glucose +2 in urine

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Deb14

Member Since 2015
hello,'

Quick history. My patchy got diabetes from steroids a few yrs back, she recvd insulin for about 1 1/2 yrs went into remission last july. I periodically about once a week check her bs as well.
In january of this yr noticed her consumption of water increased, checked her bs was over 230 . Back on insulin, but vet found she was in 2nd stage renal failure.
It's been difficult keeping her regulated because of the kidney diet and a new drug enalapril also raised her sugar (but the vet didnt inform me) :-( so we have had a roller coaster ride.

Her highest was 240 on the meter, but on the same day her labs showed 290 ekkk. This happened once because she needed to fast and i reduced the insulin because she wasnt' allowed to eat. Now my concern is her labs show +2 glucose in her urine...I'm so upset about this. Her kidneys already have problems. Hope more harm wasn't done to the kidneys as they are already diseased!

hope to hear back,
thank you
deb
 
Hi Deb,

I have a CKD Kitty and a FD/IBD Kitty but not together! Bravo for you for taking care of Patches! There are some people here that have dealt with both together. I am sure they can assist with reading Patches blood work results and have advice on food, supplements and medication.

I am just going to tag a few peeps and see if we can get some experienced eyes on this for you. They have helped me a lot with suggestions and ideas.
@Wendy&Neko
@LizzieInTexas
@Marje and Gracie
 
In the meantime, how is Patchy, sorry got her name wrong, doing? Is she eating ok? Any white foamy vomit? Other concerns you have?
 
Tracey&Jones said:
In the meantime, how is Patchy, sorry got her name wrong, doing? Is she eating ok? Any white foamy vomit? Other concerns you have?
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thanks for helping me out. she seems fine no vomiting. I increased her insulin, so she has good numbers. pre shot today was 97. SHe also is in remission from IBD 3 yrs back. poor baby has so many issues. no labs came back ok except the +2 glucose in her urine, +1 protein in her urine. Her SDMA (Idexx) rose from 28-39 whcih usually means kidney function has decreased. i just hope one time with sugar in her urine didnt damage her kidneys. Or the new drug Enalapril.. my vet is away at a conference, so im a wreck. Covering vet just doesnt know her case. such a mess
 
OK, I'm confused....why's she taking enalapril? That's a heart med for high blood pressure.

Don't let yourself get discouraged with the kidney issue - Dakota's been in progressive kidney failure for 2 years, holding at stage 3 for the last year. There's no 'prescription' diet that's actually needed for that altho' vets don't like to admit that. I 'assume' someone's given you a link to Tanya's Feline Kidney Failure pages? If my 'assuming' is wrong, please post and I'll post it for you.
 
Hi Deb, Marje is the authority and has given me the best, most useful info, but Lyresa is correct - there is no need for the prescription (k/d and such) diet. Best to give high quality protein, low carb, low phosphors food. It is a challenge to find but it is out there - hopefully Patches isn't too picky of an eater.

If you can - please scan and upload a copy of the most recent labs (and any other documentation) and urinalysis. Marje will be able to give more detailed information and suggestions based on them. If you can't scan them, take very clear pictures of each section and post the pictures - Or, better yet, do you have a spreadsheet for Patches? If so, there is a tab to put the lab results in and Marje will be able to see the insulin dosing, BG readings and labs all in one place.

Squeaky and KT (GA) said:
I 'assume' someone's given you a link to Tanya's Feline Kidney Failure pages
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This place has so much information and is well organized. It is the best place to start to learn what to do and how to treat. It is a bit overwhelming - especially when you add in other diseases like FD and pancreatitis.

http://felinecrf.org/

They also have a private (by request) support group/forum that can also help in the crf department.
https://tanyackd.groups.io/g/support

I am sorry that you are going through this, but it is manageable - just a bit challenging. :bighug:
 
Deb14 said:
unfortuantly she needs low protein because of the stage she is in
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You know the CKD kitty I have has been stage 1/2 for about 6 years now and she was on the low protein diet (Hills KD)...guess what - her disease has progressed any way. Based upon the advise here, I have actually started to mix the KD with some higher protein low phosphorus food. She is eating more, has less acid stomach vomits and she is happier. On Tanya's site - there is a line - treat the cat not the numbers. That is hard to remember some days with these diseases however, some days that is all you can do. ECID though.
 
From Tanya's website on "what to feed"

http://felinecrf.org/which_foods.htm
When it comes to food, here is what I recommend for CKD cats:

Therapeutic kidney diets are proven to have benefits for CKD cats. I would definitely feed one of these foods if my cat would eat it, though in earlier stage CKD I would probably not feed the food exclusively, or would supplement it with additional nourishment (there is more on this below).

You should try to feed a food as low in phosphorus as possible. High phosphorus levels will make your cat feel bad and will make the CKD progress faster. Because this is so important, I've created tables of commercial foods in order of phosphorus content for the UK and US markets.

The need for a reduced protein food is much debated, at least in the early stages of CKD (IRIS Stage 1 and early Stage 2). See Nutritional Requirements for more on the low protein debate. You do want to feed a food that is high quality protein (which in terms of CKD does not actually mean what you probably think it means).

Ideally feed a canned food, because this helps with problems such as dehydration. If your cat is a dry food junkie, you may be able to gradually switch him or her over to wet food. If you can't, don't sweat it. It's more important that your cat eats than that s/he eats a wet food. If your cat is prepared to eat a dry therapeutic kidney diet, I would feed that in preference to a canned non-therapeutic diet (though see point 1 in this list).

I don't really like complicated cat foods. I'm not a fan of all those foods containing yummy fruits and vegetables. They are marketed to appeal to you, but your obligate carnivore feline doesn't need them from a nutritional perspective. But if they are the only foods your cat likes, don't stress over it.

Having said that, I can't get too excited about "bad" ingredients. Who decides what is bad anyway? The Cat Food Police? There are certainly some ingredients I consider complete no-nos, such as onion and garlic, but that is for valid medical reasons (see below). Most of the other stuff, quite frankly, is a matter of personal choice. If I had a choice of feeding my cat a food she loved that contained by-products, for example, or letting her starve to death, the by-products would win every time.

Feed a food your cat will eat! Even at the best of times, cats eat to live rather than live to eat. If you only provide a food your cat doesn't like, s/he will not eat it, especially if s/he is feeling poorly. Getting food into your cat is more important than letting him/her starve to death for your principles or because your cat is "only supposed to eat the therapeutic diet.".

So remember your new mantra: my cat must eat!
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Sorry to be late - my father is in ER with renal failure. Amazing how much carries over from cat knowledge. Anyhow, yes I had a cat with acromegaly/FD/CKD/heart disease and IBD/lymphoma. For me the food that worked best, when she was eating well, was raw food. You can get high quality protein, low carb, low salt and novel proteins with no junk like carageenans or gums added.
 
Wendy&Neko said:
Sorry to be late - my father is in ER with renal failure. Amazing how much carries over from cat knowledge. Anyhow, yes I had a cat with acromegaly/FD/CKD/heart disease and IBD/lymphoma. For me the food that worked best, when she was eating well, was raw food. You can get high quality protein, low carb, low salt and novel proteins with no junk like carageenans or gums added.
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Sorry to hear about your father, Wendy! Sending prayers and healing vines for him. (((Hugs)))
Lucy:bighug::bighug::bighug:
 
Wendy&Neko said:
Sorry to be late - my father is in ER with renal failure. Amazing how much carries over from cat knowledge. Anyhow, yes I had a cat with acromegaly/FD/CKD/heart disease and IBD/lymphoma. For me the food that worked best, when she was eating well, was raw food. You can get high quality protein, low carb, low salt and novel proteins with no junk like carageenans or gums added.
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Wendy sorry to hear about your Dad. Sending prayer and healing energy for him and lots of :bighug::bighug::bighug: for you.
 
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