New Member : 4/3/23 Pancreatitis

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sparky6233

Member Since 2023
I have 8 cats (5 are brothers and sisters 4yrs and 6 months old) Last week Bear got extremely ill. Vomiting all over. I took him to our vet (the only vet in my town) we thought he ate ribbons off of a toy and had a blockage. Our vet just felt his belly, said it was tender, said he would pass the ribbons in a few days, gave him an anti-nausea shot and sent him home. As the night went he became more and more lethargic. We took him to the closest emergency hospital which is an hour away. They did not care about him at all. Said it would be 12 hours before they could get to him and we’d be better off going home and waiting for our regular vet to open. We brought him home and took shifts in sleeping so one of us was always watching him. I also texted my vet about what was going on. She called me early morning and said he needed to go to an emergency animal hospital because if he needed surgery he would have to be monitored for a few days and she wasn’t equipped to do that. We found another emergency hospital an hour and 15 minutes from us and they said they could see him immediately and if he needed surgery they would do it that day (others said they couldn’t).

So we get him to the hospital, they take his vitals and did an x-ray. The x-ray showed something was going on in his intestines but was not conclusive of a blockage. They did say that his blood glucose levels were high which they were not sure if it was stress induced but would monitor him and that in the morning an internal medicine specialist would evaluate him and give him an ultrasound. She said he was a bit young to be developing diabetes, especially with not having any symptoms before he got really ill.

The specialist evaluated him, ran tests, did the ultrasound and said there was not a blockage but he had severe pancreatitis and inflamed abdomen from the pancreatitis. She explained what it is and that there is no medicine to fix it, it’s treated with supportive care, and sometimes they need insulin and plasma. She wanted to feed him to see what his sugars would do. They didn’t feed him until after she came in because in case he needed surgery for a blockage he couldn’t have food. They finally feed him and his sugars went up. So they started him on Lantus once a day, but his sugars were still going up when he ate so they changed it to 2 units twice a day. He was in the hospital for 4 days. He was not 100% recovered when they sent him home on Saturday. They felt he was well enough to go home and continue care here. She prescribed him 2 units twice a day of Lantus. Hills Feline DM GlucoSupport dry food. He refused to eat the wet food while there. I found that odd because yes my cats eat dry food (they’re all grazers) but in the mornings I give them Fancy Feast Gravy Lovers. All will eat that except for 2 of my cats that refuse to eat wet food. She also put him on Lantus because he’s a grazer and won’t eat at specific meal times. My home vet wanted to change him to her insulin, the only insulin she carries and if I don’t switch him to that she will not monitor him. I told the specialist about that and she said the insulin my vet carries is for dogs and is meal specific which Bear will not do well with that and he needs to stay on Lantus. At this time we don’t know if he will be insulin dependent permanently or if it’s until he’s over the pancreatitis. We are supposed to take him back next week on Thursday to do a blood curve on him as well as an ultrasound on his pancreas. I just don’t know how accurate that will be because stress can make their levels go up and it’s an hour and 15 minute drive and he hates it. She does not have us monitoring at home right now. After reading threads on here it scares me that we’re giving him insulin twice a day not knowing what his levels are. I don’t want a hypoglycemia event. The emergency hospital is far. My vet is only open 4 days a week and she refuses to answer her phone after hours. I’m nervous and scared.

Currently taking 2 units of Lantus a day. 6:20AM and 6:20Pm

Not set meal time but free eats Hills Feline DM GlucoSupport as well as Fancy Feat Classic Pate in the morning. He doesn’t seem to be a fan of Pate’s. I’ve tried Fancy Feast and 9Lives pate’s. I’ve tried to get him to eat more can food in the evening and he takes a couple bites and walks away. He loves Fancy Feast Gravy Lovers but I read that’s not good for diabetic cats.

After his insulin shots I give him a couple of the Pure Bites Freeze Dried Chicken treats as a reward for doing so well with the shots.

All of my cats are on this diet as well.

Suggestions on monitoring? Should I even though his specialist says no need to do that right now. If I should monitor what monitor do you suggest? What gauge for lancets? How many times a day? What are the normal range numbers for a cat? I read other threads about a monitor everyone use from Walmart and the correct numbers for a cat with a human monitor but I can’t find those threads again.
 
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Hi and welcome to the forum. I'm sorry Bear has been so unwell.
I agree with the specialist that Lantus is the best insulin for cats. Your vet probably wants to use vetsulin which is a dog insulin. So I would stay with lantus if I were you.

Not set meal time but free eats Hills Feline DM GlucoSupport as well as Fancy Feat Classic Pate in the morning. He doesn’t seem to be a fan of Pate’s. I’ve tried Fancy Feast and 9Lives pate’s. I’ve tried to get him to eat more can food in the evening and he takes a couple bites and walks away. He loves Fancy Feast Gravy Lovers but I read that’s not good for diabetic cats.
The DM Glucosupport Dry food is high carb ( around 17-18%) so is not suitable for diabetic cats. If he doesn't like pates, there are a lot of other low carb options available. Ill give you a link to a food chart. Look for wet foods that are 10% or under carbs. Around 4-7% is what most of us feed.
The FF gravy lovers is high carb and i would have a few of those for your hypo kit as well as some honey or karo.
HOWEVER...you don't want to be changing any of the food until you are hometesting the blood glucose (BG) because lower carb food can drop the Bg up to 100 points.
FOOD CHART

Suggestions on monitoring? you nedI even though his specialist says no need to do that right now. If I should monitor what monitor do you suggest? What gauge for lancets? How many times a day? What are the normal range numbers for a cat? I read other threads about a monitor everyone use from Walmart and the correct numbers for a cat with a human monitor but I can’t find those threads again
Yes, you definitely should be monitoring the BGs to keep Bear safe.
Two units twice a day is a lot for a newly diagnosed cat so I would be wanting to know what the BGs are doing and if it is safe to give the dose.
You can get a ReliOn premier meter from Walmart for $9 and 100 test strips for $17.88.
You will also need a box of 100 lancets...get size 26 or 28 gauge.
And a pkt of cotton rounds to hold behind the ear when you test.

Here is a link to HINTS AND LINKS TO HOME TESTING
So you need to test before every shot to see that it is safe to give the dose and then try and get a test in sometime between +4 and +7 to see how low the dose is taking him. Do that for both cycles each day.
Here is a link to how to set up the spreadsheet
HELP US HELP YOU
It has useful information for new members as well as the spreadsheet info and the hypo kit

I would feed him a meal before the dose and then give him a couple of snacks during the cycles.
So the routine is test, feed and shoot all one after the other.
In the beginning if the BG is under 200 I would stall, don't feed and test again in 20 minutes to see if the BG is rising. You can also post and ask for help. Change the subject like to alert us you need help.

Keep asking questions. We are very happy to help you.
Bron
 
What are the normal rantic cat is 50-120ge numbers for a cat? I read other threads about a monitor everyone use from Walmart and the correct numbers for a cat with a human monitor but I can’t find those threads again
The normal BG range for a non diabetic cat is 50-120 using a human meter.
It can take a while for diabetic cats to respond to the insulin as it is a hormone so dint worry if he does not respond straight away,
Cats get stressed at the vets so doing a curve at home would be a much better idea. It would be cheaper, more accurate and better for Bear.
Don't worry that the vet has not suggested you home test. Most vets don't. And most who do want you to use a pet meter which is very expensive to run.(It is the test strips which are very expensive for the pet meter...$1 each compared to $17.88 for 100 at walmart with the ReliOn meter. And the human meter is just as good. So just say, you have bought a human meter and will do the curve at home and let them know the result.
If you set up the SS we can help you with dosing and if it is safe to give the dose.
 
Thank you everyone for the advice and tips. This is all new to us so we are definitely still learning. We hope this isn’t long term but I feel that it will be, his case of pancreatitis was severe so I’m willing to bet there is permanent damage, we will know more about that when he gets the ultrasound on his pancreas next week.
 
Bron already gave you all the info you need to get started but I was wondering you said the specialist ran tests, and I assume that’s an internal medicine vet, did they run the specific pancreatitis blood test then? The ultrasound won’t confirm it. It can only be done with the blood test. I don’t know that a second ultra sound is needed but if you feel better doing it go ahead.

I would not have the curve done at the vet like Bron mentioned, he’ll be stressed and the bg numbers won’t be the accurate ones you’d get at home when he’s relaxed and in his comfort zone. If you manage to get the supplies from Walmart this week, we can give lots of tips on how to home test. You can order online but it probably won’t arrive till next week. If you have a Walmart near you, you can buy the meter, test strips and lancets there. You want to always give a treat immediately after like you’re doing with the shots. And you want to warm up the ear so it’s easier to get a good size blood droplet. Some cats bleed easily right away like Bobo did, others need a little time as their ears “learn” to bleed. Here’s the area you want to aim for
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I'm sorry Bear isn't feeling well
Here is the link for the meter and test strips so you don't have to search for them
Relion Premier Classic Meter at Walmart for 9 dollars
https://www.walmart.com/ip/ReliOn-Premier-CLASSIC-Blood-Glucose-Monitoring-System/552134103

The tests strips are 17.88 for 100
https://www.walmart.com/ip/ReliOn-Premier-Blood-Glucose-Test-Strips-100-Count/575088197
You can order them on line also
Our numbers are based on human meters
When you do start testing
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 10 or 20 seconds until it stops
Get 26 or 28 gauge lancets
A lot of us use the lancets to test freehand not the lancing device
I find it better to see where I'm aiming
Look at the lancet under a light and you will see one side is curved upward, that's the side you want to poke with
 
My home vet wanted to change him to her insulin, the only insulin she carries and if I don’t switch him to that she will not monitor him. I told the specialist about that and she said the insulin my vet carries is for dogs and is meal specific which Bear will not do well with that and he needs to stay on Lantus.
If your vet won't even write you a script for lantus for the future maybe ask the specialist if he knows of a vet that will and switch vets.
You couldn't have found a better group to join, believe me, if it wasn't for the experienced members giving me advice , Tyler wouldn't be in remission since 1-24-21
Someone is always on line 24/7 to help you.
If you need help setting up your signature and spreadsheet please ask, we have a member here that would be happy to do it for you
Here is the link to read all about lantus , read all the yellow stickys
If money is an issue with the cost of lantus in the US which I know it is you can always get the generic , many members use it because it's so much affordable
Glargine, Semglee or Basaglar just call around and get prices
Wishing you all the best :bighug:
Since Bear isn't crazy about pates
On the food chart take a look at Fancy Feast Roasted/Flaked /Chunky
They are not pates, some are 4, 5, or 6 % carbs
Chunky Chicken Feast - is 4% carbs.
https://www.felinediabetes.com/FDMB/threads/dr-pierson-new-food-chart.174147
See what's on the food chart, if some are fish flavors we suggest just feeding fish flavors only once a week because of mercury in them
 
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Here is some info
Check this out
https://www.goodrx.com/insulin-glargine?dosage=five-3ml-prefilled-pens-of-100-units-ml&form=carton&label_override=insulin glargine&quantity=1
One pen would last me about 6 months . we use the pens just like a vial, you would just insert the syringe it the gray rubber stopper on the pen and draw out your insulin
Its generic lantus



Or this one also

I see some members will call CVS, Rite Aid, Costco, Walgreen's, to get the price for 5 pens
Posted by another member
One members posted this
. I paid $175 for a box of 5 pens at Walmart pharmacy, but GoodRX coupon says you can get it for around $90 if you have a Rite Aid pharmacy near you.

We don't use the pen because you can only adjust the dose by full units, we adjust the dose by 0.25 units at a time. You would need U-100 syringes half unit markings


Just take the cap off the pen and use a U100 syringes and pull the insulin out of the pen!
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Walmart also has the U-100 syrines with half unit markings,you need to go into the store to get them. We use the syringes so we can adjust the dose by 0.25 units at a time
Don't know if you have a vial or the pens that can only be adjusted by full units
You can get the syringes with half unit markings at a Walmart. Their ReliOn Brand syringes of 0.3 cc (30 unit) capacity come with half unit markings. Cost $12.58 for a box of 100
This is what the packaging looks like: either box is fine
They won't say it half unit on the box but the are . open then and look before you leave the store, can't be ordered on line , need to go into the store
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Thank you all so much for the help. Today has been stressful. Bear’s sister (same litter) started with the same symptoms as him overnight. We took her to the emergency hospital we took Bear too. They have done a full work up on her and waiting on results. They think she has pancreatitis too, but not as severe as with Bear. Her sugar is 245. Bear’s was over 400. We will get the results of her organ function test later tonight or tomorrow. This is just so crazy how it can happen in 2 cats within a week. I don’t understand and they’re surprised as well. They both do see an internal medicine specialist. I’m praying she will be fine and there is nothing life threatening going on.
 
Maybe it is not pancreatitis but a bug of some description they have both caught...or maybe the food.
It would be unusual for two cats in the same household to get pancreatitis at the same time.
What was the test they did?
 
Maybe it is not pancreatitis but a bug of some description they have both caught...or maybe the food.
It would be unusual for two cats in the same household to get pancreatitis at the same time.
What was the test they did?
They said it is unusual but they could have caught a virus that caused it. I don’t know how though since they are indoor kitties.
They did 2 radiographs to check for an obstruction
CBC Differential
Major Profile
Urinalysis
Feline PLI
Blood Glucose
 
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