HELP! Ketoacidosis

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cookiesmom

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My cat, Cookie, has just had a violent end to our honeymood phase. She is currently at the vet getting fluids. Her sugar, which started in the 500s back in November, is down to the 270s, so the Lantus is working, just not well enough. The vet said yesterday that when they tested for ketones the strip was solid brown. She's lethargic, not eating, not drinking, and just over all bad. Is ketoacidosis something she can bounce back from? Is it worth the cost and pain to Cookie? I'd really love some advice, as I currently have a migraine from crying so much. Thanks in advance!
 
I forgot to mention she was receiving fluids and insulin all day yesterday, and was force fed a few times, but spent all night last night throwing up. I don't know if that makes a difference or not in the outcome.

Larry and Kitties said:
Sending purrs and prayers.
Thank you!
 
No real advice just wanted to give you a cyber hug and send Cookie prayers and purrs for a speedy and complete recovery. I so far haven't had to deal with DKA (knock wood) but I do know that I have seen several kitties here recover from it. But as Larry said only you can decide if it is worth putting Cookie through it.

Countless hugs and prayers,

Mel, Maxwell and The Fur Gang
 
I really appreicate the well wishes, thank you. While cost is an issue, I'm mostly worried about the toll it's taking on her. I hate knowing she's in pain. Does anyone know if pain meds help?
 
tested for ketones the strip was solid brown.
A urine test strip for glucose will go all the way up to a solid brown. A urine test strip for ketones will go all the way to a dark purple. Was the vet talking about her glucose?

As for fighting for Cookie, so worth it. Mishka was in DKA several times when I first adopted her....she is prone to ketones even with good numbers.......and almost 8 years later is still with me and doing great. Expensive and a cat that is sick and has high ketones or is positively in DKA should be at a 24/7 ER to be treated. A regular vet with normal hours cannot, in good faith, do the care that a DKA cat needs.

Cookie is young and can definitely pull through this.
 
Hope + (((Baby)))GA said:
A urine test strip for glucose will go all the way up to a solid brown. A urine test strip for ketones will go all the way to a dark purple. Was the vet talking about her glucose?
I honestly don't know. The vet doing the testing is a diabetic, so I wouldn't see her getting them confused. However, I was crying and that was clearly making her upset, and I could very possibly be mistaken as to what she said. I'm taking someone else with me today so they'll hear what's actually being said. I'm waiting on my morning update from them (she is consulting with a second vet this AM). I'm sure they're redoing any necessary tests though before calling. Our emergency vet clinic will not hold animals for treatment. They only take them between the hours of 6 pm and 7 am, and then you have to pick them up and take them back to their regular vet.
 
The vet just said she's not keeping down any food, and her liver enzyme test results are getting worse. Basically, she's not getting any better and most likely won't, regardless if we continue treatment or not. Thank you for all the well wishes.
 
I just want to add my best wishes, as I have a cat who has gone into DKA FOUR times, and almost died each time. You can't give up hope! in the beginning it seems as if they won't make it but the will to live is strong! I would find a 24/7 ER vet practice if you can, moving a really sick cat is difficult. My prayers are with you.

Nancy and Payne .....
 
Hi,

First, I am sorry.

My 15 yr. old cat Kitty had DKA 4 months ago. I came in the house and found her literally unresponsive. I thought she was experiencing hypo-- so, I grabbed my meter and checked her bg-- mid 400s. I knew something was terribly wrong. I took her immediately to the Vet. She was in DKA-- very ill. I was not sure she would make it. Her bg stayed above 600 for 3 days. BUT, she survived and is now doing well.

Please do not give up hope-- I am sure glad I didn't. I agree with Nancy-- find a 24/7 vet.

Keeping you in my thoughts and prayers.

Kim and Kitty (DKA survivor)
 
One more thing I wanted to add.

I transported Kitty between the ER vet at night and her regular vet during the day for treatment.

Kitty also had high liver enzymes during DKA.
 
My kitty had DKA around Christmas time of 2005 I think it was. I took him to the ER in the middle of the night where he was diagnosed. Because the next day was Monday, and they (used to) close at 8:00am when most regular vets open, I was instructed to take him to a 24 hour hospital where he could be monitored all day and night. I had a choice between one to the east that was 90 minutes away or one to the west that was 90 minutes away. Alas, at 7:00am on a Monday morning, with all the commut traffic, we were headed to the University of Pennsylvania Veterinary Hospital in Philadelphia, with J.D. in critical condition. He made it, but it was scary. Each day he stayed there became a little less expensive. He started at the most expensive, like critical care, and then a day later was transferred to ICU (I think it was called, I am soooo bad with medical terminology), stayed there for 2 or 3 days, and then was transferred to Internal Medicine, which was the least expensive (like $120 or $150 a day, I think, it was a long time ago). In total he was hospitalized for 8 days. Each day he would get just a little bit better. The first day he recognized me, but just laid there. The second day, he lifted his head, when I came to visit. The third day, he I actually saw him get up for a sec to reposition himself. The fourth day, he got up and came to me, crawled into my lap, with a tube in each leg, weak, and with yellow (urine) all over his white legs, but he got up and came to me and got into my lap :razz: God, that was a good sign. Then, on the fourth day, he also began to lick his stained yellowed fur, and I knew that was a good sign. Every day that passed, he got a little bit stronger. He had to have two blood transfusions, and I don't know what all else, but he made it. He would not eat the whole time he was there, even I tried to bring him treats and his favorite foods, but he just would not eat. He had a feeding tube in, and the vets said he could go home as sood as he was eating. Well, now it was almost New Years, and they finally let me take him home with the feeding tube. What joy it was to get my baby home. The feeding tube lasted like a day, and he was soon eating, and gaining weight, and getting stronger and happier.

I hope I didn't say too much, or ramble too much. I just wanted you to know that they can survive through this, and many kitties on this board have gone through this. I wish you the best, and send hope to you, and strength and will to your Kitty. Oh, and wisdom to your vets ;-)
 
My cat has had three episodes of DKA. The first was the worst and the most expensive. If you can afford the care, most cats do survive DKA. The serum ketone level and the PH would be the most important factors in how severe the ketoacidosis is, not the color of a urine strip. Keep everyone posted and you can get more feedback. I spent many sleepless nights while Nomad was in a DKA episode. I agree it would be better to find a 24 hour vet in your area if one is available. Don't give up; there are many other cats who have come out of DKA. My cat Nomad is in remission now and hasn't had insulin in over two months. We have our paws crossed for you!!!
 
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