GA Hello, I've got a few questions (of course)

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Plutey

Member Since 2021
Hello,

I'm new here (unfortunately). On Tuesday I got up and saw my cat to the kitchen table as I usually do. She sits on the bench to wait and see what she can scrounge from me while I get breakfast ready. First of all, I was headed for coffee. I poured a cup, put it in the microwave and hit the timer. I heard my cat's paws hit the floor in excitement and the little pats as she scurried over to me as usual.

But today was different. I turned around with my cheesy smile only to my horror to find her stumbling sideways into the stove. I rushed to her aid (she's 15 after all) figuring she must have just got some leg cramps but that wasn't it at all. Her eyes were darting around her head and she even began rolling about five times on her left side. I honestly didn't know what to do. I pulled her out to the middle of the floor and comforted her gently while repeating her name. She seemed completely out of it still, my only thought was, "I'm going to lose her". Her muscles didn't tighten up and her legs didn't stretch out to their full extent so I didn't think it was a seizure, most likely a stroke. Then she lost control of her bladder (pee) and I thought for sure it was the end. Then it all just stopped. Her tail was flopping around but she lay still while staring forward. I put some mashed potatoes from the night before in front of her nose and she began again.

Her body rolled about five times, she breathed heavy and all other things I said previously. Finally she once again snapped out of it. The first hour and a half she wouldn't eat. She took a few sips of water and that was it. But she came back. She still seemed a bit strange but she was still alive. To be honest, it felt like Pet Semetery; like she was alive but she wasn't herself. She wasn't acting crazy or anything, just the thought I couldn't shake as she stared empty at me.

Finally I got her to eat. I have been feeding her dry cat food all of her life. I put a bowl of that down and she ate some small bites. She eventually stopped, her neck tucked in, head began tilting to one side and she got those big, dazed eyes again. I picked her up and took her outside for some fresh air while repeating her name again. When she snapped out of it, I brought her back in, finely chopped up some steak and fed it to her. She seemed to do well for the most part here but throughout the night began the whole fiasco over again.

I wanted to take her to the vet that day but problem is they closed at 5, my car isn't running, I live in the middle of nowhere and have been basically secluding myself from the world the past year. I made an appointment the next day to have her checked out. She got a blood test, and honestly I don't know what the rest means:

CBC/CHEM/LYTES
THYROID
FRUCTOSAMINE

I mentioned that she might have hyperthyroid problems from what I've read online. She began getting skinny for the past year, always anxious, rapid heartbeat constant, labored breathing, felt like a lump in her left side.. A lot of what the doctor told me honestly I just couldn't focus as hard as I tried to. I just wanted her to be fine and patting me on the shoulder as she always did to notify me she wanted up, just everything back to normal.

He assured me on many things but nothing felt right. He said that he was thinking she may be diabetic. He also informed me that we would need a urine sample and possibly chest x-rays. Now from what I read, I expected all of these tests in the beginning but didn't think about how to acquire urine for a test. Of course this should be easy for me to get, just put a cup under her while she squats. Problem is getting back to the vet during a 4-5 hour period from getting the sample. I'm going to have to plan it out. I don't exactly have any sort of Uber where I'm at or anything like that so I have to rely on family which, well.. There are issues there as well with transportation. But needless to say, it can be done.

Sorry for the life story here, I'll try to speed things up here. So anyway, the doctor told me it's highly plausible she may have diabetes and maybe even kidney problems. He said they could keep her over night for examination and maybe even put her on Insulin. I was a bit panicked inside at the time having just gone through all of this and took to his suggestion of trying food instead since at the beginning of the day he told me it could be very bad for her to give Insulin without her needing it and just his demeanor didn't seem all that trustworthy. I mean, I'm sure it was but I just had that feeling. You know, like "they don't care about her, they just want your money" sort of thing. She also has never been fixed but due to her age the receptionist said it wouldn't be the best idea to do it now. I read elsewhere this shouldn't be the case. I'm getting mixed messages everywhere and found this forum had been recommended in a few different places.

So yeah, I decided to take her home and try the diet idea. I learned things high in carbs were bad, too much protein isn't good either. But I can do this. My plan relied on a new bag of cat food I have yet to have tried with her and I would read up where to go from there. She seemed fine at this point and things were looking up. But I really had no plan besides getting back to him with a urine sample. Only I haven't had a chance to go back and didn't take the weekend hours into account. So my whole thing is I have many, many questions now. A lot of the things he said come back whenever the problem arises. Such as a drop in sugar levels- I should get something such as honey and rub it on her tongue to make her relax.

I tried the dry food and she didn't even touch it so I looked around online for diet ideas and found that raw chicken and that sort of thing would be ideal. Only I didn't have any thawed out. I couldn't think of anything. I did have chicken noodle soup which she loves already and it was low in carbs so I gave it a shot without the noodles of course because the vet said NO STARCH. Surely enough she seemed fine for most of the night but at the end of the day I ended up putting honey on her tongue again once or twice.

I've been exhausted as she has been while checking on her constantly while trying to get things done around the house and look up things on the internet about her that I've been just soo overwhelmed. I've read some posts here and got some good advice from these posts (thank you!) but I still have soo many questions:

I know the canned pate is a good option but also read somewhere that it introduced salmon or something that was no good for certain cats, can anyone elaborate?

I'm looking for things I can get at Walmart to tide me over until I have access to a car again on Monday.

I do not have a home testing kit and the vet actually never even mentioned anything about this. I of course should have known from all the Wilford Brimley commercials I've seen but like I said, I couldn't think straight at the time.

Can I get Insulin injections over the counter, at something like Walmart or CVS?

I don't have a lot of money, somewhere around two grand to survive on the next forever being between jobs and without any assistance or anything. Around here, that type of money would typically suffice for a few months so I was definitely unprepared for the situation and thought I was well-off for survival for the both of us.

Can anyone recommend what blood sugar kit and food, possibly Insulin that I can get to get me through the weekend are my main concerns right now. It's really all I can think of right now. My cat's name is Kawala and she has been the most important thing in my life for the past 15 years. I'm hoping to spend less but I would pay anything to keep her happy and healthy. Thanks for reading and I look forward to your advice!

Also, sorry for being soo long-winded I just wanted to give a bit of background and can never seem to shut up regardless. I've got about 21 tabs open and trying to wrap my head around it all. Her breathing seems more labored today than usual. She's an inside cat and I really hope this helps with her anxiety. I hate for her to have to go through all of this.

Ketostix is another thing I've been reading about here. Check for ketones.. I don't quite understand that either. What do you do if they're high or low?

Is there a better way to give her sugar than putting honey on her tongue? This labored breathing has me worried today. She doesn't seem to want much to do with me or even chicken. She seems a little dizzy but not falling over. I am soo lost and stressed and worried for her. I keep adding things here, I just don't know what to do.
 
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Hello!

Welcome to FDMB! Sorry to hear that Kawala has been so unwell and I am sure it must be pretty overwhelming dealing with all of it alone.

Could you please share her lab results so we can take a look? Was she tested for hyperthyroidism?
Did the vet have any explanation for the seizures and the lump on her side? Did he confirm the diabetes diagnosis? I presume she hasn't been started on insulin yet?

Is she still not eating her usual food? How is her appetite? Has she had any more seizure-like episodes after Tuesday?


@Wendy&Neko
@tiffmaxee
 
Can anyone recommend what blood sugar kit and food

GETTING STARTED SHOPPING LIST

1. Blood glucose meter. A lot of us use the Relion Prime (available at WalMart) . It takes a reasonable sample size and the strips are affordable at $9/50 or $17.88/100

2. Matching strips (Prime strips are $9/50 or $17.88/100).

3. Lancets - little sticks to poke the ear to get blood. New members usually start with a larger gauge lancet such as 25g to 28g until the ear learns to bleed. (Usually marked “For alternate site testing) These 26 gauge lancets are perfect for “new ears” but might not be available in the store. Any lancet that’s 25-28 gauge will work. If the linked ones above aren’t available, you should be able to find these in the store https://www.walmart.com/ip/ReliOn-25-Gauge-Needle-2-In-1-Lancing-Device-For-Normal-Skin-50-Ct/146921861?fbclid=IwAR2a1NWMM_PVcOf_WWkv54jkWxcrnVvvAoI6iarsPWP-9iIxDZt4b9E-i4c

3a. Optional - lancing device. (about $8 for lancets, $5 for lancing device ...not required if you can freehand poke)

4. Cotton balls/cosmetic pads to stem the blood. I particularly like the cotton cosmetic pads like these at WalMart

5. Ketone urine test strips..ketostix (urine only) or ketodiastix (test urine for both ketones and glucose but more expensive and unnecessary if you're already testing BG) - Important to check ketones when blood glucose is high, kitty isn’t eating or just acts like they’re not feeling well. Urine Ketone test strips Available at WalMart for $5

6. Treats for the cat - like freeze dried chicken...check in the dog food treats....they’re usually cheaper. Any treat that’s freeze dried and the only ingredient is a protein source is fine.

7. Karo syrup/corn syrup or honey if you don’t have it at home - for hypo emergencies to bring blood sugar up fast. Pancake syrup also works.

8. A couple of cans of Fancy Feast Gravy Lovers (beef is the highest carb) or other high carb gravy food- for hypo emergencies to bring blood sugar up fast

9. If the pharmacy is open, ask for a 1ml syringe used to give children liquid meds. A lot of times if you tell them you need a syringe without a needle to give your diabetic cat syrup in an emergency, they will give them to you for free.
------------------------------------------------------------------------------------------------------------

FOOD: Fancy Feast Classics, Roasted or Flaked, Friskies pate's, 9-Lives ground (pate), Special Kitty pate (only at WalMart)....these are all low carb foods that are the most affordable and perfectly fine for a diabetic.
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INSULIN: I would not start insulin until you have more information unless she has ketones. Home testing will help get that information. Testing done at the vet can be unreliable due to vet stress which can raise the blood glucose (BG) up to 200 points. By testing at home, you get more accurate results. If she does end up being diabetic, it sounds like you would qualify for DCIN's Compassionate Assistance Program. I would go ahead and apply NOW. It can take time to get the paperwork done and anything shipped to you. DCIN = Diabetic Cats In Need. If she doesn't end up being diabetic, it's easy enough to let me or the charity know.
-----------------------------------------------------------------------------------------------------------

There are a lot of video's on YouTube on "how to test a cat's blood glucose" that you can watch but here are some helpful hints (substitute "her" for "him")

It can be really helpful to establish a routine with testing. Pick one spot that you want your "testing spot" to be (I like the kitchen counter because it's got good light and it's at a good height....it also already blocked 2 escape routes due to the wall and the backsplash) It can be anywhere though...a rug on the floor, a table, a particular spot on the couch...wherever is good for you.

Take him there as many times a day as you can and just give his ears a quick rub and then he gets a yummy (low carb) treat. Most cats aren't objecting so much with the poking..it's the fooling with their ears they don't like, but once they're desensitized to it and learn to associate a certain place with the treats, they usually start to come when they're called! Or even when they hear us opening the test kit!

You also have to remember...you're not poking him to hurt him...you're testing him to keep him safe and understand what's going on inside his body. There's just nothing better than truly understanding what's going on inside your kitty's body and with this disease, the more knowledge you have, the more power you have against it. The edges of the ears have very few pain receptors, so it really doesn't hurt them. Also, if you're nervous and tense, it's going to make your kitty nervous and tense too. As silly as it might seem, try singing! It forces you to use a different part of your brain!

It's also important to make sure his ear is warm. A small sock filled with a little rice and microwaved or a small pill bottle filled with warm water (check temp against your wrist like you would a baby bottle) works well

For new kitties, using a heavier gauge lancet is also really helpful. A 25-28 gauge lancet pokes a bigger "hole" than a 31-33 gauge lancet does, so look for "Alternate Site testing" lancets that are usually a lower number

Finding the right "treat" will be a great help too! Freeze dried chicken, bonito flakes, little pieces of baked chicken...whatever low carb treat you can find that he really enjoys will help him to associate the testing with the treat! China's Achilles heel was baked chicken, so I'd bake a piece, chop it into bite sized pieces, put some in the refrigerator and freeze the rest to use as needed. It didn't take long for her to come any time I picked up the meter!

There are more testing tips here:

http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/

Here's one video on home testing (but there are LOTS of them on YouTube...once you're there, look on the right and you'll see them...find what works for you!)

https://www.youtube.com/watch?v=ViSENIU_LDY

I'm not 100% convinced your cat is diabetic but whatever is happening, you have all our prayers. Diabetes is not a death sentence so if you get a positive diagnosis, don't worry. A properly treated cat can live a long and healthy life!
 
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Hello!

Welcome to FDMB! Sorry to hear that Kawala has been so unwell and I am sure it must be pretty overwhelming dealing with all of it alone.

Could you please share her lab results so we can take a look? Was she tested for hyperthyroidism?
Did the vet have any explanation for the seizures and the lump on her side? Did he confirm the diabetes diagnosis? I presume she hasn't been started on insulin yet?

Is she still not eating her usual food? How is her appetite? Has she had any more seizure-like episodes after Tuesday?


@Wendy&Neko
@tiffmaxee

I apparently do not have permission to upload files here but I've uploaded to Imgur if you'd like to have a look. The doctor gave me one of those 'good news, bad news' scenarios without a concrete diagnosis. He mentioned diabetes as being a main probability but said she didn't have thyroid issues. He wouldn't know for sure without a urine test. In fact, they almost let me leave without a print out of the info.

I have not tried feeding her the usual food I've been giving her since she began tucking her neck in and getting all lethargic the other day out of fear for her doing it again and the doctor's words. I did switch her food from Meow Mix to Kit & Kaboodle as a test and she doesn't seem to even want to try that but from what I have given her since she has been eating fine mostly with the exception of tonight. I tried to give her chicken, she just let it sit there. Then I tried giving her treats she loves and she didn't want those either. I think she was nauseous earlier and I've been pretty worried about her breathing. I counted 45 breaths in one minute which that should be 12 from what I've read. I couldn't get her to drink for a good while earlier either. I've since confined her to a room with myself and put a fan in front of her to encourage better breathing. She's still breathing pretty heavy at this moment. I was thinking it was a hot day today so maybe that had something to do with it but now it's 69 degrees so I don't see that being the reason.

She hasn't had any seizures since but she seemed on the verge a few times with the whole dazing out and tucking her neck in/dropping her head. She also would do this "kneading the air" type of thing during these episodes that really had me concerned but they seem to have subsided today. She even did this twice last night as I went to go to bed.

The lump in her side he said he didn't notice anything odd and it could be me just feeling her kidneys. He also reassured me that due to her weight loss I'd probably never noticed it before. You're correct, she has not started Insulin. He said it could be dangerous for her if she didn't actually need it. I didn't want to leave her over night that day because I had just gotten over the fact I thought I was going to lose her and.. well just all of these things. It is quite overwhelming.

Thank you for your response. She's still breathing heavy now but I'm happy she at least got some water in her. Thankfully she hasn't been staggering. I just cleaned the litter boxes earlier and noticed she only went once in about 5 hours which is really unusual so I'd imagine she's pretty dehydrated.
 
GETTING STARTED SHOPPING LIST

1. Blood glucose meter. A lot of us use the Relion Prime (available at WalMart) . It takes a reasonable sample size and the strips are affordable at $9/50 or $17.88/100

2. Matching strips (Prime strips are $9/50 or $17.88/100).

3. Lancets - little sticks to poke the ear to get blood. New members usually start with a larger gauge lancet such as 25g to 28g until the ear learns to bleed. (Usually marked “For alternate site testing) These 26 gauge lancets are perfect for “new ears” but might not be available in the store. Any lancet that’s 25-28 gauge will work. If the linked ones above aren’t available, you should be able to find these in the store https://www.walmart.com/ip/ReliOn-25-Gauge-Needle-2-In-1-Lancing-Device-For-Normal-Skin-50-Ct/146921861?fbclid=IwAR2a1NWMM_PVcOf_WWkv54jkWxcrnVvvAoI6iarsPWP-9iIxDZt4b9E-i4c

3a. Optional - lancing device. (about $8 for lancets, $5 for lancing device ...not required if you can freehand poke)

4. Cotton balls/cosmetic pads to stem the blood. I particularly like the cotton cosmetic pads like these at WalMart

5. Ketone urine test strips..ketostix (urine only) or ketodiastix (test urine for both ketones and glucose but more expensive and unnecessary if you're already testing BG) - Important to check ketones when blood glucose is high, kitty isn’t eating or just acts like they’re not feeling well. Urine Ketone test strips Available at WalMart for $5

6. Treats for the cat - like freeze dried chicken...check in the dog food treats....they’re usually cheaper. Any treat that’s freeze dried and the only ingredient is a protein source is fine.

7. Karo syrup/corn syrup or honey if you don’t have it at home - for hypo emergencies to bring blood sugar up fast. Pancake syrup also works.

8. A couple of cans of Fancy Feast Gravy Lovers (beef is the highest carb) or other high carb gravy food- for hypo emergencies to bring blood sugar up fast

9. If the pharmacy is open, ask for a 1ml syringe used to give children liquid meds. A lot of times if you tell them you need a syringe without a needle to give your diabetic cat syrup in an emergency, they will give them to you for free.
------------------------------------------------------------------------------------------------------------

FOOD: Fancy Feast Classics, Roasted or Flaked, Friskies pate's, 9-Lives ground (pate), Special Kitty pate (only at WalMart)....these are all low carb foods that are the most affordable and perfectly fine for a diabetic.
------------------------------------------------------------------------------------------------------------

INSULIN: I would not start insulin until you have more information unless she has ketones. Home testing will help get that information. Testing done at the vet can be unreliable due to vet stress which can raise the blood glucose (BG) up to 200 points. By testing at home, you get more accurate results. If she does end up being diabetic, it sounds like you would qualify for DCIN's Compassionate Assistance Program. I would go ahead and apply NOW. It can take time to get the paperwork done and anything shipped to you. DCIN = Diabetic Cats In Need. If she doesn't end up being diabetic, it's easy enough to let me or the charity know.
-----------------------------------------------------------------------------------------------------------

There are a lot of video's on YouTube on "how to test a cat's blood glucose" that you can watch but here are some helpful hints (substitute "her" for "him")

It can be really helpful to establish a routine with testing. Pick one spot that you want your "testing spot" to be (I like the kitchen counter because it's got good light and it's at a good height....it also already blocked 2 escape routes due to the wall and the backsplash) It can be anywhere though...a rug on the floor, a table, a particular spot on the couch...wherever is good for you.

Take him there as many times a day as you can and just give his ears a quick rub and then he gets a yummy (low carb) treat. Most cats aren't objecting so much with the poking..it's the fooling with their ears they don't like, but once they're desensitized to it and learn to associate a certain place with the treats, they usually start to come when they're called! Or even when they hear us opening the test kit!

You also have to remember...you're not poking him to hurt him...you're testing him to keep him safe and understand what's going on inside his body. There's just nothing better than truly understanding what's going on inside your kitty's body and with this disease, the more knowledge you have, the more power you have against it. The edges of the ears have very few pain receptors, so it really doesn't hurt them. Also, if you're nervous and tense, it's going to make your kitty nervous and tense too. As silly as it might seem, try singing! It forces you to use a different part of your brain!

It's also important to make sure his ear is warm. A small sock filled with a little rice and microwaved or a small pill bottle filled with warm water (check temp against your wrist like you would a baby bottle) works well

For new kitties, using a heavier gauge lancet is also really helpful. A 25-28 gauge lancet pokes a bigger "hole" than a 31-33 gauge lancet does, so look for "Alternate Site testing" lancets that are usually a lower number

Finding the right "treat" will be a great help too! Freeze dried chicken, bonito flakes, little pieces of baked chicken...whatever low carb treat you can find that he really enjoys will help him to associate the testing with the treat! China's Achilles heel was baked chicken, so I'd bake a piece, chop it into bite sized pieces, put some in the refrigerator and freeze the rest to use as needed. It didn't take long for her to come any time I picked up the meter!

There are more testing tips here:

http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/

Here's one video on home testing (but there are LOTS of them on YouTube...once you're there, look on the right and you'll see them...find what works for you!)

https://www.youtube.com/watch?v=ViSENIU_LDY

I'm not 100% convinced your cat is diabetic but whatever is happening, you have all our prayers. Diabetes is not a death sentence so if you get a positive diagnosis, don't worry. A properly treated cat can live a long and healthy life!

Thank you soo much for your detailed information! Seriously, I can't thank you enough! I just found out my vet is open tomorrow so hopefully I'll be able to get ahold of a family member, get a urine test and get some more tests done to know exactly what is going on. Hopefully she can relax her breathing a little bit overnight. She's sleeping in my window at the moment but I can still see her stomach going up and down pretty heavily.

A couple things about the assistance link you provided-

I noticed this at the top of the page:
NOTE: Due to our current financial situation we are no longer able to support emergency veterinary assistance. If you have not yet applied for CareCredit, we encourage you to do so to see if that can help.

"Our One-Time Assistance Program provides a glucose testing kit and a few months’ supply of insulin to those who do not qualify as low-income but have been hit by the shock of a new diagnosis.."

I would most likely qualify as low-income having no income at the moment, does that make a difference?

I'm also having a hard time being convinced that she has diabetes but I'm also weary of doctors I don't know all that well so I'm not ruling anything out. I know something is wrong with her but I'm not sure that it's the proper diagnosis. Hopefully I can get something more tomorrow.

Also, if you didn't catch it, here is my paperwork I also added above.

Again, thank you soo much. I'll be reviewing everything you said as I check the aisles tomorrow and also thank you for your kitty prayers. We are grateful!
 
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I apparently do not have permission to upload files here but I've uploaded to Imgur if you'd like to have a look.
I'm probably going about it wrong, but all I can see is:

EZpEVZj.jpeg
 
Hi and welcome. Looked at the labs. It’s interesting. The BUN is high but creatinine isn’t. Phosphorus is high too. Those are kidney markers so she could have CKD. Have those numbers been elevated in the past? It doesn’t look like she’s hyper-t.
 
I would most likely qualify as low-income having no income at the moment, does that make a difference?

The One Time Assistance program is just for people who usually could manage to budget for supplies but just got the diagnosis and just can't get everything they need to get started. Once they get started and can plan ahead, they can continue to buy their own supplies and insulin and don't need us anymore. Sounds like you'd qualify for the ongoing assistance discussed below.

Our Compassionate Assistance Program provides ongoing assistance with insulin, testing supplies, and limited veterinary care to folks who qualify as low-income caregivers. The CAP requires proof of low-income status to be provided upon application and again each year while in the program. Acceptable proof of low income includes IRS 1040 or statement of benefits for TANF, SSI, SSDI, SNAP, or Section 8 Housing.
 
The One Time Assistance program is just for people who usually could manage to budget for supplies but just got the diagnosis and just can't get everything they need to get started. Once they get started and can plan ahead, they can continue to buy their own supplies and insulin and don't need us anymore. Sounds like you'd qualify for the ongoing assistance discussed below.

Our Compassionate Assistance Program provides ongoing assistance with insulin, testing supplies, and limited veterinary care to folks who qualify as low-income caregivers. The CAP requires proof of low-income status to be provided upon application and again each year while in the program. Acceptable proof of low income includes IRS 1040 or statement of benefits for TANF, SSI, SSDI, SNAP, or Section 8 Housing.

I have not applied for any programs but thank you for the links, I'll look into it as soon as tomorrow if I should need to take that route. Appreciate it!
 
Hi and welcome. Looked at the labs. It’s interesting. The BUN is high but creatinine isn’t. Phosphorus is high too. Those are kidney markers so she could have CKD. Have those numbers been elevated in the past? It doesn’t look like she’s hyper-t.

See, I have thought she might have kidney problems in the past. She was urinating outside of her litterbox a lot at one point and sometimes even urinating on me then running away. Could CKD cause her to do all of the odd things such as seizure or rolling? She has done this "twitch" thing for a very long time. Even tremors in her sleep. I hope she's not worse off than I thought. I haven't had her to the vet in a very long time because I excused most things as symptoms of old age.

Oh no. While reading this post I think she fell off the bed and went into a lethargic state for a moment. Is there anything you can suggest in this case? I really hope she can make it by tomorrow. She was sticking her tongue out breathing heavy directly afterwards. Now she's sitting down breathing heavy still but came back to me. She seemed to be getting better the past few hours. Ugh. I wish I could take her right now.
 
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The BUN could be high due to dehydration so she could benefit from some subq fluids.

As far as the phosphorus, we usually suggest foods that are both low carb and low phos, but the brands that are both are also pretty pricey and with her being that high, I think you're going to need to use a phosphorus binder like Phos Bind. It's a fine powder you mix into each meal (it's tasteless).

You're going to need to get her off any type of kibble. They are all high carb (up to 50%) and they also will cause her to be even more dehydrated. The sooner you can get her on the canned foods listed above, the better.
 
The BUN could be high due to dehydration so she could benefit from some subq fluids.

As far as the phosphorus, we usually suggest foods that are both low carb and low phos, but the brands that are both are also pretty pricey and with her being that high, I think you're going to need to use a phosphorus binder like Phos Bind. It's a fine powder you mix into each meal (it's tasteless).

You're going to need to get her off any type of kibble. They are all high carb (up to 50%) and they also will cause her to be even more dehydrated. The sooner you can get her on the canned foods listed above, the better.

I've been checking labels and keeping her carbs under 5%. I'm not sure how to check for low phos. She is really having trouble breathing at the moment, her mouth is actually open and she's panting/getting lethargic. I thought she was going into a seizure a minute ago actually. Now I'm unprepared if it happens to be kidney problems.
 
I counted 45 breaths in one minute which that should be 12 from what I've read.
Normal cat respiration rate is 20-30 complete in and out breaths per minute, when they are at rest. I am worried about her heavy breathing. She should be relaxed once at home.
 
Her heartbeat has been 50-60bpm all night. When I got up today I went to move her and she urinated like she didn't even know she was doing it. Hadn't touched her water all night and wouldn't eat treats. At the moment she is drinking water and accepted two treats but it was a struggle. Getting things arranged to get her to the vet this morning. Thanks everyone for your assistence and if you have any ideas between now and when I can get her out the door I'm all ears.
 
I'm really concerned. I know it's expensive, but can you get her to an emergency vet? Breathing issues and seizures are not what we can typically handle. If this is diabetic ketoacidosis, with the symptoms you're seeing, your kitty needs veterinary care.
 
I'm really concerned. I know it's expensive, but can you get her to an emergency vet? Breathing issues and seizures are not what we can typically handle. If this is diabetic ketoacidosis, with the symptoms you're seeing, your kitty needs veterinary care.
Thank you everyone for your replies. Kawala passed today at 1:30 PM as per the vet's recommendation. She had fluid on her lungs and throughout her stomach. I'm beyond lost right now, I just got done burying her at 7:22.

I wish I could have saved her. I miss her soo much already. I've built my life around her, everything to accommodate her needs so I'm surrounded in reminders at the moment and everything is starting to set in. Especially all the missed opportunities to have done something sooner. Again, I appreciate all of the concern and advice. Here is the last picture I got of her before the decision was made. I hope everyone gives their cat/s here a little more love tonight.
 
I'm so sorry to hear the news that it was Kawala's time to leave you. No matter how long we have them, it's never long enough.

With all that was going on so suddenly, I was concerned something else was going on. Making the decision to set her free is the hardest one we have to make, but it's also the most loving.

Fly free sweet Kawala and land softly. Send your broken-hearted daddy a sign that you're happy, healthy and waiting for the day when you'll be together again forever. cat_wings>o
 
My deepest sympathies. It sounds like beautiful Kawala had a lot going on and you did exactly the right thing for her. That last gift which is the hardest to give. :bighug::bighug::bighug:
 
My heart goes out to you. I know just how hard it is to have your best friend swept away suddenly by serious illness. You did all you could to keep her at your side, and she knew how much she was loved. Letting her go was a great final kindness.

Let yourself grieve. Know that with time memories of all the years spent together will again bring you joy. And the day will come when you can open a fresh chamber in your heart for new friend.
 
I just came across you post, I am so so sorry for your loss, I looked at her picture, what a beautiful girl. My heart goes out to you . Fly high sweet Kawala ♥cat_wings>o:bighug::bighug::bighug:
 
Thank you all. It has definitely been tough to accept. Waking up with her licking her lips patiently waiting attentively waiting on breakfast. Tapping my shoulder to say she'd like to lay on the back of my neck while I work on the computer. The laptop bag I leave sitting out for her to scratch. Every empty, quiet room in the house. It all keeps hitting me out of nowhere. I look around imagining all the ideas I had planned for making more space for her this week and now it all seems soo meaningless. And I've got this feeling I don't want to disturb anything because it's the way it was while she was here. I end up just sitting in the middle of the floor looking around. I have managed to pack up her food dish and water bowl, treats and sprays but that emptiness hit hard. I felt soo sure of things, now I'm in a rut wondering where I'll go from here.
 
Be kind to yourself. Don't try to push past this right now.

It was many months before I could bear to stow away my guy's favorite beds. The empty spot in the room would have been somehow even worse than not seeing him curled up where he belonged.
 
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