More help needed for Mum cat -foods for diabetes AND kidney failure...

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I agee with all that @Veronica & Babu-chiri is saying... the kidney values could be worse at the moment following the recent illness, but may improve once she gets better. Seeing some previous results would be very helpful. We have seen this happen before here on the forum.
I would also not rush into a phosphorus binder until you know if the kidneys have actually got worse, or are temporarily worse following the illness. Her phosphorus levels are within normal limits at the moment and should not need the binder.
I would ask for a repeat blood tests in a few weeks to see if they have improved.
As Veronica says, SubQ fluids may help bring the kidney levels down.

I also used cooked egg white for Sheba who had early kidney issues. Here is a useful link
http://www.felinediabetes.com/FDMB/threads/home-prepared-diet-of-crd-cats.150441/

With the recent ketones it is extremely important that Mum eats plenty, so at this point give her whatever she will eat. Food helps stop ketones from forming. Also really important that the insulin is given and plenty of fluids.
Are you testing the urine for ketones daily? It is really important you do this with a recent ketones illness.
 
Thank you again. Mum refusing food again... her reading was horrendous at 9 London time 32.4! I gave her her insulin regardless of food hoping it’ll bring her levels down and she’ll want some food.. what the hell is going on? Offered 3 different foods... ps. Now eating a few biscuits.. all incredibly puzzling.. totally refusing her normal food..
 
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Zee said:
Thank you again. Mum refusing food again... her reading was horrendous at 9 London time 32.4! I gave her her insulin regardless of food hoping it’ll bring her levels down and she’ll want some food.. what the hell is going on? Offered 3 different foods...
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Sorry to hear Mum isn't eating, Zee, it's so important... have you tried the usual tricks, sprinkling some Parmesan on top of her food, or a little tuna (in water) - something strong-smelling to tempt her to eat? If it comes to it you can also ask the vet for an appetite stimulant.
 
Did the vet send you home with antinausea medications such as cerenia and ondansetron? If not I would call first thing tomorrow and ask for both. They work on different pathways and can be given together. If Mum is nauseated she won’t eat and eating is very very important following ketones.
Are you testing for ketones each day?
 
Bron and Sheba (GA) said:
Did the vet send you home with antinausea medications such as cerenia and ondansetron? If not I would call first thing tomorrow and ask for both. They work on different pathways and can be given together. If Mum is nauseated she won’t eat and eating is very very important following ketones.
Are you testing for ketones each day?
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No medication. See if I can get some.. I find testing for ketones very difficult! Short of spending the entire day watching her...
 
Diana&Tom said:
Sorry to hear Mum isn't eating, Zee, it's so important... have you tried the usual tricks, sprinkling some Parmesan on top of her food, or a little tuna (in water) - something strong-smelling to tempt her to eat? If it comes to it you can also ask the vet for an appetite stimulant.
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Managed a bit of food and drank some bone broth... WISH I KNEW WHATS GOING ON?.
 
Have you thought about a blood ketone meter?. They are more expensive than Ketostix but you test for the ketones the same way you test for BG.

If Mum is nauseated she won’t want to eat. Im glad you were able to get a little food and fluid into Mum. Keep trying and ask for the antinausea medications
 
Bron and Sheba (GA) said:
Have you thought about a blood ketone meter?. They are more expensive than Ketostix but you test for the ketones the same way you test for BG.

If Mum is nauseated she won’t want to eat. Im glad you were able to get a little food and fluid into Mum. Keep trying and ask for the antinausea medications
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Will do..
 
Bron and Sheba (GA) said:
Have you thought about a blood ketone meter?. They are more expensive than Ketostix but you test for the ketones the same way you test for BG.

If Mum is nauseated she won’t want to eat. Im glad you were able to get a little food and fluid into Mum. Keep trying and ask for the antinausea medications
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Just got some cerenia tablets... hope it makes poor puss feel better..
 
Zee said:
No medication. See if I can get some.. I find testing for ketones very difficult! Short of spending the entire day watching her...
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@Zee, I had the same problem trying to catch her pee plus this is a multi-kitty houshold which makes it even harder. I ended up buying a Blood Ketone Kit...https://smile.amazon.com/gp/product/B07MPCX4DZ/?tag=felinediabetesfdmb-20. As @Chris & China (GA) explained to me, Ketones show up in the blood first before they spill over into the urine. The test strips are more expensive then the urine KetoStix. For this particular meter you get 30 Test strips and 30 Lancet for $27.99. I didn't care about the Lancets but they only sell the strips as a kit. To me it was an investment well worth it. No more pee-hunting. Poke and test.
 
albertresidence said:
@Zee, I had the same problem trying to catch her pee plus this is a multi-kitty houshold which makes it even harder. I ended up buying a Blood Ketone Kit...https://smile.amazon.com/gp/product/B07MPCX4DZ/?tag=felinediabetesfdmb-20. As @Chris & China (GA) explained to me, Ketones show up in the blood first before they spill over into the urine. The test strips are more expensive then the urine KetoStix. For this particular meter you get 30 Test strips and 30 Lancet for $27.99. I didn't care about the Lancets but they only sell the strips as a kit. To me it was an investment well worth it. No more pee-hunting. Poke and test.
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I will most certainly consider this providing darling Mum makes it thru the next few days... vet thinks it’s close...
 
Zee said:
Thank you... we’ve all been there.. all that matters to me right now is that she’s comfortable...
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Ahhh yes... I know you'll do everything you can for her Zee to keep her comfortable... all paws very tightly crossed here that she will rally and come through this...
 
Diana&Tom said:
Ahhh yes... I know you'll do everything you can for her Zee to keep her comfortable... all paws very tightly crossed here that she will rally and come through this...
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On a lighter note she’s relishing being allowed forbidden dry food... the only thing she’ll eat..
As far as I’m concerned she can have anything she wants as long as she eats something...
 
Zee said:
On a lighter note she’s relishing being allowed forbidden dry food... the only thing she’ll eat..
As far as I’m concerned she can have anything she wants as long as she eats something...
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See this morning’s selection...
 

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Diana&Tom said:
Awwwww... she actually looks quite perky?
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Diana her readings this morning were 32.4!! She refused any food so injected anyway than gradually had fed a bit and she ate a little... she looks better than she is alas... we’ll obviously see how we go but the feeding is a real challenge... her readings are all over the place.
Skipped the nadir will test again later..
 
Zee said:
Diana her readings this morning were 32.4!! She refused any food so injected anyway than gradually had fed a bit and she ate a little... she looks better than she is alas... we’ll obviously see how we go but the feeding is a real challenge... her readings are all over the place.
Skipped the nadir will test again later..
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You're doing your very best, Zee, it's so tough I know. Keep trying to tempt her to eat if you can...
 
Deb & Wink said:
Breakfast smorgasbord!!!

Whatever she will eat right now. Don't worry about the "forbidden" food.
Whatever you can get her to eat.
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@Deb & Wink, that's exactly what I was thinking. A Smorgasbord deluxe! @Zee, Mum looks great in that picture. We call it BAR in the Rescue World...(Bright - Alert - Responsive) Keep on doing what you are doing, to get her over the hump, positive thoughts ...:bighug:
 
albertresidence said:
@Deb & Wink, that's exactly what I was thinking. A Smorgasbord deluxe! @Zee, Mum looks great in that picture. We call it BAR in the Rescue World...(Bright - Alert - Responsive) Keep on doing what you are doing, to get her over the hump, positive thoughts ...:bighug:
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Bless you Deb - but she’s totally uncontrolled 37.7 this morning. She most definitely is very very sick. She goes in and out of being alert to drifting off..
 
Zee said:
Bless you Deb - but she’s totally uncontrolled 37.7 this morning. She most definitely is very very sick. She goes in and out of being alert to drifting off..
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Oh poor baby...
I don't know what to suggest but I'm thinking of you and hoping she will turn a corner...
 
Diana&Tom said:
Of course... just give her all your love so she feels safe and knows you are doing what is best for her xx
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I adore madam. I knew when I took her on at age 11+ that this day might come.. she’s one of the sweetest cats I’ve ever known and her trust in me is unbelievable... which is why I’ll do right by her..
 
Whilst on Mum - does anyone who followed her story have a view on chicken bone broth? I sourced pure broth with no additives etc and she loves it. However in view of her kidneys - it appears to have some phosphorous... thoughts?
 
More fluids could make her feel better. Phosphorus content is not important right now.

Food and fluids are more important than carb or phosphorus content right now.

Is Mum dehydrated? Have you tented up the skin? Does it go right back down, or stay in that tent?

Make Mum as comfortable as you can. Keeping our paws crossed for her well being. And yours.:bighug::bighug::bighug:
 
Deb & Wink said:
More fluids could make her feel better. Phosphorus content is not important right now.

Food and fluids are more important than carb or phosphorus content right now.

Is Mum dehydrated? Have you tented up the skin? Does it go right back down, or stay in that tent?

Make Mum as comfortable as you can. Keeping our paws crossed for her well being. And yours.:bighug::bighug::bighug:
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Thank you so much for your ongoing kindness! Mum is drinking - whether enough I can’t tell... don’t think she’s dehydrated.. not keen on eating... had a tiny bit. Also had Cerenia to make sure she isn’t feeling sick... she’s not regulated at all today... keep trying to tempt her.. poor puss...
 
Zee said:
Whilst on Mum - does anyone who followed her story have a view on chicken bone broth? I sourced pure broth with no additives etc and she loves it. However in view of her kidneys - it appears to have some phosphorous... thoughts?
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Her phosphorus levels ain't that high so don't worry about phosphorus content for now, once she's eating normally you can deal with that, dehydration can also cause nausea and lack of appetite, have you given some tough about giving her subcutaneous fluids, that can help with dehydtration, getting her kiddney values to lower which will make her feel better and I think that it could help avoid ketones (not so sure about this last one though)

Also keep in mind assist feeding her specially because of her ketone history you need her to eat
 
Veronica & Babu-chiri said:
Her phosphorus levels ain't that high so don't worry about phosphorus content for now, once she's eating normally you can deal with that, dehydration can also cause nausea and lack of appetite, have you given some tough about giving her subcutaneous fluids, that can help with dehydtration, getting her kiddney values to lower which will make her feel better and I think that it could help avoid ketones (not so sure about this last one though)

Also keep in mind assist feeding her specially because of her ketone history you need her to eat
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Really trying folks... made some scrambled eggs and had to eat it myself... she ate a minute amount of her wet food.. conversation with vet tomorrow...
 
Are you able to get Young Again dry food? Fits both the diabetes and kidney diet and is low in phosphorus. Hoping your sweet kitty starts feeling better soon.
 
Hi all. Just letting you all know that darling Mum has gone. Graceful to the end.
Thank you all for your support.. xxxx
 
Oh Zee...I am so very very sorry. I've been thinking of you this morning and been worried at your silence. Bless your heart, you did everything possible for your beautiful old lady and she knew it. She is free now and can eat all the dry food she could ever want...

Do take care of yourself, this is so tough. Post on the Grief forum if it would help - you will get understanding and support there.

Hugs...
 
Diana&Tom said:
Oh Zee...I am so very very sorry. I've been thinking of you this morning and been worried at your silence. Bless your heart, you did everything possible for your beautiful old lady and she knew it. She is free now and can eat all the dry food she could ever want...

Do take care of yourself, this is so tough. Post on the Grief forum if it would help - you will get understanding and support there.

Hugs...
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How kind you all are. Saw my vet with her and her kidneys were really gone.. didn’t want to bring her to her knees. I had her for 3 wonderful difficult years, learnt so much... thank you again. I’m ok with it.
 
I’m so sorry. It is 4 weeks today I lost my little guy. It is so hard. I know everyone says they are better off and not suffering, etc, but that doesn’t replace the sadness and emptiness. You have many people here that understand your grief. Hopefully knowing you did all you could helps. Try to remember the happy times. You were a good mom. :bighug:
 
Vtambo & Rex said:
I’m so sorry. It is 4 weeks today I lost my little guy. It is so hard. I know everyone says they are better off and not suffering, etc, but that doesn’t replace the sadness and emptiness. You have many people here that understand your grief. Hopefully knowing you did all you could helps. Try to remember the happy times. You were a good mom. :bighug:
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Thank you. I feel it was the right thing now. Sorry for your loss.. they do leave an empty space but I still have my boy Eric who was pushed aside recently... I’ll make it up to him...
 
Lighting a ring of candles, in remembrance of your beloved moggie Mum.
candle.jpg

May her memories live forever in your heart.

:bighug::bighug::bighug::bighug::bighug:
 

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