I need an expert, if possible

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jesmar

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Is it automatically true that a diabetic kitty would die of hepadic lipidosis if they were pulled off their insulin prematurely?

My kitty had DKA and died of hepadic lipidosis after being in the hospital for a few days. They said it happened because he wasn't eating. I took him off his insulin and a week later, he stopped eating. (His BG read better off insulin than on it).
 
Link from Health thread today:
viewtopic.php?f=3&t=8188&p=81553#p81553

DKA thread from health Feb 27
viewtopic.php?f=3&t=7656&p=77251#p77251


Hi there

I'm sorry for your loss, I don't have any advise to offer, other than, maybe talk to your vet to explain things a bit clearly.
I've linked your previous threads from health, so others can easily view what happened up to this point.

Others will be along to offer suggestions, in the meantime, I hope you will be ok, and to find the answers you're looking for.
 
Dr. Lisa (Lisa Pierson, DVM) does consultations. I have no idea what her fees are. You would also need to provide her with all of the laboratory values.

What I can tell you from my experience is that when my cat was diagnosed with diabetes, she also had diabetic ketoacidiosis (DKA), hepatic lipidosis, and pancreatitis. My own vet and the one at the emergency referall center (essentially an intensive care 24/7 facility) both informed me that many cats do not survive the electrolyte imbalance caused by DKA. Gabby and I were very lucky in that she literally began to turn around over night. HL is also a very serious condition. The vets at the emergency center were very concerned about making sure that Gabby was getting food and was not nutritionally compromised. They did fairly extensive testing to see what condition her liver was in.
 
I'm so sorry for your loss. :cry:

One thing I want to say is that even though there are quite a few cats on this board who are survivors of DKA and HL, the sad truth is that most do not survive. It is a very, very tough combination of conditions to beat. That's why I believe my Lucy is a miracle (and I don't feel like I did anything special to make her survive, other than writing some big checks to the vet. It was all the cat's doing combined with a lot of luck.). Please don't feel like you did anything wrong, it sounds like you tried very hard and did everything that your vet advised you to do, and more. I know you loved your kitty and you miss him. :sad:
 
thanks to all the people that responded...

Libby and Lucy --I did do something wrong. I think I killed my cat. I just want to die. My kitty was happy and playful two weeks ago. He was on Lantus for over two years and then I took him off. He was on .5units and I couldn't regulate him at less or more than that. There was a time, a while back, when he would go down to 20 and 30 at .5units, so in my mind, I was giving him too much insulin. Maybe it wasn't enough. I don't know. I decided to take him off the insulin for a week. A week later, he was reading 175 consistently. I got a 120 at one point. I ran a curve. He seemed okay. That was better than the high 200s he got on .5units and then he'd go to 150... A few days later, he stopped eating. I never had a cat before. I don't even like cats. I mean, I love animals but I was never drawn to cats. I didn't know it was dangerous for them to stop eating. I waited too long to take him in. They said he had DKA --but his readings were 175. Hard to understand. And then, later, at another clinic, they told me he had jaundice and hepadic lipidosis. I'm so upset and I don't know how to deal with it. I haven't eaten anything in about 4-5 days. I can hardly sleep. I'm so mad at myself. I don't think I will ever forgive myself. I am shedding tears like an ocean, nonstop. Why did I take him off the insulin? I thought it would do better. A vet told me it might, that I could try glipizide instead of insulin, I never thought for a second that it wouldn't be safe. Now, his attending hotshot board-certified vet says he died of hepadic lipidosis. He didn't eat so he got HL. I feel like I should starve myself, just to pay for what I did. And I meant well. All I've ever wanted is to keep my kitty happy. I've spent hours, days, weeks, months on this cat. I love him so much. I hate this more than anything.
 
It's going to take some time to get passed this. Please don't be so hard on yourself, you need to care for yourself too ok?
If it helps you, we do have a grief forum with many members who can offer support and a friendly word, do take full advantage of that forum.

From what I can tell reading your past threads, you did everything you could for your kitty. Just know he is safe and running around happily, you did all you could, take your time to heal and collect your thoughts. Is there any family member or friend you can call to talk things out with? Reach out as much as you can ok?

(((((hugs))))
 
Jesmar,

I am so sorry that you lost your cat. Many of us here, sadly, know how you feel. But please, don't blame yourself.

I feel I can speak to this directly because a year ago this past October, I lost a very beloved little dog, and I was convinced it was because I made a couple of mistakes. I was just distraught. As time has passed, I have come to see that, in fact, I probably DID make those mistakes. And it they might very well have been the things that caused my dear, dear dog to die too young. But, I meant well. I thought I was doing the right thing.

I don't know if you made any mistakes. As time passes and you can be more objective, you will probably learn the answer to that question. And if you made mistakes, you can learn from them and move on, knowing that your kitty would forgive you and you need to forgive yourself.

Do you have friends you can talk to and who can help you get through this? Because its hard--too hard--to deal with these kinds of feelings alone. Don't go through this alone.

(((( ))))
 
Jesper, I am so sorry you feel like you do. Grief is hard, and even harder with animals, I think, sometimes.

It is all right to cry - to scream, to rage, to miss him, to wish things were different. It is completely understandable and utterly reasonable. You did as much as you could, and you did what you thought was right. You loved him; and he loves you back. Yes, loveS, because I believe he still exists, both in your heart and at the Rainbow Bridge. There is no-one to blame for this...it is what happened, and you were doing what you thought was best for your baby.

It is perfect and right and expected that you have a lot of grief. Let yourself feel it, experience it, and don't put it 'away' from yourself. But also, please PLEASE don't punish yourself...you do need to eat. You did not kill him. Your baby died, yes, but you didn't kill him.

Hugs and prayers and lots of tears here for you...I know how you feel, and I understand. I understand the guilt, right or wrong, and I understand the self-anger. But you won't make things right by not eating, o.k.?

My deepest love to you.

Michele
 
I am so very sorry for your loss. Please do not feel like you killed your kitty. I have been reading your posts, and know you did everything you could to help him. I understand too well how you feel. A few years ago I lost a cat that I had adopted from a friend who had to move and could not take him with him - it was so hard for him to leave his kitty. His kitty died under my care, due to choices i made when he became ill. It took me time to realize that I did the best I could. In time you will realize this too. Allow yourself to grieve, but remember the friend that will continue to exist in your heart, in your memories. I understand the guilt you feel, right or wrong, and the self-anger. Take care of yourself, remember the good, the love that was your kitty.
 
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