11/13/2024 Aida AMPS 107, +2 92, +7 84

Daphne and Aida

Daphne and Aida

Active Member
Previous thread: https://felinediabetes.com/FDMB/threads/11-10-2024-aida-amps-119-2-5-50.295597/#post-3219616

Hello lovely people!
Aida's blood result came back, overall a lot of red but probably due to dehydration according to vet. The TLI result for the pancreas was over the normal as well, we're going on Monday for an ultrasound to check it all.
She's probably developed hyperthyroidism as well…

Yesterday she was so poorly that I booked another vet visit, canceled it today because she's so much better, I didn't want her to have additional stress. The vet agreed, which is probably a sign that she's not in for the money.

Does anyone know anything about pancreatitis?

- The vet wants her to fast as much as possible now that she's still in the acute phase. She said that subclinical pancreatitis has to be treated with fasting, but since she's diabetic, we cannot actually NOT give her any food. Cats and fasting … hem hem… I'm very dubious about it, but I know nothing about pancreatitis…

- She wants her to lose 500 gr as well, and for it to change her diet to "weight management". I believe they are full of carbs, am I right? I pointed that to her, and also told her that she's lost almost 800 gr since March, I'm more comfortable with keeping the slow pace of weight loss to avoid additional liver issues.

- Yesterday, the lowest I've ever seen her, I gave her 50mg gabapentin because she was clearly in pain and it helped her. The vet didn't think nothing about it. Pain should be treated, right? Maybe she gives me free rein to decide it all by myself? New vet, so we don't quite know each other yet.

- Should I have some subcutaneous stuff home? I've never done it, but it might become a necessity?

The results are here, I'm updating them on her glucose spreadsheet as well.
https://docs.google.com/spreadsheets/d/1AG5cxJZ-BKvdgn_u18qfrqxBmv08qn_X4N2-4zZWZAQ/edit?gid=0#gid=0

Many many thanks for any input!
 
Hello Daphne! I'm sorry Aida went through all that, and I hope your bronchitis is better.
I don't know a lot about pancreatitis, but I believe you are right that cats should not fast, and not lose weight too fast either. I will tag people who can help you better than me.
@Wendy&Neko
@Bandit's Mom
@Angela & Cleo
Can you answer Daphne's questions?
You can a,lso add a "?" in your title (prefix) so people see it and will come read and help.
 
The vet wants her to fast as much as possible now that she's still in the acute phase. She said that subclinical pancreatitis has to be treated with fasting, but since she's diabetic, we cannot actually NOT give her any food. Cats and fasting … hem hem… I'm very dubious about it, but I know nothing about pancreatitis…

NO! You don’t fast cats who have pancreatitis. You do fast dogs. You treat symptoms. Give pain medication, anti nausea medication such as ondansetron , fluids if dehydrated and FEED several small meals. As they start to feel better they want to eat more but if they eat too much at one time they can feel yucky. The fluids are only needed if dehydrated. Cats can develop hepatic lipidosis if they dint eat enough quite rapidly.
 
Daphne and Aida said:
She wants her to lose 500 gr as well, and for it to change her diet to "weight management". I believe they are full of carbs, am I right?
Click to expand...
I used to volunteer and work part time at our local shelter. They had a bunch of fatties that they put in the same room, and limited their food to the weight management. None lost weight, some gained. If you read Dr. Lisa's story on catinfo.org, you see she got into cat nutrition because she, as a vet, observed the same thing. I adopted one of those, by then 17 lb fatties, put him on a low carb diet and gradually got him down to 13 lbs. Slow weight loss is key, even more so for a diabetic cat.

You do want to prevent and stay ahead of pain. Pancreatitis is painful. As Elise said, vets aren't always up on feline pancreatitis. Yours isn't the first to suggest dog ideas.

I see Aida is vomiting fairly frequently. When she had her last ultrasound, did they examine her bowels? Hopefully they will this time. Vomits could also be from the pancreatitis or the hyperT if she has that.

Did the vet say anything about EPI as a result of the high TLI?
 
Thank you all for your precious support and links and informations! I forwarded quite a few to the vet, awaiting for her response.
Aida is again poorly, she hasn’t eaten, yet, and her BG is low, slowly reaching panic mode here…

I gave her ondansetron that she vomited, I gave her again a bit later, she’s managed to keep it so far.

I’ve asked the pharmacist for fluid types, they told me that they could bring lactated tomorrow, I just read another article stating that fluids containing some sort of preservative (benzoic acid) should absolutely be avoided in pets so I’ll be asking that the pharmacist.

Should I start her on fluids if teh vet doesn’t respond?

Sorry, I’m so so worried…
 
tiffmaxee said:
NO! You don’t fast cats who have pancreatitis. You do fast dogs. You treat symptoms. Give pain medication, anti nausea medication such as ondansetron , fluids if dehydrated and FEED several small meals. As they start to feel better they want to eat more but if they eat too much at one time they can feel yucky. The fluids are only needed if dehydrated. Cats can develop hepatic lipidosis if they dint eat enough quite rapidly.
Click to expand...
Yes, that’s what I thought as well…I think dogs and humans are fasted with pancreatitis.
 
Wendy&Neko said:
I used to volunteer and work part time at our local shelter. They had a bunch of fatties that they put in the same room, and limited their food to the weight management. None lost weight, some gained. If you read Dr. Lisa's story on catinfo.org, you see she got into cat nutrition because she, as a vet, observed the same thing. I adopted one of those, by then 17 lb fatties, put him on a low carb diet and gradually got him down to 13 lbs. Slow weight loss is key, even more so for a diabetic cat.
Click to expand...
Oh dear… all the vets, absolutely all of them have zero idea on nutrition… crazy…
I’ve come to all this through Dr.’s Lisa’s story, when Feloro was dying from super badly managed hyperthyroidism and I was starting searching the internet for information, that’s when I first came across the catinfo website, it led me to Dr Peterson and his hyperT clinic, and they guided me to the clinic where Feloro”s hyperT was treated. I started attending courses on nutritional needs for cats and dogs, on formulation and on specific needs for sick animals. Still, I keep thinking that a vet knows more than me…

Wendy&Neko said:
I see Aida is vomiting fairly frequently. When she had her last ultrasound, did they examine her bowels? Hopefully they will this time. Vomits could also be from the pancreatitis or the hyperT if she has that.
Did the vet say anything about EPI as a result of the high TLI?
Click to expand...
Yes she’s vomiting all the time now…
At the last ultrasound, they did examine her bowels and saw a thickening of the jejunum part of the small intestine. The specialist vet said that it was suggestive of either IBD or SCL. The vet at the time - I guess she was overwhelmed because there also was the Cushing thing and the diabetes - said that we first see with those and then later the intestinal issue.
Vomits could be for all of those issues combined, hyperT, IBD/SCL and pancreatitis…
The vet said that the high TLI isn’t high enough to be conclusive and that she’d rather wait for the us report to be sure.
 
Ok, I was getting ready to take a cab and bring her to the emergency, wayyyyy too worried… was giving Feloro a snack before leaving and there she emerges and starts eating up Feloro’s snack! I guess the ondansetron started taking effect…
So, for now, she just had a super high carbs snack, I’ll monitor her for the next couple of hours and if stable, I’ll go by the pharmacy to see all about fluids.
 
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