12-28-23 New Member Seizure in Diabetic Cat

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jettorney

Member Since 2023
Hi all. Long time reader, first-time poster. Our cat, Scout, is a 12 year old domestic shorthair. She was diagnosed with diabetes a few years before my fiancé and I got together in 2021.

In February 2022, she was admitted to Veterinary Specialty Services in St. Louis. We were on a trip, and when we came home, she was lethargic and jaundiced. She was diagnosed with hepatic lipodosis. She had an esophageal tube installed temporarily. After the tube was removed, she went on a quarter can of Hills 2x per day (though she regularly sneaks kibble from her younger sisters).

In October 2022, she was again admitted to VSS on two different occasions - both for ketoacidosis. After doing a glucose curve, the doctors decided to increase her Lantus to 3 units, 2x per day. She also wore a Libre Free meter for many months until blood work consistently came back as normal.

A few months ago, after persistent wheezing, she was diagnosed with feline asthma. She’s on albuterol through AeroKat.

My fiancé and I are out of the country. We took her to Grandma’s house in rural Kentucky. She was fine until 7:00 pm last night; in fact, she was being even more affectionate than usual before we left. Grandma left to run an errand. When she returned an hour later, Scout was lying on the floor, with her jaw clenched, dazed, and she had defecated on herself. Grandma immediately thought it was a hypoglycemic episode and rubbed honey on her gums. Within an hour, she was alert. Grandma held her all night, and when she placed her on a blanket, Scout had difficulty using her front paws, appeared confused, and then had a seizure.

The rural vet believed that she had a seizure last night, possibly brought on by sudden hypoglycemia. As Scout could not see or move this morning, he believed it was a status epilepticus, which deprived her brain of oxygen. He has been in contact with her internal medicine specialist at VSS.

We are on a plane back to the United States. The latest update from the vet is: Took food from syringe, she’s being given intravenous fluids and glucose and her sugars are stabilizing, she’s still having difficulty seeing - the left eye seems to be worse than the right eye. She’s now raising her head. She is not in pain. He wants to continue evaluating her condition overnight and wants to talk again in the morning.

Has anyone gone through something similar? What were the treatments? What was the prognosis/outcome? If she pulls through, I think we need to set up a new glucose curve to make sure the insulin levels are right, as well as go back on the Libre Free. We have Trupanion as insurance.

Mostly, I’d really appreciate if everyone would say a prayer, and if you don’t believe in that, send some love and good vibes out into the universe for Scout. Thank you all for your time.
 
I’m sorry you and Scout and Grandma are going through this.
Yes we have seen cats have seizures from hypoglycaemia. And being blind is not uncommon. Hopefully that will resolve.
Keep them offering food and monitoring thr blood glucose. hopefully Scout will pull through.
please continue to post here so we can help you get a better regime set up. im going to tag @tiffmaxee and @Bandit's Mom as I can’t hang around much at the mo
Ent.
 
Given that your kitty responded to your grandmother giving her honey and it sounds like your cat is responding to the vet's intervention, it dose sound like it's a hypoglycemic event. As Bron mentioned, we've had cats who experience blindness as a result. There is no guarantee that Scout's sight will return. The good news is that cats are able to navigate despite being blind. Fingers crossed that Scout's vision and any other symptoms resolve.
 
Has her blood pressure been checked? These symptoms can also be caused by hypertension.
We are on our way to VSS in St. Louis. Rural vet did a general exam (BP, pulse, Sp02 were not noted) and glucose monitoring but no comprehensive metabolic panel.

Glucose numbers: 12/28, 7:30 am = 350; 12/28, 11:30 am = 195; 12/28, 4:00 pm = 160; 12/29 = 258.

She is definitely responding to touch and auditory stimuli. She fought to stand up so that I could hold her. She is moving her left front paw on her own.
 
Poor little dear, sending more healing vibes your way. One thing perhaps to mention, kitties who have had symptomatic hypoglycaemic events tend to be more sensitive to insulin, so once she is stabilized and at home, you’ll want to be more careful with respect to dosing at least for the first few days.
 
Scout crossed the rainbow bridge this afternoon.

The vet at VSS ruled out that it was a hypoglycemic seizure. Her glucose level was 308 upon arrival. Her ketones were out of range, as was her creatinine. The vet wasn’t sure if the seizures were brought on by a brain tumor, as a complication of DKA, or as a complication of kidney disease. They began treating her with fast acting insulin, fluids, nasogastric feeding, and anti seizure medicine.

During this morning’s evaluation, the vet concluded that she was blind and only had muscle control over her head and neck. Her kidney values were continuing to rise. The vet said we were outside the window for the blindness and paralysis to be temporary effects of the seizures. She emphasized that we had done everything we could, and so we let her go.

She can see and move again. No more shots, no more AeroKat. So long for just a while; we love you, Scout.

Thank you all for your thoughts and prayers and kind words.
 
Oh no, I’m so very sorry. You did all that was possible and letting her go was the ultimate act of love. Fly free sweet Scout, there are butterflies waiting to be chased at the Rainbow Bridge :rb_icon:cat_wings>o
 
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