Help with New Diagnosis

Status
Not open for further replies.

BonserMom

Member Since 2013
Looking for some help/guidance for my wonderful 6-year-old Ragdoll cat, Bonser. Bonser has an interesting health history. He has spent the last three years under the care of an Allergy/Dermatology vet, due to his overfunctioning ear wax problems with ongoing infections and problems. He has been treated with Atopica (25 mg pill) once daily (a drug that suppressed his immune reactions - the animal equivalent of the medication given to transplant patients to prevent rejection). Also, he was receiving 0.1 mL of Dexamethasone in each ear daily. Interspersed with this were various antibiotics, whenever he was diagnosed with an infection.

Over the past few months, we had noticed a ravenous appetite, pooping for four cats, excessive thirst and urination. I started to suspect he may have diabetes, but he seemed fine. Finally, he started acting funny, hiding all day away from us, not grooming himself, and suddenly his appetite dropped off. We went to see the Allergy/Derm vet for a check up, he had staph infection and Aspergillus in his ear wax, and began treatment for another ear infection. I mentioned my concerns to his wonderful vet, who did blood work and exam. He had dropped 1 lb in three weeks. Sure enough, blood sugar returned at 348 the next day, with elevated ALT. So, I was sent back to our regular vet, who hadn't seen Bonser in three years. The next day, blood glucose was down to 296. They ran a fructosamine which came back at 396 I believe. They are referring to him as "prediabetic." So switched to DM food and and set up monitoring glucose at the vet. A week later, glucose was 306.

Now, he is not eating at all, despite our best efforts at both dry and wet diabetic food. He is still drinking and urinating, but is constantly cold (ongoing for about 4 months), sleeping a lot, bad, bad breath (new) and is losing his whiskers randomly, along with not taking care of himself and losing hair. I just have to wonder if my wondercat (who has reacted/overreacted to every known situation - he is very sensitive) has something else going on besides elevated blood sugar - thyroid, pancreatitis, whatever. I just don't know where to turn, but am very concerned he is not eating - or eating very little. Does anybody have any ideas/resources/suggestions for me? Of course, we are going to make another visit to the vet tomorrow to have him checked out, but today he hid somewhere in the house (and wouldn't come out) until it was after the time the clinic closed, despite my searching the house four times in every nook and cranny I could find. He is a very smart kitty, but I know him so well that I know when things aren't right and they aren't right!

Thanks.
BonserMom
 
Most of the symptoms you mentioned are pointing to diabetes, I'd agree.
The one that sticks out though is
bad, bad breath (new)

Bad as in tooth decay, infection? Or does it smell at all like nail polish remover? That smell would indicate "ketones", and possible ketoacidosis, and really needs vet attention asap.

But I'm thinking if his breath is really bad, could he have a big tooth problem? That might explain his reluctance to eating, and the infection and/or pain could also cause elevated blood sugar numbers.

Has he had a dental checkup recently? I think that's what I'd ask the vet to look for tomorrow. And a thyroid test might be a good idea too, as some of the symptoms mirror those of diabetes.

Let us know how the visit goes tomorrow?

Carl
 
I'm sorry to say your cat is not "prediabetic" but he is a diabetic cat that is being untreated. It could have happened for many reasons but for now you have a very sick cat. I'm worried about the bad breath. When a cat has diabetics they can develop ketones which can be VERY SERIOUS especially in a cat that is prone to infections.

You need to find a vet to treat the diabetics .... and how a vet could look at those BG #s and not know that worries me. A normal BG for a cat is between 60-120. Excessive thirst, urination, losing weight, etc. classic symptoms of diabetics. He needs to eat. Wet cat food with few carbs, like fancy feast classics. (there are lists)

You are a good Mom but you need to understand how serious this is. IF the bad breath is ketones and he isn't eating he could go into DKA, which believe me is very serious and life threatening. You need to treat the diabetics NOW.

When you post again let us know where you live and we may have someone near you .... (city, state) we will help you but you must realize that you are in a serious place and have been for awhile .....
Nancy and Payne
 
Thanks for the reply. I realize that his blood sugars are running very high - and I have felt he is not prediabetic but diabetic. I live in a suburb of Minneapolis/St. Paul, so was going to look to see if there were any Endocrinology vets....who specifically treat cats. Any help you can provide would be greatly appreciated in that regard. I know, another mortgage on the house for my little guy - but I hate to not try to help him if I can.

BonserMom
 
I'm so sorry your kitty is going through a rough time. My cat has been diagnosed for only a month, so I'm still very new to this, too. But know that getting a diabetic cat regulated on insulin can do wonders to recovering them to their normal selves. Ragdolls really are just the best sorts of cats. I've got a 5 YO ragdoll (Gus) who is just the sweetest sweetie in the history of sweets. I hope your Bonser is able to be quickly diagnosed and you can get him on the way back to health.

Could you do a quick breath check -- does his breath smell like acetone (nail polish remover/rotting fruit)? If so, you should probably get him to an emergency vet tonight. DKA can kill quite quickly and the sooner he gets treatment, the better. Here's some information about ketoacidosis, that you might think of looking over: http://www.felinediabetes.com/ketones.htm For what it's worth, you can also get ketone test strips at department stores, pharmacies, and other places that sell diabetes testing supplies. So long as he's OK with your hovering around him as he pees, it's quite easy to test for ketones and it can be a real stress-reducer to know that his urine is free of ketones.

Good luck with finding a vet! And (so long as he's not DKA), don't panic. 300+ may be diabetic, but it's not an outlandishly high number. He's not in immediate (i.e. right this minute) risk, but you should definitely try to get him treated quite soon. (And don't worry too much about the cost -- it's actually more affordable than you might think!)
 
I sent a message to Robin, a member who lives near you, and asked her to drop in if she had any local vet info.
Carl
 
Hi BonserMom and welcome to our group.

I'm Robin, I live just west of Minneapolis. There are a handful of board members here.

I think with all of Bonser's medical issues I would head over to the U of M Vet Hospital. Carolyn and Latte swore by them, if I remember correctly she said that after the initial intake costs (they will want to run all of their own tests) they were comparable in cost to other vet clinics. Correct me if I misquoted you Carolyn. Sadly I never did find a good FD Vet.

I'm going to agree that if he is not eating you should have him seen by a vet today, things can go bad fast when they stop eating.

Also to get you started I have a Relion Micro or One Touch Glucose Meter you can have (your choice) the strips for the One Touch are more expensive than the Relion, they are my last back up meters, I had quite the collection going.

Let us know if you need help with anything.

Robin
 
Status
Not open for further replies.
Back
Top