Lisa's Murphy - Disappointing News -- Diabetes Back

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missmurphy2010

missmurphy2010

Member Since 2011
Well, I'm baffled, but believe it all too well. Murphy's CRF diet has thrown her right back into it. Last night, 336, this a.m., 399, and 1/2 hour ago, she was 264. I've got to find some sort of diet that is high quality protein and low phosphorus until she needs a phosphorus binder. If any of you have any ideas on a good quality protein diet, please let me know.

Also, she cannot eat Wellness any longer b/c it is too acidic, and I think would make her kidneys work that much harder.

I'm so disappointed. Yesterday, I put on Andrea Bocelli, she loves him -- knows his name -- and I sang to her, she squints her eyes at me, like "I'M SO AT PEACE MUMMY!"

Thoughts, Lisa and Murphy
 
Maybe I am speaking too soon. I gave her half Merrick GF tonight and 1/2 K/D tonight and she was at 96. So, this is a prime example of "there really is something to a low carb diet!"

:)
 
Murphy's fructosamine is 453! But, vet doesn't want to introduce insulin. I'm baffled by this! This is diabetes if I'm seeing this correctly. The entire weekend, she was in the 300s, and reached 400 yesterday! Thoughts?

Lisa and Murphy
 
I was sorry to hear Miss Murphy is back with high bg. I know this is a disappointment for you. You are in my thoughts and prayers. you know we are here for you.

Pattie
 
missmurphy2010 said:
Murphy's fructosamine is 453! But, vet doesn't want to introduce insulin. I'm baffled by this! This is diabetes if I'm seeing this correctly. The entire weekend, she was in the 300s, and reached 400 yesterday! Thoughts?

Lisa and Murphy
Click to expand...

But if that 96 was correct, she came back down with no insulin, right? I would keep testing. See if she rises and then drops after eating, indicating she is trying to self-regulate. If that doesn't happen, and she just stays well above normal, then show the numbers to the vet, and tell him you want a prescription?

Carl
 
I cannot decide what to do. If I start using the Vetri-Science DMG again, it's possible her BG will stabilized. I used it a few times this weekend, and she came down quite a bit. Her numbers were 336, 369, and 399. Also, one day last week (I think) she had a 417!!! Even at her worst, she was in the mid 200s, never 300s, and certainly never 400s.

I can't get passed the not wanting to keep her on a higher protein diet. I could use a phosphorus binder to decrease that, but she's early stage ii, so, I'm confused -- I just can't decide on this. This is sort of like a make it or break it decision, you know?

Everyone I speak to says the exact same thing -- get that BG controlled and switch off the K/D diet. I've always made such good decisions with her health, but this -- this is far beyond what I expected to have to do.

HELP!!

Lisa
 
Lisa,
I've never had to deal with CRF issues, so I'm no help there. Other's here have and I know they'll be able to help once they see this.
Carl
 
I offered Latte grain free wellness, fancy feast, evo, and instinct after she became diabetic. Merricks would have been a nice choice, but she would not eat it. She also had CRF, IBD/lymphoma. Prior to the IBD/lymphoma and 2.5yrs into the ARF/CRF, I fed Friskies.

I did not spend much time worrying about diet for the crf, to be honest. I know some people may gasp at that, but we can only do so much at times. I was more concerned about making sure she ate enough food, period. If her phos levels rose, I threw in a binder for a while. The only values that made significant changes while feeding her the foods I listed were bicarb and things related to Metabolic Acidosis. I continued to feed her the same foods and treated the MA. Though she remained borderline the rest of her life, it pretty much resolved. There is no indication that her diet led to MA.

Lisa, you just do the best you can. If you do not already have this link http://www.felinecrf.org/canned_food_usa.htm, it lists a lot of foods/values for CRF. You can compare them against Janet and Binkys chart and find the best match for her.

Hang in there!

ETA: Do keep watching those BG's. Kitties with CRF are more prone to UTI's. Throw in high BGs (spilling sugar into urine) and then you are dealing with another issue. I would say start treating sooner than later to avoid this possibility.
 
Murphy was 97 around 4:30 this afternoon, and I fed her her little pre-dinner meal at 6:00 and she went to 185. But, if I continue on the K/D diet, which she has had with very little to no dry food, this is going to be very problematic.

I believe I need to (a) get another opinion and (b) change her diet. She could be thrown into diabetes needlessly just b/c someone wants to be cautious. I am not into the "lets look at it later," idea, and I'm sure no one else would be as well.

So, I added the Evo chicken and turkey, which has a good protein to it, and only 0.88% phosphorus. Either way, she's trapped and so am I. I just hope and pray that the decision I've made is the right one, even though I know she will not be here forever.

I think that stalling at the inevitable, and just sitting by and letting it happen is not in the cards for her. This would seem to be a more proactive approach to me (i.e., the decision I'm making).

Lisa
 
I agree on getting a second opinion.
Carl

P.S. Happy Birthday!
 
UPDATE Re: Lisa's Murphy - Disappointing News -- Diabetes Ba

Murphy will be getting a second opinion from an internist. It occurred to me that my vet (every time I call), has all morning and all afternoon appointments open. This is somewhat strange to me, don't you think?

Regardless, I'm combining the EVO 95% turkey and chicken canned and the K/D together for a while to see how she does, but I couldn't believe her labs weren't more paid attention to Check this out! I am furious about seeing the amylase and lipase alone, as this appears to be the start of pancreatitis. But, she isn't truly diabetic. The K/D diet would have thrust her into it by tomorrow I'm sure, but as of today, the BG has stabilized since I've been tinkering with this. SHE WILL NOT GO THROUGH THIS AGAIN!

Do, I see her BG below, and then her fructosamine at 453, and she wants to wait on insulin? Don't get it, and so I'm taking the steps. I know Murphy and no one knows but me how much she's been through. Waiting and seeing is not a game I can play with her. Murphy requires proactive attention.

It's amazing to me that now today, she seems to actually feel better. I think she was starting to get really sick (i.e., hyperglycemia and pancreatitis).

Total Protein 8.5
Albumin 3.7
A/G Ratio 0.8
AST 24
ALT 74
Alk Phos 49
GGT 2
Total Bilirubin 0.1
BUN 39
Creatinine 2.9
B/C Ratio 3.8
Glucose 318
Calcium 10.5
Magnesium 1.9
Sodium 157
Potassium 5.5
Na/K Ratio 29
Chloride 115
Glucose (Urine) 1+ Negative High
Fructosamine 453
Amylase 2390
Lipase 243
 
Hi Lisa-
I was wondering how the crf diagnosis came about?

Without a list of normal ranges, it is hard to know which ones are out of whack. Yet, the one that sticks out to me is a slightly higher creatinine and barely elevated BUN. I guess I would expect the BUN to be higher. Elevated creatinine can be an indicator for pancreatitis, especially if the BUN is normal.

Some of the other values which are slightly raised can be contributed to dehydration, and/or pancreatitis.

I would keep an eye on the potassium. Again, I don't know the normal ranges for Murphy. Seems like it is creeping up high enough to pay attention to.

Did they measure phosphorus levels? Those would be important to know so you can add a binder to her food if needed (that way she can eat anything!!! :mrgreen: ).

Have you seen this page, discussing blood chemistry panels for cats with CRF?
http://www.felinecrf.org/diagnosis_blood_chemistry.htm#BUN/creatinine_ratio
I found it really helpful when I had questions about Latte's labs and what I should be paying attention to.

I think seeing an internist is a good idea. For some reason, I thought you liked your vet?! Or did you switch vets recently?

Anywho, I am glad she is feeling a tad better. I hope you get some answers soon.

Happy 4th to you!
 
I had to make a switch in vets a few months ago. However, this vet, who Murphy initially saw, is more dogmatic with prescription diets, etc., and just wanted to have the "wait and see" approach with the glucose, which in my view, is a huge mistake. I also think that the Wellness she was on before, with the berries in it, might have contributed to some of the more acidic urine, maybe causing her kidneys to work a little harder. The EVO 95% has no fruits in it.

Today, she seems bright eyed and bushy tailed! I started her on Astro's CRF Oil, which is a supplement for CRF kitties. It's too soon to tell, but nothing bad so far.

After all the mistakes in the past the vets have made with my girl, I know what's best I've come to conclude. Every time I've seen a change, and a change has been suggested, I've always went my way, and with good reason and ENDED UP BEING RIGHT IN THE END. I know her, and no one else does. And, this is no surprise to me that the wait and see approach is so easy for them to say. Well, either way, the diabetes would be a whole new set of problems, a myriad more than a triad of systemic illness. I'm protecting her as best as I can.

Lisa
 
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