Diabetic cat with pancreatitis

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So glad there was no cancer.!!
I’m sorry she has had a temperature.
If her BGs were low that could cause wobbling.
I’m pleased they are checking the urine for infection.
Eating and no vomiting or diarrhoea... great.
I still have no internet coverage but am out of my area at the moment so have it temporarily.
I’ll look back in when I can.
 
Thx they tried to reduce and give her a different pain medication and had to go back to the stronger type they said the fever could be caused by the inflammation I just wish they could stabilized so I could take her home thx for checking it really helps I am Going to see her tomorrow it’s just another long night
 
Bron and Sheba (GA) said:
I answered you on the intro page.

I am concerned the vet said to halve the food intake and reduce the insulin. Doing those two things with the inflammation of the pancreatitis is a recipe for inviting ketones.
As I said on the other page I would not reduce the food intake, I would offer smaller more frequent meals.

I would also go out to Walmart or a pharmacy and buy a bottle of Ketostix so you can test for ketones. All you need to do is collect a urine sample from your kitty, dip the test strip in the urine and read the result against the colours on the side of the bottle. Anything above a trace of ketones needs vet attention. Ketones can lead to the dangerous DKA ( ketoacidosis) and it can be prevented by testing for ketones.

Are you home testing?. I would strongly advise you to think about doing it. It is far easier to manage the diabetes when home testing.
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Ya why do they suggest that? Something needs to be addressed because the vets at the ER here told me to reduce by a whole unit that time she was shooting low and having just been released from having DKA told me to feed her only twice a day- and said it in a manner like I shouldn’t feed her anymore than that... what is going on with diabetes in the vet community? Why are they so ill informed. My client who is a human doctor told me that sounded odd based on their size and low dosing it seems common sense you wouldn’t reduce the whole units. (Seems more like a math problem they need to figure out) and human diabetics are instructed to eat every few hours, to help further prevent DKA happening in them! It’s making me sick at the thought of not being able to fully trust my vet on anything anymore.
 
Popsugar said:
The vet called they said it could be cancer a abscess or a cyst they have to draw out fluid from her abdomen and will know more tomorrow please share any thoughts thanks
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my vet thought my cat had a stroke the second day she was incarcerated (probably what it feels like to them) for DKA and it turns out she was just starving, and her potassium was really low... why are they so ill informed on this disease!?
 
Hi. Just popping in to see how things are. I hope Shelby is improving.
I still have no internet but am out of my area at the moment so can log in and see how things are.
Please keep us updated.
 
Bron and Sheba (GA) said:
Hi. Just popping in to see how things are. I hope Shelby is improving.
I still have no internet but am out of my area at the moment so can log in and see how things are.
Please keep us updated.
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L
Bron and Sheba (GA) said:
Hi. Just popping in to see how things are. I hope Shelby is improving.
I still have no internet but am out of my area at the moment so can log in and see how things are.
Please keep us updated.
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Shelby is doing much better her tempature is normal eating good and the swelling in her belly is going down and is active I have not posted for a awhile because she was not improving I should be able to take her home tomorrow I will keep u updated I still exhausted by this when I saw her on thanksgiving she did not look great but yesterday was better thx u for asking about her
 
I am so pleased she is improving. That is wonderful news. I’m sure you have been exhausted from all the stress and worry.
Sending Shelby many best wishes for continued improvement.
 
Thank I for caring I am well aware she could still have cancer it could always show up in the future scans but I am hopeful I can take her home and she will get better and I am exhausted
 
I am picking up Shelby today I know I will need your help,they have put her on the expensive cat diabetic food and I want to get her back to fancy feast she was doing better on that and the cost was affordable I had her on another prescription cat food for months and her numbers were terrible in the past few months fancy feast made a huge difference I will up date u and when I get her home thx for helping me
 
Hi again, they Do that the vets, prescribes the m/d with lower carbs to diabetics. It's because they are 'under the spell from Hill's food company into to all their things'.
Here in Sweden I couldn't find anything so low carb first and Simba got to eat the wet food m/d, but oboy Simba hates liver and what was that m/d wet food only made of .... liver. So Simba refused to eat it anyway at first.

Of course you can switch back back at home. But perhaps gently transition with what she has gotten to eat at hospital mixed into her normal at home food, so not to upset the stomach too fast.
You are a Fantastic mum.
 
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Thank u but today has been a nightmare they released here to early she is in no better shape than when I brought in legathric in meatloaf position not wanting to to eat I have been watching this all day and they prescribed her antibiotics that I told them makes her sick and they all gave me medications in pill form that is hard to give I panicked and took her back tonight and was told I would have to wait three hours and the nurse was nasty acting like I do not know my own cat so I left screw them so here I am watching her look miserable not knowing what to do and they also are trying to push that terrible prescription food to her and cutting her portions so small I just put chicken broth on it and she ate more please help I do not know what to do thank u for your help
 
Oh I am sorry. I am across the Atlantic so to far to see Shelby for myself.

What Shelby is suffering from is a very painful thing in her body.
They are our babies so your panic and reactions is normal.

I have a few questions.


1. What is the antibiotics name and what is it prescribed for?

2. What other medication pills is it you mention, what is each name and what is each prescribed for?


3. What frozen or fresh meats for yourself do you have at home? Do you have fresh eggs at home?
Try as much as possible different food things until she seems to find something she eats.


4. But it's all the different medications I want their name on and prescribed for I want to know first.

Hang in there.
 
They never gave me the results of their urine culture though I Asked A million times and I told the vet the antibiotic she prescribed made her sick in the past and she she still prescribed it I will give the names in a few seconds they cut back her food dramatically and changed her feeding schedule when I came back tonight I gave her some wet and put not fat low sodium chicken broth on it she really it like and ate a lot more I let her eat as much as she wanted then I put her on the couch she crawled on my soft sweater jacket and fell asleep I hate to separate my boy cat Morty from her because he keeps bothering . The medications are clavamox antibiotic she said it brought her fever down 5 mg tablets 1.5 per day and buprenorphine 0.6 liquid 1ml every 8 to 12 hours for pain and maropitant citrate 16mg 1/2 tablet by mouth that is for nausea let me know what u think thank u
 
Popsugar said:
I am so happy she is sleeping now thank u for helping me I am exhausted
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I know you are but she is so happy just to be home. Trust me. A week is a long time in hospital for our cats, they don't like to be there. So they say at home is the best healing place.
 
Thank you, we will go through the pills now.



1. Antibiotic Clavamox 5 mg tablets 1.5per day

Clavamox is a broad spectrum Amoxillin and there is actually an Oral liquid suspension available the vet could have prescribed if she doesn't want the tablets, https://www.chewy.com/clavamox-amoxicillin-clavulanate/dp/173058

But my cats have had problems with that too and here it is known as Vetrimoxin.

So we have used the better antibiotic Flagyl which is Metronidazol and comes in both pills and as Oral suspension liquid.
https://www.webmd.com/drugs/2/drug-6426/metronidazole-oral/details


2. Pain buprenorphine 0.6 liquid 1ml every 8 to 12 hours

It's an narcotic opiodic more widely used in U.S than in much more conservative non-use in Sweden, and while it might give pain relief, you either fall asleep and or becomes lethargic.

It only used as pain relief but has no anti-inflammatory aspects. Cats are in general highly sensitive to all anti-inflammatoric. My Animal Hospital did use the only anti-inflammatoric cats can have, they get bleeding stomach ulcer from it, only once on Simba's first real severe severe Pancreatitis, but then only in one small dose after two weeks to see if the inflammation would start budge, and that one is called Tolfedine https://www.drugs.com/vet/tolfedine-6-mg-tablets-can.html


3. Anti nausea maropitantcitrate 16mg 1/2 tablet by mouth for nausea

This is unfamiliar to me but only found this information https://pdfslide.net/documents/effe...azine-on-the-incidence-of-adverse-events.html




We have to start somewhere with these 3 medications her vets there have sent her home with.
And let's other get the chance of input first, but I understand you strongly want to get her antibiotic changed to one way better for her.


Hang in there and try get a few hours sleep yourself too first. Hugs.
 
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Ann & Scatcats said:
I know you are but she is so happy just to be home. Trust me. A week is a long time in hospital for our cats, they don't like to be there. So they say at home is the best healing place.
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I am doing my best and her regular vet is helping me and so r u she has taken the middle of the couch and I am sleeping sitting up tonight again thanKs for everything
 
Ann & Scatcats said:
Thank you, we will go through the pills now.



1. Antibiotic Clavamox 5 mg tablets 1.5per day

Clavamox is a broad spectrum Amoxillin and there is actually an Oral liquid suspension available the vet could have prescribed if she doesn't want the tablets, https://www.chewy.com/clavamox-amoxicillin-clavulanate/dp/173058

But my cats have had problems with that too and here it is known as Vetrimoxin.

So we have used the better antibiotic Flagyl which is Metronidazol and comes in both pills and as Oral suspension liquid.
https://www.webmd.com/drugs/2/drug-6426/metronidazole-oral/details


2. Pain buprenorphine 0.6 liquid 1ml every 8 to 12 hours

It's an narcotic opiodic more widely used in U.S than in much more conservative non-use in Sweden, and while it might give pain relief, you either fall asleep and or becomes lethargic.

It only used as pain relief but has no anti-inflammatory aspects. Cats are in general highly sensitive to all anti-inflammatoric. My Animal Hospital did use the only anti-inflammatoric cats can have, they get bleeding stomach ulcer from it, only once on Simba's first real severe severe Pancreatitis, but then only in one small dose after two weeks to see if the inflammation would start budge, and that one is called Tolfedine https://www.drugs.com/vet/tolfedine-6-mg-tablets-can.html


3. Anti nausea maropitantcitrate 16mg 1/2 tablet by mouth for nausea

This is unfamiliar to me but only found this information https://pdfslide.net/documents/effe...azine-on-the-incidence-of-adverse-events.html




We have to start somewhere with these 3 medications her vets there have sent her home with.
And let's other get the chance of input first, but I understand you strongly want to get her antibiotic changed to one way better for her.


Hang in there and try get a few hours sleep yourself too first. Hugs.
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Again thx u so much
 
She did sleep thr the night and ate a little this morning I am switching her back to the regular vets compounded medication now the prolbem is what do I feed her the vets want the prescription food hills m/d glucose support or the pro plan dm can I go back to the classic chicken fancy feast pate when I put her on that her numbers were good and heading toward a possible remission could the fancy feast caused the pancreatitis when I had her on the royal canine glycol balance her numbers were a mess and just kept getting higher any advice would help thank u
 
Hi, I really hoped you have slept well yourself too. I hope you both rest a lot today and just be with eachother.

Try to let her eat her classic chicken fancy feast today.

It wasn't that food. It is just simply the fact that many of our diabetics are more pancreatitis prone than others.
 
Thank u I am putting her back on that she liked it and her numbers are good she is back on her compounded medication and sleeping the pain killer in the compounded medication is stronger I am trying to but her back on her regular feeding schedule and will contact my regular vet about finding a new specialist for her scans she is actually laying down not sitting up she is comfortable on my sweater jacket on the couch for first time I have seen her stretched out and looking peacefulI have not seen her like that in a long time she is a little wobbly when she walks but that could be from the pain killers her appetite is not great but I hope it builds up thank u and please any more info is greatly appreciated
 
Just checking in to see how Shelby is now that my internet is finally working again.
I am glad she is home with you.
What are you feeding her now?
And how are you?
 
well it has been up and down the fluid from abdomen showed no cancer cells but there is a area that could be a cyst, abscess or cancer that will do another scan in a few weeks. She was admitted to the hospital on Monday and was released Saturday and came home not in good shape I think when they took her off the pain meds they gave her at the hospital and what they gave her to take home was not enough and she was is in terrible shape. They told me that while she was there she was doing great and only needed pain medication so I took her back and it was awful the way they treated me and I left. I contacted her regular vet and she said to put her back on the stronger, pain medication and seemed to help today she is not to hungry but she sleeping and even jumped on the couch she likes my soft jacket and she sleeps on that on the couch. She was not drinking so I gave her the fat free low sodium broth and she is drinking a lot of that she urinated some and even had a bowel movement she is also on nausea meds the emergency vet put her a antibiotic that I told her made her sick but gave to her it to her anyway they said it brought her fever down because the second night it went up to 106 it was normal when they released her. They tested her for a bladder infection but the results have not came back yet her belly is still swollen and painful and she is having trouble walking she can walk some and then her feet they slide out and she has to lay down. They said to only give her the prescription food but I will give her fancy feast if that is she wants is there anything else I should be doing I really appreciate u checking have in support helps I am exhausted by all this please let me know if there is anything I can do thank u
 
u guys r helping me so much now I am worried about her legs she is very wobbly when she walks and she has to lay down her feet just seems to slide out from under her I texted my vet but she ate better tonight and insisted on jumping on the couch it was a struggle but she loves to sleep on that sweater and she is sleeping peacefully maybe it is the pain medication or just the pain in her belly I just hope she gets better thank u
 
The sliding out with her feet sounds like diabetic neuropathy which can be treated with Zobaline which is methyl b12 tablets you can buy from lifelink.
A lot of diabetic cats get it. It improves when the blood sugar levels come down to normal range and with the help of methyl B12 tablets. Vets do not carry methyl B12 tablets.
How much insulin are you giving now?
 
The vet said it may be the pain meds her blood sugar was good at the hospital she was given two units twice a day until she got sick then they reduced it to one unit twice a day because of reduced food intake they tried to go back to two units twice a day while she was at the hospital but her numbers dropped and now since she has been eating less she has been staying on one unit twice a day I appreciate any info what u posted sounds like a good idea do u have any idea how long the pancreatitis will last thank u for all your help
 
Popsugar said:
The vet said it may be the pain meds her blood sugar was good at the hospital she was given two units twice a day until she got sick then they reduced it to one unit twice a day because of reduced food intake they tried to go back to two units twice a day while she was at the hospital but her numbers dropped and now since she has been eating less she has been staying on one unit twice a day I appreciate any info what u posted sounds like a good idea do u have any idea how long the pancreatitis will last thank u for all your help
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I have to go to a doctor tomorrow and have an ECG of my heart, and I need to recouperate a bit after that, but then I can give as much info as possible from my Simba's first very severe severe pancreatitis in August 2007 I think it was, he was in ER intensive care hospital for two entire long weeks, then we continued with following it with fPLI tests and Ultrasounds all in to November 27th 2007. His pancrea who should only be millimeter thick was so severely inflammaed to entire 1,5 cm thick, and what the inflammation did after it had become better was leaving a lot of scaring in the pancrea which was clearly seen on the Ultrasounds.
 
Thank u for all your help I hope u have a speedy recover and feel well soon Today was a better day she was awake when I got up and actually was walking much better I am stretching out the time between pain meds She actually walked in the kitchen and meowed for food she would have to sit down periodically and she wanted to eat it was 7:00am and insulin was not to be be given until 8:00am I still fed her and she ate well and she drank a lot of broth she had urinated twice during the night and had a bowel movement I did what my regular vet said and took her off the antibotics that was making her sick she sat on the rug for awhile and then she jumped on the couch to sleep on her sweater she also is still on her nausea meds I hope this means she is improving i am going to see if she will eat lunch at 12:00pm again thx for caring I am exhausted and hopefully I can get some rest
 
Now that things have settled a bit I was wondering if you could set up your signature.
It appears at the bottom of all your posts and tells us information about Shelby so that we don't have to keep asking you questions.
Here is the link to settling it up.. it only takes a few minutes
And may we know your name too please?
http://www.felinediabetes.com/FDMB/threads/editing-your-signature-profile-and-preferences.130340/

Areyou testing the blood sugars at all? Or have you thought about doing it?
I would highly recommend you do, if you are not testing.
It is the one way you can keep Shelby safe.

I am glad she seems better today!
 
Sorry I have not went to the link yet I am exhausted and having medical issues she seemed to be doing better but yesterday I tried to push her pain meds form six hours to eight hours now she seems worse her right belly is extremely tender and she will not eat much it will be two weeks tomorrow I am thinking I might have to take her back the emergency vet today she seems miserable any advice will help thank u
 
I am sorry Shelby seems worse.
Maybe taking her off the antibiotics was not a good idea.
If she does not improve I would take her back to the vet.
 
Thank u they said there was no bladder infection i am at the dentist now if she is not better when I get home I am going to take her back I will keep u updated thank again this is so exhausting
 
I just came home she is much better up and moving around from now on I will keep the pain killers every six hours now I have to deal with a accessed tooth it never ends they do want me to get back to feeding her three times a day to regulate her blood sugar which I will do she actually seems hungry and again I will go to that link I just need to get everything together thx
 
Feeding just three times a day will not regulate the blood sugars. I don’t know where vets get these ideas. Feed her whenever she wants except for the 2 hours before Preshot when we want a Preshot BG that isn’t food influenced. She needs to eat.
I’m sorry you have an abscessed tooth.
 
I am in the waiting room at the emergency vet she was not doing better she was growling if I touched her it’s the middle of the night I just can not have her in this much pain it has been going on for two weeks today thank u for responding
 
Well now she has something under her tail that is not a abscess but looks like a wound I am okay I do not want her to suffer but I had to bring her back she has lot two bounds in two weeks that’s a lot her blood sugar was normal I am waiting on the blood work now i beginning to wonder if I am making her suffer because I do not want to let her go I appreciate u responding it is best to talk to someone who has been thru it I am well aware that when I bring her here she may not go home I will keep u posted any response is appreciated makes it easier to cope thx
 
Her blood work was good white cell count elevated but that could be because of the wound under her tail and everything else was okay she has lost tompounds in two weeks now I am waiting for them to do the ultrasound scan thx
 
There r these lesions breaking out all over body they were not there when she was there the last time so also weird showing on ultrasound of the fibers that hold your abdomen together they r going to do a needle biopsy and clean the lesions and biopsy those and put a feeding tube in her neck it could be cancer or some strange infection this is agonizing I appreciate u checking in thank u
 
A high white cell count does seem to indicate an infection.
Oh dear, I am not surprised you are exhausted. It is such a worry when they are sick.
I hope they can find the cause of the problem and it is fixable.
Sending many get better vines.
 
Just catching up here. You are certainly in a roller coaster. Feeding tube sounds like a good idea. I was going to say what you saw under the tail could be anal glands that ruptured. That can cause infection. But then you mentioned lesions, is it possible reaction to antibiotic? Keep up the pain med for p'titis, it can be long term, if every 8 hrs doesn't work try every 6 hrs. But keep it up. If vet insists on clavamox get the suspension and take the total amount they want you to give in 24 hrs and divide by 3 and give every 8 hrs (you don't have to tell them). That worked for Ollie, she didn't foam up or vomit it back that way.

I'm sure everything will change, but just some ideas to consider. Prayers for Shelby and you.
 
I am at the vet they told I need to put her down she is dying there is nothing more they can do I want to thank everyone for helping me my heart is broken
 
Oh I am so very sorry. You must be heartbroken. You have tried so hard to help her. She knows how much you have tried and love her.
It is the hardest decision to make to help them cross, but it is the greatest gift you can give her.

Sending lots of love to you and hugs:bighug:
And special love and pats to Shelby.
 
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