New, Long Story, and Many Questions

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Griffin the Siberian

Member Since 2021
Before I begin - I cannot believe the wealth of information I have found on this site! Just want to thank everyone ahead of time for all the time and care this community puts in for all of us and our kitties.

Hi, My name is Sarah and I adopted my Siberian cats Griffin (9) and his sister, Phoenix (8), in 2014. We also have a Morkie dog, Belle (7). I’m very sorry for the novel to come, but am starting to feel like Griffin’s health story is all connected and wanted to get my thoughts down.


GRIFFIN’S PAST ISSUES

Diet-Related Allergy
When I adopted the cats, I wanted to feed them affordable high quality, dry food (I now know I was grossly misinformed) and sought a grain free “quality brand”. I switched them to Blue Buffalo from the Life’s Abundance they were being fed previously. Griffin started losing a lot of fur and after several visits to the vet, the cause was finally connected to the food. So I put them back on Life’s Abundance until Griffin got a UTI in 2017. I switched to prescription until getting a glowing recommendation for Castor & Pollux Pristine, which I have been feeding them both ever since. (I have always just done free-graze - food out all the time.)

Undiagnosed Skin Condition
Griffin’s fur has always been more coarse than his sister, and he periodically gets very dense mats at the base of his tail - it almost feels a little greasy in that area when it happens.

Possible Peripheral Neuropathy
His back leg has periodically slipped out from under him for years, but he is able to jump just fine. I am including this because it might be connected to his current diagnosis.

Constant Runny Eye
His left eye always seems to have a buildup of crust in the corner. It has become habit for me to pick it and get the crust out. I am including this because it might be connected to his current diagnosis.

GRIFFIN’S NEWEST ISSUES

He had started peeing outside the box over the last couple of years, and then in October of 2020, we were getting ready to move to a new house. I took all the animals in for a checkup so we could start fresh and make sure everyone was healthy. There was nothing unusual found.

Fast forward to about a month ago, he has been regularly peeing (and sometimes pooping) on brand new rugs, in the garage, and also sometimes in the litter box - pretty much ever since we moved in.

I added a serving of about a fourth of a can of wet food every day to help with hydration (and we have a fountain they drink from), but then stopped doing that after it seemed like it was causing loose stools and I was also concerned about his weight because he is a big boy and has always been just on the edge of being overweight.

I finally called the Vet a couple weeks ago and they suggested getting some Feniway to determine if this was behavioral.

LEFT EYE - “TRAUMA” BLOOD SPOT AND ENLARGED, CLOUDY PUPIL
On August 19th, I noticed that Griffin's left pupil (the same eye that is constantly crusty) was HUGE - way bigger than the right pupil - almost the size of the entire eye. It was late, so I waited until the morning and called the vet first thing. They asked me some questions and when I went to look at his eye again, there was now a big red (blood) area in the corner of his eyeball, and his pupil was now cloudy and grey. So I took him in right away. The eye wasn't outwardly bleeding, but looked like a popped blood vessel or something inside the eyeball.

UTI
They decided to check for a UTI while I was there and found blood in his urine, so they gave an antibiotic in hopes that it might clear up both the UTI and whatever was going on with his eye.

BLOOD CLOTTING ISSUE
They also did bloodwork, but in drawing his blood, found that the area just kept bleeding...it wouldn’t clot. They kept him a few extra hours and said was still seeping even when we came to pick him up.

DIABETES
Which brings me to why I am here. When they got the blood work back, they said his BG level was at 339 and set an appointment to begin insulin.


TODAY AND QUESTIONS

My intro to insulin appointment was this morning. Unfortunately though, the UTI seems to have returned and his eye has gotten worse. The blood red area in the corner has now spread across the bottom of his iris and his pupil is oddly shaped and cloudy grey.

The vet wants to make sure there isn’t more going on that might connect all these issues before starting on insulin, so they referred us to an eye specialist and gave another antibiotic for the UTI. I have an appointment at 1pm tomorrow for his eye.

In the meantime - I was planning to come here today with new marching orders for insulin and tons of questions about starting this journey. I have been reading and making notes over the last couple of weeks to wrap my head around everything...

But now that I have a little more time, here is where I want to start:

DIET QUESTIONS
In my first conversation, the vet tech recommended that I not make any dietary changes until we get Griffin regulated. He also was not familiar with the brand of food I was feeding the cats, nor did he ask any questions. Everything I have read here is telling me that I MUST make dietary changes as soon as possible.

Griffin has lost a lot of weight over the past couple weeks...I am not sure the cause of this, since surely the diabetes didn't just pop up overnight.
  1. Should I take away all dry food immediately and start him on Fancy Feast or Friskies this evening? What is the best way to do this - cold turkey or slow transition? He loves the wet food when I have given it to him in the past.
  2. How do you handle multiple cats when changing up the diet like this? Do I continue Phoenix on dry food, set up a new schedule for both, but keep them separate when feeding the appropriate serving size in the morning, afternoon, and evening? I will need to figure out serving sizes...
BLOOD CLOTTING QUESTIONS
  1. I am terrified of this new world of blood and shots and medical stuff, but am determined to do anything I need to do in order to take care of Griffin and help him lead his healthiest life. So I am prepared to home test when the time comes.
  2. I was wondering if anyone here has ever dealt with a cat who has a blood clotting issue?
HEALTH ISSUES CONNECTED?
  1. In all my reading on this site, I feel like I have seen several of the issues I have mentioned here and wonder if it’s all related. The back leg issue, the UTIs, the eye issue, and even the skin condition.

  2. Just curious if anyone here can relate to Griffin’s story and have advice or a story to share that might help give some more perspective?
That was TONS of information, I am so sorry but incredibly appreciative to anyone who takes the time to look it over to help me understand Griffin and his health. This community is incredibly special!
 
Should I take away all dry food immediately and start him on Fancy Feast or Friskies this evening? What is the best way to do this - cold turkey or slow transition? He loves the wet food when I have given it to him in the past.

Depends on the cat. I was able to just pick up the dry and start canned and none of my cats had any problems but it can cause diarrhea in some cats if you do a diet change too quickly. If you want to do a gradual change, start with 25% new food/75% old food, then go to 50/50, then 75/25 then 100% new food. If there are any problems along the way, slow down.

Doing the food change FIRST is the best time. It not only gives you some time to learn to home test but you'll be able to see how much of a difference the diet change is making on your cat's BG. Also, testing done at the vet's office can be higher due to vet stress which can raise the numbers 100 points or more. By testing at home, you'll get more reliable numbers. Then, if the diet change isn't enough, you'd be ready to start insulin safely since you'd already know how to test.

How do you handle multiple cats when changing up the diet like this? Do I continue Phoenix on dry food, set up a new schedule for both, but keep them separate when feeding the appropriate serving size in the morning, afternoon, and evening? I will need to figure out serving sizes...

The best thing you can do is switch both over to the low carb canned. Not only will it keep you from worrying about what your sugarcat is getting into, it will also greatly lessen the chances of having a 2nd diabetic cat!

A good starting point with food is 20 calories per pound of ideal weight. So if the cat weighs 10lbs but their ideal weight is 15, you'd want to start at 300 calories per day. Weigh once a week and adjust as needed.

Most of us feed our own cats multiple mini-meals instead of 2-3 big ones. It's easier on the pancreas to deal with smaller, more frequent meals. The only time you don't want them eating is the 2 hours immediately before shot times so that when you test, you get a number that's not influenced by food.

In all my reading on this site, I feel like I have seen several of the issues I have mentioned here and wonder if it’s all related. The back leg issue, the UTIs, the eye issue, and even the skin condition.

The UTI and possibly the back leg weakness could definitely be related to diabetes. The urine in an uncontrolled cat contains a lot of sugar which is the perfect food for bacteria to grow. In the future though, if a UTI is suspected, have the vet do a cystocentesis to get a urine sample directly from the bladder and have it sent off for a Culture and Sensitivity. The C&S will tell you which bacteria is causing the problem and which antibiotic will work best against that particular bacteria.

The eye issue concerns me....have they checked your cat's blood pressure?

As for the skin, that could be lots of things but allergies from food would be one of my top guesses.
 
Welcome Sarah, what a gorgeous kitty Griffin , beautiful
Chris has given you a lot if good information
Please let us know what the eye specialist says tomorrow, poor baby

I see you live in Florida, if you want to pick up a meter ahead of time so you have it when you start testing most of us use a human meter and buy the Relion Prime from Walmart it's 9 dollars
17.88 for 100 test strips
Get any brand lancets 26 or 28 gauge
Cotton rounds to put behind the ear
Our numbers here are based on human meters, the test strips for pet meters are way too expensive
 
Always aim for the sweet spot warm the ears up first, you can put rice in a sock and put it in the microwave, test it on the inside of your wrist to be sure it's not to hot, like you would test a babies bottle. You can fill a pill bottle with warm water and roll it on the ears also.Just keep rubbing the ears with your fingers to warm them up
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6. As the ears get used to bleeding and grow more capilares, it gets easier to get the amount of blood you need on the first try. If he won’t stand still, you can get the blood onto a clean finger nail and test from there.
When you do get some blood you can try milking the ear.
Get you finger and gently push up toward the blood , more will appear
You will put the cotton round behind his ear in case you poke your finger, after you are done testing you will fold the cotton round over his ear to stop the bleeding , press gently for about 20 seconds until it stops
Get 26 or 28 gauge lancets
A lot of us use the lancets to test freehand
I find it better to see where I'm aiming

VIDEO: How to test your cat's blood sugar
Here is a video one of our members did
 
Thank you both for the insight and advice! I couldn't figure out how to reply to each of you separately (it looked like I would be reposting my entire novel every time, and I didn't want to bog down the thread just in case!), so this post is just a quick update.

Food Update: Griffin is prone to diarrhea with wet food, so we are going to take Chris's advice on a slow transition. He has lost another pound since our last vet visit, so the whole food issue is making me really nervous overall. He absolutely loves most canned food, so I just hope he can make the transition with no further issues.

Eye Update: Luckily his eye is not bleeding from the retina, but the iris, so his vision has not been affected. Turns out he does have high blood pressure (220 at the visit, so maybe more realistically around 190). Since he recently had bloodwork done, they were able rule out thyroid and kidney issues. She said his heart sounds fine, but to follow up with a cardiologist or at least an X-ray at the vet to see what else might be going on related to his heart. She said his heartbeat sounds good, and sometimes cats just have high blood pressure for no apparent reason.

I now have blood pressure medication and will start giving him that 2x per day and will go back in about a week. They agree that we should hold off on the diabetes journey, since it's possible that the BG results could have been inaccurate among all this other stuff going on. (I hope that's not just me hearing what I want to hear...?)

Thanks again for all your insight, I would love to hear if anyone else has been in a similar boat or has any further advice!
 
I'm glad to hear you're on the blood pressure meds. I was concerned that's what was going on with the eye so I'm glad you got it checked out. Hopefully with the medication, you won't have any more problems with his eyes.

Good job getting the spreadsheet started!...Now let's work on getting some numbers plugged in! ;)
 
I'm glad to hear you're on the blood pressure meds. I was concerned that's what was going on with the eye so I'm glad you got it checked out. Hopefully with the medication, you won't have any more problems with his eyes.

Good job getting the spreadsheet started!...Now let's work on getting some numbers plugged in! ;)

Thank you, yes I feel very hopeful about where we are at the moment. Griffin already seems to have perked up a bit over the last couple of days. Both the vet and eye dr said the BG reading could have been artificial with all these other issues, so we have been advised to hold off on beginning insulin until we get his blood pressure under control and can recheck his levels. I haven't done anything with the spreadsheet besides just getting it set up. I will give an update when I have more information. Thanks again!
 
Good to hear that Griffin is feeling better :-)

Both the vet and eye dr said the BG reading could have been artificial with all these other issues, so we have been advised to hold off on beginning insulin until we get his blood pressure under control and can recheck his levels.
Did his blood work check for ketones? If there are ketones in the picture, you want to get him started on insulin ASAP.
You also may want to get that meter and test him at home so you get BG readings that are not influenced by vet stress.
 
One thought if you are still transitioning to a canned food diet. You can add a probiotic to control the diarrhea. S. boulardii is a great choice for kitty (and any other species -- yes, human) diarrhea. The brands that I've used are either ReNew or Jarrows (S. boulardii + MOS). Both are available on Amazon. You start out with a small amount -- 1/4 of a capsule mixed into canned food twice a day and increase by 1/4 capsule if the diarrhea persists.
 
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