Bloodwork Comprehension

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Adam Flowers

Member Since 2017
I posted about a month ago about Mogee's preshot numbers being abnormally high (around 400, regularly around 250). We visited the vet this morning and his bloodwork is attached. Could someone please help me better understand his bloodwork and/or have any insight as to what could be going on? As always, Mogee and I appreciate all the help!

http://www.felinediabetes.com/FDMB/threads/dose-too-high.219082/#post-2440195
 

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Obviously, you already know the significance of an increased BG so I won’t address that. It’s possible his albumin, hemoglobin, and hematocrit are elevated because he’s dehydrated. Dehydration often presents itself in higher levels of those parameters. You might work in getting alot of extra water in his food.

His ALT, which is a liver enzyme, is mildly elevated. There are alot of reasons why ALT can be elevated; but, just to give you a frame of reference, even three times high normal is still considered to just be moderate. ALT has a short half life and so you might find that it changes quickly. I’d discuss with my vet giving your little guy some liver support supplements like milk thistle. While Denamarin, which is milk thistle, is the usual thing they use, I really like Herbsmith milk thistle powder. I get it at Chewy.com and find it is much easier to administer.

And finally, his potassium is low. We can see low potassium in diabetic cats due to insulin causing it to be taken up into the cells so that the serum level is lower. However, his is a little lower than we normally see in FDs. I’d discuss this with my vet because you have to be extremely careful with potassium supplements. Too much or given for too long can cause alot of issues including heart.

I hope that helps!
 
Obviously, you already know the significance of an increased BG so I won’t address that. It’s possible his albumin, hemoglobin, and hematocrit are elevated because he’s dehydrated. Dehydration often presents itself in higher levels of those parameters. You might work in getting alot of extra water in his food.

His ALT, which is a liver enzyme, is mildly elevated. There are alot of reasons why ALT can be elevated; but, just to give you a frame of reference, even three times high normal is still considered to just be moderate. ALT has a short half life and so you might find that it changes quickly. I’d discuss with my vet giving your little guy some liver support supplements like milk thistle. While Denamarin, which is milk thistle, is the usual thing they use, I really like Herbsmith milk thistle powder. I get it at Chewy.com and find it is much easier to administer.

And finally, his potassium is low. We can see low potassium in diabetic cats due to insulin causing it to be taken up into the cells so that the serum level is lower. However, his is a little lower than we normally see in FDs. I’d discuss this with my vet because you have to be extremely careful with potassium supplements. Too much or given for too long can cause alot of issues including heart.

I hope that helps!

Thank you for all the help and advice! He was on Denamarin back in January but it gave him diarrhea so bad that I was having to clean him every time he went as he got it all over himself. He also was on Prohepatic for about a month and that worked well, as he did not have the diarrhea on that. His ALT when tested first was 400+ and then went up to over 1800 and now it is back down to 200+ on the Prohepatic.

Vet never mentioned anything about the low potassium, which after reading everything you all have said, really worries me.

They are supposed to call me tomorrow morning to discuss the dental I will be scheduling and I will touch base with them about it and let you all know what they say..

Again, appreciate all the help!
 
Thank you for all the help and advice! He was on Denamarin back in January but it gave him diarrhea so bad that I was having to clean him every time he went as he got it all over himself. He also was on Prohepatic for about a month and that worked well, as he did not have the diarrhea on that. His ALT when tested first was 400+ and then went up to over 1800 and now it is back down to 200+ on the Prohepatic.

Vet never mentioned anything about the low potassium, which after reading everything you all have said, really worries me.

They are supposed to call me tomorrow morning to discuss the dental I will be scheduling and I will touch base with them about it and let you all know what they say..

Again, appreciate all the help!
Great that you are making progress on the ALT and have found something he can take.

I wouldn’t be really worried about the potassium but I also would check with my vet. I wouldn’t think it would preempt a dental.
 
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