Fado Cat: pancreatitis, diabetes and severe allergies

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Fado and Cumbia

Member Since 2023
Here I am, after reading I don't know how many posts from this beautiful community, trying to learn how to give my cat the support she needs, and also trying to find relief for myself, knowing there are many here facing similar situations.
This could be a long story, but I'll try to keep it short. I just hope I can get some ideas about how to face all these challenges.
-I'm not a native English speaker so you'll find a bunch of grammar mistakes here.

When I adopted Fado she was already dealing with severe allergies. After many visits to many vets, I got to manage the crisis with hydrolyzed protein dry food by Royal Canin and 2.5 mg of prednisolone (per day). We had at least 4 crisis during the year, but the doctor sent us back home with an increased dose of prednisolone until the crisis got controled and the medication for ear/eye infections when it occurred. We spent 3 years following this pattern. Then we moved from Wisconsin to Texas and in the last 4 months everything went out of control.

In April, Fado started showing a new allergy symptom: watery eyes. Non-stop tears. We went to the vet and she got antibiotics and more steroids in drops.
In May, suddenly, we got two abscesses in her cheeks and needed more antibiotics and more steroids.
Finally, in July, she stopped eating, drinking, and moving, and we went to the vet again. She was first diagnosed with diabetes, but they didn't look at her pancreas until a week later just to discover her poor pancreas was severely inflamed. The whole thing: appetite stimulant, pain killer, steroids (therapeutic doses as they said), subcutaneous fluids I gave her at home because I couldn't afford hospitalization, and insulin. They told me her skin issues wasn't related with the pancreatitis/diabetis.

I did everything I could to help Fado to recover from the crisis. It was a slow process, very painful for her, very painful for me. But we made it. I was lucky because I could change Fado's diet from dry to wet (Purina MD) pretty easily once she started eating again, but then the allergies came back as never before.

Right now, Fado's glucose is erratic: if more than 200 I use 2U; between 150-200, I use 1U (only if I know she ate); and when it is below 150 she doesn't take the insulin. She is also taking a B12 supplement, Apoquel and 2.5 mg/day of prednisolone. She is eating well, drinking little water, but drinking at least (I added Feline Freeze-Dried Nuggets Turkey to her diet mixed with Purina Dietetic wet), but her allergies are out of control and there is no way she can go back to higher doses of steroids.

Because I don't know the cause of her allergies (it could be anything. I did a test, but I was told this is not a reliable test for these things), I can't afford more testing and exams, I don't know what else to do. So now, she is alive, getting better from here diabetis and pancreatitis, but extremly itchy and with a cone the whole day.

Any way... I guess I wanted to let this message here hoping someone could tell me if there is light out there. Because I'm desperate.
 
Hi and welcome to the forum. I’m sorry you and Fado have had so much to contend with.
First a of all I’ll talk about the allergies. What symptoms does she have with The allergies apart from very itchy skin?
Have you tried a novel protein ( that is a protein she has not had before ) to see if that helps?
Also I have a cat with allergies and I give her 1/2 (5mg) of a 10 mg tablet of Zyrtec every day. It has made a huge difference to her.

Can you tell us what type of insulin you are giving please ?

It is possible to still give prednisolone to a diabetic cat if she needs it but I would try the Nobel protein and the Zyrtec first
 
Dear @Bron and Sheba (GA) and @tiffmaxee
Thank you for your answers. I haven't used Zyrtec, and I just saw it is an over-the-counter drug, so I'm planning to stop and buy it after I'm done with my teaching today. She had loratadine before, and it doesn't help, but all my hope will be on the zyrtek. I'll let you know as soon as I give it to her.
The symptoms are always the same: itchy ears/eyes/paws. Then, she starts first cleaning until the hair comes out, and then she starts scratching. Then, things get really bad. When we moved to Texas, she developed two new symptoms: watery eyes and abscesses. Right now, I'm not seeing these two new symptoms.
When she had her pancreatitis crisis and stopped eating, the priority was to have her eating again. So she took bites of a bunch of different foods. In the end, what she ended up liking was Purina Dietitec (wet). I'm introducing now a novel protein: turkey, but because everything is new and eating is also a priority, I'm doing a slow change by mixing the Purina wet and the turkey. But she still has allergy symptoms and going back to higher doses of prednisolone is not an option anymore. When I give her the prednisolone as prescribed before and after the pancreatitis (every day 2.5 mg), I can see she feels relief and I take the cone off for a couples of hours under supervision so I can let her clean herself.

The insulin brand she is using is Glargine.

I'll try the Zyrtec today, and if you have any other ideas or suggestions, please, let me know!
 
Please add to your signature that you are using glargine. For some cats zyrtec acts like an appetite stimulant. It did for Max and does for my kitty with allergies although she doesn’t need her appetite stimulated. She has dermatitis and EGC. She doesn’t scratch nearly as much.
 
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Zyrtec and loratadine have different active ingredients so hopefully the Zyrtec will be useful. My cat gets itchy ears/eyes/paws and watery eyes as well. What really helped was finding out that she is allergic to chicken and pork. That is why i suggested a novel protein for Fado. Eliminating those too proteins made a huge difference.
 
Dear @Bron and Sheba (GA),

Here is my update. I started Fado with Zyrtec yesterday (1/2 tablet -5 mg) and stopped giving her the Purina Dietetic wet I was mixing with Primal turkey. Since Primal and the turkey protein are new for her, I kept it for today to see the reaction. It has been 24 hours since I made these changes. Today has been a good day. She woke up, had her food, glucose was 160 (I gave her 1U of glargine), and the allergies have improved a lot. So, let's see if it keeps going this way (fingers crossed). I'll give you an update in 72 hours.
@tiffmaxee I'll be sure I add Fado's information in my signature :-) Thanks to you as well because your experience is also helping to see alternative and, more important, to know that there are other special kitties out there.

I'll come in 72 hours.


THANK YOU!
 
Dear @Bron and Sheba (GA),

Here is my update. I started Fado with Zyrtec yesterday (1/2 tablet -5 mg) and stopped giving her the Purina Dietetic wet I was mixing with Primal turkey. Since Primal and the turkey protein are new for her, I kept it for today to see the reaction. It has been 24 hours since I made these changes. Today has been a good day. She woke up, had her food, glucose was 160 (I gave her 1U of glargine), and the allergies have improved a lot. So, let's see if it keeps going this way (fingers crossed). I'll give you an update in 72 hours.
@tiffmaxee I'll be sure I add Fado's information in my signature :) Thanks to you as well because your experience is also helping to see alternative and, more important, to know that there are other special kitties out there.
I'll come in 72 hours.
THANK YOU!
I am so pleased to read this update. Lets hope the improvement continues.
I'm looking forward to seeing your signature.
Would you like to set up a spreadsheet so we can see the BG data?
I will give you this link to how to set up the SS and also tag @Bandit's Mom as she can help you with the SS if needed.
HELP US HELP YOU
 
I am so pleased to read this update. Lets hope the improvement continues.
I'm looking forward to seeing your signature.
Would you like to set up a spreadsheet so we can see the BG data?
I will give you this link to how to set up the SS and also tag @Bandit's Mom as she can help you with the SS if needed.
HELP US HELP YOU

I can't believe it! This community is incredible. I'll start my spreadsheet after I read the entry "Help us help you"! (Hi @Bandit's Mom :-)) This can be a pretty lonely path and sometimes is not easy to deal with vets when you have to learn all these things in order to support your kitty.
Ill work on my spreadsheet and come back with the information.

Again: thank you very VERY much!
 
I can't believe it! This community is incredible. I'll start my spreadsheet after I read the entry "Help us help you"! (Hi @Bandit's Mom :)) This can be a pretty lonely path and sometimes is not easy to deal with vets when you have to learn all these things in order to support your kitty.
Ill work on my spreadsheet and come back with the information.

Again: thank you very VERY much!
We are very happy to help you!
 
I LOVE this update. I’m feeding Primal to my IBD kitty as well. Currently she’s eating pork and lamb. My allergic one eats Small Batch lamb right now. The good thing about raw is they are single protein. Stick to just turkey now and that includes treats fir st least a month if she keeps doing well.
 
I'll start my spreadsheet after I read the entry "Help us help you"! (Hi @Bandit's Mom :)) This can be a pretty lonely path and sometimes is not easy to deal with vets when you have to learn all these things in order to support your kitty.
Hi @Fado and Cumbia! Welcome to FDMB :-) Let me know if you need help with setting up the SS - will take me less than a minute - so I can save you the trouble of reading through all those instructions on how to set one up!

Here is more info on pancreatitis:
https://www.felinediabetes.com/FDMB/threads/a-primer-on-pancreatitis.79693/

You are in good hands here - both @Bron and Sheba (GA) and @tiffmaxee have experience with diabetic kitties that also had pancreatitis.
 
Dear all,

Again, thank you so much for helping us during this process. @Bandit's Mom Yes, please, help us to start our spreadsheet. I did this one when we started this journey, but I can see yours is more detailed and specific, so I would love to try it https://docs.google.com/document/d/1Q_YAaqy_8xyYVT7WhCUR_WJMtto3R0AB1Hy6BNI3a4Y/edit
It has been a little bit frustrating for several reasons:
1) I'm using the freestyle libre 2. The last one started giving me numbers that were pretty low compared to the blood tester. The difference could be 96 (freestyle) and 170 (blood). So, I called and asked for another one, that is the one she is using now. Still, with the new one, I can see a difference in the numbers (yesterday I got a 153 -blood- and 130 -libre-, and the day before yesterday I got 153 (blood) 108 (freestyle). The freestyle is expensive but convenient in terms of the level of stress it requires from the cat's side, but I don't know if I can trust it. I don't know if these differences are related to Fado's skin or something else.
2) @Bron and Sheba (GA) and @tiffmaxee in terms of allergies we're doing well. But here is the situation: Cumbia, Fado's sister, doesn't like the primal food. When she eats it, she vomits it. So I said, I'll feed them in different spaces so I can give them both what they need. But there is no way to compete with the smell of that Purina Dietetic Wet, so Fado stopped eating the Primal because she feels the smell from Cumbia. I bought one of their broth (turkey) to try to attract her to the food, but is not working. I also tried to warm the food a bit, and didn't work either. She is only eating some bites here and there. At this point, I don't know what to do or how can I manage two particular diets in a tiny house where they smell everything everywhere. Also, before this, they always ate together (with me at the same time) and I know that is a big change in their rutine and they will need time to adjust, but I'm scared of not g¡ving Fado enough food or making Cumbia vomiting in between.
3) I've noticing Fado is not drinking water. Yesterday I have her one of those Hydra Care (purina). She tried it, but I don't know if that is a good resource considering her diabetes.

In general, I think Primal is good for Fado because along with the Zyrtec it helps with here allergies and the glucose numbers. The thing that is giving me troubles now is how to manage the family dynamics having Cumbia needing a different diet. Also... when this started I was in vacation and I was giving them 100 % of my time, but know I have to go out and work, and that makes everything harder. I bought a camera so I can see when they approch their plates, but still, I can't not participate in trying to make them or change places for Cumbia to eat.

This is my updated by today, wonderful community! Thank you so much for reading me. That, also, helps!
 
Again, thank you so much for helping us during this process. @Bandit's Mom Yes, please, help us to start our spreadsheet. I did this one when we started this journey, but I can see yours is more detailed and specific, so I would love to try it https://docs.google.com/document/d/1Q_YAaqy_8xyYVT7WhCUR_WJMtto3R0AB1Hy6BNI3a4Y/edit
Sure. Will send you a PM with the details I need to set one up for you.

1) I'm using the freestyle libre 2. The last one started giving me numbers that were pretty low compared to the blood tester. The difference could be 96 (freestyle) and 170 (blood). So, I called and asked for another one, that is the one she is using now. Still, with the new one, I can see a difference in the numbers (yesterday I got a 153 -blood- and 130 -libre-, and the day before yesterday I got 153 (blood) 108 (freestyle). The freestyle is expensive but convenient in terms of the level of stress it requires from the cat's side, but I don't know if I can trust it. I don't know if these differences are related to Fado's skin or something else.
The Libre reading much lower than a meter is a common issue we are finding with caregivers using it on their cats. We ask members to verify lower numbers or any numbers that look unusual/wonky with a ear poke - especially if said number affects dosing decisions.

Here's a detailed document on the Libre written by an FDMB member:
https://docs.google.com/document/d/...f13UiOiEM-6MsrFNpR9ztaPawF6dLk2b906QZ6VP6/pub
 
It sounds like you're getting better control over Fado's allergies. Several years ago, my diabetic cat had an issue with allergy. This is the information that my vet sent:

There are several options—there is a product called Allerderm which is applied once weekly to the skin which can be quite helpful for itchy or dry skin. Additional fish oil omega-3 fatty acids, 200-250 mg daily, are often helpful, but may take up to 2 weeks to really have an effect. Antihistamines are often helpful—we seem to have the best success with Zyrtec, which is over-the-counter, or hydroxyzine which is a prescription medication.


We have Allerderm here, but you may be able to order it online. Zyrtec dosage is ½ of a 10 mg tablet by mouth (in food…) twice daily, or about every 12 hours, try for 7 days. Watch for drowsiness or restlessness, although side effects from Zyrtec are not likely or are very mild. Use plain Zyrtec, or cetirizine, only—no combo meds. The fish oil product we use is AllerG3, or you can use human products.

If the Zyrtec is working, I'd stick with it. Some of the other allergy meds are bitter and can cause drooling or foaming. Nordic Naturals is a great brand of fish oil and comes in bottles for small animals. It's available on Amazon. We had one member try fish oil. Her cat ended up being allergic to fish! Fish, beef, and poultry are common allergy or food sensitivities for cats.

One thought regarding the separate food/feeding dilemma... There are now feeders available that are keyed to either your cat's microchip or to a token that's put on their collar. The feeder will only open in response to the chip. Unfortunately, they tend to be pricey. The other issue is that some cats are scared by the feeder opening when they approach. I have a "scaredy" cat who wouldn't go near the microchip feeder and I was attempting to keep my other cat from inhaling both of their food.
 
I have to feed my two in different rooms also. At first the one with allergies would get scared if I closed the hall door! Now she’s used to it and follows me. There are other raw foods you can try. I have fed Small Batch as well and currently nine if one gets it. Remind me which Primal protein you are using.

I have heard some cats have had issues with Primal but fortunately it works for my two. There are many raw foods that use turkey.
 
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I have to feed my two in different rooms also. At first the one with allergies would get scared if I closed the hall door! Now she’s used to it and follows me. There are other raw foods you can try. I have fed Small Batch as well and currently nine if mine gets it. Remind me which Primal protein you are using.

This is helpful. Yes, they are both trying to understand the new routine. I separated them this morning, and I can see they are stressed. For my diabetic cat I'm using Primal Nuggets (turkey) and it's working along the zyrtec. My other cat, Cumbia, is eating the Purina Dietetic she tried and liked after I introduced her to it due to the diabetes diagnosis Fado got (the one that doesn't work for my diabetic cat due to allergies).

We're all learning here at home!
 
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