Hypoglycemic episode...not recovering :(

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mamairv

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Hi, I am new here and need some advice!
My husband and I went away for a couple of days and left our pets (4 kittens, 3 adult cats, and 2 dogs) with a trusted housesitter and petsitter. She called us @ 10 pm on our second night in Florida to tell us she had found Kitty B (our 14-yr old diabetic kitty) in our bathroom, immobile, having seizures, and unresponsive. My first thought was that perhaps her blood sugar had dropped so severely that she had a hypoglycemic episode. We told our friend to rub corn syrup on her gums to get her blood sugar back up and hopefully help her get better. She stayed up until 3 am doing this. After a sleepless night, we rose early and headed home. The petsitter took Kitty B to the vet at 7 am, as soon as they opened. I called the vet to let them know what had happened, so they had a heads up when she came in. When she arrived, her blood sugar was normal, so either it was not a blood sugar issue OR the corn syrup did its job and stabilized her glucose levels. We're not sure how long she was laying there (she often stays upstairs to avoid the kittens and our dogs, so it wasn't a surprise that she wasn't around a lot during the day), so she has suffered some neurological damage.
Its been a week now and she is home (after 3 days at the vet hospital to the tune of $500+) and she remains blind and immobile. She does respond to our voices, however, and seems to want to be near us as often as possible. She is still unable to eat so between the vet and us here at home, she has been syringe fed at every meal. She was taking her entire meal as directed, but yesterday and today have been BAD. She is trying to scoot around, but refuses to eat and pretty much just lays there with her eyes closed. She is running a fever and has been taking antibiotics twice a day with food (though today has been tough getting her to eat at all so she can get the meds). My husband and I are taking turns sleeping with her in the guest room, up every hour to check to see if she's ok, having seizures, or perhaps has urinated on herself and needs cleaning.
I guess my question is this: Has anyone here had a cat experience something like this? And if so, did they recover? Our vet is telling us it could take up to three weeks to recover if the attack was severe enough. Its been one week and, though tough, we will endure it if there is a chance she will recover. Everyone keeps telling us to forget it, its not worth it, just put her down, etc., but she is like our first child. We just can't. If she continues to refuse food and seems to give up, though, maybe its the right thing? I am just so upset over this whole thing and can't stop worrying about my baby! Please...any advice would be so greatly appreciated. Thank you!
-Anna
 
Hello mamairv,

I'm not a vet, so I can't advise you in that regard... but I also feel like if your regular vet told you to give it three weeks then what's the harm in it? Your kitty sounds like she's in bad shape, and if/when it's time to say goodbye that will probably become apparent. Waiting another couple of weeks seems like a chance that you should at least consider taking.

Regardless of what happens and what you decide, nothing but the best of wishes sent your way, and a speedy recovery for your kitty.
 
How long has she been diabetic? What is the dose and type of insulin? Who gave her the dose of insulin before this episode, you or the pet sitter?

Lana
 
Hi mamairv,

It's hard to say from your posting what exactly is going on. Does the vet think it was a hypo episode or some other kind of "attack"? The presence of a fever suggests maybe something else that caused things to go haywire. Ketones are also something that could really wipe a kitty out. She might feel much better when/if an underlying issue is resolved. It sounds like there may be some encouraging signs with Kitty B - she responds to you, she has started trying to 'scoot around'. It might even be a good sign if she is getting strong enough to object to the syringe feeding. Could you try to hand feed her? She might not mind that as much. Antibiotics are also notorious for giving cats an upset stomach, so you could maybe ask the vet about trying a different one.

Even if Kitty B has had some neurological damage, cats are really resilient, and can still have happy lives. I have a cat with hydrocephalus, Zoe, that I once had to syringe feed and give fluids to for a couple of weeks because she refused to eat after having an MRI. She eventually recovered and has been going strong for 7 years since, although she does fall off the furniture from time to time.

I don't really have any answers, but just wanted to send you some encouragement. What you are going through is really tough - You want to be able to fix things right away, but sometimes it just takes time - especially if there are a bunch of things going on with Kitty B at the same time. It's really important to give yourself some extra care during this time so that you are less stressed and can make any decisions you might need to with a clear head.

Sending good wishes to you and Kitty B!

Jackie
 
Thank you so much!!
Yeah. we love her to pieces so we are definitely going to give it the whole three weeks (or more, if it seems she's not in much/any pain). We don't want to lose her if there's any chance for a recovery. She has lived with diabetes for three years now and never had any issues until now.
Right now the best guess, since we don't know for sure what happened, is that she stopped eating when we left town, yet continued to get her insulin dose every day. She was getting 3 units a day of her insulin after eating. The petsitter can't remember seeing her eat anything, but gave the correct dosage (we made sure of that!!)...we should have clarified that she MUST eat in order to earn her insulin. That was our fault. :(
Of course, this is just a guess, since all her bloodwork came back(and continues to come back) completely normal, including the blood sugar levels, and she's been off the insulin ever since this happened! So confusing. Part of me wonders if maybe she just had a stroke or something. Weird. The fever didn't start until her 3rd day in the hospital (the day she came home), so I am wondering if maybe the bloodwork they did on the last day just didn't catch what was going on there. I might call about that, for sure. I've been sure to get her to take the antibiotic with food and water, but it has become more difficult since she is resisting food now.
I have tried feeding her by hand but she just clenches her jaw shut. I can sometimes manage to get the syringe in her mouth by poking it through on the side...but I just checked on her and her tongue is hanging out of the side of her mouth as if she can't control it enough to keep it in her mouth.
Ugh, this is so hard. I blame myself because if we had been home then at least we know she would have been eating, so we would know more about if this was or wasn't related to her diabetes.
Thanks again for the encouragement. She is truly like a child to us, so this whole thing has been so very hard to bear. :(
 
I'm so sorry that kitty B is feeling so bad. I don't have any real advice, just wanted you to know that you are in my thoughts. As far as putting her to sleep, I truly think that our furbabies will give us a sign that it's time. If she still has some fight in her, let her fight a little bit longer. Please keep us updated. I truly hope her condition improves. :YMHUG:
 
I'm sorry for what you're going through.

Did the vet check blood pressure? Did the bloodwork check pH level of the blood or electrolytes. I'm also wondering about ketones as others have mentioned and curious about the potassium level.

Not keeping her tongue in her mouth, that does not sound good at all. I'd want her at a clinic getting IV fluids to keep her hydrated and she may possibly needing a feeding tube at this point. I'd also recheck the blood, things can change quickly with our little ones.
 
I am really concerned about no food going in. What are her BG levels? Are you testing her urine for ketones? Not eating can bring on hepatic lipidosis (often called fatty liver disease), and it's super serious. She also sounds dehydrated. May I suggest that you bring her back to the vet today and have her put on fluids? They also should run a full blood panel, checking for potassium levels, white blood count (for infection), and blood ketones. And seriously consider having a feeding tube put in. Please read Dr. Lisa's fabulous article on feeding tubes (and feel free to print it and take it to your vet) : http://www.catinfo.org/?link=feedingtubes

I am so sorry that you are going through this. Please know that we are all worrying along with you.
 
If it has been 2-3 days of nearly no food, she may need hospitalization and a feeding tube.
Too much time with inadequate calories may lead to hepatic lipidosis, a severe and potentially fatal illness in cats.
 
It is really important that your kitty eat almost a normal amount each day. If she eats a significantly reduced amount or none at all, then she is at risk of hepatic lipidosis, which is a liver disease. You guys really don't need that on top of everything. Talk to your vet about putting in a feeding tube tonight or tomorrow if she really won't let you syringe feed her.

It really does sound like it is the hypo coupled with something else, maybe a stroke like you were already suspecting. Kitties are resilient, so I hope and pray that she recovers in these next weeks. She is so lucky to have a loving and dedicated family!
 
Mamairv,

I'm so sorry to read about this and it breaks my heart.

And I know this is unproductive but I'll say it anyway -- I'm really mad at your petsitter. Pet sitting isn't just coming in and feeding and playing with the cat. It's about being prepared and knowing what to do in case of emergencies. Even if she didn't know to feed the cat with food, why didn't she take her to the ER?

I'm not one of those people who think my cat is my baby but I can't help but think that if this was a child and your child was in that condition, your petsitter would be hauling your kid to the ER ASAP. If it's a financial issue, as the pet sitter, I would've paid for it out of pocket to cover my butt. Cost of the ER would be cheaper than a potential lawsuit from the owners.

Sorry for the rant. Just upset that and that Kitty B paid the price for her ineptitude. Please give Kitty B an extra hug from me and Junior.

Bonnie
 
Thank you so much everyone! I truly appreciate all your thoughts.
I really, really wish we were in the position where we could afford more extensive vet care. :( Unfortunately, my husband has been out of work for a few years now (and we're lucky to have him as a stay-at-home dad for our kids), so with my one salary we are struggling enough as it is. :( We talked with the vet and decided that, at her age (15 yrs) she's going to have to decide to make it or not. I hate how that sounds, but its the truth.
She is doing better, though...Good days and bad days. Some days she's got her head up, scooting around, trying to get up (but still can't)...and then some days she just lies there panting. We're giving her small amounts of food and as much water as she's interested in drinking (both by syringe) pretty much every hour. She's doing MUCH better with that rather than every 4 hrs like the vet suggested. She's keeping her food down and eating/drinking well, so I am encouraged by that.
We're going to give her as much time as she needs. As long as she keeps eating and drinking and doesn't seem to be in pain, we'll give her the best care we can. I am so glad I'm a teacher so I'm home for summer and can help share the burden with my husband. I can't imagine having to care for our two human kiddos AND worry about Kitty B's constant care all by myself.
I will keep you all updated. If you know of any cost-friendly ways I can test her and keep a closer eye on her, please let me know! I truly appreciate all the advice/comments/concern. Thanks so very, very much!
Anna
 
My horse vet always says that there are few things that a vet can do that are as important as loving supportive home nursing care. She is getting this in abundance - don't underestimate its value in how far she can recover.
 
Hi Anna,

I'm so glad to hear that Kitty B is hanging in there - hopefully the good days will soon outnumber the bad days as she makes more progress. It's really excellent news that she is eating and drinking well - that's fewer things you have to worry about, and also a sign that she isn't feeling too horrible...

As far as monitoring goes, I would keep an eye on her BG. She might not have completely lost the requirement for insulin just because of this incident, whatever it was. It wasn't clear from your posts whether you were home testing or not. If not, it's something to consider because it doesn't have to be all that expensive and it's really important information. Plus, you have the advantage of her not being able to put up much of a fight about it at the moment! If her BG is getting higher, she could be weak because she still needs a bit of insulin to help her utilize the food. If you do find that you need to start her on insulin again, I'd start at a lot less than 3U, maybe 0.5U and keep an eye on her BG to see what happens. The other thing to monitor is ketones. You can get the strips to test her urine pretty inexpensively (~$18 for 50 strips at CVS). Monitoring ketones can help you head off any problems with ketoacidosis, which is a really expensive (and dangerous) problem.

You are doing great so far!!!! Keep hanging in there. Good thoughts to you and Kitty B!

Jackie
 
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