Biscuits is down with pancreatitis

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Karen & Biscuits

Member Since 2021
Hi everyone, I'm back. I apologize for my long absence again, but it's been a whirlwind of sick cats the last few months and I can't seem to catch a break.
On Tuesday this week, I woke up and fed Biscuits and her brothers their breakfast. Shortly after that, Biscuits vomited almost all of what she ate. I found that a bit weird because she isn't usually like that and when she does vomit it's usual hairballs as she's a long-haired cat. This was different. For a few hours, she vomited more and was in the water bowl every 10-15 minutes. Her BG was in the 300's which is not unusual for her, so I wasn't sure what was going on. As the morning wore on, I could tell she was feeling bad and decided to go to the vet as I started thinking she might be going into ketoacidosis, which has happened twice before.
We found out later that afternoon that she has pancreatitis. I'm irritated because this all started with her brother Purrcey, who is not diabetic, getting into food that belongs to my roommate's cats. She feeds them Cat Chow or Rachel Ray Nutrish or Purina One - it varies according to what coupons she has. Regardless, Purrcey is obsessed with that food and Biscuits has seen him eating it so she got into it as well and despite my efforts to keep her out of that food, she is sneaky and will figure out a way to get to it. I can't exactly remove it because my roommate has 2 cats in the house that do eat that food and it's not fair to them to have to change their habits to accommodate my diabetic cats. I will be investing in a baby gate asap to block my cats from having access to that food but that's how this all started. She is doing slightly better today, she was able to eat and keep the food down but her sugar is running in the 400's at the vet despite having zero food for 2 days. The scary part is, she is alone in the clinic from closing time until 7:30 am, so giving her high doses of insulin when no one is there to watch her to be sure she doesn't bottom out, is a bit scary. Thankfully that hasn't happened but I am extremely careful at home because of that huge seizure she had last Fall from bottoming out at 28. I don't sleep much because I'm so paranoid about her having similar issues when I give her 3.5 units at night.
Anyway...has anyone here experienced pancreatitis with a diabetic cat? What did you do, and did you have to change anything for the cat after they came home from the vet? I currently feed her and her brothers Dr. Elsey's Clean Protein chicken dry kibble and they get 1/3 of a can each of Weruva Cats in the Kitchen wet food every day as well. My roommate's elderly cat had pancreatitis back in January and while he's not diabetic, he's also not allowed any dry kibble anymore, and I fear the same will happen for Biscuits. The thing is, she really likes the dry food and so do her brothers. What do I do about that?
Anyway, I haven't got her new spreadsheet done because our old meter died and I just got a new one, the Alpha Trak 3 (don't like it), but as soon as she comes home from the vet I will make a point to do the spreadsheet. The clinic has her meter over there to keep things consistent for me and for her. Suffice it to say, her sugar is running between 280-550 on a regular basis, morning, noon and night. She's on 3.5 -4 units of Levemir 2x a day. Every once in awhile she gets down into the 100 or lower range and I cannot figure out why she can't stay there aside from eating the food she shouldn't have but this issue has been going on long before that happened. What has your experience been with pancreatitis in cats? Just curious on where I need to go from here with Biscuits.
Thanks for taking the time read her story.
 
I'm sorry Biscuits has pancreatitis
My Sheba used to get flares of pancreatitis.
With pancreatitis the treatment is supportive until the symptoms subside.
So they need either sub Q fluids or if in hospital they would probably get IV fluids.
It is painful so they need pain meds. Most often bupe
And they need antinausea meds.
So when she comes home I would make sure you have some pain medication for her and some antinausea meds as well.
Ask for both cerenia and ondansetron. They can be given together as they work on different pathways. The cerenia is daily and the ondansetron can be given 3 times a day if needed.
It is very common for them to be nauseated and not wanting to eat much when they get home. Some cats bounce back quickly and others need antinausea meds for a while. ECID.
I would also check the ketones daily if there is a history of DKA.

With food I would offer whatever she will eat in the beginning. I have not heard a cat can't eat dry once they have had pancreatitis.
Obviously wet is better for a cat but if she will eat the low carb dry, I cant see a problem with that. As long as she is eating.
You could ask about sub Q fluids to give at home as well.
All the best to Biscuits
 
I'm sorry you've been through so much. I don't have experience with it (knock on wood), but wanted to make sure you know about this Primer on Pancreatitis in addition to getting people's experiences.

Good luck with getting everything calm again :bighug:
Thank you for that info about pancreatitis. I need all the help I can get with this one. I've had seriously ill cats since November and it's wearing me out mentally and financially. I lost one just over a month ago to some neurological condition that cost me just under $1000 for a week at the vet, plus $500 for ONE vet visit that lasted about 3 hours on a drop off. It's ridiculous. With Biscuits we're almost at $500 and she's only been there since Tuesday afternoon and when I spoke to them this morning, she's doing better but she has not been given the green light to go home tonight either. Keeping fingers crossed!
 
I'm sorry Biscuits has pancreatitis
My Sheba used to get flares of pancreatitis.
With pancreatitis the treatment is supportive until the symptoms subside.
So they need either sub Q fluids or if in hospital they would probably get IV fluids.
It is painful so they need pain meds. Most often bupe
And they need antinausea meds.
So when she comes home I would make sure you have some pain medication for her and some antinausea meds as well.
Ask for both cerenia and ondansetron. They can be given together as they work on different pathways. The cerenia is daily and the ondansetron can be given 3 times a day if needed.
It is very common for them to be nauseated and not wanting to eat much when they get home. Some cats bounce back quickly and others need antinausea meds for a while. ECID.
I would also check the ketones daily if there is a history of DKA.

With food I would offer whatever she will eat in the beginning. I have not heard a cat can't eat dry once they have had pancreatitis.
Obviously wet is better for a cat but if she will eat the low carb dry, I cant see a problem with that. As long as she is eating.
You could ask about sub Q fluids to give at home as well.
All the best to Biscuits

Thank you for that info, Bron. She is currently on IV fluids, antibiotics, cerenia for nausea and some kind of nutrients via IV. I'm not sure about pain meds but that hasn't been discussed. I'm sure that she has gotten some though, as they did that with my roommate's cat back in January.
I'm not sure what the deal was with my roommate's cat not being allowed to eat dry food when he came home, but that was the instructions they were given for him. He's near the same age as Biscuits and he was very sick for about 3 weeks, way worse than Biscuits was, so that might be part of the problem. He has recovered very well thankfully but he only gets kibble as a treat once in awhile and barely a handful at that.
At the vet, Biscuits is getting only wet food at the moment and she seems to like it but it's also shooting her sugar way up to the 400's. She's only had a little bit of that food since yesterday as they don't want to overwhelm her system but it seems even the small portions are making her glucose levels sky high and that scares me too. This was so out of the blue and unexpected as she was fine last weekend and on Monday, acting as normal as usual and then Tuesday morning, she did a complete 180. It hit her hard and fast. I'm just thankful we caught it quickly so that it didn't get as bad as my roommate's cat did. He lived in the backyard in her cat house so she didn't see him as much as I see Biscuits, only when she fed him and his buddies every day or when she went in there to just hang out with them awhile and give them attention. I was the one who noticed he was acting strange because she asked me to feed them one day as she was running late for work and when I went in there, he refused to come out to eat and his eyes were very glassy looking. She ended up skipping work entirely and rushed him to the vet and that's when we found out he had pancreatitis and his was a severe case. He stayed there for 3 weeks minus 2 days when they let him come home and he just got worse and refused to eat. When they finally gave him Solensia on the last day he was there, he perked up within 30 minutes, started eating and was released later that day. He's recovered nicely since then and is back to his ornery little self LOL.
I will request Solensia for Biscuits if things don't continue to improve but that's expensive and her bill is already quite high so I have to be careful. These cats are going to be my undoing if these serious illnesses don't stop. Never seen anything like it in all the years I've had cats.
I will be going to see her later this afternoon and I'll be sure to find out what she is getting for pain and what they plan to send her home with. Thanks for the tips about that :)
 
Hi! My diabetic (acro) cat was diagnosed with pancreatitis in Feb. he now gets 1full Ondansetron twice a day and Mirataz (appetite stimulant) once a day. I get 60 generic Ondansetron from Chewy for only $12. You mentioned requesting Solensia. Did you mean Cerenia? Solensia is an injection for arthritis. I just want to make sure you get what you need. Howie gets a cerenia when I sense a flare up. Due to the expense, I can’t afford to give it every day.
 
Hi! My diabetic (acro) cat was diagnosed with pancreatitis in Feb. he now gets 1full Ondansetron twice a day and Mirataz (appetite stimulant) once a day. I get 60 generic Ondansetron from Chewy for only $12. You mentioned requesting Solensia. Did you mean Cerenia? Solensia is an injection for arthritis. I just want to make sure you get what you need. Howie gets a cerenia when I sense a flare up. Due to the expense, I can’t afford to give it every day.
 
Hi there, thanks for the info about the meds. Fortunately, Biscuits didn't need any of those, and as for the Solensia, yes, that is what I meant. It worked when they gave my roommate's cat that medication back in January. He is an elderly cat and had not eaten for 3 weeks solid, other than via IV and forced syringe feeding. It was awful and scary. The vet said that Solensia was not meant for this issue but that maybe the cat was dealing with pain and making him not want to eat, so he gave him the shot, kind of on a whim to see what happened, and sure enough, within 30 minutes, he started showing interest in food and he hasn't stopped since. He has recovered beautifully.
With Biscuits, she hasn't needed that shot, thank God, because it's expensive. She's eating well and back home tonight but not without it's challenges. It's been a bad evening with her. She's okay now but I'm not. I swear, these cats are going to kill me with their various illnesses and giving me heart attacks every few days. Sheesh!
I got her home from the clinic, they told me she had eaten this morning, her sugar was running in the 270 range and they gave her 3.5 units of insulin, which is normal. They did not feed her the rest of the day though and when we got home, she was acting weird. I put her in the bedroom and figured she went straight to her food bowl but she didn't. When I came back I couldn't find her - literally 5 minutes later, and eventually found her behind the couch in the livingroom. She wobbled out to me, almost collapsed and headed for the kitchen. She was walking like she did when her neuropathy was bad, where she went flat footed and had little strength. My first thought was that she had been in a cage for 6 days straight and maybe just weak, but then I realized that her sugar might be the issue, so I hollered at my roommate to help me and we got her glucose taken. Ears were cold, eyes were glassy, I felt like we were losing her all over again. Her sugar bottomed out at 25. I was pissed! We started pumping food and sugar water into her and it took almost 2 hours to get it up into the hundreds. It kept sinking into the 60's for an hour before I finally got it up into 110. Now, it's midnight, just took her sugar again awhile ago - 433! Ugh!!!!!!!!! I gave her insulin but I won't be sleeping tonight because I don't know where this is going to go now. As I said, these cats are killing me with stress alone.
 
I was wondering the same thing.

Let us know how he is after you visit him
Hi Bron, this is the first chance I've had to update you about Biscuits. She's home - finally and WAS doing okay, until she got home. I just replied to Howie's mom, so I am copying and pasting what I told her. I don't know what to do with this cat but she's making me nuts!
I got her home from the clinic, they told me she had eaten this morning, her sugar was running in the 270 range and they gave her 3.5 units of insulin, which is normal. They did not feed her the rest of the day though and when we got home, she was acting weird. I put her in the bedroom and figured she went straight to her food bowl but she didn't. When I came back I couldn't find her - literally 5 minutes later, and eventually found her behind the couch in the livingroom. She wobbled out to me, almost collapsed and headed for the kitchen. She was walking like she did when her neuropathy was bad, where she went flat footed and had little strength. My first thought was that she had been in a cage for 6 days straight and maybe just weak, but then I realized that her sugar might be the issue, so I hollered at my roommate to help me and we got her glucose taken. Ears were cold, eyes were glassy, I felt like we were losing her all over again. Her sugar bottomed out at 25. I was pissed! We started pumping food and sugar water into her and it took almost 2 hours to get it up into the hundreds. It kept sinking into the 60's for an hour before I finally got it up into 110. Now, it's midnight, just took her sugar again awhile ago - 433! Ugh!!!!!!!!! I gave her insulin but I won't be sleeping tonight because I don't know where this is going to go now. As I said, these cats are killing me with stress alone.
 
Hi Bron, this is the first chance I've had to update you about Biscuits. She's home - finally and WAS doing okay, until she got home. I just replied to Howie's mom, so I am copying and pasting what I told her. I don't know what to do with this cat but she's making me nuts!
I got her home from the clinic, they told me she had eaten this morning, her sugar was running in the 270 range and they gave her 3.5 units of insulin, which is normal. They did not feed her the rest of the day though and when we got home, she was acting weird. I put her in the bedroom and figured she went straight to her food bowl but she didn't. When I came back I couldn't find her - literally 5 minutes later, and eventually found her behind the couch in the livingroom. She wobbled out to me, almost collapsed and headed for the kitchen. She was walking like she did when her neuropathy was bad, where she went flat footed and had little strength. My first thought was that she had been in a cage for 6 days straight and maybe just weak, but then I realized that her sugar might be the issue, so I hollered at my roommate to help me and we got her glucose taken. Ears were cold, eyes were glassy, I felt like we were losing her all over again. Her sugar bottomed out at 25. I was pissed! We started pumping food and sugar water into her and it took almost 2 hours to get it up into the hundreds. It kept sinking into the 60's for an hour before I finally got it up into 110. Now, it's midnight, just took her sugar again awhile ago - 433! Ugh!!!!!!!!! I gave her insulin but I won't be sleeping tonight because I don't know where this is going to go now. As I said, these cats are killing me with stress alone.
Is she eating now? Many cats who are recovering from pancreatitis will be nauseated and wont want to eat. You may need to give her anti nausea meds for a while. If you dont have any antinausea meds at home ask the vet for some cerenia or ondansetron (which might be better than cerenia ).
Did they also give you some pain meds? Pancreatitis is painful so she might need pain meds for a few more days.
I cant see any data in the SS. Is there any there?
The 433 will be a bounce from the drop to 25. How much insulin did you give her?
I would monitor the cycle well in case she comes off the bounce quickly. The 3.5 U might be too much insulin now.
 
Is she eating now? Many cats who are recovering from pancreatitis will be nauseated and wont want to eat. You may need to give her anti nausea meds for a while. If you dont have any antinausea meds at home ask the vet for some cerenia or ondansetron (which might be better than cerenia ).
Did they also give you some pain meds? Pancreatitis is painful so she might need pain meds for a few more days.
I cant see any data in the SS. Is there any there?
The 433 will be a bounce from the drop to 25. How much insulin did you give her?
I would monitor the cycle well in case she comes off the bounce quickly. The 3.5 U might be too much insulin now.

Hi Bron - she is eating very well, too well actually. The vet said that she got over the pain and nausea about the 3-4th day at the clinic and up until then she did receive Cerenia and a pain medicine, can't recall which one. They slowly took her off the pain meds and she did fine.
I haven't updated my spreadsheet yet, going to try to do that here in a bit as when I did her insulin a bit ago, her sugar spiked at 679! That's the highest it has ever been and I'm blaming it on the canned food they gave her, which is all she's had this morning. It was 433 when I got up to feed them, which is already high enough, and I had to give her medicine so I crushed that up into her food, she only had about 1/2 a can of Hills digestive care pate and her sugar went up that high from that little bit. I refuse to give her more of that and we'll go back to the Weruva food she's been on since she was diagnosed. This is making me friggin nuts! She's acting fine but I'm freaked out. I gave her 4.5 units of insulin since it's so high, which I've also never done but upon calling the vet about this, they said to go ahead and give her a little extra to help bring it back down and hopefully return to normal dosing this evening.
Thankfully I'm home all day so I can watch her. I am so frustrated and tired of fighting with sick cats for the past 8 months but Biscuits is my soulmate along with her 2 brothers, they have been with me 24/7 since they were wee kittens 13 years ago and losing any of them will shatter my world, but I also have 32 other cats and they have all been sick since November, 2 weeks after we moved here to Kentucky and not just minor stuff, but serious, life threatening or body altering illnesses. I had one with a neurological issue back in April, sadly he passed away and had just turned a year old. One with a burst eyeball from an upper respiratory infection, one with an ear hematoma and had to have major surgery too, all of them had ear mites, one was so bad that when he was neutered the vet had to do a procedure on his ears and give him meds for his ear infection that had gotten into his jaw - it just never ends and I'm exhausted and stressed.
I love my cats but I am gonna die of sheer exhaustion before they do at this rate. Why is Biscuits bouncing like this and so high? Half a can of Science Diet I/d shouldn't shoot it up that high - should it? It didn't at the clinic and she's had nothing else but that this morning.
I'm going to go work on her spreadsheet now. I have a new meter, the old one died and then I found out that the Alpha Trak 2 was being replaced with the 3, so I got that one instead. Not sure I like it yet but I had to have one, so we will run with it for now. If you want to look at it, give me about an hour or so to get it up for a 2-3 week period.
Hope you have a blessed day!
 
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