothers just got diagnosed with diabetes. Besides 2 Insulin shots a day, to one of them, it seems that now their whole diet has to change. The vet says that the 3 of them should be on diabetic food and that we have to add aluminum hydroxide powder to bind up phosphorus. It's already very hard to switch diet, and adding that powder on top. How much of that powder? Will they eat? Help please. Thanks.

Weruva is mostly low carb so probably no need to switch.

Thanks for your reply. My 3 cats have different body weights so It seems to be complicated to calculate how much powder to add. Which Low carb commercial canned food would you recommend? My vet says that only prescription diet is good...

You would only be giving the powder to the cat that has high phosphorus, not to all three. You can feed weruva, that's what I fed my diabetic ckd cat. Just pick o es that are under 10 carb and under 1 percent phosphorus. Diane posted the list of foods that I fed.

I can't comment on the phosphorus binder because their level of phosphorus wasnt excessive. Only give it if really needed because it can cause constipation.